TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

OBJECTIVE ACTIVITY WITH AV

AIDS
1 min At the end of health
education group will ANTENATAL CARE INTRODUCTION
be able to: -
Antenatal advices are
necessary to give to the
mothers to prepare them
physically, mentally and
affective change for the
preparation of mother for
delivery. This is necessary for
the delivery of healthy baby
from healthy mother.

DEFINITION
30 sec Define what is Wat is antenatal
antenatal care. period?
Antenatal care is defined as the systematic supervision involving
both examination and advices to aa women during pregnancy.

2min What are the

PRINCIPLES
principles of Student teacher define the
antenatal care? i. To impress the patient about the importance of regular antenatal care by health Why is antenatal care
check-up. education cum discussion important?
ii. To maintain or improve, if necessary, the health status method.
of women to the optimum till delivery by judicious
advice regarding diet, drugs and hygiene. Student teacher explains the
iii. To improve and tone up the psychology and to remove principles of antenatal care by
the fear of unknown by talking sympathetically to the lecture cum discussion
patient and explaining the principal changes and events method.
likely to occur during pregnancy and labour.
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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3 min ADVICE

Explain diet to be I. DIET Student teacher explained the

taken in antenatal diet to be taken in antenatal
period. The diet during pregnancy should be adequate to provide period by lecture cum
 The maintenance of maternal health, discussion method with the
 The needs of growing fetus, help of flip chart
 The strength and vitality required during labour and
 Successful lactation
What diet should
During pregnancy, there is increased calorie requirement due to pregnant?
increased growth of maternal tissues, fetus, placenta and
increased basal metabolic rate. The increased calorie
requirement is to the extent of 300 over the non-pregnancy
state during second half of pregnancy.

 Generally, the diet in pregnancy should be with

woman’s choice as regard the quantity and the type. She
should eat adequately so as to gain optimum weight (11
KG).

 The pregnancy diet ideally should be light, nutritious,

easily digestible and rich in protein, minerals and
vitamins. In terms of figures, the daily requirement
during pregnancy and lactation.

 Diet should include protein, iron, calcium, vitamin A,

vitamin C and other essential nutrition in adequate
amount.
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS
 In pregnant mother diet these item must be present.
 Milk and milk products like paneer, curd, etc.
 Green leafy vegetables such as spinach, methi
etc,
 Fruits like apple, guava, orange, mango etc.
 Pulses
 Jaggery
 Eggs
 Meat and fish

 Diet should be rich in fibre to avoid constipation.

 Dietetic advice should be given with due consideration

to the socio economic condition, food habits and taste
of individual. Woman with normal BMI should eat as
to maintain the schedule weight gain in pregnancy. The
instruction about diet should be reasonable and
realistic to individual woman.

