This document discusses antenatal care, which refers to the care provided to pregnant women from the first month of pregnancy until delivery. It outlines the objectives, components, and benefits of antenatal care. The objectives include maintaining the health of the mother, promoting well-being of the mother and child, ensuring a healthy full-term baby, and early detection of risks. Components include medical examinations, tests, counseling, and health education. Benefits are better health for mother and baby, increased knowledge, improved preparation, and staying up-to-date. The document also notes obstacles to antenatal care in Bangladesh and recommendations to improve access and utilization.

1. Antenatal
Care

2. Kazi
Anamul
Hasan

3. A care given to the pregnant women from the first
month till the delivery time, to ensure safe pregnancy &
safe outcome
Definition:
Antenatal Care
Pregnancy, Labor and birth
of a child are important
milestones in a couple’s life.
Regular medical care,
knowledge of your choices,
and understanding the
unknown events during
pregnancy can make
childbirth an extremely
enriching and joyful event.
A woman’s health and
behavior in pregnancy
affect her baby. A poor
diet, smoking, intake of
alcohol, certain drugs, and
severe illnesses can hold
back the baby’s
development.

4. Definition:
Antenatal
Care
Antenatal checkups prevent most
medical problems . Even if there is
a problem, early detection helps to
control the problem better.
For example, there is a condition
called “pre-eclampsia” in which
there is weight gain, high blood
pressure and stress on the kidney.
This is detected by regular blood
pressure checks and checking the
urine for protein
A urinary tract infection during
pregnancy can be detected by a simple
urine analysis and its treatment helps
the normal growth of the baby in the
womb.

5. Objectives of Antenatal Care
01 02 03 04
Maintenance of health
of mother during
pregnancy
Promote physical,
mental and social well
being of mother
and child
Ensure delivery of a
full term healthy baby.
Early detection of high
risk cases and
minimize risks by
taking appropriate
management.
05 06 07 08
Remove the stress
and worries of the
mother regarding the
delivery process
Screening diseases
such as anemia, STIs,
HIV infection, mental
health problems, and
domestic violence.
Teach the mother
about child care,
nutrition, sanitation
and hygiene.
Decrease maternal
and infant mortality
and morbidity.

6. Objectives of Antenatal Care
09 10 11 12
Remove the stress
and worries of the
mother regarding the
delivery process.
Prevent development
of complications
through health
education, nutrition,
exercise, and
appropriate medical
Advice family
planning and motive
the couple about the
need of family
planning.
Predict possible
problems during
pregnancy and
provide an
appropriate treatment
13 14 15 16
Provide information on
pregnancy, birth and about
the place, time and mode
of the delivery and care of
the newborn
Ensure continued
medical surveillance
and prophylaxis.
Advice the mother
about breast feeding
post natal care and
immunization.
Advice and support to
the women and her
family for developing
healthy home
behaviors.

7. A. Few primary steps: Ensure early registration and see
to it that the first check-up is conducted within 12 weeks
(first three months of pregnancy). Track every pregnancy
for conducting at least four antenatal check-ups (including
the first visit for registration), keeping in mind all the
essential components listed under section B. Administer
two doses of TT injection. Provide at least 100 tablets of
IFA.
B. Essential components of antenatal check-up: Take
the patient’s history. Conduct physical examination,
measure weight, blood pressure and respiratory rate and
check for pallor and oedema. Conduct abdominal palpation
for foetal growth, foetal lie and auscultation of Foetal Heart
Sound (FHS) according to the stage of pregnancy. Carry
out laboratory investigations, such as hemoglobin
estimation and urine tests for sugar and proteins).
Components of
Antenatal Care

8. Components of
Antenatal Care
C. Desirable components:
Determine the blood group,
including the Rh factor. Conduct
the Venereal Disease Research
Laboratory (VDRL)/Rapid Plasma
Reagin (RPR) test to rule out
syphilis. Test the woman for
Human Immunodeficiency Virus
(HIV). Check the blood sugar.
Carry out the Hepatitis B Surface
Antigen (HBsAg) test.
D. Counseling: Help the woman to plan and
prepare for birth. Decide the place of delivery and
presence of an attendant at the time of the
delivery. Advantages of institutional deliveries and
risks involved in home deliveries. Advise the
woman on where to go if an emergency arises,
and how to arrange for transportation, money and
blood donors in case of an emergency. Educate
the woman and her family members on signs of
labor and danger signs of obstetric complications.
Emphasize the importance of seeking ANC and
PNC. Advise on diet (nutrition) and rest Inform the
woman about breastfeeding, including exclusive
breastfeeding. Provide information on sex during
pregnancy Warn against domestic violence.

