Component of antenatal care History. Examination Investigatio | الدفعة 38 المجموعة "2" (دفعة روان عبدالحميد)

Component of antenatal care
History. Examination Investigation
Social care Nutritional care
Health education..detect high risk pregnancy.. immunization (tetanous).. emotional and social care

timing of antenatal care
28week .... every 4 weeks
28..36week every 2weeks
From 36 every week
Local examination
Asses fundel level ...after 12 week

Asses fetal heart sounds
10..12 week by hand Doppler
Afetr 20 week by pinard

lab investigation (CBC. Urine anylasis. ABO. RH US )

US dating مهم ..
First trimester. (4 to 7 ) days
Second trimester (10 to 14) Days
Third trimester. (21 )

Optimal time for fetal anatomic screening 18 ..20 week

Pregnancy dating confirmation by ..
auscultation fetal heart 10..12 week.
Quickning multipara ..16_18 week
Primi 18 _ 20

Weight gain مهم
Totally weight gain during pregnancy ( 11_16) kg
At 20 week increase (3.5 ) kg
Each weak after ( increase. 0.5 kg
الجدول صفحه 11 مهم

Urine anylasis recommend at each visit

Screening during pregnancy
For trisomy. At (15 _20) week
Triple screen ( HCG_Alphafetoprotein _estriol)
Quadrable test of Down .. adding ( inhibin A)

Screening for gestational DM
At 24 - 28 weeeks
- challenge test
50 gram glucose
Value above 140 abnormal
If test positive..do GTT
GTT ...
Fasting 8 hours
75 gram glucose ..في كتاب النسا
100 gram ..في داتا الأسرة
لازم( 2). Abonrmal

.. immunization during pregnancy
Tetanous toxoid..2 doses with 4 weeks apart + subsequent pregnancy one dose

CoviD 19

educational message
dates of visit - personal hygiene - clothing - exarise - sleep- dental care - avoid smoking and alcohol - breas feedin - labor sign- baby care nutrition care- contraception cara ..
Red flags during pregnancy
Bleeding
Presist headache
Blurred vision
Fever
Leakage of fluid
Stop fetal movement more than.
4 hours