NIGHTINGALE INSTITUTE OF NURSING,

NOIDA

HEALTH TALK
ON
ANTENATAL CARE
(SUBJECT: OBSTETRICS AND GYNAECOLOGY)
SUBMITTED TO : SUBMITTED BY:

Ms. FINU MAM Ms. RUPALI ARORA

LECTURER MSc(N) 1ST YEAR

NIN, NOIDA NIN, NOIDA

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GENERAL INFORMATION:
Name of student teacher : Ms. Rupali arora

Subject : obstetric and gynaecology

Topic : health talk on antenatal care

Group :

Date :

Duration : 60 minutes

Method of teaching : Lecture cum discussion

Place :

Language : hindi

A V aids : flash cards, flip cards, charts

Name of the evaluator : Ms. Finu mam

Previous knowledge of the group : Group has some knowledge about breastfeeding as acquired in their undergraduate level.

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General Objective:

At the end of the class the students will be able to understand the concept of ANTENATAL CARE.

Specific Objectives:

At the end of the class the students will be able to

 Introduce the topic antenatal care .

 Definition of antenatal care.
 Aims .
 Objectives of antenatal care.
 Importance of antenatal care.
 Antenatal visits.
 Registration
 Antenatal checkups
 Medicines to be taken.
 Diet in pregnancy.
 Various cares to be done.
Bowel care, hygiene, travel, dressings, care of breast, coitus.
 Conclusion
 Bibliography

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Time Specific Content Teaching Evaluation
duratio Objectives Learning
n Activity
30 sec To introduce Good Morning to all
self of you. Myself,
Rupali I would like
to tell you something
on ANTENATAL
CARE.

30 secs To announce Announcement of

the topic topic ANTENATAL
CARE.

2 min To introduce Introduction of ANTENATAL CARE Student teacher

the topic Every year there are an estimated 200 million pregnancies in the world. introduces the topic
Each of these pregnancies is at risk for an adverse outcome for the antenatal care.
woman and her infant. While risk cannot be totally eliminated, they can
be reduced through effective, and acceptable maternity care. To be
most effective, health care should begin early in pregnancy and
continue at regular intervals.
Antenatal care refers to the education, supervision, treatment and care
given to an expectant mother from the time the conception is confirmed
until the beginning of labor. It includes monitoring the progress of
pregnancy, providing appropriate support to the women and her family
and providing information, which will assist them to make sensible
choices.

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Time Specific Teaching Evaluation
duration objectives Content Learning
Activity
To define Definition of antenatal care Student teacher What do you
1 min antenatal care 1. Systematic supervision (examination and advice) of a women explains definition understand by
during pregnancy is called antenatal (prenatal) care. The of antenatal care. antenatal care ?
pregnancy is of 9 months, and it is divided into 3 trimesters
(each one has 3 months)
2. Planed examination and observation for the woman from
conception till the birth.
Or
3. Antenatal care refers to the care that is given to an expected
mother from time of conception is confirmed until the
beginning of labor.

1 min To enlist the Aims of Antenatal Care Student teacher What are the
aims of  To screen the high risk cases. enlisted the aims of aims of
antenatal care  To prevent or to detect and treat at the earliest any antenatal care. antenatal care ?
complications.
 To ensure continued risk assessment and to provide ongoing
primary preventive health care.
 To educate the mother about the physiology of pregnancy and
labor by demonstration, charts and diagrams so that fear is
removed and psychology is improved.
 To discuss the couple about the place, time and mode of
delivery, provisionally and care of the newborn.
 To motivate the couple about the need of family planning.
 To reduce maternal mortality and morbidity rates.
 To improve the physical and mental health of women and
children.
 To prevent, identify, and maternal and fetal abnormality that
can affect pregnancy outcome.
 To decrease financial recourses for care of mothers.

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Time Specific Teaching Evaluation
duration objectives Content Learning
Activity
2 mins To explain Objectives of antenatal care Student teacher Tell some
about the • Promote, protect and maintain the health of the mother explains the objectives of
objectives of during pregnancy. objectives of
antenatal
antenatal care . • Detect “high-risk” pregnancies and give the mother’s antenatal care. List
special attention. down some care.
• Foresee complication and prevent them. objectives.
• Remove anxiety and fear associated with delivery.
• Reduce maternal and infant mortality and morbidity.
• Teach mother, elements of childcare, nutrition, personal
hygiene and environmental sanitation.
• Sensitize the mother to the need for the family planning.

