3.

ANC DAN PEMERIKSAAN PENUNJANG UNTUK PENAPISAN KEHAMILAN RESIKO TINGGI

ANC
Objectives: 1. Determining the health status of mother & fetus 2. Determine the gestational age of fetus 3. Starting a plan for continuing obstetrical care

Visits: Up to 28 weeks: every 4 weeks 28-36 weeks: every 2 weeks > 36 weeks: every 1 week

ANC
On the first visit: 1. Complete anamnesis identity of the patient and her husband, complaints that arise during pregnancy, history of menstruation (menarche, menstrual cycle, etc.), marital history, family disease history, usage contraception 2. Routine Inspection general physical (vital signs, nutrition, height & weight loss, signs of pregnancy), inspekulo, laboratory tests (blood group, levels of hb, rhesus factor, urine) 3. Assessment of risk factors -fetoprotein test open neural tube defects, screening HIV-AIDS and hepatitis B (HBsAg)

Next visit: evaluation

ANC
Obstetric examination: Leopold oLeopold I: High fundus uteri oLeopold II: location of the uterine side oLeopold III: part of what lies underneath oLeopold IV: how much the bottom of the fetuses had been entered into the door of the pelvis Coitus: permissible if done with care Bath: 2-3 x daily Clothing: loose, do not use high heel shoes, etc. Toilet: water to drink 10 cups / day, eat enough fiber Dental care: sources of infection Alcohol, dye da preservatives: banned Caffeine: restricted