Focused antenatal care | ||||
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Checklist | ||||
Parameter | First visit (< 16 weeks) | Second visit 20–24 weeks | Third visit 28–32 weeks | Fourth visit (36 weeks) |
1. Registration |
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2. History taking | ||||
Personal history |
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Family history |
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Social history |
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Past medical/surgical history |
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History of complaints in current pregnancy |
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3. Examination | ||||
Head to toe (whole body) |
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Pallor |
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Oedema (other than ankle-specify) |
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Breast |
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Lungs and heart |
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4. Observation and clinical investigation | ||||
Temperature |
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Pulse |
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Blood pressure |
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Weight |
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5. Obstetric complications | ||||
Fundal height |
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Foetal presentation and engagement |
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Foetal heart sound |
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6. Pelvic (vaginal) examination | ||||
Soft tissue assessment |
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Bony pelvic assessment |
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7. Laboratory investigations | ||||
Blood: | ||||
Haemoglobin |
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Grouping and rhesus factor |
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RPR |
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HIV testing |
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Urine: | ||||
Protein, sugar, acetone |
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8. Drug administration and immunization | ||||
Iron |
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Folic acid |
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Antimalarials (Fansidar 3 tablets) |
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Tetanus toxoid |
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9. Client Education and counselling (for the couple) | ||||
Process of pregnancy and its complications |
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Diet and nutrition |
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Rest and exercise in pregnancy |
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Personal hygiene |
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Danger signs in pregnancy |
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Use of drugs in pregnancy |
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Effects of STI/HIV/AIDS |
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Voluntary counselling and testing for HIV |
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Care of breasts and breast feeding |
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Symptoms/signs of labour |
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Plans of delivery (emergency preparedness, place of delivery, transportation, financial arrangements) |
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Plans for postpartum care |
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Family planning |
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Harmful habits (e.g. smoking, drug abuse, alcoholism) |
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Schedule of return visit |
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