Professional Documents
Culture Documents
BY DR A.K SULEIMAN
OUTLINE
INTRODUCTION
VISITS
CONCLUSION
INTRODUCTION
Antenatal care, the care a woman
receives throughout her pregnancy, is important in helping to ensure that women and newborns survive pregnancy and childbirth
INTRODUCTION
The traditional approach to antenatal
care, which is based on European models developed in the early 1900s, assumes that more is better in care for pregnant women. Frequent routine visits are the norm, and women are classified by risk category to determine their chances of complications and the level of care they need
INTRODUCTION
Traditionally, antenatal care (ANC) programs have
mirrored those in developed countries. Too often, programs are poorly implemented and do little to promote the health of mothers and newborns
care had not been rigorously evaluated. Now the World Health Organization (WHO) has developed a focused ANC package that includes only counseling, examinations, and tests that serve immediate purposes and have proven health benefit
INTRODUCTION
The new approach to ANC emphasizes
the quality of care rather than the quantity. For normal pregnancies WHO recommends only four antenatal visits
INTRODUCTION
Focused ANC is an approach to ANC that emphasizes:
complication
of conditions
Malaria Severe anaemia
Pre-eclampsia/eclampsia
HIV
Goal NO 2:Prevention
Malaria:
Facility
or place of birth Skilled provider to attend birth Provider/facility contact information Transportation Funds Decision-Making
Family and community support Blood donor in case of emergency Needed items: for safe and clean
labour
Convulsions/Loss of consciousness
Prevention of tetanus and anaemia HIV/AIDS prevention and care Sexual relations and safer sex Importance of delivery by skilled attendant
of anaemia Weight and height Blood pressure Chest and heart auscultation SFH
Investigations
Urinalysis
patients
VDRL Blood
HB
HIV
Interventions
FE /Folate supplement. 60mg of fe and
Counselling
Practice safe sex(faithfullness /condom use) Avoid tobacco, alcohol, and other harmful
substance
Advice on where to go in case of bleeding,
2nd visit(20-24weeks )
Personal history- any change since 1st visit or
complaints
Note intercurrent disease, injury or other
alcohol
Examination:
Blood SFH Peripheral
pressure
Investigations
Urinalysis for evidence of bacteriuria.
Proteinuria
if nulliparous or has high BP, PE or Eclampsia in previous pregnancy All women with hypertension in index preg be tested for proteinuria Repeat HB if sign of severe anaemia
Intervention
Haematinics
Counselling
Practice safe sex(faithfullness /condom use) Avoid tobacco, alcohol, and other harmful
substance
Advice on where to go in case of bleeding,
complaints
Note intercurrent disease, injury or other
SFH
Palpate abdomen for detection of multiple fetuses Auscultate for fetal heart sounds Peripheral oedema
Investigations
Urinalysis for evidence of bacteriuria.
Proteinuria
if nulliparous or has high BP, PE or Eclampsia in previous pregnancy All women with hypertension in index preg be tested for proteinuria HB for all women
Counselling
Practice safe sex(faithfullness /condom use) Avoid tobacco, alcohol, and other harmful
substance
Birth plan
complaints
Note intercurrent disease, injury or other
complications
Examination:
Blood pressure SFH Palpate abdomen for detection of multiple fetuses Fetal lie and presentation Aucultate for fetal heart sounds Peripheral oedema
Investigations
Urinalysis for evidence of bacteriuria.
Proteinuria
ANC card
of breast feeding
Complete
to ANC
Continue
Planned
required
Conclusion
The result of the WHO randomized trial &
review of scientific evidence on ANC models with reduced number of visits justifies the introduction of the new WHO model for general use; including in Family Medicine
Thank you