American Academy of Pediatrics and the American College of Obstetricians and Gynecologists (2007) defines antenatal care as, "A comprehensive ante partum care program involves Coordinated approach To medical care and psycho social support That optimally Begins before conception and extends Throughout the ante partum period.“
Following are components of Antenatal care
Pre-conceptional Care,
Prompt Diagnosis Of Pregnancy,
Initial Prenatal Evaluation,
Follow-up Prenatal Visits.
Diagnosis of Pregnancy
Signs And Symptoms -
Cessationof Menses
Changes in Cervical Mucus
Breast Changes
Vaginal Mucosa
Skin Changes
Changes in the Uterus
Cervical Changes
Perception of Fetal Movements
Pregnancy Tests -
hCG in maternal blood and urine
Sonographic Recognition of Pregnancy
The First Visit
TIME
Pregnancy test positive within a few days after missed period
Early pregnancy complications like miscarriages, ectopic pregnancy may be first diagnosed in the clinic
Following are investigations to be done at first visit
SUBSEQUENT VISITS
For patients with no risk factor
every 4 week till 28 weeks
every 2 week till 36 weeks
every week till delivery
Minimum 4 antenatal visits are necessory
For patients with risk factor
every 2 week till 28 weeks
every week till delivery
VACCINATION IN PREGNANCY
The most common vaccination during pregnancy is tetanus toxoid
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