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Antenatal Assessment
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What do we mean by ««.
Antenatal Assessment??
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Antenatal/prenatal care
Systematic
supervision of a woman during pregnancy is called antenatal (prenatal care)
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Why is it important? Determines
the wellbeing of the newborn and chance for survival (mother history)
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AREA OF CONCERNS: Pre-conception counselling Assessment
of risk factors
Ongoing
assessment assessment of fetal well-being well-being
Ongoing
assessment of complications complications
Education
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Timing
of antenatal visits:
The
first visit should not be deferred beyond the second missed period.
Once
a month until 28 weeks.
Twice
a month until 36 weeks.
Every
week during the last 4 weeks of
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PROCEDURE >
AT THE FIRST VISIT
Detailed Health History
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Vital statistics: Name
LMP
Age
EDC
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Gravida:
Parity:
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Maternal history Present
ob.
Diagnosis?
History:
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Pregnancy
tests
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Investigations First
visit: Hb, Blood group, Rubella, Hep B and C and HIV screening.
10-12
weeks: Chorionic villous sampling
15-18
weeks: weeks: USG, serum AF P/triple test , amniocentesis
28
weeks: Hb ,TC/DC, ferritin, GTT, and low vaginal swab to exclude Group B
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Antenatal chart should record the following: Weight
gain (12-15 kg in total)
BP
(a diastolic pressure >90, or increase of >20 from first visit is significant)
Urinalysis Fetal
(watch for protein, glucose, and U TIs)
movements
Uterine
size in accordance with dates and ultrasound
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Antenatal Asse Assessment ssment ULTRASO TRASOU UND Uses
high frequency sound waves.
Hand-held
transducer is placed directly over the mother¶s abdomen, and reflected waves are recorded on screen image.
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Clinical Uses of Ultra of Ultras sound
Identify pregnancy.
Determine fetal age.
Observe amniotic fluid abnormalities.
Detect fetal anomalies.
Identify placental abnormalities.
Determine fetal position. Examine fetal
HR,
and
RR
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Embryo at 6 weeks
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Assessment ssment Antenatal Asse AMNIOCENTESIS Is
the procedure of obtaining a sample of amniotic
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Antenatal Asse Assessment ssment FETAL HEART RATE (FHR) MONITORING Heart
starts to beat between W16-W20, but beats
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Antenatal advices
Diet
exercise
Rest
and sleep
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FHR Monitoring
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