Visit Schedule

Initial visit (una nga pag bisata) Early second trimester (1416 weeks) Late second trimester (2428 weeks) Third trimester (32 weeks, 36 weeks, 38 weeks, 39 weeks, 40 weeks, 41 weeks)

Initial Visit
Clients vital information History
Current pregnancy history (kung anu nga pagbago ang nabatyagan kag mga sitomas) Past obstetric history ( ang data sang ulihi nga pagbusong) Menstrual history (kung san.o ka una gn abtan kag kung san.o ulihi na abtan) Contraceptive history (kung anu nga contraceptive ang gin inom kag san.o ang ulihi nga gamit cni) Medical and surgical history (ang mga naagyan nga sakit kag pagpaopera) Genetics history ( mga sakit sang parente) Immunization status (kung complete ang immunization status) Medications and allergies (mga gin inom nga bulong ka gang allergies) Pregnancy readiness ( kung gin plano ang pagbusong o wala) Nutrition (kung tama ang diet sang cliewente) Housing/finances (income sang pamilya) HIV/STI risk Tobacco use history (kung naga sigarilyo, pila na katuig kag kung sano ang ulihi nga pagsigarilyo) Alcohol history (kung naga inom) Drug use history (ang paggamit sang illegal nga durga sadto kag subong)

Physical examination
Lantawon ang mga naga sunod: Ang bug-at kag taas BP FHR kag ang fundal height Pelvic examination (lantawon ang guwa kag sulod sang vagina, dire gina lantaw kung gahubag, infection, kag cervical cancer)

Screening and testing

Blood type and Rh Antibody screen CBC HbA1c Depression, PHQ-9 Alcohol use, AUDIT HIV, with patient counseling Syphilis, RPR Chlamydia testing Hepatitis B surface antigen Rubella immunity Varicella immunity Urine testing followed by urine culture for positive result

Second Trimester Visits (1428 Weeks) Physical examination (1416 weeks) Weight Blood pressure Auscultation of fetal heart tones

Physical examination (2428 weeks) Weight Blood pressure Auscultation of fetal heart tones Measurement of fundal height

Screening and testing Ultrasound screening (1822 weeks)

Third Trimester Visits (2841 Weeks)

Physical examination Weight Blood pressure Auscultation of fetal heart tones Measurement of fundal height (ang sukat sang tyan) Determination of fetal lie at 36 weeks and subsequent visits (kung suli o nde ang bata) Cervical examination by 42 weeks

Interventions If fetus is breech(ang ulo sang bata naga atubang sad alum) at 36 weeks, offer external cephalic version. TETANUS TOXOID TT1- sa pagbusong gid TT2- isa kabulan pagkatapos sang una dose. TT3- anum bulan pagkatapos sang 2nd dose. TT4- 1 year pagkatapos sang ika 3rd nga dose.