- The 1st visit (booking) should be as early as possible in pregnancy before the 2ml missed period.
- The pregnant woman should be seen regularly in following order:
- Monthly visit upto 28 weeks of pregnancy.
- Fortnightly visit upto 36 weeks of pregnancy.
- Weekly visit till delivery.
- This visit may be more frequent if any complication arises.
Investigation of antenatal care
- Routine investigations:
i) Blood for: haemoglobin, ABO and Rh-grouping and VDRL. Screening for blood glucose is done in selected cases,
ii) Urine for R/M/E, protein, sugar and pus cells
iii) Cervical cytology study by Papanicolous stain has become a routine in many clinics.
i) Serological tests for rubella and hepatitis B virus
ii) Maternal Serum Alpha Feto Protein (MSAFP)
iii) Ultra sound examination
3.Repetition of the investigations :
i) Haemoglobin estimation is repeated at 28th and 36th week.
ii) Urine is tested (dipstick) for protein and sugar at every antenatal visit.
- Caloric requirement in pregnancy– 2500 Kcal,
- In lactation -2900 Kcal.
- Non pregnant- 2200 kcal.
- Pregnancy diet ideally should be - light, nutritious, easily digestible, rich in protein, minerals & vitamins.
- The diet should consist in addition to pricipal foods-
- At least ½ L of milk
- 1 egg
- Plenty of green vegetables.
- Fruits as available.
- Supplementary Iron & vitamins.
2. Personal hygiene
- Should maintain personal chilliness, rest & sleep (at noon- 2 hrs. at night 8 hrs). dental care.
- Should avoid constipation, physical labour, smoking, alcohol, sexual intercourse (avoid when abortion prone or last 6 wks).
3. Drugs should avoid Thalidomide, LSD, Aspirin, Streptomycin, Sex hormones, Tetracycline.
- 1st 3 months – folic acid.
- After 3 months- Fe tablet + folic acid, Catab., vitamins.
4. Radiation: X-ray should be avoided during 1st 4 months.
5. Warning signs: The mother is advised to report immediately in case of the following:
- Swelling of the feet
- Blurring of vision
- Bleeding or discharge per vagina.
- Any unusual symptoms.
6. Childcare: The art of childcare has to be learnt.