MC&M Antenatal Record Card

Have you forgotten your MC& M Antenatal card lately???

Why do we ask that you keep your MC&M antenatal card in your hand bag, even in early pregnancy? It is because you never know when you might need it!

The MC&M Antenatal Card, is a record of your pregnancy and contains all the important details required by the hospital when you present for assessment in the labour ward or go to your GPs for a check up. It also has the hospital numbers printed on it. We will generally give you the card at a routine visit at around 12-16 weeks.

If you are unwell between appointments, have a fall or are involved in a car accident. It may be recommended, that you present to the Emergency Department,  the labour ward or your GP for a  check up. If you are not carrying your antenatal card it can be difficult to get all the necessary information required for a thorough assessment.

The following information is about the details on the MC&M Antenatal Card & what the abbreviations mean.

On the “Front” of the card : demographic details/medical history/recent pathology (blood results)ultrasound details/immunisations. As the pregnancy progresses further results are gathered & they are added to this part of the card.

The “Back” section is divided into two sections. It is the place to record your antenatal visits, GP visits and hospital admissions during the pregnancy.

Weight is mostly recorded.

Urine testing is sometimes attended but not routine.

Blood Pressure (BP) is always recorded.

Oedema (swelling) comment made if present

Calculated Gestation– How many weeks pregnant you are at the visit

Fundal Height a measurement of your uterus size by tape measure after 20 weeks.  An ultrasound may also be done to check the growth of the baby. The tape measurement should be equal to your gestation plus or minus 2 centimetres e.g. if you are 28 weeks a measurement could be 26-30cm and this would be considered to be in normal range.

EFW/Centile Estimated weight by Ultrasound & centile the baby is tracking along.

Presentation & position: this describes what part of the baby is presenting into the pelvis & how the baby is lying. Head (cephalic or vertex)/ Bottom (breech)/ Baby lying sideways(Transverse-nothing in  the pelvis) or oblique.

PP above Brim 5/5 ths: this describes “engagement” it is the depth the baby’s head or bottom presenting  inside  the pelvic brim e.g. 5/5, 4/5,3/5,2/5,1/5.  Written as ENG (presenting part is deep in the pelvis) N/E (not engaged presenting part above the pelvic brim).This is not usually recorded on the card  until later in the third trimester.

F.M/F.H.S.these abbreviations are for Fetal movement and fetal heart sounds. FHS is documented as present every visit and FM each visit after the mother starts to feel the baby move. This is usually 20-24 weeks with your first baby but as early as 14 weeks with your second or subsequent pregnancy.

Remarks: is self explanatory

At the base of the card are 4 large columns to record various aspects in you care including information to be discussed as the pregnancy progresses. It is also where notes are made to “alert” labour ward and or postnatal staff when you are admitted to hospital.