final-antenatal care(latest) 5
TRANSCRIPT
-
8/9/2019 Final-Antenatal Care(Latest) 5
1/20
EXAMPLE:
FUNDIC HEIGHT IS 21 CMS
21 CMS X 8 =168
168/ 7 = 24 ( AOG I N WEEKS)
-
8/9/2019 Final-Antenatal Care(Latest) 5
2/20
Fundic H eight
T !"#$%% & ' *"+'$,# -. 0 ' - ,* +' ' + 0! +"+ ", # ,'"0 ' .+ "+$% ' ' 3 - 5 +'$'" , '3 ,
' 2 ' $,* 1 +' 3 + - !. 5,$,# 9
-
8/9/2019 Final-Antenatal Care(Latest) 5
3/20
M EA S U R IN GFU N D IC H EIG H T
-
8/9/2019 Final-Antenatal Care(Latest) 5
4/20
Measure from the notchof the symphysis pubisto over the top of theuterine fundus as thewoman lies supine.Place the zero line of thetape measure on the
anterior border of thesymphysis pubis andstretch tape overmidline of abdomen totop of fundus.
The tape should bebrought over the curveof the fundus
-
8/9/2019 Final-Antenatal Care(Latest) 5
5/20
c. BARTHOLOMEWS
RULE
estimation of AOGby the relativeposition of the uterus(fundus) in theabdominal cavity.
-
8/9/2019 Final-Antenatal Care(Latest) 5
6/20
12 weeks at the level of thesymphysis pubis
16 weeks halfway betweensymphysis pubis andumbilicus
2 weeks at the level of theumbilicus
2! weeks two "ngers aboveumbilicus
# weeks midway betweenumbilicus and $iphoid process
#6 weeks at the level of$iphoid process
-
8/9/2019 Final-Antenatal Care(Latest) 5
7/20
EFW (ESTIM ATED FETAL
W EIG H T) OHNSON;S
-
8/9/2019 Final-Antenatal Care(Latest) 5
8/20
EFL(ESTIM ATED FETAL LEN GTH
IN CM&''()*( +,-)
F".+' B 0 ,' + - !. 5,$,# : + $. ' 0 ,'
T + $. ' 0 ,' "+ ' 0 %'"!% "' "'+ %-:E>$0!% : H 3 % ,5 "+ $ ' . @0 ,' @ %* - ' +
> = #0
F . ' + # ,* $%- - !. 5,$,# :M %'"!% 0 ,' ?E>$0!% : H 3 % ,5 "+ $ 7@0 ,' @ %* - ' +
7 > ? = ? #0
-
8/9/2019 Final-Antenatal Care(Latest) 5
9/20
Fetal heart rate
&+ should be 12 /16beats per minute
0an be heard with aoppler 1 3 12t h
week of pregnancy4 # months5
etoscope 1 /2weeks
4 ! months5
+egular (tethoscope2 weeks 4 7 months5
-
8/9/2019 Final-Antenatal Care(Latest) 5
10/20
LO CATING FETAL HEART SO NDS !" FETAL #OSITIO NFHT $ heard %e&t at the FETAL !AC'
-
8/9/2019 Final-Antenatal Care(Latest) 5
11/20
Fetal M e* ent
S$,* B+ M ' *
A+ 3 0$, ' %" ", L -' < # 0 ,'P +"'" , $-' . $ 0 $%< # .* 3 0$, - '$% 0 B 0 ,'+ +- %+ B . ' , >' .
F ' + , .0$%% 0 B + $ 0","0 0 -'3"# B . 1 0", ' + . 1 @12 '"0 +$, .
-
8/9/2019 Final-Antenatal Care(Latest) 5
12/20
C$.*" M ' *( C ,'@' @T , )
W 0$, . # .*+ ' '"0 ",' .B$% "' '$ +- . . ' - % 1 - '$% 0 B 0 ,'+
U+ $%% ## .+ 3"' ", 6 0", ' +
-
8/9/2019 Final-Antenatal Care(Latest) 5
13/20
L ,5+A++ ++ . +!".$' . .$' $,* . ' 0
F % + .' - . $' * ' % ++*"$! .$50$'"# ># .+" ,(*"$ .$500 B 0 ,')
-
8/9/2019 Final-Antenatal Care(Latest) 5
14/20
ACK A++ ++ +!", - . $ , .0$% # .B ' $'3 %* + 55 +' +# %" +"+
-
8/9/2019 Final-Antenatal Care(Latest) 5
15/20
-
8/9/2019 Final-Antenatal Care(Latest) 5
16/20
EXT
-
8/9/2019 Final-Antenatal Care(Latest) 5
17/20
Internal E+a* inati n
D ' #'+ $.% +"5,+ - !. 5,$,#C $*3"# +&G * %%;+& H 5$.;+ +"5,
P. !$.$'" , - . IE:19 E>!%$", !. # * .29
J "* - . IE9 P. ! . P +"'" ,",5: L"' ' 049 D.$!",5?9 I,+'. #'" ,+: ! +"'" , $,*+ $#. ++ '
# +' # .. #' . $' ",5& +% 3& # +'
-
8/9/2019 Final-Antenatal Care(Latest) 5
18/20
I0! .'$,' # ,# .,+ - P +"#$%>$0",$'" ,+:
. $+' # $,5 +F ,*"# "5 'P %B"# 0 $+ . 0 ,'+: * , ", ' .*
'."0 +' . ' * ' .0",CPD(# ! $% ! %B"# *"+!. ! .'" ,+E>'. 0"'" +:
D"+# 0- .'+: % 5 #.$0!+& B$."# +"'" +&! *$% * 0$D$,5 . +"5,: H 0$,;+ +"5, (!$", ",' #$%- ! , * .+" >" , - ' ' + $+"5, - ' . 0 ! % "'"+)
-
8/9/2019 Final-Antenatal Care(Latest) 5
19/20
Le , ld-& M aneu er
-
8/9/2019 Final-Antenatal Care(Latest) 5
20/20
./#OST $ CO NS LTATIO N #HASE 0 HEALTHTEACHING S
8utrition9athing9reast care
Perineal &ygieneental care
)$ercises0lothingTraveling)mployment(e$ual relations