PREVENTION OF DISEASES

1. GROUP THREE

2. Group members
1. Fathiya omer abib
2. Fathiya mohamed ilmi
3. Ayan faysal
4. Hamda mohamed roble
5. Asiya faysal muse
6. Muna axmed mohmed
7. Sawda hassan boss
8. Muna abdilahi jama

3. How a midwife prevent disaease throught
out prenatal period
 objectives of midwife
 Promote ,protect and maintain the heath of mother during pregnancy
 Detect “high risk”pregnancies and give the mothers special attention.
 For see compications and prevent them.
 Remove anxiety and fear associated with .
 Reduce maternal and infant mortality and morbidity
 Teach mother elements of childcare nutrition personal hygiene and enviromen
 Sensitize the mother to the need for family planing


4. Prevent service s for mother in the
prenatal period
 Health history
 Physical examination
 Family history
 Drug history
 Laboratory examination
 Complete urine analysis
 Stool examination
 Complete blood count including Hbg estimation
 Serological examination
 Blood grouping
 Gonorrhea test if needed

5. History taking
1. Particular of patient
2. Chief of complain with duration
3. Past history
4. Obstetric history
5. Menstrual history
6. Family history
7. Drug history
8. History of immunization
9. History Socio economic
10. Contraceptive history
11. History of allergy

6. Family history
 HTN
 DM
 MULTIPLE PREGNANCY
 DRUG HISTORY
 Antihypertensive
 Hypoglycemic
 Antidepressant
 Corticosteroid
 Anticoagulant

7. Obestatric history
 Gastation pregnancies:previous pregnancy carried beyond weeks
 Gestation :previous preterm labour is a risk factor for subsequent preterm labour
 Mode:of delivery spontaneous vaginal assisted vaginal or casearean
 Birth weight a previous small for gastational age (sga) baby increase the risk of a
subsequent one
 Complication :e.g preeclampsia gestational ,hypertension ,gestational diabetes
obstetric anal sphincter injury 3 4 degree tears post partum haemorrhage

8. Physical eamination
• General eamination
• Abdominal examination
• GENERAL EXAMINATION
appearance
Height of patient
weight of patient
Anemia
Jaundice
Edema
Cyanosis
Clubbing
Temperature
Pulse
Bp

9. Physical eamination
• General eamination
• Abdominal examination
• GENERAL EXAMINATION
appearance
Height of patient
weight of patient
Anemia
Jaundice
Edema
Cyanosis
Clubbing
Temperature
Pulse
Bp

10. Disease protection
 Tetanus :pregnant women should receive al least 2 doses of tetanus vaccine before giving birth
 Urinary trac infection: untreated UTI may lead to kedney infection ,kidney infection may cause early
labor and lo birth weight
 Syphilis:have a high risk of carrying other sexually transmitted infection and should be tested for them to
adequately treated woemen ith syphilis
 Gonorrhoea: it can cause premature rupture membrane so should be screening for gonorrhoea
 Bacterial vaginosis: effective to identify and treat the infection effectivess of screeening in reducing
adverse outcomes in pregnacy
 Tuberculos: obestetrician or midwife will have major role to play in the management
 Anemia : if there are no clinical signs of anemia and no abnormal haemoglobin values administer iron
and folic acid supplementation
 Hiv infection : to prevent mother to child transmission administer antiritroviral therapy to the mother

11.  Vitamin and micronutrient deficiencies
 Vitamin k:for women being treated with an enzyme inductor
 Calcium: supplementation is recommended for all pregnant women with low calcium intake and
at risk of pre eclampsia
 Vitamin D : prevent neonatal hypocalcaemia
 Iodine : deficiency during pregnancy increase the risk of miscarriage prematurity ,severe mental
and growth retardation in the child and neonatal or infant death
 Malnutrition :food supplementation is recommended

12. Perinatal advice
 Diet : mother should take balanced and adequate diet during pregnancy and lactation
 Personal : advice regarding personal hygiene
 Drug :mother should be discouraged as cetain drugs during pregnency
 Radiation :x-ray can cause mortality rates from leukemia and other neoplasms