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Time specific Content Teaching Evaluation
duration objectives Learning
Activity
1 min To tell about Importance of antenatal care Student teacher What are the
the importance  To ensure that the pregnant woman and her fetus are in the best explains the importance
of antenatal possible health. importance of
of antenatal
care.  To detect early and treat properly complications antenatal care using
 Offering education for parenthood flash cards. care.
To prepare the woman for labor, lactation and care of her infants

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Time Specific Content Teaching Evaluation
duration objectives Learning
Activity
2 min To explain Antenatal visits Student teacher How many
about the The WHO recommends that pregnant women should all receive four explains about how antenatal visits
antenatal visits antenatal visits to spot and treat problems and give immunizations. many antenatal visits are there ?
Although antenatal care is important to improve the health of both to be there .
mother and baby, many women do not receive four visits.
• First visit: confirmation of pregnancy
• Second visit: 20-28 weeks
• Third visit: 34-36 weeks
• Fourth visit: before expected date of delivery or when the pregnant
woman feels she needs to consult health worker.
Every woman should have a record file and every event should be
written in it. If pregnancy is passing uneventfully these visits are
enough but if complications arise we need more visits.

1 min To explain REGISTRATION Student teacher

about the first  Register yourself at the nearest health facility as soon as explains about the
step of pregnancy is detected. registration process.
registration.  Four antenatal check ups are essential for a pregnant woman
1. First ANC Check up - As soon as the period is missed or within
first three months of missing the period.
2. Second ANC Check up In 4th – 6th month of pregnancy.
3. Third ANC Check up In 7th – 8th month of pregnancy.
4. Fourth ANC Check up In 9th month of pregnancy. Regular ANC
visits protect you and your baby from complications and ensures
healthy mother and child.

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Time Specific Teaching Evaluation
duration objectives Learning
Content Activity
3 min To discuss ANTENATAL CHECK-UP Student teacher What all comes
about the what  Get your Hb explains about the in antenatal
all are  Blood pressure(BP) check ups ?
antenatal
included in the  urine, weight and abdomen checked at every visit.
antenatal  Ensure that you receive IFA tablets and two doses of Inj. checkups.
checkup. Tetanus Toxoid (TT).
 Always consult your MO if necessary or referred.
 Get your weight checked. (Average weight gain during
pregnancy is 9 - 11 kg).
 Hemoglobin estimation helps in early detection and treatment
of anemia
 Detection of albumin and sugar saves you and your baby from
serious conditions
 Get your blood pressure checked to detect high BP which can
be dangerous for you and your baby. Abdominal Check-up
during ANC helps in assessing fetal growth and its well- being

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 To tell about MEDICINES TO BE TAKEN Student teacher
2 mins the medicines  TETANUS TOXOID INJECTION Tetanus Toxoid Injection tells about the Which
to be taken. protects both mother and baby from Tetanus which is one of medicines to
medicines to be
the life threatening conditions. Get two doses of T.T. injection be taken ?
at one month interval. taken in
 IRON FOLIC ACID (IFA) TABLETS pregnancy.
 During pregnancy 100 tablets of iron and folic acid will be
given.
 One tablet of IFA is to be taken daily starting from the
fourth month of pregnancy.
 If you are anemic, you will be advised to take two IFA
tablets daily, one

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 To explain Students teacher What food
2 mins about the diet DIET DURING PREGNANCY explains about the should be
to be taken • Need to eat one extra meal a day during pregnancy. diet to be taken taken during
during • Take milk and dairy products like curd, buttermilk, paneer-these are rich in using chart. pregnancy .
pregnancy calcium, proteins and vitamins.
• Eat fresh/seasonal fruits and vegetables as these provide vitamins and
iron. Cereals, whole grains and pulses are good sources of proteins.
• Green leafy vegetables are a rich source of iron and folic acid.
• A handful (45 grams) of nuts and at least two cups of daal provide daily
requirement of proteins in vegetarians.
• For non-vegetarians, meat, egg, chicken or fish are good sources of
proteins, vitamins and iron.
Supplementary iron therapy is needed for all pregnant mothers from 20
weeks onwards. (30 mg of ferrous / day) (60- 100 mg/day) is given for large
women, twin, and those women who book for ANC late in pregnancy Anemic
woman should take (200 mg/day)

