Antenatal Care Overview

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Questions and Answers

What is the primary purpose of antenatal care as defined by WHO?

To provide medical care only during labor

To ensure proper nutrition for the baby

To guarantee the best health conditions for both mother and baby during pregnancy (correct)

To monitor fetal growth exclusively

Which of the following components is NOT part of antenatal care?

Routine vaccinations for infants (correct)

Education and counseling

Assessment of health conditions

Birth and emergency planning

At which gestational week is the first antenatal visit recommended?

18 weeks

12 weeks

10-14 weeks (correct)

24 weeks

What is one of the key preventive measures recommended during the first antenatal visit?

Folic acid tablets Signup and view all the answers

Which screening test is advised during the third antenatal visit, typically between 24 to 28 weeks?

Blood glucose tolerance test Signup and view all the answers

During which visit should the provider check for signs of preeclampsia?

Third visit Signup and view all the answers

What percentage of pregnant women in Iraq have four or more antenatal contacts?

68% Signup and view all the answers

Which preventive measure is introduced at the second antenatal visit?

Td vaccine Signup and view all the answers

Which of the following is NOT typically assessed during the first antenatal visit?

Fetal heart rate Signup and view all the answers

What is the recommended number of routine visits during pregnancy?

Eight visits Signup and view all the answers

What is the primary focus of the 'Routine Visit' schedule in antenatal care?

To ensure regular monitoring of the mother and fetus even without health problems Signup and view all the answers

During which antenatal visit is the glucose tolerance test (GTT) conducted?

Third visit at 24-28 weeks Signup and view all the answers

What assessment is specifically analyzed for risk during the booking visit?

Risk for sexually transmitted infections (STI) Signup and view all the answers

Which of the following components is emphasized in education and counseling during antenatal care?

Signs of danger during labor Signup and view all the answers

What essential aspect is monitored at each antenatal visit, regardless of specific tests or assessments?

Maternal weight and blood pressure Signup and view all the answers

Which vaccine is typically administered during the second antenatal visit (at 18 weeks)?

Tetanus-diphtheria (Td) vaccine Signup and view all the answers

What is the key objective of antenatal care according to the general principles of good care?

To ensure optimal communication and assessment with every visit Signup and view all the answers

Which of the following is a common misconception about antenatal visits?

More frequent visits are only necessary if problems arise Signup and view all the answers

What major factor is typically explored during the fourth antenatal visit (at 28 weeks)?

Signs of preeclampsia Signup and view all the answers

Which of the following preventive measures is NOT commonly discussed during the antenatal visits?

Encouragement of proper diet during labor Signup and view all the answers

Study Notes

Antenatal Care (ANC) Definition

WHO defines ANC as the care provided by skilled health professionals to pregnant women to ensure the best health conditions for both mother and baby during pregnancy.

Components of ANC

Assessment (1): Checking for diseases
Responding to problems (3): Addressing any issues
Preventive measures (4): Implementing preventative measures
Education and Counselling (5): Educating and counseling about home care, danger signs during labor, birth and emergency plan, breastfeeding, and family planning.

ANC in Iraq (2018)

First antenatal contact is 88% and postnatal health check for the mother is 83%.
Pregnant women having four or more ANC contact is 68%.
Eight antenatal contact is 22%. (MICS 6, 2018)

General Principles of Good Care

Communication (1): Effective communication skills
Workplace and Administrative Procedures (2): Proper procedures in the workplace
Quick Check (3): Quick assessments
Organizing a Visit (4): Procedures for visiting, including routine, emergency and follow-up visits.

Routine Visits

At least eight visits during pregnancy are recommended, even without health problems (following the schedule below):
First visit: During the first 12 weeks
Second visit: 18 weeks
Third visit: 24 weeks
Fourth visit: 28 weeks
Fifth visit: 32 weeks
Sixth visit: 36 weeks
Seventh visit: 38 weeks
Eighth visit: 40 weeks

First Visit (Booking)

Ask about personal information, current/past medical and reproductive history, any risk factors for STI, taken medication
Physical examination: look, listen, feel for general health (weight, height, BMI, blood pressure, fundal height, fetal heart rate)
Investigations: Urine examination (GUE), complete blood count (CBC), hemoglobin (Hb), Venereal Disease Research Laboratory (VDRL), Hepatitis B surface antigen (HBsAg), antibodies to HIV, ultrasound (10-14 weeks)
Preventive measures: Folic acid
Counseling: Home care, danger signs during labor, birth plan, breastfeeding, family planning

Second Visit (18 weeks)

Review the same information and ask about fetal movement, drugs taken, vaginal bleeding, and birth plan.
Look, Feel, Listen: Weight, blood pressure, fundal height, fetal heart rate
Preventive measures: Folic acid, tetanus vaccine
Counseling

Third Visit (24 weeks)

Ask the same questions as the previous visit.
Look, Feel, Listen
Investigations: Glucose tolerance test (GTT) (24-28 weeks)
Preventative measures
Counseling

Fourth Visit (28 weeks/fifth 32 weeks)

Ask the same questions
Look, Feel, Listen
Investigation: GUE, Hb, ultrasound (28-33 weeks)
Preventative measures
Refer for anti-D antibodies if necessary
Counseling

Sixth Visit (36 weeks)/Seventh Visit (38 weeks)/ Eighth Visit (40 weeks)

Ask similar questions
Look, Feel, Listen: Baby's position (transverse or breech)
Preventative measures
Counseling

Emergency Visit

Contact PHC (Primary Health Care) or hospital immediately for these symptoms: severe nausea, vomiting, vaginal bleeding, severe abdominal pain, clear fluid leakage from vagina, fever/chills, convulsions, severe headache, blurred vision, difficult breathing, decrease or no fetal movement.

Follow-up Visit for specific problems

If the problem is: Fever, follow-up needed in 2 days.
Lower UTI, follow-up needed in 2 days.
Perineal infection or pain: follow-up in 2 days.
High blood pressure: follow-up in 1 week.
Syphilis: follow-up in 1 week.
Severe anemia: follow-up in 2 weeks.
Postpartum depression: follow-up in 2 weeks.
Anemia: follow-up in 4 weeks.

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Description

This quiz explores the definition, components, and statistics of antenatal care (ANC), particularly focusing on practices in Iraq as of 2018. It covers aspects like assessment, preventive measures, and the importance of communication in providing care to pregnant women. Test your knowledge on the essentials of ANC and ensure an understanding of maternal health.