This document outlines antenatal care (ANC), including its objectives to reduce maternal and infant morbidity and mortality through early detection of complications, health education, and preventive interventions. It describes traditional and focused ANC models, with the focused model recommending 4 routine visits and evidence-based activities. The initial ANC visit includes a detailed history, exam, and diagnostic workup to identify risks and plan care. Subsequent visits monitor progress and new issues. Strategies to assure fetal well-being include assessing growth, movements, and tests after 28 weeks. Health interventions emphasize education, nutrition, and psychological support.
Introduction about postnatal care
Define postnatal care
Aims & objectives postnatal care
Important conditions we should enquire in postnatal care
Schedule of postnatal care
Postnatal exercise
Advice given to the mother during discharge postnatal care
Advice regarding family planning and sterilization during puerperium
Introduction about postnatal care
Define postnatal care
Aims & objectives postnatal care
Important conditions we should enquire in postnatal care
Schedule of postnatal care
Postnatal exercise
Advice given to the mother during discharge postnatal care
Advice regarding family planning and sterilization during puerperium
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
THANK YOU.
Arkab khan
Please find the power point on Vacuum delivery. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Health education on Antenatal care include definition,aim, objectives, registration, antenatal check up, immunization, iron & folic acid, diet, bowel care, cleanliness, clothing, shoes, dental care, care of breast, sleep, exercise, coitus, travel, smoking & alcohol, family support & dangers signs during pregnancy.
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
THANK YOU.
Arkab khan
Please find the power point on Vacuum delivery. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Health education on Antenatal care include definition,aim, objectives, registration, antenatal check up, immunization, iron & folic acid, diet, bowel care, cleanliness, clothing, shoes, dental care, care of breast, sleep, exercise, coitus, travel, smoking & alcohol, family support & dangers signs during pregnancy.
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
One of the most important steps to giving birth to a healthy child is taking care of yourself first. Your child’s health starts with yours and is heavily influenced by your medical history, your family’s health history along with a combination of a healthy diet and exercise plan.
E. Atypical HUS (aHUS)
1. Epidemiology. aHUS is much less common than STEC-HUS.
2. Etiology
a. Drugs (e.g., oral contraceptives, cyclosporine, tacrolimus) or pregnancy may cause
aHUS.
b. Inherited aHUS occurs with both autosomal dominant and autosomal recessive
inheritance patterns, although not all patients have identifiable mutations. These
genetic mutations cause chronic, excessive activation of complement, which also
leads to platelet activation, endothelial cell damage, and systemic thrombotic
microangiopathy.
3. Clinical features. Clinical findings are similar to those of STEC-HUS. Diarrhea may also
be present, and severe proteinuria and hypertension are more consistently found. The
clinical course is generally more severe with multiorgan damage.
4. Management. Treatment is supportive. Inciting medications, if any, must be stopped
immediately.
5. Prognosis. Some patients have a chronic relapsing course (recurrent HUS). All patients
with aHUS have a higher risk of progression to ESRD than patients with STEC-HUS.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Outline
• Describe the objectives of antenatal care
• Discuss different models of antenatal care
• Describe activities of antenatal care
• Detail essential diagnostic work-up during
antenatal care
• Outline ANC fetal well being assessment
strategies
• Discuss health interventions during ANC
2Asheber Gaym, 2009
3. Objectives of Antenatal Care
• Antenatal care refers to the health care provided to a
pregnant woman throughout pregnancy until labor.
