DJFMH – SCHOOL OF MIDWIFERY

Antenatal Visit
 DJFMH – SCHOOL OF MIDWIFERY

Antenatal Visit
Antenatal or prenatal care refers to the
medical and nursing supervision and care given to
the pregnant patient during the period between
conception and the onset of labor.
 DJFMH – SCHOOL OF MIDWIFERY

Our GOAL as a Healthcare Provider…

To provide proper care and supervision of the

pregnant women that enable her to pass through the
dangers of pregnancy, labor and birth at the least
possible risk.
Prenatal care is the greatest single factor that
has resulted in the marked reduction of maternal and
fetal mortality.
 DJFMH – SCHOOL OF MIDWIFERY

Aims of Antenatal Visit

• To promote and maintain in the mother good physical and mental
health during pregnancy, labor, delivery and during postpartum.
• To prepare woman on her child, physically and psychologically from
educational and social view.
• To detect early enough and treat appropriately high risk conditions
both medical and obstetrical, that would endanger the life or impair
the health of the mother and the baby.
• To ensure the birth alive, mature, healthy infant.
 DJFMH – SCHOOL OF MIDWIFERY

Frequency of visits:
4th week – 28th week = once a month
29th week to 36th week = every two weeks
37th week to term = weekly

*At least 4 Prenatal visits on every pregnancy.

 DJFMH – SCHOOL OF MIDWIFERY

Components of Antenatal Care

1. The History – Personal and Social History, Family History,
Medical History, Gynecological History/Menstrual History,
Obstetrical History, Present Pregnancy
2. The Physical Examination – baseline height, weight, vital
signs, assessment of systems
3. The Assessment of pregnancy
 DJFMH – SCHOOL OF MIDWIFERY

INITIAL PRENATAL VISIT

• The initial prenatal visit should be scheduled at the first

signs of pregnancy. This is usually shortly after the second
menstrual cycle is missed.
• The initial prenatal visit may be particularly stressful to
the patient. Some patients may be anxious about the nature
of exams and tests to be done during the visit.
• Setting a comfortable climate is very important to the
patient.
• A thorough medical/obstetrical history is obtained.
 DJFMH – SCHOOL OF MIDWIFERY

SUBSEQUENT VISIT

The following clinical parameters are taken into account:

• AOG, Maternal gain weight and Blood pressure

• Questions about woman’s general well being – any complaint or
problem about the untoward s/s.
• Measurement of the size of the uterus and height of the fundus, LM,
FHT taking and recording.

Information and advise during
Antenatal Care:
At first visit
• Nutrition and preventing
anemia
• Preventing tetanus
• Discomforts of pregnancy
• Emergency signs of
pregnancy
• Follow up visits and when
were to go during
emergencies
• Newborn screening
• Education and counselling
on FP methods
At second visit
• Self care during pregnancy
• Advantages of health
facility delivery
• Preparations for obstetric
events
DJFMH – SCHOOL OF MIDWIFERY
At third trimester
• Breastmilk and breast
feeding
• Family Planning
• Clean and safe delivery by
a skilled professional
• Newborn screening
• Education and counselling
on FP methods.
 DJFMH – SCHOOL OF MIDWIFERY

Laboratory and Diagnostic Tests

1. Blood examination – the following blood studies are usually done at the
first prenatal visit:
• CBC – Complete blood count
• VDRL or RPR (Rapid Plasma Reagin Test) - serologic test for
syphilis
• Blood typing including RH factor
• HIV antibodies – a routine screening to detect HIV infection
• Oral glucose test – diabetes screening test
2. Urinalysis – requested during first visit and ideally at least twice in each
trimester unless there are indications for more frequent examination.
3. Diagnostic Examination – ultrasonography (Transvaginal, Pelvic, BPS, etc.)
 DJFMH – SCHOOL OF MIDWIFERY

Information and Counselling

Nutrition
Advise on self care during pregnancy
 DJFMH – SCHOOL OF MIDWIFERY

Emergency and Birth Plan

Advise the pregnant for the following:

Facility delivery:
o Explain why birth facility is strictly recommended
o How to prepare – arrangements for delivery
o When to go?
o What to bring?
o Advise on labor pains
o Advise on danger signs: Vaginal bleeding, convulsions, severe headaches with
blurred vision, fever, severe abdominal pain, fast or difficulty of breathing, watery
discharge, persistent vomiting, swelling of face and feet & fingers, abnormal
urinating, failure to appreciate fetal movement.
o Family planning counselling

Postpartum Care and Newborn Care
MOTHER
• Eat more and healthy foods
• Continue taking iron supplements
• Importance of rest and sleep
• Increase of water intake
• Proper personal hygiene
• Importance of breastfeeding
• Danger signs – swollen breast, fever and
chills, problems in urinating, increased
pain in the perineal wound, smelly vaginal
discharge, blurry vision, increased in
vaginal bleeding, difficulty in breathing,
severe headache
DJFMH – SCHOOL OF MIDWIFERY
BABY
• Keeping the newborn clean
• Umbilical cord care
• Keeping the newborn warm
• Sleeping patterns, positions and
intervals
• Precautions
• Burping
• Danger signs – fever, difficulty of
breathing, convulsions, feels cold,
stops/difficulty on feeding, diarrhea,
irritated cord with pus or blood, yellow
skin or eyes
 DJFMH – SCHOOL OF MIDWIFERY

Discharge Instructions
 DJFMH – SCHOOL OF MIDWIFERY

Discharge Instructions
Assignment #3:
Make a reflection about the role of a health
care provider in giving health education or
health teaching to pregnant mothers.
(Minimum of 300 words)

*Submission of Assignment on October 4, 2022

File Format: LAST NAME-Assignment #3
 DJFMH – SCHOOL OF MIDWIFERY

Activity #3:
Video recording on health education for a pregnant/post
partum client. Perform a scenario using the following:

➢ Nutrition and Self care

➢ Laboratory exams
➢ Child Birth Preparation and Emergency & Birth Plan
➢ Importance of breastfeeding.
➢ Proper personal hygiene.
➢ Follow up visits.
➢ Immunizations for baby.
➢ Discharge Instructions for mother and baby.

*Deadline on October 9NAME-Activity, 2022

*File format: LAST #3