Purpose and History Taking of Antenatal Examination

Subject: Midwifery I (Theory)

Overview

An prenatal examination is a checkup carried out during the antenatal period to provide a thorough evaluation of women. The supervision should be on-going and consistent. Once pregnancy has been confirmed, an antenatal visit should be initiated. Antenatal exams serve a number of purposes, including determining the woman's social, economic, and educational status, screening "high risk" cases, identifying complications early on, such as hypertension and anemia, and taking appropriate action, identifying any deviations from normal conditions that may result in maternal morbidity or mortality, such as obstructed labor and APH, and identifying and treating illnesses that the woman may have, such as anemia. By taking a history and checking the restroom, you can find anemia and TB. When taking a mother's history, various pieces of information, including biodata, marriage status, disciplinary actions, historical use of birth control, The following information is gathered from one person: current pregnancy, obstetric history, medical history, past and present obstetrical history, past and present medical and surgical history, and family history.

Antenatal examination and care

Purposes

  • To determine the woman's social, economic, and educational level.
  • The "high risk" instances to be examined.
  • To guarantee a baby is alive, healthy, and normal
  • To determine and keep an eye on the pregnant woman's and the fetus' health
  • To identify pregnancy-related complications early—such as hypertension and anemia—and take appropriate action
  • To diagnose and treat any illnesses that a woman may have, such as tuberculosis, anemia, etc., by taking a thorough medical history and conducting laboratory tests.
  • To identify any abnormality that could cause maternal morbidity or mortality, such as obstructed labor and APH
  • To make sure a healthy mother has a normal pregnancy and delivers a healthy child.
  • Advice on being prepared for birth and being ready for complications because complications can arise throughout any pregnancy at any time.
  • TB, anemia, and other illnesses that the women may have can be found and treated by examining their medical histories and looking into their bathrooms.

General information

  • Gravida and parity
  • Date of examination
  • Marital status
  • Address
  • Age
  • Name
  • Ask the woman's
  • Phone number(if available)

Chief complaints

  • Inquire about her access to safe transportation.
  • Enquire about her family's financial support and income sources.
  • Find out if she has been looked after by another person during this pregnancy.
  • History of menstruation and contraception
  • Pregnant right now
  • Daily routine and way of life
  • History of childbirth
  • Medical background
  • Temporary history

Past and present obstetrical history

Ask if she had any problems during a previous pregnancy or during/ the following childbirth:

  • Convulsions before, during, or during childbirth
  • During labor, a cesarean section, a uterine rupture, or uterine surgery
  • During labor, sphincter and/or rectum tears
  • Postpartum bleeding
  • Preterm births, low birth weight, stillbirths, infants who died before their first month of life, and three or more spontaneous abortions
  • Query whether she has ever breastfed. If she must inquire, how long did she breastfeed, and whether there were any issues
  • Ask her about the date of delivery
  • Gestational age
  • Immunization
  • Complications
  • Puerperium
  • ANC / delivery
  • Gravida
  • Term pregnancy
  • Pre-term birth
  • Abortion
  • Alive born (number of living children)
  • Obstetric history at this time
  • Last menstrual cycle date
  • Issue or difficulty during pregnancy
  • Has she experienced a headache, backache, or nausea?
  • Any background of ankle swelling and vaginal bleeding

Past and present medical and surgical history

  • Inquire about her allergies.
  • Inquire if she has just received an anemia diagnosis.
  • Find out if she has received a syphilis diagnosis.
  • Inquire as to if she has received a diagnosis for any serious chronic illnesses, such as tuberculosis, heart disease, sickle cell disease, diabetes, goiter, or other ailments.
  • Find out if she has ever undergone surgery or visited a hospital.
  • Inquire as to if she is taking any prescription or over-the-counter medications, herbal therapies, traditional or regional remedies, vitamins, or nutritional supplements.
  • Ask if she has received all five tetanus toxoid shots in its entirety (TT) Inquire if it has been less than ten years since her last booster if she has.

Family history

The woman's parents' and her siblings' health is something that should be carefully considered. It contains details on hereditary and contagious disorders, such as history of diabetes, tuberculosis, serious illness or complication, multiple pregnancies, APH, abnormal baby in the family, etc.

