What is Focused Ante-natal Care?
Ante-Natal period: Is the time beginning from conception and extending to delivery period.
Ante-Natal Care:Those are services offered to a pregnant woman throughout the pregnancy by a skilled attendant.
1st delay: Women and families are not aware of the danger signs in pregnancy, childbirth and postnatal period; hence delay in making the decisions to seek care.
2nd delay: Women who live far to health centers and hospitals, or are unable to access health facilities due the cost of transport, poor roads and terrain may delay in reaching care
3rd delay: There is delay in receiving adequate care at the health facilities due to the lack of medical supplies, space, inadequate health care workers and referral systems.
An expectant mother should attend at least FOUR comprehensive personalized ante-natal care visits.
History taking, include the following;
Name, age, address, marital status, economic status, education level etc.
Disease and conditions: Tuberculosis, Diabetes, on any medication etc.
Number of previous pregnancies, maternal complications in previous pregnancies, obstetric operations, perinatal complications, gynecological history etc.
Each pregnancy is unique so Individualized Birth Plan should be established and client educated on following;
|DOSE OF IFAS||VISITS|
|DOSE 1||1st VISIT|
|DOSE 2||2nd VISIT|
|DOSE 3||3rd VISIT|
|DOSE 4||4th VISIT|
|DOSE OF TT||WHEN TO GIVE|
|1||At first contact or as early as possible in pregnancy|
|2||At least 4 weeks after TT1|
|3||At least 6 months after TT 2 or during subsequent pregnancy|
|4||At least 6 months after TT 3 or during subsequent pregnancy|
|5||At least 1 year after TT 4 or during subsequent pregnancy|
The Ministry of Health Guidelines on Malaria direct to give preventive treatment to pregnant women in endemic malaria areas at least twice during each pregnancy even if there is no physical sign of infection and the haemoglobin is within normal range.
|DOSE OF IPT||WHEN TO GIVE|
|1st DOSE||After quickening-16 weeks|
|1st DOSE||At least 4 weeks after 1st dose|
Treatment of existing conditions such as syphilis,anemia and urinary tract infection
It is important to provide health education to pregnant mother on following areas;
They are normally performed by tradition birth attendant (TBA) disadvantages with them is that they are not; Trained to perform safe deliveries and how to handle complications . They lack supplies required to ensure the baby is born in as safe,sterile environment. Also they don’t have the supplies needed to manage complications such as medication, needles, syringes and iv fluids. This exposes mother eminent dangers such as post-partum hemorrhage among other. To avoid those dangers ; mother following home delivery should be offered postnatal care at hospital settings.
Postnatal care following home delivery
Which complications are likely to arise during delivery?
(Ask the mothers to share experiences on complications that they may have experienced)
Prompt for examples of:
What are some of the ways we can keep ourselves healthy?
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