Professional Documents
Culture Documents
Tujuan ANC
Promote and maintain the physical, mental and social
heath of mother and baby by providing education on
nutrition, personal hygiene, and birth process.
Detect & manage complications during pregnancy,
whether medical, surgical or obstetrical.
Develop birth preparedness and complication readiness
plan.
Help prepare mother to breastfeed successfully,
experience normal puerperium, and take good care of
the child physically, psychologically, and socially
Kunjungan pertama
Harus seawal mungkin.
Anamnesis umur, paritas, HPM, riwayat haid
Pemeriksaan fisik TB, BB, T, dan pemeriksaan
kehamilan.
Pemeriksaan laboratorium Hb, Hmt, gol darah,
rhesus
Pemeriksaan tambahan lain untuk memperoleh data
(parameter) dasar
Sign of pregnancy
Positive sign
Palpation
Fetal heart beat
Stetoscope of Laennec /fetoscop 18 weeks
Doppler 12 weeks
Ultrasound 6-7 weeks (fetal pool), 7-8 weeks (pulse), 8-9
weeks (fetal movement), 9-10 weeks (placentae), 12 weeks
(BPD).
Rontgenology
hCG test.
Probable sign:
Amenorrhea, nausea and vomiting, mastodinia, quickening,
urinary frequency, constipation, weight gain, increased basal body
temperature, cloasma
Fundal height
Quickening:
16 weeks in multigavida,
18 weeks in primigravida
5. Health education
Educational activity related to antenatal care:
Choosing the safest place for delivery
Clean delivery
The major simptoms of complications (bleeding,
severe abdominal pain, headache)
Where and when to seek care for complication
Exclusive breast feeding
Maternal nutrition
STD/HIV/AIDS prevention
Immunisation
Family planning
General information
Record the patients correct name,
address, birth date, phone number, choice
of whom to call in emergency, and special
personal preferences.
General examination
Record the vital sign blood pressure, pulse,
and respiration.
Note weight, height, body build, and state of
nutrition.
Assess general condition (skin, hair, neck,
breast, abdomen, extremities)
Pelvic examination vulvar and vaginal
varicosities; cervical consistency, position,
effecement, and dilatation; pelvic masses, pelvic
measurement.
Laboratory tests
Obviously, laboratory tests must be
individualized for each patient. They
should be done as early as possible.
Exercise
A patient, G3P1A1, 35 years old comes to
you for prenatal care. She is 9 weeks of
gestation. How will you manage this
patient?
history taking
management
Linea nigra
Mineral
semua mineral kecuali besi dapat
terpenuhi dengan makanan sehari-hari
yang adekuat.
Defekasi
Defekasi menjadi tidak teratur karena:
Pengaruh relaksasi otot polos oleh estrogen
Tekanan uterus yang membesar
Pada kehamilan lanjut karena pengaruh
tekanan kepala yang telah masuk panggul.
Exercise
Measure:
HPM: 9th July, 2006 EDC ..
HPM: 28th November, 2005 EDC ..
HPM: 1st October, 2004 EDC ..
TFU 32 cm, the head is engaged EFW ..
TFU 28 cm, vertex is below the spine
EFW ..
TFU 34 cm, vertex is above the spine EFW
..