Mind map

An early arrival

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An early arrival

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
EDD calculation
Stages of Labor
Physical examination and investigations
- PV examination
  - Uterine contraction
  - cervix dilation and effacement
- Abdominal examination
  - Fundal Height
- Auscultation
  - fetal heart rate
Apgar Score
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
pre-term baby
- manegment
- Prognosis
  - 32 and 33 weeks
    - 98 percent survival rate
  - 34 and 36 weeks
    - 99 percent chance of survival