Antenatal Care PDF

Antenatal Care WHO defines ANC as “the care provided by skilled health care professionals to pregnant women in order to ensure the best health conditions for both mother and.baby during pregnancy :The components of ANC include Assessment) 1.Check for diseases) 2 Respond to problems) 3 Give prevent...

Antenatal Care WHO defines ANC as “the care provided by skilled health care professionals to pregnant women in order to ensure the best health conditions for both mother and.baby during pregnancy :The components of ANC include Assessment) 1.Check for diseases) 2 Respond to problems) 3 Give preventive measures) 4 Education and counseling about :) 5 Home care ,Danger and labor signs , Birth and emergency plan, Breast- feeding and Family planning and birth.spacing In Iraq, although first antenatal contact is 88% and postnatal health check for the mother is 83% , still pregnant women having four or more ANC contact is 68% and eight antenatal contact is 22% (MICS 6.2018) :-General principles of good care Communication) 1 Work Place and Administrative) 2 :Procedures Quick Check) 3 :Organizing a Visit) 4 Routine visit Emergency visit Follow-up visit Routine Visit:at least eight visits during pregnancy, even if there is no health problems according to ;the following sechedule First visit during the first 12 weeks Second visit 18 week Third visit 24 week Fourth visit 28 week Fifth visit 32 week Sixth visit 36 week Seventh visit 38 week Eighth visit 40 week At first visit (booking): Ask about;personal information,current&past ( medical&reproductive) history,any risk for STI,any drug taken like tx for TB Look,listen,feel for;general clinical examination,wt,ht,BMI, measure bp,measure fundal height&compare it with gestational age, after 10week listen for FHR by sonicaid, seek for scar from previous c/s Investigation to do;GUE,CBC or Hb,VDRL,HBsAg,AntiHCV, HIV U/S to be done (10-14)wk Preventive measure folic acid tab Counseling; Home care ,Danger and labor signs ,Birth and emergency plan, Breast-feeding and Family planning and birth ⚫ At second visit(18week): ⚫ ASK; the same in the booking& ask about fetal movement;any drug taken; vaginal bleeding&birth plan ⚫ Look,Feel,Listen;Wt;Bp;fundal height; FHR ⚫ Preventive measure ;F.F tab;Td vaccine according to secdule ⚫ Counseling :At third visit(24week) Ask ; the same as above Look , feel listen; the same as previous visit & ask about sign of preeclampsia Investigation;glucose tolerance test GTT(24-28)WEEK Preventive measure; the same Counseling; the same :At fourth28wk/fifth 32wk ASK; the same Look,Feel,Listen;the same Investigation;do once at any visit(GUE, Hb);U/S(31-33)week Preventive measure; the same; refer for anti-D Counseling At sixth36wk/seventh38wk/ :eighth40wk Ask; the same Look,Feel,Listen; the same&feel the position of the baby(in case tranverse or breech) Preventive measure; the same Counseling; the same EMERGENCY VISIT:contact PHC or hospital immediately if any of the following severe nausea or vomiting that affect general condition vaginal bleeding severe pain in your abdomen clear fluid leaking from your vagina fever or chills & too weak to get out of bed Convulsion/fit Sever headache with blurred vision Fast or Difficult breathing Decrease or no fetal movement Follow up visit If the problem return in Fever 2day Lower UTI 2day Perineal infection or pain 2day High blood pressure 1week Sypllis 1week Sever anemia 2weeks Post partum depression 2weeks Anemia 4weeks