Antenatal care (ANC) coverage is an indicator of access and use of health care during pregnancy. The antenatal period presents opportunities for reaching pregnant women with interventions that may be vital to their health and wellbeing and that of their infants.

1. ANTE NATAL
CARE.
Purshottam , SRF
Department of Social
Work,
KUK

2. AIMS OF ANTE NATAL
CARE
To promote & maintain good mental & physical
health during pregnancy.
To monitor the progress of pregnancy.
To detect & treat medical conditions.
To ensure safe delivery of mature & healthy
infant.
To prepare the women for delivery,breast
feeding & subsequent care of the child.
To encourage concept of having regular AN
care.

3. IMPORTANCE OF ANTENATAL
CARE.
To confirm pregnancy & assess the period of
pregnancy.
To prevent maternal & neo natal tetanus.
To facilitate health education regarding diet, rest,
avoidance of unnecessary travel & preparation for
delivery.
Many studies found that educated women and
education during the antenatal period can reduce
pregnancy and delivery complications.

4. COMPONENTS OF AN
CARE.
Identification of pregnant women & importance of
early registration.
Diagnosis of pregnancy.
Clinical assessment.
Advice during AN visit.
Nutrition.
Management of minor ailments.
Risk assessment & appropriate management.

5. Complications & management.
Complications of late pregnancy.
Management of medical disorders during pregnancy.
Management of Anemia during pregnancy.

6. IDENTIFICATION / REGISTRATION.
Early identification helps,
Assessing the health status of the mother.
Obtain baseline information of the mother.
Counsel on hygiene diet , rest.
Build up rapport with pregnant women.
12 wks..

7. WITH IN 20 Wks.
Screen & treat anemia.
Screen risk factors & medical conditions.
Develop individualized birth plan.
Immunize with tetanus toxoid.
Investigate – Hb,bld grp,urine examination, etc..

8. 28-32 Wks
Aimed at the following.Detect,
 Pregnancy-induced hypertension (PIH) is a form of
high blood pressure in pregnancy.
Anemia.
Develop individualized birth plan.
Assess Intrauterine growth restriction (IUGR) refers
to a condition in which an unborn baby is smaller than it
should be because it is not growing at a normal rate inside
the womb..
Repeat HB estimation.

9. CLINICAL ASSESMENT.
Age.
Duration of marriage.
The order of pregnancy.
Number of living children.
General history.
Last child birth.
Last abortion.
Problems during previous pregnancy.

10. HISTORY OF SYSTEMIC
ILLNESS.
Heart diseases.
TB.
UTI. Urinary tract infection
Malaria.
Thyroid diseases.

11. COMPLAINTS DURING PRESENT
PREGNANCY.
Breathlessness.
Excessive tiredness.
Palpitation.
Tightening of bangles.
Headache, blurring of vision.
Bleeding
Pain Abdomen, fever, presence of fetal
movements.

12. PHYSICAL
EXAMINATIOIN
Ht.
Wt.
Bp,Hb,grouping
Breast examination.
Respiratory rate.

13. NUTRITION
DIETARY ADVICE DURING PREGNANCY.
Advice a diet that is nutritious, easily digest
able, rich in protein, minerals & vitamins
consisting of normal food plus at least…..
Half lit milk./ day.
One egg.
Plenty of green leafy veg.
Fruits.
Fiber rich diet.

14. Advice extra calories for maternal health & to
meet the needs of the growing fetus.
Advice diet keeping in mind the socio economic
condition.

15. MANAGEMENT OF MINOR
AILMENTS.
VOMITING IN PREGNANCY.
Advice small frequent feeds.
Avoid greasy foods.
Include plenty of green leafy vegetables.
Advice plenty of fluids.
Encourage dry foods in the morning.

16. HEART BURN
Avoid spicy , rich foods.
Take cold milk & bland diet.

17. CONSTIPATION.
Encourage increased fiber intake.

18. MEDICAL DISORDERS
DURING PREGNANCY.
Pregnancy with heart disease.
Pregnancy with diabetes.
Pregnancy with UTI.
Pregnancy with jaundice.
Pregnancy with malaria.
Pregnancy with TB.