ANTENATAL EXAMINATION Systematic supervision of a women during pregnancy is called antenatal care. Antenatal care comprises of : Careful history taking and examination Advice given to the pregnant women.
AIMS AND OBJECTIVE To
prevent and detect abnd treat at the earliest any complication. To ensure continued medical survillence and prophylaxis. To educate the mother about the physiology of pregnencyand lobour by demonstration, demonstration, chart and diagrams, so that fear is removed and psychology is removed. To discuss with the couple about to place, time and mode of delivery, provisionally and care of the newborns. To ensure a normal pregnancy pregnancy with delivery delivery of healthy healthy baby from a healthy mother. mother.
PROCEDURE AT THE FIRST VISIT The first visit should not be defined beyond the second missed period. It may be earlier earlier if the patient desires desires to terminate the pregnancy.
HISTORY COLLECTION
CLIENT PROFILE Name Date of first examination Address Age Religion Education Income LMP EDD Obstetrical score
MEDICAL HISTORY Past History : UTI ,Hypertension, Asthma, Heart disease, Diabetic mellitus, Epilepsy, Psychiatric disorders, Malaria, Typoid, TB, RIT, Sexual transmitted disease, any abdominal surgery. Present History : Breathlessness, Excessive Tiredness, Palpation, Puffiness of face , tightening of rings, Head ache , Blurring visions, pain abdomen.
Menstrual History Age at menarche Rhythm
: Regular / Irregular
Cycle Duration Any Premenstrual Symptoms / dysmenorrheal/ heamorraghe LMP Calculation of due date: NAGELES ROLE (1812) The common method of determining the expected date of delivery. Nageles rule calculated by taking the LMP, by adding 9 month and 7 days to the first day of the last normal period.
OBSTETRIC HISTORY Number of living children : Boy/ Girl : Health status of the baby : Gravida : Parity : Period of gestation :
HISTORY OF PREVIOUS PREGNANCIES Order of birth Term Nature of delivery Place Health condition
: : : : :
HISTORY OF PRESENT PREGNANCY Weeks of delivery Height of fundus in weeks Presentation Position Head engaged / not Fetal heart rate
: : : : : :
FAMILY HISTORY Twins/ congenital malformation / DM/ hypertension/ tuberculosis.,
PERSONNEL HISTORY Diet Sleep pattern Elimination Habits SOCIO ECONOMIC STATUS
ANTHROMETRIC MEASUREMENTS Height Weight Abdominal girth Fundal Height
VITAL SIGNS Temperature Pulse Respiration Blood pressure