Antinatal care

why antenatal care is important

1. ANTE NATAL
CARE.
Purshottam , SRF
Department of Social
Work,
KUK

2. AIMS OF ANTE NATAL
CARE
To promote & maintain good mental & physical
health during pregnancy.
To monitor the progress of pregnancy.
To detect & treat medical conditions.
To ensure safe delivery of mature & healthy
infant.
To prepare the women for delivery,breast
feeding & subsequent care of the child.
To encourage concept of having regular AN
care.

3. IMPORTANCE OF ANTENATAL
CARE.
To confirm pregnancy & assess the period of
pregnancy.
To prevent maternal & neo natal tetanus.
To facilitate health education regarding diet, rest,
avoidance of unnecessary travel & preparation for
delivery.
Many studies found that educated women and
education during the antenatal period can reduce
pregnancy and delivery complications.

4. COMPONENTS OF AN
CARE.
Identification of pregnant women & importance of
early registration.
Diagnosis of pregnancy.
Clinical assessment.
Advice during AN visit.
Nutrition.
Management of minor ailments.
Risk assessment & appropriate management.

5. Complications & management.
Complications of late pregnancy.
Management of medical disorders during pregnancy.
Management of Anemia during pregnancy.

6. IDENTIFICATION / REGISTRATION.
Early identification helps,
Assessing the health status of the mother.
Obtain baseline information of the mother.
Counsel on hygiene diet , rest.
Build up rapport with pregnant women.
12 wks..

7. WITH IN 20 Wks.
Screen & treat anemia.
Screen risk factors & medical conditions.
Develop individualized birth plan.
Immunize with tetanus toxoid.
Investigate – Hb,bld grp,urine examination, etc..

8. 28-32 Wks
Aimed at the following.Detect,
 Pregnancy-induced hypertension  (PIH) is a form of
high blood pressure in pregnancy.
Anemia.
Develop individualized birth plan.
Assess Intrauterine growth restriction (IUGR) refers
to a condition in which an unborn baby is smaller than it
should be because it is not growing at a normal rate inside
the womb..
Repeat HB estimation.

9. CLINICAL ASSESMENT .
Age.
Duration of marriage.
The order of pregnancy.
Number of living children.
General history.
Last child birth.
Last abortion.
Problems during previous pregnancy.

10. HISTORY OF SYSTEMIC
ILLNESS.
Heart diseases.
TB.
UTI. Urinary tract infection
Malaria.
Thyroid diseases.

11. COMPLAINTS DURING PRESENT
PREGNANCY.
Breathlessness.
Excessive tiredness.
Palpitation.
Tightening of bangles.
Headache, blurring of vision.
Bleeding
Pain Abdomen, fever, presence of fetal
movements.

12. PHYSICAL
EXAMINATIOIN
Ht.
Wt.
Bp,Hb,grouping
Breast examination.
Respiratory rate.

13. NUTRITION
DIETARY ADVICE DURING PREGNANCY.
Advice a diet that is nutritious, easily digest
able, rich in protein, minerals & vitamins
consisting of normal food plus at least…..
Half lit milk./ day.
One egg.
Plenty of green leafy veg.
Fruits.
Fiber rich diet.

14. Advice extra calories for maternal health & to
meet the needs of the growing fetus.
Advice diet keeping in mind the socio economic
condition.

15. MANAGEMENT OF MINOR
AILMENTS.
VOMITING IN PREGNANCY.
Advice small frequent feeds.
Avoid greasy foods.
Include plenty of green leafy vegetables.
Advice plenty of fluids.
Encourage dry foods in the morning.

16. HEART BURN
Avoid spicy , rich foods.
Take cold milk & bland diet.

17. CONSTIPATION.
Encourage increased fiber intake.

18. MEDICAL DISORDERS
DURING PREGNANCY.
Pregnancy with heart disease.
Pregnancy with diabetes.
Pregnancy with UTI.
Pregnancy with jaundice.
Pregnancy with malaria.
Pregnancy with TB.