REFERENCE

Memorize. 12.2. 2012. http://memorize.com/antenatal-examination/drlmorice

PatientInfo. 01 December 2015. http://patient.info/doctor/antenatal-examinations

Scribd. https://www.scribd.com/doc/43985359/Antenatal-Assessment

Sweet, B.r., 1989, maye’s midwifery, A textbook for midwives; 11th edition, Bailliere Tindall, London, Philadelphia

Tuitui R. 2002, A textbook of Midwifery A (Antenatal), 3rd edition, Vidyarthi Pustak Bhandari (Publisher and Distributor), Bhotahity, Kathmandu
Things to remember
  • An prenatal examination is a checkup carried out during the antenatal period to provide a thorough evaluation of women.
  • The supervision should be on-going and consistent.
  • Once pregnancy has been confirmed, an antenatal visit should be initiated.
  • The goals of an antenatal examination are to determine the woman's social, economic, and educational status, to screen "high risk" cases, to identify pregnancy complications early on, such as hypertension or anemia, and to take appropriate action, to identify any deviation from normal conditions that could result in maternal morbidity or mortality, such as obstructed labor or APH, and to identify and treat any illnesses that the woman may have, such as TB or anemia, by taking a medical history.
  • When taking a mother's history, various pieces of information are gathered, including her biodata, marital status, top grievances, historical use of birth control, currently pregnant, A mother is asked for her family history, medical history, past and present obstetric history, past and present medical history, and surgical history.
Questions and Answers
  • To determine the woman's social, economic, and educational level.
  • The "high risk" instances to be examined.
  • To guarantee the birth of a live, healthy baby
  • To determine and keep an eye on the pregnant woman's and the fetus' health
  • To identify early pregnancy complications like hypertension and anemia and take appropriate action
  • To diagnose and treat any illnesses that a woman may have, such as tuberculosis, anemia, etc., by collecting a thorough medical history and doing laboratory tests.
  • To identify any abnormality that could cause maternal morbidity or mortality, such as obstructed labor and APH
  • To make sure a healthy mother has a normal pregnancy and delivers a healthy child.
  • Give birth preparation and complication ready advice because complications can arise at any point in a pregnancy.
  • TB, anemia, and other illnesses that the women may have can be found and treated by examining their medical histories and looking into their bathrooms.

 

  • General information:
  • Ask the woman's:
    • Name
    • Age
    • Address
    • Marital status
    • Date of examination
    • Gravida and parity
    • Phone number(if available)
  • Chief complains
    • Inquire about her access to safe transportation.
    • Enquire about her family's financial support and income sources.
    • Find out if she has been looked after by another person during this pregnancy.
    • Menstrual and contraceptive history
    • Present pregnancy
    • Daily habits and lifestyle
    • Obstetric history
    • Medical history
    • Interim history (return visits)
  • Past and present obstetrical history:
  • Ask if she had any problems during a previous pregnancy or during/ the following childbirth :
    • Convulsions during pregnancy or during / after childbirth
    • Caesarean section , uterine rupture , or uterine surgery during childbirth
    • Tears through the sphincter and / or rectum during childbirth
    • Postpartum hemorrhage
    • Stillbirths, preterm, low birth weight, babies, babies who died before 1 month of age , three or more spontaneous abortions
    • Ask if she has breastfed before. If she has ask how long she breastfed and whether she had any problems
    • Ask her about the date of delivery
    • Gestational age
    • Immunization
    • Complications
    • Puerperium
    • ANC / delivery
    • Gravida
    • Term pregnancy
    • Pre-term birth
    • Abortion
    • Live birth (number of living children)
    • Present obstetric history
    • Date of last menstrual period
    • Problem/ complication during pregnancy
    • Has she had nausea, vomiting, backache, headache
    • Any history of vaginal bleeding and ankle swelling
  • Past and present medical and surgical history:
    • Inquire about her allergies.
    • Inquire if she has just received an anemia diagnosis.
    • Find out if she has received a syphilis diagnosis.
    • Inquire as to if she has been given a diagnosis for any serious chronic ailments, such as tuberculosis, heart disease, sickle cell disease, diabetes, goiter, or another condition.
    • Find out if she has ever undergone surgery or visited a hospital.
    • Inquire about her use of any prescription or over-the-counter medications, herbal therapies, traditional or regional remedies, vitamins, or nutritional supplements.
    • Ask if she has received all five tetanus toxoid shots in its entirety (TT) Inquire if it has been less than ten years since her last booster if she has.
  • Family history:
    • It's critical to understand how the woman's parents and siblings are doing medically. It contains details on hereditary and contagious conditions, such as history of diabetes, tuberculosis, significant illness or complication, numerous pregnancies, APH, atypical infant in the family, etc.

 

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