Title: ANTEPARTUM TERMINOLOGY
1 ANTEPARTUM TERMINOLOGY
2- Gestation the number of weeks of pregnancy since
the first day of the last menstrual period - Abortion birth that occurs before the end of 20
weeks gestation - Term the normal duration of pregnancy (38 to 42
weeks gestation) - Antepartum time between conception and the onset
of labor usually used to describe the period
during which a woman is pregnant used
interchangeably with prenatal
3- Intrapartum time from the onset of true labor
until the birth of the infant and placenta - Postpartum time from the delivery of the
placenta and membranes until the womans body
returns to a nonpregnant condition - Preterm or premature labor labor that occurs
after 20 weeks but before completion of 37
weeks gestation - Postterm labor labor that occurs after 42 weeks
gestation
4- GRAVIDA any pregnancy, regardless of duration,
including present pregnancy - Nulligravida a woman who has never been pregnant
- Primigravida a woman who is pregnant for the
first time - Multigravida a woman who is in her second or any
subsequent pregnancy
5- PARA birth after 20 weeks gestation regardless
of whether the infant is born alive or dead - Nullipara a woman who has had no births at more
than 20 weeks gestation - Primipara a woman who has had one birth at more
than 20 weeks gestation, regardless of whether
the infant was born alive or dead - Multipara a woman who has had two or more births
at more than 20 weeks gestation - Stillbirth an infant born dead after 20 weeks
gestation
6- TPAL/GPA
- T--NUMBER OF TERM PREGNANCIES
- P--NUMBER OF BIRTHS AFTER 20 WEEKS
- ANUMBER OF ABORTIONS
- LNUMBER OF LIVING CHILDREN
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8ANTEPARTUM PHYSICAL AND PSYCHO-SOCIAL ASSESSMENT
9ANTEPARTUM PHYSICAL AND PSYCHOSOCIAL ASSESSMENT
CULTURE
FINDINGS RELATED TO PREGNANCY
PHYSICAL ASSESSMENT
RISK FACTORS
CLIENT PROFILE
ECONOMICS ENVIRONMENT SUPPORT SYSTEM
FAMILY FUNCTION
EDUCATIONAL NEEDS
10CULTURAL BELIEFS AND PRACTICE ASSESSMENT IN
ANTEPARTUM PERIOD
- HOME REMEDIES
- NUTRITION
- ALTERNATIVE HEALTH CARE PROVIDERS
- FAMILY SUPPORT
- EXERCISE
- SPIRITUALITY
11CULTURAL CONSIDERATIONS/ASSESSMENT IN ANTEPARTUM
PERIOD
- VIEW OF PREGNANCY
- SELF CARE PRACTICES
- PAIN
- CHILDBIRTH PRACTICES
- CARE OF THE NEWBORN
- POST PARTUM
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13SIGNS OF PREGNANCY
- SUBJECTIVE (PRESUMPTIVE)
- OBJECTIVE (PROBABLE)
- DIAGNOSTIC (POSITIVE)
14DUE DATE
- EDB
- NAEGLES RULESUBTRACT 3 MONTHS FROM FIRST DAY OF
LAST MENSTRUAL PERIOD AND ADD 7 DAYS - EXAMPLE LMP OCT. 12EDB---JULY 19
15CLIENT PROFILE
- CURRENT PREGNANCY
- PAST PREGNANCY
- CURRENT MEDICAL/SUGICAL HISTORY
- GYN HISTORY
