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Antenatal Care

This document outlines the objectives and components of focused antenatal care (FANC). FANC recommends a minimum of four comprehensive antenatal care visits. The objectives of FANC are early detection of problems, prevention of complications, birth preparedness, health promotion, and care by a skilled attendant. Each visit has specific purposes, such as obtaining medical history, examinations, tests, treatments, counseling, and health education. The four visits are recommended to take place at different gestational ages with the content tailored for the stage of pregnancy.

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Justine Nyangaresi
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394 views14 pages

Antenatal Care

This document outlines the objectives and components of focused antenatal care (FANC). FANC recommends a minimum of four comprehensive antenatal care visits. The objectives of FANC are early detection of problems, prevention of complications, birth preparedness, health promotion, and care by a skilled attendant. Each visit has specific purposes, such as obtaining medical history, examinations, tests, treatments, counseling, and health education. The four visits are recommended to take place at different gestational ages with the content tailored for the stage of pregnancy.

Uploaded by

Justine Nyangaresi
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Antenatal Care

Session Objectives

By the end of the session participants will be able to:-

• Describe Focused Antenatal Care

• Discuss the importance of the 4 ANC visit model

• Describe the care given at each ANC Visit


What is Antenatal care?

• Antenatal Care is health care given to a pregnant


women from conception to the onset of labour.
Focused Antenatal Care (FANC)

• FANC is an ANC approach that recommends a


minimum number of four comprehensive
personalized antenatal visits, each of which has
specific objectives
Objectives of focused antenatal Care
• Early detection and treatment of problems
• Prevention of complications using safe,
simple and cost-effective interventions
• Birth preparedness and complication
readiness
• Health promotion using health messages and
counselling
• Provision of care by a skilled attendant
Recommended visit schedules

1st visit 2nd visit 3rd visit 4th visit

Kenya National Guidelines <16 weeks 16-28 28-32 32-40


for Quality Obstetrics and weeks weeks weeks
Perinatal Care

World Health Organisation 8-12 24-26 32 weeks 36-38


guidelines weeks weeks weeks

The 4 visit model is the minimum recommended


number of visits, more may be required.
Purpose of ANC booking

• The purpose of the initial ANC booking visit is to


classify women for basic ANC (four visits) or more
specialized care at every visit.
• Those with “normal” Pregnancy will usually be
triaged for the four basic FANC visits.
• Follow up of women already exhibiting pregnancy
complications is adjusted according to management
requirements.
What is ‘Normal Pregnancy’?

• ‘Normal’ or ‘low-risk pregnancy’ is one where


women do not have any medical or obstetric risk
factors before the onset of labour. These include:
– complications with previous pregnancies
– complications during their current pregnancy
– Medical conditions
First Visit
• Establish a friendly atmosphere
• Obtain personal, obstetric and medical history.
• Confirm pregnancy and EDD.
• Complete general and obstetrical examination.
• Do Antenatal Profile
• Give tetanus toxoid, anti-malarial treatment,
Mebendazole, iron and folic acid as per guidelines.
• Health education including safe sex, sleeping under ITN,
birth and emergency plan (involve partner); nutrition, etc.
• Document in mother child booklet / ANC register
• Re-schedule the next visit.
2nd ANC Visit
• Note any changes in personal circumstances since
first visit
• Assess maternal and foetal well-being.
• Exclude Pregnancy induced hypertension and
anaemia.
• Review and modify birth and emergency plan.
• Counsel and educate accordingly
3rd ANC visit

As for second visit plus:


• Exclude any other complications e.g. multiple
pregnancies
• Counsel on infant feeding, birth spacing and
importance of postpartum visit.
4th ANC visit

As for third visit plus:


• Re-assess for complications e.g. Malpresentation and
possible referral
• NOTE:
– Routine pelvic examination has not been found to
be beneficial.
Documentation and missed ANC visits

• Remember to complete all records and to advise


women to bring ANC records to all appointments
with any health services.
• Ensure activities for missed ANC visits are carried
out at the next opportunity.
Summary

Any Questions?

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