ABSTRACT

A woman aged 23 years is referred by her general practitioner to the antenatal clinic at 14 weeks in her first pregnancy. She has booked late having only just discovered she is pregnant. Although the pregnancy was unplanned she is now happy about it. She separated from her partner of 2 years a few weeks ago but is supported by her family and friends. She has no significant medical history and is one of four siblings. On direct questioning her mother apparently had a stillbirth attributed to some form of congenital abnormality 28 years ago. Otherwise the pregnancy is assessed to be low risk.