2min Explain about rest II. REST AND SLEEP

and sleep in Student teacher explained In which position
antenatal period  The patient may continue her usual activities throughout about rest and sleep to be the pregnant mother
pregnancy. done in antenatal period by should sleep?
 Hard and strenuous work should be avoided specially in lecture cum discussion
the first trimester and the last four weeks. method.
 There is individual variation of the amount of sleep
required. However, on an average, the patient should be
in bed for about 10 hours (eight hours at night and two
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
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 two hours at noon) specially in the last six weeks. In late
pregnancy lateral posture is more comfortable.
 Lie in side lying position.
How can you care
1 min Explain care of III. CARE OF BREAST Student teacher explained the for your breast?
breast. care of breast to be done in
 If the nipples are anatomically normal, nothing is to antenatal period by lecture
be done beyond ordinary cleanliness. cum discussion method.
 If the nipples are retracted, correction is to be done in
later months but manipulation.
 Wear adequate well supported brassiere.
Student teacher listed down
2min List down the IV. MEDICINE OR SUPPLEMENTS Which medicine
the medication to be taken in
medication to be should be taken in
antenatal period by lecture
taken in antenatal  There is negative iron balance during pregnancy and cum discussion method. pregnancy?
period. the diabetic iron is not enough to meet the daily
requirement specially in the second half of the
pregnancy.
 supplementary iron therapy is needed for all
pregnant woman’s from 16 weeks onwards.
 Above 10 gm% of haemoglobin, one tab of ferrous
sulphate (Fersolate) containing 60 mg of elemental
iron is enough. That those should be proportionally
increased with lower haemoglobin level to 2 to 3
tablets a day.
 3 tablets provide 45 mg of absorbable iron. As the
essential vitamins are either lacking in foods or a
destroyed during cooking, supplementary vitamins
are to be given daily from 20th week onwards
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
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 Don’t take iron and folic acid medication with tea,
coffee or milk.
 Iron medication must be taken with citrus food like
lemon, orange, guava, amla, etc. which are rich in
vitamin C that increases the absorption of iron in
blood.
 Folic acid is given in first trimester to supplement the
demand of the growing fetus which is important in
neurological developmental of fetus.
 1 gm Calcium tablet is to be taken with milk product.
2 min In which month TT
V. IMNUNIZATION immunization is
Student teacher explained given to pregnant
Explain about the mothers?
 Most of the life-threatening epidemics are rare. In about the immunization
immunization
the developing countries immunisation in pregnancy schedule in antenatal period
schedule in
is the routine for tetanus; others are given when by lecture cum discussion
pregnancy.
epidemic occurs or travelling to an endemic zone or method.
for travelling overseas.
 Live virus vaccines (rubella, measles, mumps,
varicella, yellow fever) are contra indicated.
Rabies, Hepatitis A and B vaccines, toxoids can
be given as a non-pregnant state.
 Tetanus: Immunisation against tetanus not only
protects the mother but also the neonates. In
unprotected women, 0.5 ML tetanus toxoid is given
intramuscularly at six weeks’ interval for 2 such, the
first one to be given between 16 to 24 weeks.
Woman who are immunised in the past, a booster
dose of 0.5 ML I.M. is given in the last trimester.
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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1½ Explain about the VI. CLOTHES, SHOES AND BELT Student teacher explained
min clothes, shoes and about the clothes shoes and Which type of
belt.  Mother should wear loose but comfortable belt in antenatal period by cloths should the
garments. lecture cum discussion pregnant mother
 High heel shoes should better be avoided in advance method. should wear?
pregnancy when the centre of balance alters.
 Constricted belt near abdomen and chest should not
be wear.

VII. PERSONAL HYGIENE

2 min Describe about the Student teacher described What is necessary
personal hygiene to  The patient should take daily bath but be careful about the personal hygiene while doing care of
be maintained in against slipping in bathroom due to imbalance. be maintained in antenatal teeth?
antenatal period  Should wear clean cloths daily. period by lecture cum
 Mother should brush her teeth daily. discussion method.
 Keep the perineum area clean.
 Use soft brush to clean your teeth.
 The dentist should be consulted at the earliest, if
necessary for any dental problems. This will
facilitate extraction of filling of the caries tooth, if
required, comfortably in the 2nd trimester, the best
time for such procedure.
Student teacher explained the
Explain about the VIII. CARE OF BOWEL care of bowel to be done in
1 min care of bowel  There is tendency of constipation during pregnancy antenatal period by lecture
which may be related with backache and abdominal cum discussion method. How can
discomfort. constipation be
 Regular bowel movement maybe facilitated by relieved?
regulation of diet taking plenty of fluids, vegetables
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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and milk or prescribing mild laxative at bedtime or
Igol (Isafgul) 2 teaspoons at bedtime to be taken
with warm milk.

Discuss about the IX. COITUS Student teacher discussed In which month
1 min coitus in antenatal about the coitus in antenatal coitus should be
period.  Coitus should be avoided during the first trimester period by lecture cum avoided?
preferably during the time of missed periods and also discussion method.
during the last six weeks.
 Coitus is avoided if there is risk of abortion a preterm
labour. Otherwise it is not harmful.

X. ALCOHOL INTAKE AND SMOKING Should alcohol and

1 min Discuss about the smoking should be
Student teacher discussed
alcohol intake and
 Smoking is injurious to health, it is better to stop about the alcohol intake and avoided in
smoking practices in pregnancy?
smoking not only during pregnancy but even smoking practices in
antenatal period.
thereafter. antenatal period by lecture
 Heavy smokers have smaller babies and there is also cum discussion method.
more chance of abortion.
 Similarly, alcohol consumption is to be drastically
curtailed or avoided, so as to prevent fetal mal
development and growth restriction.

