Antenatal intranatal and post natal services

Antenatal intranatal and post natal services

1. ANTENATAL INTRANATAL AND POST NATAL SERVICES

2. Antenatal/Prenatal Care Protecting and promoting the health of pregnant mother . Providing maximum possible care to pregnant mother. Identifying high risk mothers and treating them. Ensuring safe delivery and birth of healthy child. Preparing the pregnant mother physically and mentally for the delivery .

3. Reducing the maternal mortality rate and infant mortaliity rate. Educating the mother about, motherhood and taking care of the newborn baby and herself . Informing the mother about the family planning and medical termination of pregnancy.

4. Where it is provided? ANTE NATAL CLINICS,PRENATAL CLINICS,PHC’SCHC’S, HOSPITAL’S AND MATERNITY HEALTH CENTTRES

5. Activities of Prenatal Clinic Collection of Facts Antenatal Examination Identifying the High-Risk Women andTreating them Prenatal Counselling . immunizations and Health Protection . Mentally, Preparing the Mother for Pregnancy and Motivating Her for Family Planning

6. Functions of Community Health Nurse in Antenatal Clinic Selection of place for clinic. Fixing clinic days. Ensuring presence of specialists and helping them. Contacting pregnant mothers andmotivating them for consultations atclinics . Preparing antenatal cards. Taking history and conducting generalexaminations . (Testing Hb . and urine,taking weight etc.)

7. Contd … ldentifying the high-risk group andcounselling them accordingly. Assisting the specialist in obstetnc examination and conducting the examination in her absence, referring the patient to specialist in case of complications. Educating about food, child care or motherhood, family planning andvaccination . Visiting homes. Guiding female health workers in prenalal clinics and supervising them. Maintaining the records. Informing the pregnant mother about days and timings of antenatal clinic

8. HEALTH TEACHING DURING PREGNANCY • Hygiene • Breast care • Dental care • Dressing • Travel • Sexual activity • Exercises • Contra indications • Sleep • Hazards • Diet

9. MINOR AILMENTS OF ANTENATAL PERIOD Nausea and vomiting Heartburn Back ache Urinary frequency Varicosities

10. DANGER SIGNS DURING ANTENATAL PERIOD • Vaginal bleeding including spotting • Persistant abdominal pain • Severe and persistant vomiting • Sudden gush of fluid from vagina • Absence or decrease in fetal movement • Severe headache • Edema of hands,face,legs and feet • Fever above 100 f • Dizziness blurred vision diplopia • Painful urination

11. INTRANATAL CARE Aims Maximum possible care to motherduring delivery. Minimum harm to mother and child. Prevention ofcomplications likely fo arise during delivery, as hemorrhage, malpresentation, Neonatal care can be provided immediately after birth. This include care of respiration, resuscitation. taking care of cord and checkup of eyes etc.

12. Responsibilities of Community Health Nurse Maintenance of delivery room forinstitutional delivery. Preparing for emergencies. Maintaining highest Standards ofcleanliness and asepsis during delivery. Providing appropriate care during the allthree (first, second and third) stges ofdelivery. Keeping in mind waming or alert signalscomplications and situations requiringhelp from specialist. Preparing for neonatal care. Providing mental support to mother during delivery. Keeping delivery kit ready for home delivery. Acquiring services of specialists as and when required or referring the high risk mother from rural areas to referral units.

13. POST NATAL CARE Aims Taking care of mother and reestablishing the optimum health ,as early as possible. Protecting the mother from complications during postnatal period. Encouraging the breast feeding at the earliest and taking care of the breasts. Providing health education to mother and family. Providing family planning services.

14. Puerperal Care Checking of Vital Signs Measuring Fundal Height Check Lochia Perineal Care

15. POSTNATAL CARE HEALTH EDUCATION Care of Breast Care of Bladder and Bowel Ambulation Postnatal Advise Diet Postnatal exercises Breast feeding

16. FAMILY PLANNING Responsibilities of community Health Nurse in Postnatal care Prevention against complications Post natal examination Providing basic health education Preparing mother for breast-feeding Family planning Postnatal home visit

17. NEONATAL CARE EARLY NEONATAL CARE: OBJECTIVES : 1. Estabilish & maintainance of cardio- respiratory functions 2. Maintainance of body temperature 3. Avoidance of infection 4. Estabilish of satisfactory feeding regimen 5. Early detection and treatment of congenital and acquired disorders

18. IMMEDIATE CARE clearing the airway: apgar score care of the cord care of the eyes Care of the skin maintainance of body temperature braest feeding