ANTENATAL CARE

SARTIKA SATIANA
KHUSNUL ROSDAH
 Definition of Antenatal care
comprehensive health supervision of a pregnant
woman before delivery Or it is planned
examination, observation and guidance given to
the pregnant woman from conception till the
time of labor.
 Goals
To reduce maternal and perinatal mortality and
morbidity rates, To improve the physical and
mental health of women and children.
 Importance of Antenatal Care
• To ensure that the pregnant woman and her
fetus are in the best possible health.
• To detect early and treat properly
complications
• Offering education for parenthood
• To prepare the woman for labor, lactation and
care of her infant
 Examination

History Investigation

ASSASSMENT
 History
• Personal history
• Family history
• Medical and surgical history
• Menstrual history
• Obstetrical history
• History of present pregnancy
Physical Examinations

• Height of over 150 cm indication of an

average-sized pelvis
• Obesity (more than 20 kg above the weight-
height formula) leads to an increased risk of
gestational diabetes, pregnancy-induced
hypertension and thrombo-embolic disorders
 Local Examination
• The uterus may be higher than expected due
to large fetus, multiple pregnancy,
polyhydrammnios or mistaken date of last
menstrual period.
• The uterus may be lower than expected due
to small fetus, intrauterine growth
retardation, oligohydramnios or mistaken date
of last menstrual period.
 Investigations
• Urine should be tested for sugar, ketones and
protein.

Hemoglobin will be repeated:

• At 36 weeks of gestation.
• Every 4 weeks if Hb is < 9 g/dl
 SUMMARY
• comprehensive health supervision of a pregnant
woman before delivery Or it is planned
examination, observation and guidance given to
the pregnant woman from conception till the
time of labor.

• ANC will be doing 4 time during pragnancy

Trimester I : 1 X
Trimestrer II : 1X
Trimester III : 2 X
THANK YOU