DOMINIQUE ENOC CARTONEROS, RN, MN

MATERNITY CARE

ANTENATAL CARE
 Blood pressure measurement should be done in each prenatal visit.
 Mild to moderate exercise at least 2-3x per week for healthy pregnant women.
 Weight gain monitoring.
 The use of Tobacco and alcohol should be screened at 6-8weeks AOG.
 Giving of Tetatus Toxoid.
 HbsAg determination should be done at initial visit.
 Routine urinalysis/CBC/BT.
 Measurement of Fundic height, Auscultation of Fetal heart sounds from 18 wks
onwards.
 Advice pregnant women to do fetal movement counting at home started on 3rd
Trimester.
 Patient with past medical history like:
- Prior preterm delivery (<37 wks)
- Intrauterine Fetal demise (IUFD) – 10 wks with no cardiac activity
- Prior cervical / Uterine Surgery
- Prior preterm labor requiring admission (e.g. early cervical change)
- Fetal anatomic abnormality (e.g. open neural tube defects in prior child or 1st
degree relative
- Post complicated pregnancy
 Medical history
- Pre-existing diabetics
- Gestational Diabetes
- HIV
- Chronic hypertension
- Systemic disease that require on-going care (e.g. severe asthma, lupus, and
inflammatory bowel disease)
- Current mental illness requiring medical therapy
- Cancer
- Seizure disorder
- Hematologic disorders
- Recurrent UTI/stones
 Psychosocial :
- Substance used disorder
- Eating disorder
- Postpartum depression
 Conditions in current pregnancy
- AGE ( < than 16 or 35 years at delivery)
- vaginal bleeding
 INTRAPARTUM CARE
 Intermittent auscultation well being during normal labor

THE FOLLOWING ARE NOT RECOMMENDED DURING LABOR

1. Routine IV infusion
2. Routine Enema
3. Routine Shaving of perineal area
4. Anesthesia/ Analgesia
5. Routine use of episiotomy

3rd STAGE OF LABOR

 Early initiation of Breastfeeding must be observed
 Administration of Prophylactic Oxytocin after delivery if the baby
 Clamp the cord when pulsation stops and cut

POST PARTUM CARE

 Giving of Vitamin A 200,000u prior to discharge

 Follow up visit within 6 weeks after delivery is recommended to include:
- Family planning ( Temporary or Permanent )
- Immunization of baby
- Other concerns