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Questions and Answers
What is the primary purpose of antenatal care as defined by WHO?
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?
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?
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?
What is one of the key preventive measures recommended during the first antenatal visit?
Which screening test is advised during the third antenatal visit, typically between 24 to 28 weeks?
Which screening test is advised during the third antenatal visit, typically between 24 to 28 weeks?
During which visit should the provider check for signs of preeclampsia?
During which visit should the provider check for signs of preeclampsia?
What percentage of pregnant women in Iraq have four or more antenatal contacts?
What percentage of pregnant women in Iraq have four or more antenatal contacts?
Which preventive measure is introduced at the second antenatal visit?
Which preventive measure is introduced at the second antenatal visit?
Which of the following is NOT typically assessed during the first antenatal visit?
Which of the following is NOT typically assessed during the first antenatal visit?
What is the recommended number of routine visits during pregnancy?
What is the recommended number of routine visits during pregnancy?
What is the primary focus of the 'Routine Visit' schedule in antenatal care?
What is the primary focus of the 'Routine Visit' schedule in antenatal care?
During which antenatal visit is the glucose tolerance test (GTT) conducted?
During which antenatal visit is the glucose tolerance test (GTT) conducted?
What assessment is specifically analyzed for risk during the booking visit?
What assessment is specifically analyzed for risk during the booking visit?
Which of the following components is emphasized in education and counseling during antenatal care?
Which of the following components is emphasized in education and counseling during antenatal care?
What essential aspect is monitored at each antenatal visit, regardless of specific tests or assessments?
What essential aspect is monitored at each antenatal visit, regardless of specific tests or assessments?
Which vaccine is typically administered during the second antenatal visit (at 18 weeks)?
Which vaccine is typically administered during the second antenatal visit (at 18 weeks)?
What is the key objective of antenatal care according to the general principles of good care?
What is the key objective of antenatal care according to the general principles of good care?
Which of the following is a common misconception about antenatal visits?
Which of the following is a common misconception about antenatal visits?
What major factor is typically explored during the fourth antenatal visit (at 28 weeks)?
What major factor is typically explored during the fourth antenatal visit (at 28 weeks)?
Which of the following preventive measures is NOT commonly discussed during the antenatal visits?
Which of the following preventive measures is NOT commonly discussed during the antenatal visits?
Flashcards
Antenatal Care (ANC)
Antenatal Care (ANC)
Care provided by skilled healthcare professionals to pregnant women to ensure the best health for both mother and baby.
Components of ANC
Components of ANC
Assessment, disease checks, responding to issues, preventive measures, education & counseling (home care, danger signs, birth plans, breastfeeding, family planning).
Routine ANC Visit Schedule
Routine ANC Visit Schedule
8 visits during pregnancy, regardless of health problems (1st 12 weeks, 18th, 24th, 28th, 32nd, 36th, 38th, and 40th weeks).
First ANC Visit (Booking)
First ANC Visit (Booking)
Collects personal, medical/reproductive history, STI risks, medications, physical exam (weight, height, blood pressure, fundal height), fetal heart rate check, and previous C-section scar check.
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Investigations (First Visit)
Investigations (First Visit)
Urine examination, complete blood count (or hemoglobin), tests for syphilis & hepatitis, HIV.
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Second ANC Visit (18th Week)
Second ANC Visit (18th Week)
Continues the assessment from the first visit, including fetal movement inquiries, medication history, vaginal bleeding questions, and birth plan discussion.
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Third ANC Visit (24th Week)
Third ANC Visit (24th Week)
Similar to previous visits but adds a focus on signs of preeclampsia and a glucose tolerance test (GTT).
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Fourth and Fifth ANC Visit (28th and 32nd week)
Fourth and Fifth ANC Visit (28th and 32nd week)
Similar assessments as previous visits, including ongoing monitoring of health and potential problems.
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Folic Acid Importance
Folic Acid Importance
A vital vitamin for pregnant women's health during pregnancy, preventing birth defects.
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GTT (Glucose Tolerance Test)
GTT (Glucose Tolerance Test)
Blood glucose test, given during weeks 24-28 of pregnancy, to check for gestational diabetes.
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What is Antenatal Care?
What is Antenatal Care?
Antenatal Care (ANC) is healthcare provided to pregnant women by skilled professionals to ensure the best health for both the mother and the baby during pregnancy.
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What are the components of ANC?
What are the components of ANC?
ANC involves assessing the mother's health, checking for diseases, responding to any problems, providing preventive measures, and offering education & counseling on topics like home care, danger signs, birth plans, breastfeeding, and family planning.
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Who needs ANC?
Who needs ANC?
All pregnant women benefit from ANC throughout their pregnancy, regardless of their health status.
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What's checked during the physical exam at the first visit?
What's checked during the physical exam at the first visit?
The first visit includes a physical exam to check weight, height, BMI, blood pressure, fundal height (measuring the uterus), and listen for the fetal heart rate after 10 weeks.
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Important Tests in the First Visit
Important Tests in the First Visit
The first visit usually includes tests like a Urine Examination, Complete Blood Count (or Hemoglobin), VDRL & HBsAg (for syphilis and hepatitis), and HIV testing.
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Folic Acid in Pregnancy
Folic Acid in Pregnancy
Folic acid is important for preventing birth defects, so it's typically prescribed during pregnancy.
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What is a GTT?
What is a GTT?
A Glucose Tolerance Test (GTT) is a blood glucose test to check for gestational diabetes, typically performed between weeks 24-28 of pregnancy.
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Why is the third visit important?
Why is the third visit important?
The third visit (24 weeks) closely monitors the mother's health for signs of preeclampsia and includes a glucose tolerance test to check for gestational diabetes.
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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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