[HD 201] E02-T08-Prenatal Care_compressed

Coordinated medical care, risk assessment, and psychosocial support throughout pregnancy, postpartum, and between pregnancies.

Access to quality antenatal care is key to reducing perinatal mortality, including stillbirths and neonatal mortality.

Care focused on health before pregnancy to reduce risks, promote healthy lifestyles, and improve readiness for pregnancy.

Counseling aimed at preventive medicine, reducing unplanned pregnancies, and improving pregnancy outcomes for mothers experiencing pregnancy.

Based on LMP and ultrasound, imperative for ideal management, use if regular menses/good recall, or ultrasound.

Includes assessment of gestational age, estimated due date (EDD), general physical exam, lab tests, ultrasound, medications and education.

Can be used to determine the AOG, typically done between 6-12 weeks. Most accurate method for determining dates at 6-12 weeks, very little biologic size variability during this time.

Common in routine prenatal care. Accurate in establishing AOG and able to identify structural abnormalities.

Includes genetic, medical, obstetrical and psychosocial factors that help determine the best course of action for a pregnancy.

Includes BP, HR, RR, temperature, weight, height, BMI, abdominal and obstetric exams to check for abnormalities and general maternal status. Check vitals and baby.

Measure distance over the abdominal wall from the top of the symphysis pubis to top of the uterine fundus. Good correlation between gestational age (weeks) and measured height of fundus (cm) between 20-34 weeks AOG.

Use doppler at 10 weeks, stethoscope at 20-22. Varies where FHS are heard best, fetus moves.

Usually done in intial prenatal visit. Assess vulva, vagina, perineal anomalies, consistency, length, and dilatation of cervix and bony pelvis.

Standard tests routinely done with prenatal visits like CBC, blood grouping, syphilis screen, HBsAg, urinalysis, FBS or OGTT, Rubella IgG, Pap Smear, and HIV

Screen for overt diabetes, typically do FBS or 75-gram OGTT, screen for possible diabetes mellitus.

Includes high-risk factors to developing gestational diabetes - personal history of impaired glucose tolerance, ethinic groups with high type 2, family history of DM and pre-pregnancy BMI.

FBS < 92 g/dL. OGTT at 24 to 28 weeks, if normal; repeat testing at 32..If GDM= FPG >/= 92 mg/dL or 1-hr plasma glucose >/= 180 mg/dL or 2-hr plasma glucose >/= 153 mg/dL

5 to 6 months before conception and 10 weeks after conception.

Pre-existing medical or surgical condition and/or previus poor pregnancy outcome that affects this pregnancy.

Traditionally scheduled if no medical/obstetric/fetal complications: 4 week intervals until 28 weeks. 2 week intervals until 36. Weekly after 36 weeks.

Chills & fever, persistent vomiting, dysuria, swelling of face and fingers, severe or persistent headache, blurring vision, vaginal bleeding, abdominal pain, fluid leakage from vagina, sudden change in frequency and intensity.

Important to define the health status of the mother and fetus. Need to determine GOG and initiate a plan for obstetric care at initial visits.

Weight is increased with twins, high, decreased if the initial innstitute of medicine guidelines were formulated with current emphases on obesity with range guidelines.

Iron cannot be met alone with diet, supplementation is helpful with nausea and vomitting, can start until 16 weeks.

Important and helps prevent neural tune defects, folic acid has nutritional sources and is periconceptional to treat all women with childbearing years

Anti rabies given with specific immune globulin given to women in the trimester and pregnancy with help to change management. Helps with important immunizations and inactivated influenza.

Exercise if patient has no medical or obstetric contraindication and engaging in minutey, moderate activity, avoid fatigue or injury and those with high risk of falling and diving should be avoided.

Has been associated with the increased risks of preterm and standing at 3 hours daily with precautions to risks of walking. adequate periods of rest.

Moderate of less than 200 associated, not associated of miscarriage or preterm births. Heavy raises it.

Does not change safety, facilities, pregnant, airlines or travelling with high risk will occur

No harm with proper pressure, also helps avoid threaten abortion, with decrease and fear.

Absolity prohibits and harmful in pregnancy, can lead to low birthweights and leads to preterm delivery with increase levels of fetal.

Should abstain drinking alcohol to prevent fetal syndrome

Very common, pregnancy and has genetic problems in pregnant women, gets worsened by progressing pregnancy and weight.

A very common and large in the rectal veins with treatemnt with topical anesthetics that is needed after surgical treatment

Derived from cell free and materinal blood, detects choromodal abnormalities with testing that helps avoid miscarriages. This may happen at 35.

Containing hemopoietic blood diseases, can treat types of diseases and the blood banks, may be avilable with advantages and disadvatages.