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1. Bhopal nursing college
Bmhrc,Bhopal
suBJecT: oBsTeTric and gynecological nursing-i
Topic : healTh Talk on anTenaTal care
SUBMITTED TO, SUBMITTED BY,
Mrs Pushplata Tak Pooja Vishwakarma
Vice Principal Msc Nursing 1st
Year

2. healTh Talk on anTenaTal care
 NAME OF STUDENT : Pooja Vishwakarma
 NAME OF GUIDE : Mrs. Pushplata Tak
 DATE OF PRESENTATION :
 TIME OF PRESENTATION :
 NAME OF TOPIC : Health Talk On Antenatal Care
 VENUS : indra Gandhi hospital
 A.V AIDS : Chart,Poster,demonstration
 METHOD Of TEACHING : lecture cum Discussion
 SUBJECT : obstetric and gynecological nursing.
 PREIVIOUS KNOWLEDGE : Group has little knowledge about antenatal care

3. OBJECTIVE
general oBJecTive-
The group will be able to understand and gain knowledge regarding antenatal care.
After the completion of the class people will be able to understand about the importance of antenatal care.
specific oBJecTives-
The group will be able to-
To Introduce the topic
To Define the topic
To list down the aims and objectives of antenatal care
To list down the antenatal visit
To explain the antenatal adivce

4. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
1
2.
3.
2 min
2min
3min
To introduce the
topic
Define antenatal
care
To explain the
aims and
objectives of
antenatal care
inTroducTion-
Antenatal care refers to the education,
supervision, treatment and care given to an
expectant mother from the time the conception
is confirmed until the beginning of labour. It
includes monitoring the progress of pregnancy,
providing appropriate support to the women and
her family and providing information, which the
assist them to make sensible choices.
definiTion-
Systemic supervision of a women during
pregnancy is called ANC.
Planned examination and observation for
the woman from conception till the birth.
AIMS AND OBJECTIVE
To screen the high risk cases.
To prevent or to detect and treat at the
earliest any complications.
To ensure continued risk assessment and to
provide ongoing primary preventive health
care.
Explaining
Explaining
Lecture cum
discussion
What is
antenatal care?
What are the
aims and
objective of
antenatal care?

5. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
To educate the mother about the physiology
of pregnancy and labour by demonstration,
chart and diagrams so that fear is removed
and psychology is improved.
To discuss the couple about the place, time
and mode of delivery, provisionally and care
of the newborn.
To motivate the couple about the need of
family planning and also appropriate advice
to couple seeking medical termination of
pregnancy
oBJecTives
To ensure a normal pregnancy with
delivery of a healthy baby from a healthy
mother.

6. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
4. 5min To describe the
antenatal
comprises
anTenaTal comprises-
 Registration of pregnancy.
 History taking.
 Antenatal examinations
 Laboratoray investigations.
 Health education.
The first visit
 History taking
 Examination
 Investigation
History taking-
 Particulars of the patient
 Chief complaints with duration
 Past history
 Obstetric history
 Menstrual history
 Family history
 Drug history
 History of immunization
 Socio-economic history
 Contraceptive history
Lecture cum
discussion
What are the
antenatal
comprises?

7. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
5. 5min To list down the
antenatal visit
anc visiTs
IDEALLY-ANC VISITS
First 28 weeks-once a month
Up to 36 weeks-twice a month
There after weekly till delivery.
MINIMUM -4 VISITS
1st visit-around 16 weeks
2nd visit-between 24 and 28 weeks
3rd visit-at 32 weeks
4th visit-at 36 weeks
PHYSICAL EXAMINATION
PALLOR- examine palpebral conjunctiva,
nails, tongue, oral mucosa, palms.
PULSE-60-90/min
R.R.- 18-20 breaths/min
Edema
B.P.- two consecutive reading systolic
more than 140mmhg and diastolic more
Lecture cum
discussion What are the
antenatal visit?

8. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
than 90 mmhg
Check urine for the presence of albumin
Pre eclampsia -hypertension+
albuminuria.
Eclampsia-
hypertension+albuminuria+convulsion
Regular weight monitoring at each visit-
11 kg. wt. gain entire pregnancy.
o After first trimester, wt. gain
2kg./month.
Routine investigations
Blood-hb, haematocrit, ABO, Rh
grouping, VDRL are done. Blood glucose
and antibody screening are done in
selected case
Urine-protein, sugar and pus cells. It
significant proteinuria is found, “clean
catch” specimen of midstream urine is
collected for culture and sensitivity

9. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
6 5 min To describe the
antenatal advice
anTenaTal advice
1.INSTRUCT THE PREGNANT MOTHER ON THE
IMPORTANCE OF PERSONAL HYGIENE-
As a practical nurses, need to assist the
expectant mother in attaining healthier patterns
of living and to reinforce health-promoting
behaviors. Skin care, hair care, breast care,
dental care, bowel elimination, vaginal douching,
and clothing are important to the pregnant
patient.
BATHING-Daily baths and preferably twice a day
are advised.
Care of the breasts: Cleanliness of the breasts
is maintained. If anatomical defects are present
advise to seek medical help.
2.INSTRUCT THE PREGNANT MOTHER ON THE
IMPORTANCE OF PROPER NUTRITION-
DIET- supplementary iron therapy is needed for
all pregnant mothers from 20 weeks onwards.
(30mg of ferrous/day) (60-100mg/day) is given
for large women, twin, and those women who
Lecture cum
discussion
What is the
antenatal advice

10. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
book for ANC late in pregnancy anemic woman
should take (200mg/day)
3.INSTRUCT THE PREGNANT WOMEN ON THE
IMPORTANCE OF PROPER REST AND SLEEP-
The woman may continue her usual activities
throughout pregnancy. Hard and strenuous work
should be avoided. On an average, a patient
should have 10 hours of sleep (8 hours at night
and 2 hours at noon)
4.INSTRUCT PREGNANT WOMEN ABOUT THE
DENTAL CARE-
The pregnant women must maintain
normal, daily dental care.
The dentist should be consulted at
the earliest, if necessary.
5. INSTRUCT THE PREGNANT WOMEN ON
ACTIVITY MODIFICATION DURING PREGNANCY-
EMPLOYMENT –
Excessive fatigue is usually the reason for
employment termination.
TRAVEL- Long distance travel better to be
avoided. Rail route is preferable.

11. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
COITUS- Contact with the husband to be avoided
during the first trimester and last 6 weeks.
Smoking and alcohol-Smoking and alcohol are to
be avoided totally during pregnancy as both
cause variable injuries to the fetus.
SDDO NOT EAT RAW MEATS TO PREVENT
TOXOPLASMOSIS.
ECEXCERCISE- during pregnancy, exercise is vital for
good maternal health, healthy birth, and
recovery. Exercise has been proven to be safe
and healthful as long as the patient feel
comfortable doing them.
INSTRUCT THE MOTHER ON IMPORTANCE OF
BOWEL ELIMINATION
there is a tendency of constipation during
pregnancy, regular bowel movement may be
facilitated by regulation of diet taking plenty of
fluids, vegetables and milk.

12. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
INSTRUCT ABOUT THE IMPORTANCE OF
CLOTHING-
The patient should wear loose but
comfortable dresses. High heel shoes are better
avoided.
INSTRUCT THE IMPORTANCE OF
IMMUNIZATION-
TETANUS -immunization against
tetanus protects the mother 0.5 ml TT
is given IM at 6weeks interval for 2
doses
1st dose- 4-6month
2nd dose- 7-8month
EXPOSURE TO INFECTIONS IRRADIATION-
EXPOSURE TO INFECTIONS- is to be
avoided particularly those of
documented teratogenicity eg.
Rubella, cytomegalovirus, herpes
simplex and varicella zoster viruses.
EXPOSURE TO IRRADIATION- is to be
avoided whether diagnostic or

13. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
therapeutic.
INSTRUCT THE PATIENT ON POTENTIAL DANGER
SIGN/WARNING SIGN OF PREGNANCY THAT
WOULD NECESSITATE HER CONTACTING HER
PHYSICIAN AND COMING IN
1. ANY VAGINAL BLEEDING, regardless of how
small, may indicate possible miscarriage or
abortion, placenta previa or placenta abruptio.
2. GENERAL ADVICE-
The patient should be persuaded to
attend for antenatal checkup positively on the
scheduled date of visit. She is instructed to
report to the doctor even at an early date and if
the following untoward (warning signs and
symptoms ) symptoms arise:
 intense persistent headache
 severe oedema
 disturbed sleep with restlessness

14. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
 low urine output (less than 500 ml per day)
 epigastric pain
 persistent vomiting
 painful uterine contractions
 active vaginal bleeding etc.

15. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON
summary-
so, for we have discussed about introduction of
antental care and advice etc.
conculsion-
ANC also provides women and their families with
appropriate information and advice for a healthy
pregnancy, safe childbirth, and postnatal
recovery, including care of the newborn,
promotion of early, exclusive breastfeeding, and
assistance with deciding on future pregnancies in
order to improve pregnancy outcomes. An
effective ANC package depends on competent
health care providers in a functioning health
system with referral services and adequate
supplies and laboratory support.

16. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON

17. Sr.
No.
TIME OBJECTIVE CONTENT TEACHING
LEARNING
ACTIVITY
A.V AIDS USE EVALUATON

18. BIBLIOGRAPHY
Bibliography
 Ghai Sandhya(2018) clinical nursing procedures new delhi: satish kumar page no 613-616
 Dhaitri swain (2017) obstetrics nursing procedure manual ne delhi: jaypee brothers page no 158-159
 Jacob annama (2012) “A comprehensive textbook of midwifery and gynecological” jaypee brother publication. 3rd
edition page no-107
 Bhaskar nima(2019) “midwifery and obstetrical nursing” emmess medical publishers.third edition page no-106
 5. dutta dc (2010) “textbook of obstetrics including perinatology and contraception” seventh edition. Page no-94
1. REFERENCES
1. www.google.com
2. www.wikipedia.com
3. www.pubmed.com
4. www.slideshre.com
5. www.scribed.com