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    Antenatal Assessment: Presented by - Maj Ajitha K

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    Shaells Joshi
    This document outlines the components of an antenatal assessment. It describes collecting a detailed history from the patient including menstrual, obstetric, medical, surgical, family and psychosocial histories. A thorough physical examination is conducted including vital signs, general appearance, examinations of head/neck, breasts, abdomen, extremities and perineum. Common investigations are also listed such as blood tests, urine analysis and ultrasound. The goal is to observe signs of pregnancy, assess fetal growth and health, and detect any abnormalities.

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    Antenatal Assessment: Presented by - Maj Ajitha K

    Uploaded by

    Shaells Joshi
    84 views25 pages
    This document outlines the components of an antenatal assessment. It describes collecting a detailed history from the patient including menstrual, obstetric, medical, surgical, family and psychosocial histories. A thorough physical examination is conducted including vital signs, general appearance, examinations of head/neck, breasts, abdomen, extremities and perineum. Common investigations are also listed such as blood tests, urine analysis and ultrasound. The goal is to observe signs of pregnancy, assess fetal growth and health, and detect any abnormalities.

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    m.sc nsg

    Original Title

    Fetal Wellbeing

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    This document outlines the components of an antenatal assessment. It describes collecting a detailed history from the patient including menstrual, obstetric, medical, surgical, family and psychosocial histories. A thorough physical examination is conducted including vital signs, general appearance, examinations of head/neck, breasts, abdomen, extremities and perineum. Common investigations are also listed such as blood tests, urine analysis and ultrasound. The goal is to observe signs of pregnancy, assess fetal growth and health, and detect any abnormalities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    84 views25 pages

    Antenatal Assessment: Presented by - Maj Ajitha K

    Uploaded by

    Shaells Joshi
    This document outlines the components of an antenatal assessment. It describes collecting a detailed history from the patient including menstrual, obstetric, medical, surgical, family and psychosocial histories. A thorough physical examination is conducted including vital signs, general appearance, examinations of head/neck, breasts, abdomen, extremities and perineum. Common investigations are also listed such as blood tests, urine analysis and ultrasound. The goal is to observe signs of pregnancy, assess fetal growth and health, and detect any abnormalities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 25

    Antenatal Assessment

    Presented by Maj Ajitha K

    Everything grows rounder and wider and weirder, and I sit here in the middle of it all and wonder who in the world you will turn out to be. - Carrie Fisher

    History Taking
    General information Name, age, gravidity, parity, edn qualification, occupation, income, religion, marital status Husband - age, edn, occupation, income, religion Current problem/ complaint History of current complaint

    Menstrual History Age at menarche Cycle, duration Amount of Flow Dysmenorrhea Intermenstrual bleeding LMP and EDD Marital History - years of marriage, consanguineous marriage, late marriage Contraceptive History - use and type of devices

    Past Obstetrics History


    Pregnancy

    Gestational age at time of delivery Outcome of pregnancy

    Labour/delivery

    Normal vaginal delivery, C-section Labor- Normal, prolonged Length of labor D&E D&C Place of delivery (at home or at the hospital) Any other complications

    Past Obstetric History


    Puerperium

    Any complications Baby Gender of baby Age of baby Breast fed, length of breast feeding Birth weight

    Present obstetric history


    Date of booking No of antenatal visits

    1st Trimester

    Ask about nausea, vomiting Other associated symptoms such as fever Abdominal/pelvic/back pain, burning micturition Vaginal discharge Bleeding per vagina Use of folic acid tablets (small yellow colored pills) Was an ultrasound done at 6 or 7wks (Dating scan)

    Present obstetric history


    2nd Trimester

    Ask about regular use of folic acid, iron and calcium supplements Ultrasound at 18-22wks (Anomaly scan) Quickening: fetal movements (normally felt around 20 weeks gestation) Fever, rash, abdominal pain

    3rd Trimester

    Tetanus toxoid vaccine at 28 wks & 32 wks Regular doctor checkups Ultrasound

    Obstetric history
    General - Any history of disease

    Hyperemesis Bleeding ,dizziness,urinary complications Head ache,visual disturbances, constipation, edema, abdominal pain, indigestion History of drugs ,radiation Total weight gain

    Past History

    Past medical: HTN, Diabetes, TB, Seizures, Asthma , heart disease, malaria, kidney disease, syphilis Past Surgical - pelvic surgeries, abdominal surgeries, caesarian, lower genital tract infections Blood Transfusions Vaccination up-to-date

    Family History :- heart disease, hypertension, DM, TB


    History of breast cancer, ovarian cancer, uterine cancer History of obstetrical disorders, twin pregnancy, abortion

    Personal History

    Appetite Sleep Bowel Micturition Recent weight gain/weight loss History of any addictions (such as smoking, alcoholism, tobacco chewing etc..) History of any allergies to foods or medicines

    Dietetic History

    Veg/ non veg, meal pattern, food fads, habits, likes, dislikes for food, pica, cultural beliefs

    Social History

    Family members Earning members Approximate income Living condition

    Psychosocial History

    Aspects of Antenatal Assessment


    Head

    to toe examination Breast examination Abdominal palpation

    Physical Examination
    General Examination
    Height Weight Temperature,

    Pulse, Respiration Blood Pressure

    Physical Examination
    General Appearance
    Build Pallor Jaundice

    Gait

    Physical Examination
    Head and Scalp
    Scalp,

    infection, infestation Hair Quality Tongue Teeth Gums Tonsils Thyroid

    Physical Examination
    Breasts
    Pregnancy Size Nipples

    changes

    Inverted Flat Retracted Cracked

    Physical Examination
    Skin
    Colour

    changes Texture Striae Gravida Linea Nigra

    Physical Examination
    Abdomen
    Size:

    Liver, Spleen Shape: Scaphoid, Pendulous Umbilicus: Protuberant, Dimpled

    Extremities
    Oedema

    Varicosities
    Deformities

    Physical Examination
    Perineum
    Oedema

    of vulva Discharge Soreness of vulva Vaginal bleeding Bartholins cyst Perineal hygiene

    Abdominal Examination
    Aim observe signs of pregnancy assess foetal size and growth assess foetal health diagnose the location of foetal parts detect any deviation from normal

    Investigations
    ABO

    blood group, Rh typing Haemoglobin and haematocrit Blood sugar fasting, postprandial VDRL HIV Rubella immune status Urinalysis Ultrasonography

    A baby is something you carry inside you for nine months, in your arms for three years and in your heart till the day you die. - Mary Mason

    THANK YOU

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