Prenatal care involves regular checkups during pregnancy to monitor the health of the mother and baby. Checkups include a physical exam, ultrasound, and lab tests. They allow doctors to monitor weight gain, check fetal growth and heart rate, test for conditions, and identify potential complications. Regular prenatal care is important for having a healthy pregnancy and delivery. Reasons a pregnant woman may not get care include lack of awareness of the importance of checkups and barriers to accessing medical care.

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!!!