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Antenatal Care Guidelines & Schedule

Antenatal care involves comprehensive health supervision and guidance for pregnant women from conception through delivery. Its goals are to reduce maternal and infant mortality and morbidity by detecting and treating complications early, educating mothers, and preparing women for labor, lactation, and infant care. Regular checkups include medical history, physical exams to monitor weight gain and fetal growth, and tests of urine and hemoglobin. Fetal movement counts help monitor fetal well-being.

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74 views13 pages

Antenatal Care Guidelines & Schedule

Antenatal care involves comprehensive health supervision and guidance for pregnant women from conception through delivery. Its goals are to reduce maternal and infant mortality and morbidity by detecting and treating complications early, educating mothers, and preparing women for labor, lactation, and infant care. Regular checkups include medical history, physical exams to monitor weight gain and fetal growth, and tests of urine and hemoglobin. Fetal movement counts help monitor fetal well-being.

Uploaded by

Åbübâkêř Äbd-ëřhēēm Bãřřî
Copyright
© © All Rights Reserved
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Antenatal Care

Dr. SAMIR ABDELRHMAN GORASHI

U OF K
Definition of Antenatal care

comprehensive health supervision of a


pregnant woman before delivery

Or it is planned examination, observation


and guidance given to the pregnant
woman from conception till the time of
labor.
Goals

 To reduce maternal and perinatal


mortality and morbidity rates

 To improve the physical and mental


health of women and children
Importance of Antenatal Care
 To ensure that the pregnant woman and her
fetus are in the best possible health.

 To detect early and treat properly


complications

 Offering education for parenthood

 To prepare the woman for labor, lactation and


care of her infant
:Schedule for Antenatal Visits

The first visit or initial visit should be made


as early is pregnancy as possible.
Return Visits:
 Once every month till 7th month.
 Once every 2 weeks till the 9th month
 Once every week during the 9th month,
till labor.
Assessment

History Examination Investigation


History

 Personal history
 Family history
 Medical and surgical history
 Menstrual history
 Obstetrical history
 History of present pregnancy
Physical Examinations

 Height of over 150 cm indication of an


average-sized pelvis
 The approximate weight gain during
pregnancy is 12 kg.; 2kg in the first 20
weeks and 10 kg in the remaining 20
weeks (1.5 kg per week until term).
 Obesity (more than 20 kg above the
weight-height formula) leads to an
increased risk of gestational diabetes,
pregnancy-induced hypertension and
thrombo-embolic disorders
Local Examination
 The uterus may be higher than expected
due to large fetus, multiple pregnancy,
polyhydrammnios or mistaken date of last
menstrual period.
 The uterus may be lower than expected due
to small fetus, intrauterine growth
retardation, oligohydramnios or mistaken
date of last menstrual period.
 Fetal heart sound is heard by sonicaid
as early as 10thweek of pregnancy.
 Fetal heart sound is heard by Pinard' s
fetal stethoscope after the 20thweek of
pregnancy.
 The normal fetal heart rate is 120-160
beats/min
:Investigations

 Urine
should be tested for sugar,
ketones and protein.

 Hemoglobin will be repeated:


 At 36 weeks of gestation.

 Every 4 weeks if Hb is < 9 g/dl.


Fetal kick count

 The pregnant woman reports at


least 10 movements in 12 hours.

 Absence of fetal movements


precedes intrauterine fetal death
by 48 hours.

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