XI. TRAVEL Student teacher explained

1min Explain about the about the travel in antenatal
 Travel by vehicles having jerks are better to be avoided period by lecture cum What are the points
travel in antenatal
specially in the first trimester and the last six weeks. you should kept in
period discussion method.
 The long journey is preferably be limited to the second mind during travel?
trimester. Rail route is preferable to bus route.
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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 Travel in pressurised aircraft offers less risk.
 Air travel is contraindicated in case with placenta
praevia pre-eclampsia severe anaemia and sickle cell
disease

XII. EXERCISE What exercise

3 min Explain about the Student teacher explained the should antenatal
antenatal exercise to  Antenatal exercise should be done. antenatal exercise to be done mother should do?
be done in antenatal  Exercise should be light to improve blood circulation and in antenatal period by lecture
period. relax the body of the mother. cum discussion method.
 Pregnant mother should go for walking in early morning.
 Pregnant mother should sit on the chair with back straight
and should not cross the legs.

XIII. VISITS
2 min Discuss about the
Student teacher discussed How many visits
visits to be made by
 Antenatal mother should visit antenatal clinic. about the visits to be made in mother should visit
antenatal period in
 Mother should visit antenatal clinic as per schedule. antenatal period by lecture in antenatal clinic?
antenatal clinic.
 Every month till 4 weeks cum discussion method.
 Every second week from 29 to 36 week
 Every week after 36 weeks
 Should visit clinic regularly and take and should follow
the antenatal advices given by the doctor.

Discuss about the XIV. FAMILY PLANNING Student teacher discussed What are the
2 min family planning about the family planning by different family
methods  It is the best time to give family planning advices to the lecture cum discussion planning methods?
couple. method.
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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 Can be used to adopt small family norm.
 Advice to have spacing between two babies.
 Can adopt permanent family planning method such
tubectomy and vasectomy.
 Should be taught about lactation amenorrhoea.

XV. WARNING SIGNS Student teacher explained What are the

3 min Explain about the about the warning signs in warning sign in
warning signs in  Pregnant mother should immediately rush to hospital If antenatal period by lecture pregnancy?
antenatal mothers these signs occur. cum discussion method with
 Excessive vomiting the help of chart paper.
 Seizures
 Blurring of vision
 Severe continue Headache
 Bleeding per vagina
 Leaking per vagina
 Decreased in fetal movement
 If labor pains occur
 Edema on face and legs
 Pain in epigastric region
 Chills and fever
 Dysuria

XVI. PREPARATION OF CONFINEMENT Student teacher described the

2 min Describe the
preparation of preparation of confinement in
Collect articles for the mother and baby. The other should know antenatal period by lecture
confinement
the sign of true labor pain and be ready with the articles in the cum discussion method.
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS
last 6 weeks of gestation. Arrangement of transport should be in
time.

SUMMARY AND
1 min CONCLUSION

Antenatal care is important

for the pregnant woman. This
is important to treat any
problem in early phase which
leads to delivery of the
healthy baby from the healthy
mother. It helps to prevent
complication and prepare
BIBLIOGRAPHY mother for the safe delivery
 Dutta’s D..C ; Textbook of obstetrics ; New Central Book
Agency Ltd ; 7th edition ; 2011 ; 98-105
 Myles ;Textbook for midwives ; V.Ruth Bennet; 14th
edition ;2008; 211-224
 Aggarwal Preeti, Gupta Vinod, Midwifery obstetric and
gynaecological nursing, jain publication,2013; 2nd
edition; page no. 14.1-14.10
 Sharma JB, Textbook of Obstetrics, Avichal publishing
Company, 2nd edition, page no. 70-76
 Bookmiler Mae M, Bowen George L., Textbook of
obstetrics and Obstetric Nursing, W.B. Saunders
Company publication, 4th edition page no. 84-86
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS
TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY WITH AV
AIDS