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ANTENATAL CARE
1.
2.
INTRODUCTION
AIMS AND OBJECTIVES
EPIDEMIOLOGY OF ANTENATAL CARE
RECOMMENDED EIGHT ANTENAL VISIT
STATISTICS FOR ANTENATAL PATIENT
TYPES OF ANTENATAL CARE
INITIAL ASSESSMENT
INVESTIGATION
PROPHYLAXIS
IMMUNIZATION
HEALTH EDUCATION
NURSING DIAGNOSIS/ CARE PLAN
SUMMARY
REFERENCE
OUTLINE
3.
OPENING AND CLOSING PRAYER
Oh God of creation,
Direct our noble cause
Guide our leaders right
Help our youths the truth to know
In love and honesty to grow
And living just and true
Great lofty heights attain
To build a nation where peace
And justice shall reign.
4.
Anetenal care is care given to a pregnant
women from the period pregnancy is
confirm to the onset of labour, which
includes the basic antenatal services
recommended for all pregnant women,
plus the care for their own health and
intervention to prevent mother to child
transmission (MTCT) of HIV to there
babies.
INTRODUCTION
5.
To monitor the progress of pregnancy to
optimize maternal and fetal health by
facilitating the woman and her family in
preparing to meet the demand of birth and
making a birth plan.
Facilitating the women to make an informed
choice about methods of infant feeding and
giving appropriate and sensitive advice to
support her decision especially in HIV
positive mother.
AIMS AND OBJECTIVES
6.
WHO (2016) recommended Eight antenatal
visit for a healthy woman with a normal
pregnancy, scheduled at specific times in the
pregnancy to deliver the essential
intervention during antenatal care. But HIV
positive pregnant woman usually require
more visit than HIV negative pregnant
women.
EPIDEMIOLOGY OF ANTENATAL CARE
8.
Months No of patient New Revisit
January 468 97 371
February 507 132 375
March 552 90 462
April 295 77 218
May 0 0 0
June 385 113 272
STATISTICS FOR ANTENATAL PATIENT
ATTENDING ANTENATAL CLINIC IN THE FIRST
HALF OF (2018) JANUARY – JUNE IN FMC
BIRNIN KEBBI
9.
General (Routine) antenatal care
Focused antenatal care
Initial assessment (First booking)
Physical assessment
TYPES OF ANTENATAL CARE
TYPES OF ASSESMENT
10.
PERSONAL DATA
Name
Age
Date of birth
Religion
Ethnic group
Occupation
Family data
Husband's name
Husband's occupation
Date of booking
Next of kin
INITIAL ASSESSMENT CONSIST OF
THE FOLLOWING:
13.
e.g: Previous C/Section, previous reproductive tract
infection, Fibroids and infertility.
Year
Duration of pregnancy
Remark on pregnancy labour & pueperium
Remark on each child (sex, weight, status and method of
feeding)
Abortion should be indicated in red (+)
IV. PAST /GYNEA COLOGICAL HISTORY
V. PAST OBSTETRICS HISTORY
14.
Date of last menstrual period
Expected date of delivery(
EDD)
Estimated weeks of gestation
at booking
VI. PRESENT OBSTETRIC HISTORY
18.
EXAMINATION OF BREAST & AXILLA
Inspection
Palpation
Advice
ABDOMINAL EXAMINAITON
Inspection
Palpation
Auscultation
19.
AT BOOKING
Height and previous delivery are
usually considered
At 36weeks
Pelvic assessment will be done in
primigravida and woman with
second delivery with previous
C/section or malpresentation.
PELVIC ASSESMENT AT BOOKING
20.
Urinalysis
Genotype
Blood group
Hepatitis
Venereal diseases research laboratory test (VDRL)
Haemoglobin/PCV
Rhesus factor
Monteux Test
HIV/AIDS Test
Pelvic ultrasound
INVESTIGATION
22.
Types of Immunization Dosage Next appointment Coverage
TT1 0.5mils Nil
TT2 0.5mils 4weeks 3years
TT3 0.5mils 6months 5years
T4 0.5mils 1year 10years
T5 0.5mils 1year For life
IMMUNIZATION
Mother’s Immunization
23.
The pregnant mother will be advice on the
importance of coming to the clinic on time and they
will have health education on the following:
Nutrition: Eating of well balanced diet, using locally
available food substance such as beans, rice,
vegetable palm oil, fruit, fish and for the growth and
development of her baby and her nourishment.
