Antenatal care. Dr. Rekha Dutt Associate Professor Department of PSM , Dr D.Y. Patil Medical college , Navi Mumbai. It is care of woman during pregnancy Primary aim : to achieve at end of pregnancy a healthy mother and healthy baby. ANTENATAL CARE objectives.
Dr. Rekha Dutt
Department of PSM ,
Dr D.Y. Patil Medical college , Navi Mumbai
Primary aim : to achieve at end of pregnancy a healthy mother and healthy baby
Antenatal visit- a minimum of 3 visits
1st visit at 20 weeks
2nd visit at 32 week
3rd visit at 36 weeks
Physical examination- wt gain, BP
Lab examination – urine analysis, CBC, blood grouping and Rh, serological examination
Fe and folic acid supplementation
Home visit by female health worker
It is managerial tool for improved MCH care. Purpose is to provide better services for all but special attention to those who need them most. It is for max utilization of resources.
High risk mothers are:
Anemia -50-60 % of pregnant women are anemic (Hb < 11 gm %). The GOI initiated a prog in which 100 mg of elemental Fe and 500 mcg of F.A tab are given
Other nut deficiency- protein, vit A,D,iodine
Toxemia of pregnancy – increase in blood pressure and presence of albumin in urine. Check BP regularly.
Tetanus – two doses of TT vaccine
Syphilis – VDRL test at early and late pregnancy. Congenital syphilis is preventable.
Injections of 1 gram procaine penicillin for ten days are adequate.
German measles – congenital malformations
Prevention – rubella vaccine . Before vaccination it is advisable to rule out pregnancy and effective contraception be maintained for 8 weeks .
Rh status – if women is Rh –ve and husband Rh+ve she is kept under surveillance. The blood is examined again at 28 weeks and 34-36 weeks for Abs. Rh anti D immunoglobulin should be given at 28 weeks of gestation to prevent sensitization in first pregnancy. If baby is Rh +ve the Rh anti D immunoglobulin is again given with in 72 hours of delivery . Same should be done after abortion.
HIV infection – prenatal screening . Infected women may choose abortions , informed decision on breast feeding .
Prenatal genetic screening – for chromosomal abnormalities , congenital anomalies, haemoglobinopathies.