ANTENATAL CARE (ANC)
z Ensuring health of mother and baby
PRESENTED BY : DR. AINEE (HO)
OBS & GYNE UNIT III
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DEFINITION & OBJECTIVES
Definition:
ANC is the care provided to pregnant
women to ensure a healthy pregnancy
outcome
Objectives:
•Monitor maternal & fetal health
•Detect/manage complications early
•Provide health education
• Promote safe delivery & newborn care
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IMPORTANCE OF ANC
Reduces maternal and
neonatal mortality
Early detection of high-
risk pregnancies
Platform for:
• • Nutrition and immunization
• • Counseling
• • Birth preparedness
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WHO ANC VISIT SCHEDULE
1.Minimum 8 contacts
1st: <12 weeks. 5th: 34 weeks
2nd: 20 weeks. 6th: 36 weeks
3rd: 26 weeks. 7th: 38 weeks
4th: 30 weeks. 8th: 40 weeks
2.More frequent for high-risk cases
Pregnancy USG guide
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z HISTORY & PHYSICAL EXAMINATION
▪ History. Exam
• Obstetric. • Weight,BP,pallor,edema
• Medical • Abdominal palpation
▪ Surgical. • Fetal heart sound(FSH)
▪ Family. • Pelvic exam if indicated
▪ Social
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INVESTIGATIONS
1.Blood tests
• Hb, blood group, Rh, VDRL, HIV, HBsAg, blood sugar
2.Urine test
• Albumin, sugar, microscopy
3.Ultrasound
• 1st Trimester: Dating
• 2nd Trimester: Anomaly scan
• 3rd Trimester: Growth
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VACCINATION & SUPPLEMENTS
Tetanus/Diphtheria (Td)
2 doses or booster
Iron & Folic Acid
60 mg iron + 400 mcg folic acid daily
Calcium
500 mg twice daily
Other
Deworming, Vitamin D, protein if
malnourished
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HEALTH EDUCATION & COUNSELING
•Balanced diet WARNING ADVICE ON:
•rest SIGNS:
•hygiene • Birth preparedness
•Bleeding • Breastfeeding
•high BP • Family planning
•Fever • Avoiding harmful
•reduced substances
fetal
movements
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HIGH-RISK PREGNANCIES &
DANGER SIGNS
▪High-risk:
▪<18 or >35 years, HTN, diabetes, twins, past C-section
▪Danger signs:
▪• Vaginal bleeding
▪• Blurred vision
▪• Severe headache
▪• Swelling of face/hands
▪• Decreased fetal movements
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SUMMARY
1.Quality, respectful, and evidence-based care
2.Regular visits, monitoring, supplements, counseling,
and preparedness
3.Essential for reducing maternal and neonatal
complications
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THANK YOU