• Basically a screening program intended to detect
complications early; provide health education and
implement effective health promotive and preventive
interventions
• Objectives
– Overall- reduce maternal and perinatal morbidity and mortality
– Timely detection and management of complications
– Ensure the birth of a healthy child
– Ensure the health of the mother
– Provide essential health education to the mother including
information on the danger signs of pregnancy
3Asheber Gaym, 2009
4. Models of Antenatal Care Provision
• Traditional ANC model(s)
– Began two hundred years ago and instituted programs and
interventions that were traditionally thought to benefit the
mother and her fetus
– Activities were not scientifically tested as to their effectiveness
or benefit
– Followed a visit pattern of 4 weeks until 28th week; then every 2
weeks until 36th week and a weekly visit with many
interventions at each visit
– Led to upto 14 visits and cost incurred for many investigations
that were not necessarily warranted
– It has recently been suggested that the traditional ANC practice
be replaced by new models of focused ANC programs
4Asheber Gaym, 2009
5. Models of ANC – Continued
• Focused ANC- also called “new” or “WHO” models
– Followed large randomized multicenter trials between the
traditional and focused ANC programs that identified
evidence based interventions and visit patterns that
benefited mothers and their fetus and were cost effective
as well
– Suggested four routine visits only at different gestations
with a few evidence based diagnostic and intervention
modalities performed at each visit
– Visits were at 16,28,32 and 36 weeks
– Additional visits were individualized on an individual basis
5Asheber Gaym, 2009
6. Focused ANC Program Activities
Visit First Visit Second visit Third visit Fourth visit
Gestational
age
<16 weeks 28 weeks 32 weeks 38 weeks
Activities •Classification to
either the basic or
specialized
component
•Clinical exam
•Hgb test
•Gestational age
determination
•Blood pressure
•Weight/Height
•Syphilis/STIs
•Urinalysis
•ABO/RH
•TT administration
•Iron
supplementation
•Document on ANC
card
•Clinical exam for
anemia
•Gestational age;
FH; FHB exam
•Blood pressure
•Weight- only if
underweight at
initial visit
•Urinalysis- for
nullipara or
previous
preeclampsia
•Iron supplement
•Complete on ANC
card
•Hgb test
•TT second dose
•Instructions for
birth planned
•Recommendation
s for
lactation/contrace
ption
•Document on
ANC card
•Examine for
breech
presentation
•Document on
ANC card
6Asheber Gaym, 2009
7. Visits of Antenatal Care – Objectives
• Initial visit –
– Detailed evaluation through history, physical exam
and laboratory work-up as required
– Based on the results further work up and a program of
care is planned on individual basis
– Maternal or fetal factors that may require special care
for the specific mother are identified and noted
• Subsequent visits-
– Are conducted based on the plans made at initial visit
– Newly developing situations during follow up are also
noted and management plans modified accordingly
7Asheber Gaym, 2009
8. Initial visit- History
• Present pregnancy-
– Accurate dating of gestational age
– Any symptoms – minor or major complaints
– Fetal movement perception
– ANC details – investigations and interventions if the mother is referred from
other facilities
– Presence of any of the danger signs
• Past obstetric history
– Details of any obstetric complications in previous pregnancies
• Family history
– Any familial medical conditions
– Family history of congenital anomalies; multifetal gestations and hypertensive
disorders of pregnancy
• Personal history
– History of medical illnesses
– History of smoking, alcohol intake and habitual drugs use
8Asheber Gaym, 2009
9. Initial visit- Physical Exam
• Vital signs and anthropometry (weight and height)
• Detailed physical exam for medical or surgical illnesses
• Abdominal exam –objectives
– Fundal height by symphysis-fundal height measurement by the tape
method
– Fetal heart auscultation after 10th week by doppler or 20th week by
fetal heart stethoscope
– Fetal presentation after the 28th week but malpresentations abnormal
after the 34th week
• Pelvic examination - objectives
– For uterine size measurement if gestation is less than 12th week
– Adnexal abnormalities or masses
– Early evidence of pregnancy on physical exam- cervical softening;
Chadwick’s sign( bluish color of vagina, cervix); Von-Fernwald’s sign(
localized softening of the fundus) and Hegar’s sign
9Asheber Gaym, 2009
10. Subsequent visits – Activities
• History
– Follow up on previous complaints
– Any new complaints since last visits
– Development of any of the danger symptoms
– Fetal movements history
• Physical examination
– Brief detailed exam including the vital signs,
anthropometry and general examination
– Adequacy of weight gain since last visit
– Adequacy of fundal growth since last visit
– Presence of fetal heart beat
– Presence of other findings such as generalized edema
10Asheber Gaym, 2009
11. Diagnostic work-up during antenatal care
Diagnostic procedure Gestational age
Hemoglobin/hematocrit determination Initial visit; repeat at 28-32 weeks
ABO and RH typing Initial visit
VDRL Initial visit; repeat at 28 weeks if negative
Urinalysis At each visit to detect proteinuria
Urine culture and sensitivity Initial visit to detect asymptomatic
bacteriuria
Indirect Coomb’s test Initial visit
Serum alpha-fetoprotein test 16-18 weeks
Routine ultrasonography 16-18 weeks
Screening test for gestational diabetes 24-28 weeks
Pap smear Initial visit
Cervical smear gram stain and culture Initial visit
HBsAg; HIV tests Initial visit 11Asheber Gaym, 2009
12. Assurance of fetal well being at ANC- Strategies
• Progressive increase in maternal weight
• Progressive fundal height growth as per expectations
• Adequate maternal perception of fetal movement ( at
least 10 in 12 hours)
• Fetal well being tests – from 28 weeks onwards
(specific timing of follow up initiation depends on the
individual risk profile concerned)
– Non stress test
– Contraction stress test
– Fetal biophysical profile score
– Doppler ultrasound velocimetry
• Ultrasonographic fetal scan for anomalies
12Asheber Gaym, 2009
13. Health Interventions during ANC
• Health education – topics
– Prompt reporting of danger signs of pregnancy
– Balanced diet
– Labor and delivery preparation
– Basics of family planning, child rearing and
immunization
• Iron supplementation
• Psychological support
13Asheber Gaym, 2009