9. Description of
Antenatal Care
1.Antenatal Care Coverage
2.Place of Antenatal Care
3.Number of Antenatal Visits
4.Components of Antenatal Care
Source:
Demographic and
Health Survey 2014

10. Four Benefits:
1. It’s better for everyone’s
health
2. Learn more about what she
is meant to be doing
3. Can prepare herself better
4. Stay up to date
Benefits of
Antenatal
Care
1. It’s better for everyone’s health:
Most importantly, a mother’s health and her baby’s
health will be taken care of from the very start as
potential issues can be detected early. Not only is her
baby more likely to be born at a healthy weight, but
she will also be monitored through the pregnancy
process, and if there are any health issues, these will
be detected by her obstetrician.
2. Learn more about what she is meant to be
doing:
From the foods she is supposed to be eating to how
much exercise is appropriate over the course of the
pregnancy, there are many other important and
useful things that she can learn during antenatal
care. Whilst she will gain a lot of information and
knowledge during the time her pregnancy, such as
specific foods to avoid, travel and lifestyle
considerations most of this knowledge can be useful
throughout motherhood,

11. Benefits of Antenatal Care
3. Can prepare herself better
This is particularly important if a women is
pregnant with her first child. As well as
preparing her body physically for the
experience of childbirth, she also need to
make sure that she is prepared mentally. If
she don’t have a partner with her during
the pregnancy experience, antenatal care
can play a role which is even more
important than usual. She should not be
afraid to ask questions, and do whatever it
takes to make her as prepared as possible.
4. Stay up to date
Another great reason why antenatal care
should be provided to all women who are
expecting a baby is simply because it helps
her to stay up to date with everything. After
all, she is carrying a child for nine months,
so she should be in the loop about every
single detail! During the regular checks that
she will be able to have, she can find out
how her baby is growing, whether there are
any issues or complications with the
pregnancy, as well as other things such as
the likelihood of her baby developing
women health problems or conditions

12. Bangladesh Scenario
1.women's lack
of opportunity
to make
decision.
2.insufficient
money for
prenatal care
3.heavy family
workload
without family
support
In Bangladesh Women
Facing Obstacles In
Terms of ANC

13. Bangladesh Scenario
6. Around 25% of women
attended at least four ANC
contacts, with only 11%
initiating ANC in the first
trimester of pregnancy
4.no permission to go to
hospital without a guardian
5. inconvenient
transportation

14. 64.82%
Dhaka
62.47%
Chittagong
66.08%
Barisal
54.30%
Sylet
74.91%
Khulna
Bangladesh
Scenario
Status of Antenatal
visit
75.81%
Rangpur
72.08%
Rajshashi
19.30%
Dhaka
15.53%
Chittagong
18.25%
Barisal
13.41%
Sylet
22.69%
Khulna
24.30%
Rangpur
16.23%
Rajshashi
At least 01
time
At least 04
time

15. Recommendations
To Improve
Antenatal Care
1. Women who plan to get pregnant should start
with folic acid (Vit B9) 0.4 mg daily
2. All pregnant women should participate in the
antenatal care program
3. The first antenatal care visit should take place
in gestational week 8-12
4. Antenatal care performers should be a midwife
or a general practitioner, or shared care where
doctor and midwife cooperate

16. Recommendations
To Improve
Antenatal Care
6. In healthy pregnant women, a basis program is
recommended comprising 8 antenatal care visits
up to and including the visit in week 40
7. All pregnant women should have one routine
ultrasound examination in week 17-19
8. The attendance rates as well as the patterns of
antenatal care use, the content of the care,
provided care as well as the results of antenatal
care should be routinely monitored
5. Continuity of care should be attempted so that
the woman know her caretakers

17. Kazi
Anamul
Hasan Thank You