An early arrival

An early arrival

1. Antenatal care

   • objectives
     • reduce maternal and perinatal morbidity
     • Timely detection and management of complications
     • Ensure the birth of a healthy child
     • Ensure the health of the mother
   • models
     • Traditional ANC model
     • Focused ANC
   • Visits of anc
     • Initial visit
       • history
         • Present pregnancy
           • dating of gestational age
           • minor or major complaints
         • Past obstetric
         • Family history
           • familial medical conditions
           • history of congenital anomalies
         • Personal history
           • medical illnesses
           • of smoking, alcohol intake
       • physical examination
         • Vital signs and anthropometry
         • Abdominal exam
           • Fundal height
           • Fetal heart auscultation
           • Fetal presentation after the 28thweek
         • Pelvic examination
           • For uterine size
           • Adnexal abnormalities
           • cervical softening
     • Subsequent visits

2. EDD calculation

3. Stages of Labor

4. Physical examination and investigations

   • PV examination
     • Uterine contraction
     • cervix dilation and effacement
   • Abdominal examination
     • Fundal Height
   • Auscultation
     • fetal heart rate

5. Apgar Score

6. Examination of Newborn Baby

   • body wight
   • Physical maturity
     • Skin textures
     • Plantar creases
     • Breast
     • Eyes and ears
   • Neuromuscular maturity
     • Posture
     • Square window
     • Arm recoil
     • Popliteal angle
     • Scarf sign

7. pre-term baby

   • manegment
   • Prognosis
     • 32 and 33 weeks
       • 98 percent survival rate
     • 34 and 36 weeks
       • 99 percent chance of survival

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