Antenatal care for uncomplicated pregnancies

By Ghogran Al Baqer ,RN

Naemah Al Yousef, RN

Zahra Al Jaber ,RN,CNE

Objectives
 Antenatal Care

Antenatal Care : it is a planed examination and observation for women

from conception till the birth .

Goal :
• To reduce maternal mortality and morbidity rates .
• To improve the physical and mental health of women and children
• To decrease financial recourses for care of mothers
 Pregnancy Consist of 3 Trimesters

• Antenatal Visits :
• Until the 28th week of pregnancy : Monthly
• From the 28th week until the 36th week: Every Two weeks
• From the 36th week until the birth : every week
• In high-Risk Pregnancy : Frequent visits are usually warranted
 Woman- centred care and informed decision-making
• Antenatal information schedule
• At first contact: Folic acid supplementation, food hygiene, life-style advice
and antenatal screening.
• At booking ideally by 10 w: Nutrition and diet (vit. D), exercises including
pelvic floor exercises (https://linkingo.com/pelvic-floor-exercises-for-women
), breast feeding and mental health issues.
• Before or at 36 w: Breastfeeding information, including technique,
preparation for labor and coping with pain in labor and the birth plan, active
labor, vitamin k prophylaxis, neonatal screening tests and awareness of
‘baby blues’ and postnatal depression.
• At 38 w: options for management of prolonged pregnancy.
• Information should be given in a form that is easy to understand.
Question
 Confirming of Pregnancy & Gestational age
• Last Menstrual Period ( LMP)
 Negele's Rule determine estimated
due date ( EDD)
• Urine Pregnancy Test : it only gives
that a women is pregnancy or not
pregnant
• Ultrasound
 Most Accurate : in the first trimester
• Serum pregnancy Test : it is an exactly
how much ( B-hCG)
 Help with ultrasound
 B-CG>2000 …. Transvaginal Ultrasound
 B-CG>6000…..Transabdominal
Ultrasound
Assessment of fundal height
Question
 Routine labs in intimal Antenatal Care

• Rh factor and Blood type : if the Mother is Rh negative and the baby is Rh
positive . The mother body can make antibodies against baby body . Causing
several risks for the baby .
• Rubella : Most women are immunize . Unfortunately , if the women unimmune DO NOT give vaccine until
delivery

• HIV test

• Syphilis : RPR& VDR :

• Hepatitis B : HIGH risk of transmission

• Anatomy ultrasound : 18-22 weeks of gestion . Heart, brain ,
intestine .. Any Structural abnormalities.
• Screening for Gestional Diabetes : 24-28 weeks of gestion .
• 50 gram of oral glucose tolerance test .
• If the random glucose level of > 140 mg/dl : Positive test
• Then need to 3 hour test : drinking 100mg glucose , check the sugar
level in 1 , 2, 3 hours ( if two value was abnormal then women
diagnosed with GDM )
• Pertussis Vaccination

• Screening for Group B Streptococcus