Focused Antenatal Care Planning And Providing Care During Pregnancy

The antepartum period covers the time of pregnancy from the first day of last menstruation to the onset of actual labor.

Focused antenatal care is goal-oriented care that provides care to pregnant women. for better outcomes for mother and baby.

It reduces the complications of labor and after delivery.

Aims of focused Antenatal care:

  • To prevent complication in mother and baby
  • To promote the mental, physical, social, and spiritual well-being of the mother.
  • To rule out any medical, surgical, or gynaecological condition of the mother.
  • For ensuring full-term healthy baby delivery.
  • To provide breastfeeding knowledge to the mother and for the baby’s physical, mental, and emotional development.

Effective antenatal care

Includes continuity of care, from conceiving to delivery of the baby.

  • It focused on antenatal care visits.
  • To detect the complication and diseases
  • To detect any sexually transmitted diseases such as HIV/AIDS, syphilis, gonorrhea, etc.
  • For regular antenatal care visits.
  • The antenatal period is divided into three trimesters, each consisting of approximately 13 weeks or three calendar months.
  • A woman may diagnose pregnancy before she missed a period and by herself because she feels different breasts as early as 5-6 weeks after conception.
  • Diagnosis of pregnancy in the first and second trimester based on the combination of possible sign, probable sign, and a positive sign of fertility.

To get started care, you’ll need to know:

Pregnancy diagnosis
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Table of Contents

Possible(Presumptive) signs of pregnancy

These are maternal physiological changes, which women experience and which in most cases indicated to her that she is pregnant.

  • Cessation of menstruation
  • Morning Sickness (4-14 weeks)
  • Enlargement of breast and nipples (3-4weeks)
  • Increased frequency of micturation
  • Color changes around the breast Appearance of Montgomery tubercles
  • Expression of colostrum from a nipple
  • Continue elevation of basal body temp.
  • Quickening
  •  Skin pigmentation

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Probable signs of pregnancy

These are maternal physiological changes other than the possible sign, which are detected upon examination and documented by the examiner.

  • Enlargement of the uterus
  • Changes in the shape of the uterus
  • Presence of HCG in blood and urine ( positive pregnancy sign)

Hegar’s sign: Is sign of pregnancy in which there is softening of the cervical isthmus.

Jacquemier’s sign: It is a sign of pregnancy in which purple discoloration of the mucous membrane of the vagina.

Osiander’s sign: In which pulsation can be felt at the lateral aspect of the vagina.

Goodell’s sign: In which the cervix and vagina become soft. 

Positive signs of pregnancy

Positive signs of Pregnancy are directly detected and documented.

  • Visualization of a fetus by USG at 6th week
  • Visualization of fetal skeletal by x-ray at 16th week.
  • FSH by USG at 6th weeks
  • Palpable fetal movement by 22nd weeks
  • Visible fetal movement in late pregnancy
  • Palpation of fetal parts by 24th weeks

Here are couple of articles, which you should definitely read to learn more information about pregnancy:

If you know any other tips that allow you during pregnancy?, let us know in the comment box.

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