Personal Hygiene: The importance of personal
hygiene will be addressed e.g bathing daily, care of
hair, perineal and underwear’s.
SUMMARY OF MOTHERCRAFT AND
OTHER CLASSES ATTENDED
24.
Environmental Hygiene: The important of proper
hygiene will be over emphasis which will help to prevent
breeding of mosquitoes and hence prevent malaria
infection and also prevent breeding of other
microorganism to prevent infection.
Rest & Sleep: The important of rest and sleep will be
explain to the them so as to conserved energy and good
health.
Clothing: Health education on wearing free clothing and
low shoes not high for easy movement and to prevent
accident, backache and maintain body posture.
SUMMARY OF MOTHERCRAFT AND OTHER
CLASSES ATTENDED COTN
25.
Medication: They will be advice on taken their
routine drugs, avoid self medication and taking of
harmful traditional medicine.
Care of breast: Important of wearing of firm
brassieres and cleaning of nipples, inform them
about the present of colostrum at 16 – 20weeks of
pregnancy.
Exclusive Breast feeding/ breastfeeding option:
They will be encourage on exclusive breastfeeding
and the important of exclusive breast feeding and
how to breast feed exclusively but in HIV positive
mother it is optional.
SUMMARY OF MOTHERCRAFT AND OTHER
CLASSES ATTENDED COTN
26.
Immunization: Health education on immunization on
both mothers and their babies will be explain both
prenatal and postnatal.
Birth preparedness: They will be informed the
important of hospital delivery, preparation for delivery
and its importance, which include material and
financial, at 32weeks of pregnancy and items to bring
to the hospital for delivery.
Labour/Danger sign: Danger Signs of pregnancy and
signs of true labour will be explain in details especially
primigravida and HIV positive mothers.
SUMMARY OF MOTHERCRAFT AND OTHER
CLASSES ATTENDED COTN
27.
Family planning: Health education on need
for them to rest after delivery will be
emphasize in order for them to breast feed
their babies for at least 1-2years and that
system affected by pregnancy will go back to
pre-pregnant state e.g reproductive system,
cardio vascular & urinary system and to
prevent unintended pregnancy.
SUMMARY OF MOTHERCRAFT AND OTHER
CLASSES ATTENDED COTN
28.
NURSING DIAGNOSIS
Pain (back and leg) related to progress of
pregnancy evidence by verbalization.
Sleeping disturbance related to frequent
micturition evidence by verbalization.
Anxiety related to the unknown outcome of
pregnancy evidence by changed of mood.
NURSING DIAGNOSIS AND NURSING
CARE PLAN
29. Date/
Time
S/N Nursing
Diagnosis
Nursing
Outcome
Nursing Action Rationale Evaluation
13/9/18 1. Pain (back
and leg)
related to
progress of
pregnancy
evidence by
verbalization
Patient
verbalized
less pain
within the
period of
pregnancy
1) Avoid using high hill
shoes
2) Encourage using of
sitting toilet
3) Encourage sleeping on
flat surface
4) Served prescribed
analgesic
1) Prevent twist of muscles
2) It promote comfort
3) It relax the muscles thus
preventing pain.
4) It blocked the pain
receptors
Patient complain
less of pain with
in the period of
intervention
NURSING CARE PLAN
31.
PREVENTION OF PREGNANCY RELATED
COMPLICATION
Health education
Early detection
Identified patient at risk
Prompt management/intervention
Changed in life style
Drugs
Immunization
Early referral
32.
CONCLUSION
Antenatal care for pregnant woman includes basic
antenatal services recommended for both HIV and
non HIV pregnant woman for their own health and
intervention to prevent pregnancy complication.
All pregnant woman need to be supported in order
for them to engage in healthy behaviour maintain
their own health and that of their unborn baby.
Doing this will reduce some of the risk of maternal
and perinatal problems.
33.
REFERENCES
ADESOKAN, F.O.O (2011) Reproductive health of all ages, revised
edition Ijigbo junction printers Ado Ekiti, Ekiti State.
Ajayi, F.T (2004). A guide to primary healthcare practice in developing
countries 4th eduction Government Printers, Ekiti State.
AKINLEYE, F. et al (2009). Perceptions of care and services by the clients
and families.
DIANE, M.F et al (2012), Myles text book for midwives 14th edition
Edinburg London New York.
National PMTCT Training manual April, (2018).