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ANTENATAL ASSESSMENT

First Antenatal Assessment Once pregnancy suspected, the women should seek prenatal care to promote a healthy outcome. The assessment process begins at the initial prenatal visit and completed with the birth of neonate

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ANTENATAL ASSESSMENT

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  1. Deepmapapaul Govt college of nursing gwalior Antenatal assessments

  2. INTRODCTION. • DEFINITION. • AIMS. • OBJECTIVES. • COMMON INDICATIONS. • HISTORY TAKING. • EXAMINATION. • INVESTIGATIONS. • ADVICE TO PREGNANT WOMEN. • CONCLUSION. CONTENTS:-

  3. AII CULTURES & COUNTRIES PROMOTE CARE OF PREGNANT WOMEN. BUT IT WAS FIRST EMPHASISED SCIENTIFICALLY BY BALLANTYNE IN UK IN 1901. BY ANC MATERNAL MORBIDITY & MORTILITY RATE CAN BE GREATELY REDUCED THUS ENSURING HEALTHY MOTHER WITH HEALTHY CHILD. INTRODUCTION

  4. DEFINITION • ANTE NATAL ASSESSMENT IS MONITORING DURING PREGNANCYIN THE INTEREST OF BOTH THE MOTHER & THE FOETUS & IS VERY MUCH IMPORTANT IN PREVENTIVE MEDICINE. SUNITA MALIK • ANTENATAL ASSESSMENT IS DEFINE AS THE SYSTEMIC SPERVISION ( EXAMINATION & ADVICED ) OF A WOMEN DURING PREGNANCY. D. C. DUTTA

  5. CONT…….. • ANTENATAL CARE REFERS TO THE CARE THAT IS GIVEN TO A PREGNANT WOMAN FROM THE TIME THAT CONCEPTION IS CONFIRMED UNTIL THE BEGINNING OF LABOUR. MYLES TEXTBOOK

  6. AIMS • TO ENSURE SATISFACTORY GROWTH OF FETUS & WELL BEING OF THE MOTHER THROUGH OUT OF PREGNANCY. • TO SCREEN OUT HIGH RISK FACTORS THAT AFFECT THE GROWTH OF THE FETUS.

  7. OBJECTIVES • CONFIRM PREGNANCY & THE EXPECTED DATE OF DELIVERY. • MONITOR THE HEALTH OF PREGNANT WOMEN. • MONITOR FOETAL WELL BEING. • IF POSSIBLE PREVENT & DETECT HIGH RISK PRGNANCIES. • SCREEN FOR INFECTIONS. • INSTRCTION FOR CHILD REARING.

  8. CONT……. • IMMUNISATION AGAINST TETANUS & OTHER DISEASES. • GIVING ADVICE ABOUT NUTRITION , DRUGS , INVESTIGATION & DANGER SYMPTOMS. • CONTRACEPTIVE COUNSELLING. • SCREENING FOR CANCER OF BREAST & GENITAL TRACT.

  9. COMMEN INDICATIONS • PREGNANCY WITH OBSTETRIC COMPLICATINS • IUGR. • MULTIPLE PREGNANCY. • POLYHYDRAMNIOS OR OLIGOHYDRAMNIOS. • RHESUS ALLOIMMUNISATION. • PREGNANCY WITH MEDICAL COMPLICATIONS (1) DIABETES MELLITUS. (2) HYPERTENSION. (3) EPILEPSY. (4) RENAL OR CARDIAC DISEASES. (5) INFECTION (T.B.).

  10. CONT… • OTHERS – (1) ADVANCED MATERNAL AGE [ >35YEARS ] (2) PREVIOUS STILL BIRTH OR RECRRENT ABORTION. (3) PREVIOUS BABY WITH STRUCTURAL OR CHROMOSOMAL ABNORMALITIES. • ROUTINE – (1) ANTENATAL TESTING

  11. HISTORY TAKING- • IDENTIFICATION & DEMOGRAPHIC DATA- • MENSTRUAL HISTORY- • OBSTRETRIC HISTORY- [a] PRESENT OBSTETRIC HISTORY. [b] PAST OBSTETRIC HISTORY. • PAST MEDICAL HISTORY. • FAMILY HISTORY. • PERSONAL HISTORY.

  12. EXAMINATION- • GENERAL EXAMINATION. • OBSTETRIC EXAMINATION.

  13. INSPECTION. PALPATION. AUSCULTATION. VAGINAL OR BIMANUAL EXAMINATION [PELVIC EXAMINATION] OBSTETRIC EXAMINATION-

  14. PALPATION

  15. FINDINGS: LIE ATTITUDE PRESENTATION DENOMENATOR POSITION ENGAGMENT Auscultation:-

  16. ASCULTATION

  17. INVESTIGATION DONE DURING PREGNANCY • ROUTINE INVESTIGATION ON FIRST VISIT – (1) Hb ESTIMATION. (2) URINE EXAMINATION – ALBUMIN , SUGAR , ROUTINE MICROSCOPY & CULTURE . (3) BLOOD GROUP ABO & RH. (4) BLOOD SUGAR ESTIMATION. (5) VDRL TESTING . (6) TESTING FOR AUSTRALIAN ANTIGEN [HbSAg] & HCV. (7) TESTING FOR H.I.V.

  18. CONT…. • SPECIFIC INVESTIGATIONS – (1) MSAFP. (2) TRIPLE TEST. (3) QUAD TEST. (4) SCREENING FOR PRE-ECLAMPSIA. (5) TESTING FOR GROUP B STREPTOCOCCI. (6) PAPNICOLAOU SMEAR. (7) ULTRA SONOGRAPHY.

  19. ULTRASONOGRAPHY

  20. DIET & NUTRITION. • EXERCISE. • OCCUPATION. • TRAVEL. • FOOTWEAR. • CLOTHES. • TEETH. • SEXUAL ACTIVITY. • CARE OF THE BREAST. • FOLLOW UP VISIT. ADVICE TO THE PREGNANT WOMEN -

  21. THANKS

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