ANTENATAL CARE Dr Anas Al Marzouki Consultant Associate

ANTE-NATAL CARE Dr. Anas Al Marzouki Consultant & Associate Professor

RATIONAL TO HELP MOTHER MAINTAIN WELL BEING, & ACHIEVE A HEALTHY OUTCOME FOR HERSELF & HER INFANT

OBJECTIVES § Pre-pregnancy counseling & early pregnancy care § Identification of high risk & low risk pregnancies § Detection & treatment maternal/or fetal abnormalities § Screening & prevention of maternal & fetal complications § Evaluation stander of ANC

PRE-PREGNANCY COUNSELING

EARLY PREGNANCY CARE § § § § Vomiting Nutrition Bowel habits Drug Smoking Screening for infection Coitus

BOOKING VISIT § § § LMP. . . EDD. . . Gestional age Past obstetric, medical, & surgical Examination Routine tests Advice

HISTORY IDENTIFICATION OF RISK FACTORS & CATEGORIZED WHICH PATIENTS HIGH OR LOW RISK

EXAMINATION § General § Obstetric examination : . . Inspection Palpation Auscultation

ROUTINE TESTS § § § § Blood group & Rh typing CBC Urinalysis MSU Hb Ag Rubella Syphilis U/S

FOLLOW UP EXAMINATION § § § Fetal growth FHR BP Weight gaining Urine testing Regular check up

SCREENING TESTS § § § Anemia GDM Antibodies S. alpha-fetoprotein Hb electrophoresis Chest x ray

PERINATAL MORTALITY RATE

MATERNAL MORTALITY RATE