PNCU

1. BUNTIS
DAY
MARY JOHNSTON HOSPITAL
MARCH 10, 2018
DR. ANALYN NGO-YU

2. ANO BA ANG
PRENATAL CARE?

3. ANO ANG KAHALAGAHAN
NG
PRENATAL CARE ?

4. ANO ANG MGA RASON
BAKIT HINDI
NAKAKAPAGPA CHECK
UP ANG ISANG BUNTIS?

5. PAANO MO
MALALAMAN NA IKAW
AY
BUNTIS?

6. Diagnosis of Pregnancy
Cessation of menses
Changes in cervical
mucus
Changes in the breasts
Discoloration of
vaginal mucosa
Skin Changes
Changes in the uterus,
cervix
Fetal heart action
Perception of fetal
movements

7. DIAGNOSIS OF PREGNANCY
 PREGNANCY TEST POSITIVE
 ULTRASOUND

8. WHAT’S NEXT???

9. CONSULT YOUR OB-GYN

10. PRENATAL CHECK
UP

11. HISTORY
PHYSICAL EXAMINATION
LABORATORY TEST
SUBSEQUENT PRENATAL VISITS
PRENATAL VISITS

12. HISTORY

13. PHYSICAL EXAM

14. PHYSICAL EXAM

15.  Fetal heart tones
PHYSICAL EXAM

16.  Vaginal Examination
 Confirmation of presenting part
 Clinical estimation of the pelvis
 Consistency, effacement and dilatation of the cervix
PHYSICAL EXAM

17.  Transvaginal Ultrasound
(1st Trimester)
 Complete blood count
 Blood Typing
 Urinalysis
 HBsAg
 VDRL
 FBS / 75 grams OGTT/ HgbA1C
 Pap smear
 HIV Testing
LABORATORY

18.  Repeat 75 gms OGTT
(24-28 weeks)
 Group B streptococcal
infection (35-37 weeks)
 Congenital Anomaly Scan
 Pelvic Ultrasound
( > 32 weeks AOG for placental
Localization)
 Biophysical Profile
( > 38 weeks)
LABORATORY

19. ULTRASOUND

20.  Folic Acid
 Multivitamins
 Ferrous Sulfate
 Calcium
MEDICATIONS

21. DIET
 LOW SALT
 LOW SUGAR

22.  First Trimester – 2 kg
 Second Trimester – 5 kg
 Third Trimester – 5 kg
DESIRED WEIGHT
GAIN

23. PRE NATAL VISITS
 First Trimester
( until 14 weeks AOG)
 Every month
 Second Trimester
( until 28 weeks AOG)
 Every month
 Third Trimester ( more than 28
weeks AOG)
 28 – 36 weeks AOG - every 2
weeks
 > 36 weeks - every week until
delivery

24. Asthma
Cardiac Disease
Diabetes Mellitus
Drug and Alcohol Use
Epilepsy
Family History of genetic
problems
Hypertension
Pulmonary disease
Psychiatric illness
Renal Disease
HIGH RISK PREGNANCY

25. COMMON CONCERNS

26. SMOKING

27. ALCOHOL

28. TRAVEL

29. ALCOHOL

30. BATHING

31. COITUS

32. IMMUNIZATION

33.  Vaginal bleeding
 Abdominal pain
 Persistent back pain
 Watery vaginal discharge
 Swelling of hands , feet & face
 Severe headache, blurring of vision
 Regular uterine contractions before
37 weeks
 No fetal movement
DANGER SIGNS OF
PREGNANCY

34.  CHECK THE WOUND
 BREASTFEEDING
 COUNSELLING ON HER NEXT PLANNED
PREGNANCY
 FAMILY PLANNING
 OTHERS: REPEAT 75 GRAMS OGTT 6
WEEKS AFTER DELIVERY
POST NATAL CARE

35. THANK YOU!!!