4. Any interventions
offered should have
known benefits
Current models of
antenatal care
originated in early
20th century
They should be
acceptable to the
pregnant women
Pregnancy is a normal
physiological process
NICE /RCOG guidelines 2010
6. Investigations
USG at 11 to 13
weeks: dating &
NT NB
01
02
03
04
History taking
General &
systemic
examination
Antenatal care starts with
confirmation of pregnancy
7.
8. Advanced
Hemoglobin PCV
Urine routine
Blood sugar
Blood group Rh
Thyroid profile
HbsAg
HIV 1 &11
VDRL
Thalassemia screen
Anti HCV
Dual marker of 1st
trimester
Basic Premium
Investigations
13. Glucose drinks, aerated drinks, fruit
juices, fried food, chat, spicy pickles &
masala curries best avoided.
Bland food like toasted bread, boiled
eggs, paneer, cheese and ice-creams
better tolerated.
Mid-day nap essential
otherwise lack of sleep
translates into feeling of
tiredness all day.
Rest: Common due to P4 effect on GI
tract. Only bulk forming laxatives
recommended.
Cremaffin not good as may reduce
absorption of essential vitamins.
Constipation
Nausea and vomiting:
14. Papaya
Rich in vitamin c,
antioxidants & other
wholesome nutrients
Excellent in heartburn
& constipation.
RIPE PAPAYA RAW PAPAYA
Unsafe for pregnant women
Contains latex may
start contractions in
late pregnancy
Has pepsin &
papain; may reduce
growth of fetus.
Safe in first trimester
Consume in
moderation
17. In a car:
Seat belt a must
Be comfortable, carry a little
pillow, snacks and water
For nausea ginger lozenges or
crushed ginger
Slow pace, break journey for a
nap in a quiet place
Loose-fitting clothes &
comfortable flat shoes
Avoid altitudes above 3,658
metres;
Travellersโ diarrhoea can
cause miscarriages in 1st
trimester
Stay away from activities
that are too adventurous,
In a plane:
aisle seat
carry snacks