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10 mins To tell about CARE TO BE DONE DURING PREGNANCY Student teacher What all care
the cares to be BOWEL CARE explains about the to be done ?
done during 1. AVOIND CONSTIPATION various cares to be
pregnancy 2. REGULATION OF DIET TAKING PLENTY OF FLUIDS, VEGETABLES & done during
MILK. pregnancy using flip
Hygiene cards.
1. Daily bath is recommended, as it stimulation refreshing and relaxing.
Avoid hot water bath.
2. Wash your hands with soap and water before every meal and after
attending toilet
3. Clip your nails regularly
4. CLEANLINESS PERSONAL HYGIENE PREVENTS ACQUIRING INFECTION
AND ALSO FROM TRANSMITTING TO THE BABY Daily bath & careful
against

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 Dressing:
Tight clothes and belts are avoided The patient should wear loose but
comfortable dresses.
High heel shoes are better avoided.
Alcohol, smoking and drugs should be avoided as the may affect the fetal
wellbeing

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 CARE OF BREAST
Breast engorgement may cause discomfort during late pregnancy. A
well-fitting brassiere can give relief.

Rest and sleep

Have 8 hours of sleep at night and at least 2 hours rest during the day.
• Lie on your left side as it increases the blood supply to the foetus.
• Avoid hard work such as lifting heavy weight.
• Do not overexert yourself and delegate few tasks to others.
Adequate rest gives you physical and mental relaxation which is good
both for you and the baby

EXERCISE

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 COITUS
1. Contact with the husband to be avoided during the first
trimester & last six weeks.
2. Generally, coitus is not restricted during pregnancy. Release of
prostaglandins and oxytocin with coitus may cause uterine
contractions.
3. Women with increased risk of miscarriage or preterm labor
should avoid coitus if they feel such increased uterine activity.
TRAVEL
• Travel by vehicles having jerks is better to be avoided,
especially in first trimester and the last 6 weeks.
• The long journey is preferably to be limited to the second
trimester.
• Rail route is preferable to bus route.
Travel in pressurized aircraft is safe up to 36 weeks.
• Air travel is contraindicated in cases with placenta previa,
preeclampsia, severe anemia and sickle cell disease. Prolonged
sitting in a car or aeroplane should be avoided due to the risk of
venous stasis and thromboembolism.

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 SMOKING, ALCOHOL & DRUGS
• In view of the fact that smoking is injurious to health, it is better to
stop smoking not only during pregnancy but even thereafter.
•Heavy smokers have smaller babies and there is also more chance of
abortion.
• Similarly, alcohol consumption is to be drastically curtailed or
avoided, so as to prevent fetal maldevelopment or growth restriction
FAMILY SUPPORT
• Family behaviour and attitude should be pleasant and encouraging.
• Family should ensure provision of healthy diet and timely visits to
health facility.
• Avoid delay in contacting medical facility when labor starts or in case
of a complication.
• Adequate finance and transport should be arranged beforehand.
• A blood donor should be identified for any unforeseen emergencies.
Care and support by husband and mother-in-law gives emotional
support and confidence in child bearing.

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1 min To conclude CONCLUSION Student teacher
the topic Antenatal care services are the first steps towards ensuring the health of conclude the topic.
mothers and the newborn. This is the key component for achieving
Millennium Development Goals by 2015. But India's performance
continues to be poor in providing antenatal care services to its huge
population, particularly in the rural areas.

1 min To tell about BIBLIOGRAPHY

the 1. Dutta DC “textbook of obstetric”, edition 8th Jaypee
bibliography publication, page 52-64
2. Myles “textbook for midwives”, 16th edition Elsevier
publication, page no.55-77.
3. Jacob Annamma a comprehensive “textbook of midwifery and
gynecological nursing” 3rd edition, Jaypee publication page
no,37-51.

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To tell the
bibliography

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