Antenatal care Flashcards
RISE standes for
Risk factors
Immunization
Screening
Education
Examples on Risk factors
Psychosocial concernes
Nutritional status
Substances abuse
Toxins and teratogenic agent
Physical exam
Labs investigate
Example on vaccination in pregnant lady
influenza vaccine
Corona
DTP
Womens in childbearing age should be immune to …. If not what we do
MMR
Tetanus \diphtheria
Vareclla … Polio
We give it befor pregnancy ir after delivery in 3 months
For what we screen in pregnancy
weight
Breast exam
Anemia
Blood grouping
Infections .. UTI
Gestational DM
Pre-eclampsia
Fetal US
Down
Fetal growth
Counselling about healthy eating and keeping physically active during pregnancy i
Recommended
In undernourished populations, high-protein supplementatioN
not recommended
Daily oral iron and folic acid supplementation
Recommended
Iron dose
Folic acid dose and folic acid dose in hight risk popoulation
30 mg to 60 mg of elemental iron
400 µg (0.4 mg) of folic acid
If high risk 4mg
Mc type of anemia in pregnancy
delusional anemia
daily calcium supplementation (1.5–2.0 g oral
Vitamin A supplementation i
Context-specific recommendation
how we Give Iron & Folic in hyperemesis Gravidarum
Intermittent oral iron and folic acid supplementation with 120 mg of elemental iron and
2800 µg (2.8 mg) of folic acid once weekly
Context-specific recommendatio
Vitamin b6.. Multi vitami ..vitamin C& E&D
not Recommend is
When do we test for group b strept GBS
Between 35 weeks and 37 of pregnancy
When to screen for GDM … And how
Between 24 weeks and 28 but if she has risk factors it done in fist trimester
Oral glucose tolerance test
100 gram
Fasting below 95
1 hour after load 180
2 hour after load 155
3 hour after load 140
What test are done early In pregnancy
CBC
Blood type
Urinalysis
Urin culture
Rubllea
HB HC
FBS
TSH
BP
Maybe…..STIs/HIV/TB
What test are done late in pregnancy
A repeat CBC
OGTT
Rh antibody test
GBS
When to test for RH antibidy
28 weeks 29 إذا دمها سالب زوجها موجب
إذا مافي اجسام مضادة بنعطيها بعد الولادة ب ٧٢ ساعة إبرة RH immunoglobulin
إذا كان الحمل الثاني وكان صاير معها نزيف من قبل يعطيها خلال الحمل الإبرة
