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