Fakulti Kejururawatan

ANTENATAL CARE : PROMOTION OF SELF-CARE

DURING PREGNANCY & MATERNAL NUTRITION

by

Nor Marini Ibrahim

After the lecture, students should be able to:

• Explain the aims of prenatal care

• Perform physical examination
• Perform abdominal palpation
• Give health education to pregnant woman
• Tell the type of immunization to pregnant
woman
AIMS OF ANTENATAL CARE:
support & encourage a family’s healthy
psychological adjustment to childbearing
3. Monitor the progress of pregnancy in order
to ensure maternal health & normal fetal
development
4. Recognise deviation from the normal &
provide management or treatment as
required
5. Ensure that women reaches the end of
their pregnancy physicaly & emotionally
prepared for her delivery
1. Help & support the mother in her choice of
infant feeding to promote b/feeding & give
advice about preparation for lactation when
appropriate.
2. Build up a trusting relationship between the
family & their caregivers which will
encourage them to participate in and make
informed choices about the care they
receive.
 Carta Alir Proses Lawatan Ibu Mengandung
Ke Klinik Kesihatan Ibu Dan Anak
REGISTRATION/SEMAK
SEMULA KAD TEMUJANJI

URINE TEST, WEIGHT, HEIGHT MEASUREMENT

& BLOOD PRESURE
HEALTH EDUCATION

BLOOD TEST
Preliminery process by nurse (GRP, Rh., HB & VDRL)

PHYSICAL & ABDOMENT REFER DOCTOR

EXAMINATION, ATT Inj.

ADDMISION/APPOINTMENTI/TREATMEN
1. REGISTRATION/BOOKING A VISIT

- Should be done as soon as the mother knows that

she is pregnant
- Approprite advice should be given early regarding
care for both mother & fetus because the fetal
organs are almost completely formed by 12 weeks
of pregnancy. Maternal nutrition, infection,
smoking or drug taking
• INTERVIEWING THE ANTENATAL MOTHER
Social history
- name, race, ic no., educational status, occupation,
name of husband, husband’s ic no., address &
contacting telephone number, date of marriage
Family history
- any family members suffering from diabetes, asthma,
tuberculosis, hypertension, heart case
Medical & surgical history
- risk factors for human immunodeficiency virus /
acquired immunodeficiency syndrome (HIV/AIDS), or
other sexually transmitted infection
- Any previous operation esp. involved the reproductive
organ (LSCS)
 Obstetric history
- Number of pregnancy (Gravida)
- Number of living children (para)
- Weeks of pregnancy
- Type & place of delivery
- Other complications (postpartum hemorrhage),
cervical tear, instrumental delivery etc.
- Menstrual history (regular or not, LMP)
Detail of past & present pregnancy, including
- Miscarriages or abortion
- Outcome of each pregnancy (team,preterm,stillbirth
or baby alive & well)
- Problems in previous pregnancy (PPH, placenta
previa, twin etc)
- Other complication-pre-eclampsia, gdm
1. Physical examination
Height
• if 145 cm & below is associated with small
pelvis & may cause cephalo pelvis
dispropotion (CPD)
Weight
• as a baseline weight