a. Helps in identifying complications of pregnancy on time and their management.
b. Ensures healthy outcomes for the mother and her baby.
c. Necessary for well-being of pregnant woman and foetus.
Registration and 4 minimum Antenatal Checkups during pregnancy and more if indicated:
|Registration & 1st ANC||In first 12 weeks of Pregnancy|
|2nd ANC||Between 14 and 26 weeks|
|3rd ANC||Between 28 and 34 weeks|
|4th ANC||Between 36 weeks and term|
during Pregnancy :
• Folic acid tab 400 μg daily in Ist trimester.
• Iron Folic acid tab daily from 14 weeks onwards.
• For Anemic women, Iron Folic acid tab twice daily.
• Pregnancy detection test.
• Fill up MCP Card and ANC register.
• Give filled up MCP Card and Safe Motherhood booklet to the woman.
• Past and present history of any illness/complications in this or previous pregnancy.
• Physical examination (weight, BP, respiratory rate) and check CVS/Resp system, breast, pallor, jaundice and oedema.
• Two doses of Inj. TT 4 weeks apart whenever pregnancy is detected.
• Investigations :
• At Sub-Centre
• Haemoglobin Estimation
• Urine Test for Sugar and Proteins
• Rapid Malaria Test (in endemic areas)
• At PHC/CHC/FRU • Blood group, including Rh factor
• VDRL, RPR, HBsAg & HIV testing
• Rapid Malaria Test (if unavailable at SC)
• Blood Sugar(Random)
Information for pregnant woman and her family :
• Encourage institutional delivery/ensure delivery by identification of SBA.
• Explain entitlement under JSSK & JSY.
• Identify the nearest functional PHC/FRU for delivery.
• High risk pregnancy to be attended in District Hospital and Medical College.
• Pre-identification of referral transport and blood donor.
At All Visits:
• Physical examination.
• Abdominal palpation for foetal growth, foetal lie and auscultation of foetal heart sound.
• Hemoglobin estimation
• Urine exam for protein, sugar and micro exam
• At 24–28 weeks blood sugar (OGCT)– 2nd or 3rd visit
• Adequate rest, nutrition and balanced diet.
• Recognition of danger signs during pregnancy, labour and after delivery or abortion and signs of normal labour.
• Initiation of breastfeeding immediately after birth.
• Counselling for small family norm.
• Use of contraceptives (birth spacing or limiting) after birth/abortion.