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    Antenatal Care

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    Anjali Rahul Ajmeri
    Antenatal care involves comprehensive health supervision and guidance for pregnant women from conception through delivery. It aims to reduce maternal and infant mortality and morbidity through ensuring health, detecting and treating complications early, educating on parenthood, and preparing for labor. Care includes regular checkups, assessments of medical history, examinations, and investigations to monitor the health of the mother and fetus. Common discomforts are addressed and health advice is provided.

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    Antenatal Care

    Uploaded by

    Anjali Rahul Ajmeri
    17 views21 pages
    Antenatal care involves comprehensive health supervision and guidance for pregnant women from conception through delivery. It aims to reduce maternal and infant mortality and morbidity through ensuring health, detecting and treating complications early, educating on parenthood, and preparing for labor. Care includes regular checkups, assessments of medical history, examinations, and investigations to monitor the health of the mother and fetus. Common discomforts are addressed and health advice is provided.

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    Antenatal care involves comprehensive health supervision and guidance for pregnant women from conception through delivery. It aims to reduce maternal and infant mortality and morbidity through ensuring health, detecting and treating complications early, educating on parenthood, and preparing for labor. Care includes regular checkups, assessments of medical history, examinations, and investigations to monitor the health of the mother and fetus. Common discomforts are addressed and health advice is provided.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    17 views21 pages

    Antenatal Care

    Uploaded by

    Anjali Rahul Ajmeri
    Antenatal care involves comprehensive health supervision and guidance for pregnant women from conception through delivery. It aims to reduce maternal and infant mortality and morbidity through ensuring health, detecting and treating complications early, educating on parenthood, and preparing for labor. Care includes regular checkups, assessments of medical history, examinations, and investigations to monitor the health of the mother and fetus. Common discomforts are addressed and health advice is provided.

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    of 21

    Antenatal

    Care
    Definition of Antenatal care

    comprehensive health supervision of a pregnant woman before


    delivery

    Or it is planned examination, observation and guidance given to the


    pregnant woman from conception till the time of labor.
    Goals
     To reduce maternal and perinatal mortality and morbidity
    rates

     To improve the physical and mental health of women and


    children
    Importance of Antenatal Care

     To ensure that the pregnant woman and her fetus are in


    the best possible health.

     To detect early and treat properly complications

     Offering education for parenthood

     To prepare the woman for labor, lactation and care of


    her infant
    Schedule for Antenatal Visits:
    1st Visit: within 12 weeks – preferably as soon as pregnancy is
    suspected- for registration of pregnancy and first antenatal
    check – up.

    2nd Visit: between 14 and 26 weeks


    3rd Visit: between 28 and 34 weeks
    4th visit: between 36 and term
    Assessment

    History Examination Investigation


    History

     Personal history
     Family history
     Medical and surgical history
     Menstrual history
     Obstetrical history
     History of present pregnancy
    Physical Examinations

     Height of over 150 cm indication of an average-sized pelvis


     The approximate weight gain during pregnancy is 12 kg.;
    2kg in the first 20 weeks and 10 kg in the remaining 20
    weeks (1.5 kg per week until term).
    Local Examination

     The uterus may be higher than expected due to large fetus,


    multiple pregnancy, polyhydrammnios or mistaken date of last
    menstrual period.
     The uterus may be lower than expected due to small fetus,
    intrauterine growth retardation, oligohydramnios or mistaken
    date of last menstrual period.
     Fetal heart sound is heard by sonicaid as early as 10thweek
    of pregnancy.
     Fetal heart sound is heard by Pinard' s fetal stethoscope after
    the 20thweek of pregnancy.
     The normal fetal heart rate is 120-160 beats/min
    Investigations:

    Urine should be tested for sugar,


    ketones and protein.

    Hemoglobin will be repeated:


    At 36 weeks of gestation.
    Every 4 weeks if Hb is < 9 g/dl.
    Fetal kick count

    The pregnant woman reports at


    least 10 movements in 12 hours.

    Absence of fetal movements


    precedes intrauterine fetal death
    by 48 hours.
    Health Teaching during the First
    Trimester
     Physiological changes  Smoking :
    during pregnancy  Medications
     Weight gain  Infection
     Fresh air and sunshine  Irradiation
     Rest and sleep  Occupational and
     Diet environmental hazards
     Daily activities  Travel
     Exercises and relaxation  Follow up
     Hygiene  Minor discomforts
     Teeth  Signs of Potential
    Complications
     Bladder and bowel
     Sexual counseling
    Common Discomforts of Pregnancy,
    Etiology, and Relief Measures :

    Urinary frequency
    RELIEF MEASURES:
     Decrease fluid intake at night.
     Maintain fluid intake during day.
     Void when feel the urge.
    Antenatal Advice
     Diet
     Rest & Sleep
     Bowel
     Bathing
     Clothing, shoes & belt
     Dental care
     Care of the breasts
     Coitus
     Travel
     Smoking & alcohol
     Immunization
     Drugs
    Minor ailments during Pregnancy
     Nausea & Vomiting
      Back Ache
     Constipation
     Leg Cramps
     Heart Burn
     Frequent Urination
     Striae Greavidrum
     Constipation
     Varicose vein
     Ankle edema
     Vaginal discharge
     Fatigue
     Giddiness
     Sleeplessness
     Hemorrhoids
     Headache
     Brest tenderness
     Nasal stiffness
     Syncope
     Pica
     Pityalism – excessive salivation

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