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    Antenatal Care

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    Ojambo Flavia
    Antenatal care involves planned programs to ensure safe and satisfying pregnancies and deliveries for mothers and babies. It aims to maintain maternal and fetal health, recognize complications early, and educate mothers on pregnancy physiology, labor, and postpartum care. The first antenatal visit includes a full history, exam, screening tests, immunizations/supplements, and health education. Subsequent visits monitor health, provide ongoing education and counseling, and screen for abnormalities. Later visits confirm birth plans and assess pelvic health.

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    Antenatal Care

    Uploaded by

    Ojambo Flavia
    2K views13 pages
    Antenatal care involves planned programs to ensure safe and satisfying pregnancies and deliveries for mothers and babies. It aims to maintain maternal and fetal health, recognize complications early, and educate mothers on pregnancy physiology, labor, and postpartum care. The first antenatal visit includes a full history, exam, screening tests, immunizations/supplements, and health education. Subsequent visits monitor health, provide ongoing education and counseling, and screen for abnormalities. Later visits confirm birth plans and assess pelvic health.

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    Antenatal care involves planned programs to ensure safe and satisfying pregnancies and deliveries for mothers and babies. It aims to maintain maternal and fetal health, recognize complications early, and educate mothers on pregnancy physiology, labor, and postpartum care. The first antenatal visit includes a full history, exam, screening tests, immunizations/supplements, and health education. Subsequent visits monitor health, provide ongoing education and counseling, and screen for abnormalities. Later visits confirm birth plans and assess pelvic health.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    2K views13 pages

    Antenatal Care

    Uploaded by

    Ojambo Flavia
    Antenatal care involves planned programs to ensure safe and satisfying pregnancies and deliveries for mothers and babies. It aims to maintain maternal and fetal health, recognize complications early, and educate mothers on pregnancy physiology, labor, and postpartum care. The first antenatal visit includes a full history, exam, screening tests, immunizations/supplements, and health education. Subsequent visits monitor health, provide ongoing education and counseling, and screen for abnormalities. Later visits confirm birth plans and assess pelvic health.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 13

    Antenatal care

    This is a planned programme for the health education

    and management of a pregnant woman with the aim of making pregnancy and delivery safe and satisfying for the baby, the mother and the whole family

    Purpose of antenatal care


    Maintain the mother and the fetus in the best state of

    health Early recognition of likely complications and abnormality Health education of the mother about physiology of pregnancy, labour and puerperium so as to promote ideal health behavior Prevent and prepare for any complications of pregnancy, labour and puerperium

    Types of antenatal care


    Traditional

    Women seen monthly in the first 20 weeks, then twice monthly in next weeks, and weekly till delivery Refocused antenatal care A minimum of 4 times with at least once in 1ST and 2nd trimesters and twice in last trimester, with a minimum standard of care at each visit

    The first antenatal visit


    History taking Identification parameters Menstrual history and contraceptive use Relevant surgical, medical and gynae history Social and family history Past obstetric history History of present pregnancy Aim at identifying potential risk factors or prior abnormalities: factors that may increase morbidity.

    The first antenatal visit (contd)


    The first examination General: height, weight, nutritional status, general appearance, oedema, lymph nodes; Gait Eye examination for pallor, jaundice Oral examination for hygene, pallor, jaundice and thrush Breast and nipple examination Blood pressure

    The first antenatal visit (contd)


    Systems examination Cardiovascular Pulse, BP, praecordium and heart sounds Respiratory sounds Resp. rate, lung fields Abdominal examination Uterine size, fetal viability, lie, position, liquor amnii (Examination of the cervix and pelvis if indicated)

    The first antenatal visit (investigations)


    Check Hb (and full blood count if possible)
    Blood group and Rhesus factor Serologic tests for syphilis[VDRL-the standard

    nontreponermal antigen serologic test for syphilis Voluntary counseling and Testing for HIV and HIV screening Screen for sickle cell if family history present Urinalysis for sugar, proteins, culture

    The first antenatal visit (investigations)


    Others (on indication, eg hereditary disorders)
    Ultrasound scan for:

    Fetal gestation age, placental localization, congenital abnormalities

    The first antenatal visit (management)


    Treat any concurrent medical problems
    Chemoprophylaxis

    Haematinics, [ iron ,folic acid anti-helminthics, anti-malarials (intermittent presumptive treatment)

    The first antenatal visit (health education)


    1. 2. 3. 4. 5.

    Nutrition Danger signs of pregnancy complications Making a birth plan where to deliver from, who will assist, how to pay for services, who will look after the womans home, needs during labour and needs for the newborn

    Second visit at 20 -24 weeks


    Purpose of second visit in second trimester

    screen for abnormalities. It involves history taking of complaints of current pregnancy and physical examination from head to toe observations and clinical investigations such as BP and weight

    Subsequent visits
    Screen for any ill health
    Treat any current medical problems Note any failure to gain weight

    Note B.P., fetal position, fetal lie and viability


    Continue with health education On-going counseling for VCT or other concerns

    Relevant investigations
    Admit those with risk factors

    The last visit(s) after 37 weeks

    Confirm birth plan

    Pelvic assessment 1. for the Primigravidae 2. for those with prior CAESAREAN section 3. for those with poor obstetric history (such as FSB, NND) Arrange admission for elective caesarean section

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