Final-Antenatal Care(Latest) 3

8/9/2019 Final-Antenatal Care(Latest) 3

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PRIMIGRAVIDA

a woman who is pregnant for the rst

time

PRIMIPARA

a woman who has given birth to onechild past age of viability or atleast 20weeks live or dead


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MULTIGRAVIDA

a woman who has had 2 or more

pregnanciesMULTIPARA

a woman who has given birth more

than once at 20 or more weeks ofgestation(woman who has carried twoor more pregnancies to viability)


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NULLIPARAa woman who has never completed a

pregnancy beyond a spontaneous orelective abortion

NULLIGRAVIDA

a woman who has never been & is notcurrently pregnant


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GRAND MULTIGRAVIDA

a woman who has had six or more

pregnancies

GRAVIDITY

the total number of pregnanciespast an! present irrespecti"e ofthe outcome


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Term infant # an infant bornbet$een %& an! '( $ee)s ofgestation

Age of Viabilit*+ the earliest ageat $hich fetuses coul! sur"i"e ifthe* $ere born at that time,('$ee)s-

Preterm # an infant born before %&$ee)s

#


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Abortion # pregnanc* thatterminates before the perio!of "iabilit* ,(. $)s-/ Also)no$n as miscarriage

Li"e birth # a li"e birth isrecor!e! $hen an infant bornsho$s sign of life


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0tillbirth # infant born $ithout signs of life

1arl* neonatal Death # !eath of ne$born $ithin 2!a*s after birth

Late neonatal Death # !eath of ne$born bet$een 2

to (3 !a*s after birth

Lo$ birth $eight # 4 (5.. grams

Normal 6irth $eight # (5.. # '... grams

Large birth $eight + 7 '... grams

Parturient # a $oman in labor

Puerpera # a $oman $ho 8ust !eli"ere! ,$ithin si9$ee)s after !eli"er*-


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Antepartal/Prenatal Period

Period of pregnancy or period

before labor


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PR1NATAL :AR1 , ANT1PARTUM:AR1-

Refers to the health care gi"ento a $oman ; her famil*!uring pregnanc*/


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Purposes of Prenatal Care

stablish a baseline of present health!etermine the gestational age of the fetus"onitor fetal development and maternal wellbeing#dentify women at risk for complications

"inimi$e the risk of possible complicationsby anticipating and preventing problemsbefore they occurProvide time for education about pregnancy%

lactation and newborn care


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% P/ PR1+:?N0ULTATI?N

history taking% family% medical%obstetrical history)

. (/ :?N0ULTATI?N

physical assessment. ' P?0T :?N0ULTATI?N

health teachings


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Schedule of Visits

nce a month up to rst '2 weeks wice a month( every 2 weeks) from '2to '* weeks+our times a month ( every week) from'* to ,0 weeks

#n the presence of danger signals ofpregnancy% the mother should beinstructed to report promptly forevaluation


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-omponents

fPrenatal .isit


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Pre-Consultation

A. Initial Interviewstablishing rapport/aining information about a woman sphysical and psychosocial health

btaining a basis for anticipatoryguidance for the pregnancy


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B. D em ographic D ata

1amegeddress

elephone numbere3mail address

4eligion5ealth insurance information


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C. Chief Concern

4eason woman has come to the healthcare setting!ate of last menstrual period (6"P)

licit information on early signs ofpregnancy

!ocument if pregnancy was planned


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D . am il! Profi le

7upport people(educational level%age%occupation7exual partner% marital status5istory of familyillnesses(cardiovascular%renal disease%

blood disorders% genetically inheriteddiseases or congenital anomalies


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". # istor! of Past Illnesses

8idney% heart diseases7exually transmittedinfections(hepa%5#.)!iabetes% thyroid disease% ashthma% 9-hildhood diseases

-hicken pox(varicella)"umps(epidemic parotitis)

"easles(rubeola/erman measles(rubella)

#mmuni$ations/ynecologicdisorders(myomas cysts%polyps)


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. $ !necologic # istor!

menstrual histor*, menarche% length& regularity of menses% interval

between periods% amount of :ow%dysmenorrhea -

Previous pregnancies% type andoutcome of birth % history of previousmiscarriage


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$ . % &stetric # istor!

Preceding pregnancies and perinataloutcomes;


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/ P 6 or / P 6"

more comprehensive system forclassifying pregnancy status

provides greater detail a woman spregnancy history 9y this system% thegravida classi cation remains the same

Final-Antenatal Care(Latest) 3

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