+Antenatal care+What is Antenatal carePeriodic and regular
supervision including examination and advice of a woman during
pregnancy is called Antenatal care.The supervision should be of a
regular and periodic nature in accordance with the need of the
individual.+AimsThe aims are-To screen the high risk casesTo
prevent or detect or treat at the any earliest complicationTo
ensure continued medical surveillance and prophylaxisTo educate the
mother about the physiology of pregnancy and labour by
demonstrations, charts and diagrams so that fear is removed and
psychology is improved+Aims (contd)To discuss with the couple about
the place, time and mode of the delivery, provisionally and care of
the newbornTo motivate the couple about the need of family
planningTo advice the mother about breast-feeding, post-natal care
and immunization+ObjectivesTo ensure a normal pregnancy with
delivery of a healthy baby from a healthy mother+Criteria of normal
pregnancyDelivery of a single baby in good condition at term with
no maternal complication+ServicesAs per !" recommendation at least
# visit-$st visit around $% weeks&nd visit between -&'
weeks(rd visit at (& weeks#th visit at (% weeks+Services
(contd))enerally-At interval of # weeks up to &' weeksAt
interval of & weeks up to (% weeksAt weekly interval up to
*+++Antenatal care comprises of,areful history taking and
examination and investigationAdvice given to the pregnant woman+!"#
$%&S! '%S%!!istory taking*xamination-nvestigation+"istory
ta(ing$. Particulars of the patient&. ,hief complaints with
duration(. Past history#. "bstetric history.. /enstrual history%.
0amily history1. +rug !istory'. !istory of immunization2.
3ocio-economic history$4. ,ontraceptive history$$. !istory of
allergy+)artic*lars of the patient$.5ame&.Age(.Address#./arital
status..+ate of Admission%.+ate of *xamination+Chief complaints
+ith d*ration$. Period of amenorrhea&. 5ausea 6 vomiting,
vertigo(. -ncreased fre7uency of micturition#. ,onstipation..
!eaviness of breast%. 8ise of temperature1. *dema'. Pain in the
abdomen2. 9ackache$4.:aginal bleeding+)ast
history$.!T5&.+/(.9A#.8enal +isease..Psychiatric
illness%.-!+1.Any previous operation+Obstetrical "istory+uration of
marriage)ravidaParaA;,+,enstr*al "istoryAge of menarche/enstrual
period/enstrual cycle;/P*+++$amily historya-dentiEcation of high
risk factor9asal level health status including 9P recording8ubella
6 !epatitis immunization0olic acid supplementation/aternal health
is optimized preconceptionally such as overweight anemiaPatient
with medical disease like hypertension, diabetes are stabilized in
an optimal state by intervention+)reconceptional care incl*des>
+rugs used before pregnancy are veriEed and changed if re7uired to
prevent any adverse eDect of the fetusJ e.g., warfarin is replaced
with heparin, oral anti-diabetic drug with insulinAdvise to stop
smoking, alcohol and drug abuseProper counseling to those with
history of recurrent foetal loss or family history of congenital
abnormalities,ounseling regarding health care cost0ind out
supporting or helping people to help the mother and care of the new
born
