Antenatal care
Antepartum care
Purposes physical and psychic preparation genetic risk identification associated diseases treatment immunization
Basic principles Pregnancy is not a disease
Mental preparation is necessary
Good nutrition
Early detection and treatment of illnesses
Adjustment to physical limitations of pregnancy
Education of the couple about normal and abnormal events
Avoidance of substances harmful to the fetus
Pre-conception care History drug, alcohol, tobacco abuse genetic history (thalassemia, sickle cell) medical diseases (diabetes) surgical interventions
Laboratory screening genetic diseases infectious diseases (hiv) diabetes anemia
Aims of antepartum consultation 1. Diagnosis of ongoing intrauterine pregnancy
2 Gestational age and estimated date of delivery
3 Prognosis of pregnancy evolution and pregnancy outcome improvement
4 Prognosis of delivery outcome and way of delivery
5 Prognosis of puerperium and newborn outcome
The initial visit as early as possible (first 12 weeks) includes complete history physical examination laboratory screening
The prognosis depends on:
I. Father’s health ( history)
II. Mother’s health former diseases
pregnancy-specific diseases
III. External factors: nutrition
social factors (housing, education)
working place and legislation
History character of menstrual cycle, frequency date and character of last menstrual period previous obstetrical history weight condition timing type complications medical history diabetes hypertension cardiovascular diseases surgical history abdominal, uterine cardiac surgery medications used during pregnancy (alcohol, drugs) any problems during this or previous pregnancies familial relationships
Physical examination weight, height, blood pressure heart murmurs, breasts
Purposes physical and psychic preparation genetic risk identification associated diseases treatment immunization
Basic principles Pregnancy is not a disease
Mental preparation is necessary
Good nutrition
Early detection and treatment of illnesses
Adjustment to physical limitations of pregnancy
Education of the couple about normal and abnormal events
Avoidance of substances harmful to the fetus
Pre-conception care History drug, alcohol, tobacco abuse genetic history (thalassemia, sickle cell) medical diseases (diabetes) surgical interventions
Laboratory screening genetic diseases infectious diseases (hiv) diabetes anemia
Aims of antepartum consultation 1. Diagnosis of ongoing intrauterine pregnancy
2 Gestational age and estimated date of delivery
3 Prognosis of pregnancy evolution and pregnancy outcome improvement
4 Prognosis of delivery outcome and way of delivery
5 Prognosis of puerperium and newborn outcome
The initial visit as early as possible (first 12 weeks) includes complete history physical examination laboratory screening
The prognosis depends on:
I. Father’s health ( history)
II. Mother’s health former diseases
pregnancy-specific diseases
III. External factors: nutrition
social factors (housing, education)
working place and legislation
History character of menstrual cycle, frequency date and character of last menstrual period previous obstetrical history weight condition timing type complications medical history diabetes hypertension cardiovascular diseases surgical history abdominal, uterine cardiac surgery medications used during pregnancy (alcohol, drugs) any problems during this or previous pregnancies familial relationships
Physical examination weight, height, blood pressure heart murmurs, breasts