- FAMILY MEDICAL HISTORY
- RELIGIOUS, SPIRITUAL, CULTURAL HISTORY
- OCCUPATIONAL HISTORY
- PERSONAL INFORMATION(PSYCHOSOCIAL)
16ANTEPARTUM RISK FACTORS
- FACTORS RELATED TO
- ECONOMICS
- ENVIRONMENT
- CURRENT HEALTH STATUS/PRACTICES
- AGE
- NUTRITION
- CHILDBIRTH HISTORY
- SOCIAL ISSUES
- PYSCHOLOGICAL STATUS
17PSYCHO-SOCIAL ANTEPARTUM ASSESSMENT
- CULTURE
- PSYCHOLOGIC STATUS
- EDUCATIONAL NEEDS
- SUPPORT SYSTEMS
- FUNCTIONING OF FAMILY
- ECONOMIC STATUS
- ENVIRONMENT
-
18ANTEPARTUM PHYSICAL ASSESSMENT
- VS, WEIGHT UTERUS
- SKIN, NOSE EXTERNAL GENITALS
- MOUTH, EARS, NECK CERVIX, VAGINA
- CHEST AND LUNGS ANUS AND RECTUM
- BREASTS LAB EVALUATION
- HEART
- ABDOMEN
- EXTREMITIES
- REFLEXES
- SPINE
19MATERNAL NUTRITION
- AVERAGE WEIGHT GAIN
- PATTERN OF WEIGHT GAIN
- NUTRITIONAL REQUIREMENTS
- CALORIES
- PROTEIN
20MATERNAL NUTRITION
- FAT
- CARBS
- VITAMINS
- MINERALS
- CULTURAL CONSIDERATIONS
21MATERNAL NUTRITION
- VEGETARIANISM
- LACTOSE DEFICIENCY
- EATING DISORDERS
- PICA
- ADOLESCENT
- WHAT TEACHING WOULD YOU DO FOR THESE ALTERATIONS/
CHANGES IN NUTRITION?
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24LAB EVALUATIONS INITIAL ANTEPARTUM VISIT
- SCREENING TESTS
- CBC
- ABO AND Rh TYPING
- WBC WITH DIFFERENTIAL
- FIRST TRIMESTER ANEUPLOIDY
- STD SCREENING, HIV
- GLUCOSE
- RUBELLA TITER
- HEPATITS B
- SICKLE CELL
- PAP SMEAR
25ANTEPARTUM ASSESSMENTFETAL DEVELOPMENT
- FUNDAL HEIGHT
- QUICKENING fetal movement felt by mother gtgt 20
weeks gestation - FETAL HEART BEAT Doppler gtgt 8 - 12 weeksgest,
fetoscope gtgt 16 weeks (early), mostly 19 or 20
weeksgest - ULTRASOUND gestational sac gtgt5-6 weeks after the
LMP, FHR by 6-7 weeks, fetal breathing movement
by 10-11 weeks of pregnancy
26FUNDAL HEIGHT
Figure 83 A cross-sectional view of fetal
position when McDonalds method is used to assess
fundal height.
27Figure 75 Approximate height of the fundus at
various weeks of pregnancy.
28DANGERS IN PREGNANCY
29DANGER SIGNS OF PREGNANCY
- VAGINAL BLEEDING
- LEAKAGE OF FLUID FROM VAGINA
- ABDOMINAL PAIN
- TEMP gt 38
- DIZZINESS, BLURRING OF VISION
- SEVERE HEADACHE
- EDEMA OF HANDS, FACE, FEET
30DANGER SIGNS OF PREGNANCY
- PERSISTENT VOMITING
- MUSCULAR IRRITABILITY
- EPIGASTRIC PAIN
- OLIGURIA
- DYSURIA
- ABSENCE OF FETAL MOVEMENT
31SELF CARE PROMOTION
- DENTAL CARE
- IMMUNIZATIONS
- SEXUAL ACTIVITY
- COMPLEMENTARY ALTERNATIVE THERAPIES
- ABSTINENCE FROM ALCOHOL, TOBACCO, DRUGS
- PSYCHO-SOCIALSUPPORT
32ANTEPARTAL VISITS
- The recommended frequency of antepartal visits in
an uncomplicated pregnancy is as follows - Every 4 weeks for the first 28 weeks gestation
- Every 2 weeks until 36 weeks gestation
- After week 36, every week until childbirth
33THANK YOU!