Ante natal care

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Ante natal care

• Dr Nadia ALgantri
• Associated professor
• Faculty of medicine

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Antenatal care

• Antenatal care involves checking maternal health
  and fetal well being,assessing risk
  factor,screening for disease and abnormality and
  providing education and advice.

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Learning Objectives

• Understand and apply the concepts of
  preconception healthcare
• List the components of and understand the
  rational for the initial prenatal assessment
• Describe the purpose for and components of
  routine prenatal care visits

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Component of antenatal care

• Prenatal advice before conception to assess
  maternal health.
• First visit ,complete obstetrical
  history,physical examination and labaratory
  investigation.
• Discuss the following with the patient
• Nutrition.
• Smoking.
• Medication.
• Exercise.
• Proper use of seat belt.
• Need for good dental care.
• Anticipated schedule of visit for prenatal care.
• Anticipated date of delivery.
• Symptomsto be reported to the physician.

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Screen for risk factors for high risk pregnancy

• Medical risk factor for,ex diabetes
  ,hypertension,epilepsy,cardiac disease,history of
  thromboembolism and autoimmune disorder.
• Genetic factor,family history of genetic disorder
• Serious complication during pregnancy(preterm.ante
  partum haemorrhage,stillbirth,hypertension).
• Advanced maternal age.
• History of infertility.

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Physical examination

• Height and weight
• (body mass index)
• Anaemia
• Edema
• Cardiovascular examination
• Breast examination
• Lower limb examination

• Abdomanal examination
• Presence of scar
• Fundal height
• Lie
• Presentation
• Fetal heart ascultation
• Fetal growth monitoring

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Laboratory test

• Full blood count.
• Blood group and RH factor.
• Urinanalysis to detect aymptomatic bacteriuria.
• Screening test for gestational diabetes.
• Rubella status.
• Virology screen.HBsAg,HCV,HIV.
• Antibody screen.
• Additional test may be required based on the
  patient history.

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Frequancy of ante natal visit

• In low risk pregnancy ,the ante natal visit which
  required,booking(8-10weeks),at 18-20weeks at the
  time of anomaly scan and at 29,35,41 weeks for
  routine review.
• For women with medical or obstetrical
  complication the shedule of subsequent visit as
  required by specific condition.