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    Antenatal Care

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    Justine Nyangaresi
    This document outlines the objectives and components of focused antenatal care (FANC). FANC recommends a minimum of four comprehensive antenatal care visits. The objectives of FANC are early detection of problems, prevention of complications, birth preparedness, health promotion, and care by a skilled attendant. Each visit has specific purposes, such as obtaining medical history, examinations, tests, treatments, counseling, and health education. The four visits are recommended to take place at different gestational ages with the content tailored for the stage of pregnancy.

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    Antenatal Care

    Uploaded by

    Justine Nyangaresi
    124 views14 pages
    This document outlines the objectives and components of focused antenatal care (FANC). FANC recommends a minimum of four comprehensive antenatal care visits. The objectives of FANC are early detection of problems, prevention of complications, birth preparedness, health promotion, and care by a skilled attendant. Each visit has specific purposes, such as obtaining medical history, examinations, tests, treatments, counseling, and health education. The four visits are recommended to take place at different gestational ages with the content tailored for the stage of pregnancy.

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    antenatal care slides.

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    This document outlines the objectives and components of focused antenatal care (FANC). FANC recommends a minimum of four comprehensive antenatal care visits. The objectives of FANC are early detection of problems, prevention of complications, birth preparedness, health promotion, and care by a skilled attendant. Each visit has specific purposes, such as obtaining medical history, examinations, tests, treatments, counseling, and health education. The four visits are recommended to take place at different gestational ages with the content tailored for the stage of pregnancy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    124 views14 pages

    Antenatal Care

    Uploaded by

    Justine Nyangaresi
    This document outlines the objectives and components of focused antenatal care (FANC). FANC recommends a minimum of four comprehensive antenatal care visits. The objectives of FANC are early detection of problems, prevention of complications, birth preparedness, health promotion, and care by a skilled attendant. Each visit has specific purposes, such as obtaining medical history, examinations, tests, treatments, counseling, and health education. The four visits are recommended to take place at different gestational ages with the content tailored for the stage of pregnancy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 14

    Antenatal Care

    Session Objectives

    By the end of the session participants will be able to:-

    • Describe Focused Antenatal Care

    • Discuss the importance of the 4 ANC visit model

    • Describe the care given at each ANC Visit


    What is Antenatal care?

    • Antenatal Care is health care given to a pregnant


    women from conception to the onset of labour.
    Focused Antenatal Care (FANC)

    • FANC is an ANC approach that recommends a


    minimum number of four comprehensive
    personalized antenatal visits, each of which has
    specific objectives
    Objectives of focused antenatal Care
    • Early detection and treatment of problems
    • Prevention of complications using safe,
    simple and cost-effective interventions
    • Birth preparedness and complication
    readiness
    • Health promotion using health messages and
    counselling
    • Provision of care by a skilled attendant
    Recommended visit schedules

    1st visit 2nd visit 3rd visit 4th visit

    Kenya National Guidelines <16 weeks 16-28 28-32 32-40


    for Quality Obstetrics and weeks weeks weeks
    Perinatal Care

    World Health Organisation 8-12 24-26 32 weeks 36-38


    guidelines weeks weeks weeks

    The 4 visit model is the minimum recommended


    number of visits, more may be required.
    Purpose of ANC booking

    • The purpose of the initial ANC booking visit is to


    classify women for basic ANC (four visits) or more
    specialized care at every visit.
    • Those with “normal” Pregnancy will usually be
    triaged for the four basic FANC visits.
    • Follow up of women already exhibiting pregnancy
    complications is adjusted according to management
    requirements.
    What is ‘Normal Pregnancy’?

    • ‘Normal’ or ‘low-risk pregnancy’ is one where


    women do not have any medical or obstetric risk
    factors before the onset of labour. These include:
    – complications with previous pregnancies
    – complications during their current pregnancy
    – Medical conditions
    First Visit
    • Establish a friendly atmosphere
    • Obtain personal, obstetric and medical history.
    • Confirm pregnancy and EDD.
    • Complete general and obstetrical examination.
    • Do Antenatal Profile
    • Give tetanus toxoid, anti-malarial treatment,
    Mebendazole, iron and folic acid as per guidelines.
    • Health education including safe sex, sleeping under ITN,
    birth and emergency plan (involve partner); nutrition, etc.
    • Document in mother child booklet / ANC register
    • Re-schedule the next visit.
    2nd ANC Visit
    • Note any changes in personal circumstances since
    first visit
    • Assess maternal and foetal well-being.
    • Exclude Pregnancy induced hypertension and
    anaemia.
    • Review and modify birth and emergency plan.
    • Counsel and educate accordingly
    3rd ANC visit

    As for second visit plus:


    • Exclude any other complications e.g. multiple
    pregnancies
    • Counsel on infant feeding, birth spacing and
    importance of postpartum visit.
    4th ANC visit

    As for third visit plus:


    • Re-assess for complications e.g. Malpresentation and
    possible referral
    • NOTE:
    – Routine pelvic examination has not been found to
    be beneficial.
    Documentation and missed ANC visits

    • Remember to complete all records and to advise


    women to bring ANC records to all appointments
    with any health services.
    • Ensure activities for missed ANC visits are carried
    out at the next opportunity.
    Summary

    Any Questions?

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