Prenatal Visit

Prepared by:
Rahiema Binsuan-Yap, RN,RM,MAN
•Definition

•Number of Required Prenatal

Visits
• Healthy People 2030 focuses
on preventing pregnancy
complications and maternal
deaths and helping women
stay healthy before, during,
and after pregnancy.-
US Health Dept.
Globally - 88 per cent of pregnant women access antenatal care
with a skilled health personnel at least once, only two in three
(66 per cent) receive at least four antenatal care visits

Percentage of women aged 15-49 attended by any provider at

least four times during pregnancy (ANC4) (2015-2021)- WHO

The lowest levels of antenatal care are observed in sub-Saharan

Africa and South Asia - UNICEF Dec. 2023
 National Safe
Motherhood Program
(NSMP)
• The Department of Health launched the National Safe
Motherhood Program (NSMP) which envisions Filipino
women having full access to health services for safe
pregnancy and delivery by providing technical assistance
to and collaborating with Local Government Units (LGUs)
in the provision of maternity and newborn services.
Maternal, Newborn and Child Health and Nutrition
(MNCHN) strategy of DOH

Objectives:
• Every pregnancy is wanted, planned, supported,
managed.
• Every delivery is facility-based and managed by skilled
birth attendants/HCP’s
• Health care package for women and survival package
for newborn.
Maternal care - refers to maternal care
as the health of women during
pregnancy, childbirth, and the postnatal
period (WHO).
TERMINOLOGY USED IN 1. Gestation—pregnancy or maternal
condition of having a developing fetus in the
MATERNITY NURSING body.
2. Embryo—human conceptus up to the 10th
week of gestation (8th week post conception).
3. Fetus—human conceptus from 10th week of
gestation (8th week post conception) until
delivery.
4. Viability—capability of living, usually
accepted as 24 weeks, although survival is
rare.
5. Gravida (G)—woman who is or has been
pregnant, regardless of pregnancy outcome.
6. Nulligravida—woman who is not now and
never has been pregnant.
7. Primigravida—woman pregnant for the first
time.
 TERMINOLOGY USED IN MATERNITY
NURSING
8. Multigravida—woman who has been pregnant more than once.

9. Para (P)—refers to past pregnancies that have reached viability.

10. Nullipara—woman who has never completed a pregnancy to the

period of viability. The woman may or may not have experienced an
abortion.

11. Primipara—woman who has completed one pregnancy to the

period of viability regardless of the number of infants delivered and
regardless of the infant being live or still- born.
12. Multipara—woman who has completed two or more pregnancies
to the stage of viability.
13. Living children—refers to the number of children a woman has
delivered who are living.
 Common Statistical Terms Used to Report Maternal and Child Health

• Birth rate: The number of births per 1,000 population.

• Fertility rate: The number of pregnancies per 1,000 women of childbearing age.
• Fetal death rate: The number of fetal deaths (over 500 g) per 1,000 live births.
• Neonatal death rate: The number of deaths per 1,000 live births occurring at birth or in the first 28 days of
life.
• Perinatal death rate: The number of deaths during the perinatal time period (beginning when a fetus reaches
500 g, about week 20 of pregnancy, and ending about 4 to 6 weeks after birth); it is the sum of the fetal and
neonatal rates.
• Maternal mortality rate: The number of maternal deaths per 100,000 live births that occur as a direct result of
the reproductive process.
• Infant mortality rate: The number of deaths per 1,000 live births occurring at birth or in the first 12 months of
life.
• Childhood mortality rate: The number of deaths per 1,000 population in children aged 1 to 14 years.
Antenatal Care (ANC)
• Antenatal care is the systemic supervision of women during
pregnancy to monitor the progress of fetal growth and to
ascertain the well-being of the mother and the fetus.
• An indicator of access and use of health care during
pregnancy.
• The antenatal period presents opportunities for reaching
pregnant women with interventions that may be vital to
their health and wellbeing and that of their infants.
• This is one of the indicators in the Global Strategy for
Women’s, Children’s and Adolescents’ Health (2016-2030)
Monitoring Framework, and one of the tracer indicators of
health services for the universal health coverage (SDG
indicator 3.8.1).-WHO 2022
ANTENATAL PRENATAL

ANTENATAL care PRENATAL care

specifically focuses encompasses the
on the period entire duration of
before childbirth. pregnancy.
Objectives of ANC
1. To promote, protect and maintain the health of the
mother during pregnancy.
2. To detect ‘high risk cases and give them special attention.

3. To foresee complication and prevent them.

4. Ensure that ANC is used as an opportunity to detect and

treat existing problems.

5. Make sure that services are available to manage obstetric

emergencies.

6. Prepare pregnant women and their families for the

eventuality of an emergency
Objectives of ANC
7. To remove anxiety and dread associated with
delivery.
8. To teach the mother elements of childcare,
nutrition, personal hygiene and environmental
sanitation
9. To reduce maternal and infant mortality and
morbidity.
10. To sensitize the mother to the need for family
planning including advice to cases.
seeking medical termination of pregnancy (MTP).
11. To attend to the under-fives accompanying the
mother
 Ante Natal Visit

• First visit or registration - As soon as the

pregnancy is suspected. Ideally, the first visit
should take place within 12 weeks
• Second visit - Between 14 and 26 weeks
• Third visit - Between 28 and 34 weeks
• Fourth visit - Between 36 weeks and term

Every woman in the reproductive age group should

be encouraged to visit her health provider if she
believes she is pregnant.
It should be emphasized that this is only a
minimum requirement and that more visits may be
necessary, depending on the woman's condition and
needs.