Dr Nadia ALgantri Associated professor Faculty of medicine

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

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

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.

 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.antepartum haemorrhage,stillbirth,hypertension). Advanced maternal age. History of infertility.

 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

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.

 In low risk pregnancy,the ante natal visit which required,booking(8-10weeks),at weeks 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.

 Estimated weeks of gestation  Weight  Blood pressure  Edema  Fundal height  Fetal movement  Presentation  Urine for albumine and aceton  Antenatal care plan  Danger sign and symptom  Test of fetal growth and wellbeing

 At booking to determine gestational age,number of sac,fetal heart  At 18-20weeks anomaly scan  At weeks to detect placental site,fetal growth monitoring  At 40weeks

 Begins with preconception counseling  Involves continuous risk assessment  Represents a key time for preventative counseling and interventions  Ultimate goal: Healthy outcome for mom and baby

Antenatal care involves checking maternal health and fetal well being. Women are advised about lifestyles matters such as smooking,.exercise, diet,and folic acid supplement. At the first visit,women who require urgent referral should be identified. An early ultrasound scan for dating can be very helpful. Booking involves a detailed history, measurment of weight and height and urine analysis. Abdominal palpation will detect the extremes of abnormal fetal growth.