Scribd
Upload
1K views19 pages

Prenatal Care

Prenatal visits allow pregnant women to check in regularly with their doctor to monitor the health of the mother and baby. These visits typically occur throughout the pregnancy until delivery. Doctors perform assessments like Leopold's maneuvers to determine the baby's position and check for any potential complications. Estimates of gestational age and due dates are also important to track the development of the baby.

Uploaded by

Olivia Teglia
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
1K views19 pages

Prenatal Care

Prenatal visits allow pregnant women to check in regularly with their doctor to monitor the health of the mother and baby. These visits typically occur throughout the pregnancy until delivery. Doctors perform assessments like Leopold's maneuvers to determine the baby's position and check for any potential complications. Estimates of gestational age and due dates are also important to track the development of the baby.

Uploaded by

Olivia Teglia
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 19

PRENATAL CARE

Prenatal visit
PRENATAL VISIT
 It is simply the time when pregnant
women engage their selves of having
an appointment check up with her
doctor to obtain and maintain a
healthy pregnancy.
 This happens continuously until a
healthy baby is born from his mother .
 Has greater advantage in pregnancy,
useful in determining whether or not
both the mother and baby will
encounter any problems during or
after pregnancy.
TYPES OF PRENATAL VISIT
The Full Prenatal Visit

 The optimal form of visit is a regularly


scheduled office visit with both parents
present. This type of visit is most important
for a first pregnancy, for young parents
(including adolescent mothers), when there
are pregnancy complications or other
anticipated problems of consequence for the
newborn, when parents are unusually anxious
for any reason, or before an adoption.
 

THE BRIEF VISIT TO GET ACQUAINTED

 An encounter lasting 5 to 10 minutes between the


physician and expectant mother at the physician's
office allows a brief meeting. The visit may include an
introduction to other members of the staff and a
short tour of the facility. This arrangement is
appropriate for parents who are still in the process of
selecting a pediatrician and are not yet ready for
more extensive involvement.
THE BASIC CONTACT VISIT OR TELEPHONE CALL

 The initial prenatal contact involves the expectant


parent calling the physician's office and, if the physician
is accepting new patients, the physician or staff person
describing the basic practice arrangements (this should
also be part of the 2 longer visits). During the telephone
call, the parents are asked to provide the following basic
identifying information: name, address, telephone number,
origin of referral, place and expected date of delivery,
and type of insurance coverage. The pediatrician or the
staff person also invites the parents to make an
appointment to discuss any substantive concerns.
NO PRENATAL CONTACT
 If no prenatal contact has been made, all of the
objectives listed earlier may be addressed in the
newborn nursery or at the first postnatal office visit.

Group Prenatal Visit


 The concept of the group well-child visit
can be extended to the prenatal visit. Arranged as a
large group (eg, a monthly meeting in the evening) or a
small group of 3 to 5 parents, the group prenatal visit
encourages mutual support among pregnant women and
spouses while providing a forum for information similar
to traditional individual sessions. It has the added
advantage of saving the clinician time and expense.
COMPONENTS OF A PRENATAL VISIT
 EDC – the determinacy of due date.
 AOG – Age of gestation

 Leopold’s Maneuver :

 Steps done by palpation of the maternal


abdomen for the obstetrician to determine the
position of the fetus inside the mother’s womb.
This also contributes in assessment of the
maternal pelvis. And if ever it will be a difficult
delivery
STEPS OF LEOPOLD’S MANUEVER
 The fundal maneuver
 Second maneuver

 Pawlick’s grip

 Fourth maneuver
RATIONALE
 The maneuvers consist of four distinct actions, each
helping to determine the position of the fetus. The
maneuvers are important because they help determine
the position and presentation of the fetus, which in
conjunction with correct assessment of the shape of
the maternal pelvis can indicate whether the delivery
is going to be complicated, or whether a Cesarean
section is necessary.
 The examiner's skill and practice in performing the
maneuvers are the primary factor in whether the
fetal lie is correctly ascertained, and so the
maneuvers are not truly diagnostic. Actual position
can only be determined by ultrasound performed by a
competent technician or professional.
FUNDAL MANEUVER
First maneuver
 While facing the woman, palpate the woman's
upper abdomen with both hands. A professional
can often determine the size, consistency,
shape, and mobility of the form that is felt. The
fetal head is hard, firm, round, and moves
independently of the trunk while the buttocks
feels softer, is symmetric, and has small bony
processes; unlike the head, it moves with the
trunk.
SECOND MANEUVER
 After the upper abdomen has been palpated and the form
that is found is identified, the individual performing the
maneuver attempts to determine the location of the fetal
back. Still facing the woman, the health care provider
palpates the abdomen with gentle but also deep pressure
using the palms of his or her hands. First the right hand
remains steady on one side of the abdomen while the left
hand explores the right side of the woman's uterus. This is
then repeated using the opposite side and hands. The fetal
back will feel firm and smooth while fetal extremities
(arms, legs, etc.) should feel like small irregularities and
protrusions. The fetal back, once determined, should
connect with the form found in the upper abdomen and also
a mass in the maternal inlet, lower abdomen
PAWLICK’S GRIP
 In the third maneuver the health care provider
attempts to determine what fetal part is lying above
the inlet, or lower abdomen. The individual performing
the maneuver first grasps the lower portion of the
abdomen just above the symphysis pubis with the
thumb and fingers of the right hand. This maneuver
should yield the opposite information and validate the
findings of the first maneauver. If the woman enters
labor, this is the part which will most likely come first
in a vaginal birth. If it is the head and is not actively
engaged in the birthing process, it may be gently
pushed back and forth.
FOURTH MANEUVER
 The last maneuver requires that the health care
provider face the woman's feet, as he or she will
attempt to locate the fetus' brow. The fingers of
both hands are moved gently down the sides of the
uterus toward the pubis. The side where there is the
resistance to the descent of the fingers toward the
pubis is greatest is where the brow is located. If the
head of the fetus is well flexed, it should be on the
opposite side from the fetal back. If the fetal head is
extended though, the occiput is instead felt and is
located on the same side as the back .
CAUTIONS !!!!
 Leopold's maneuvers are intended to be performed by
health care professionals, as they have received
training and instruction in how to perform them. That
said, as long as care is taken not to roughly or
excessively disturb the fetus, there is no real reason
it cannot be performed at home as an informational
exercise. It is important to note that all findings are
not truly diagnostic, and as such ultrasound is required
to conclusively determine fetal lie.
IMPORTANT ESTIMATES
 AOG (Age of Gestation)
 Gestation is the period of time between
conception and birth during which the fetus
grows and develops inside the mother's womb.
Gestational age is the time measured from the
first day of the woman's last menstrual cycle to
the current date. It is measured in weeks. A
normal pregnancy can range from 38 to 42
weeks.
FIRST STEP

 Determine when the first day of your last


menstrual period was and calculate how far along
you are in your pregnancy. Count the number of
weeks that have passed since the first day of
your last menstrual period. If your last menstrual
period started on September 5th, then you would
be 5 weeks pregnant on October 10th. The first
day of your last menstrual period is when your
pregnancy technically starts. However, since your
menstrual period did not end for at least 5 to 7
days after that, you could not have conceived yet.
2ND STEP
 Subtract 2 weeks from how far along you are in
your pregnancy to determine the gestational age
of your baby. Conception usually occurs 2 weeks
after the first day of your last menstrual cycle;
this is when your baby began its development. If
you are 5 weeks pregnant, your baby's
gestational age is 3 weeks. If you are 25 weeks
pregnant, your baby's gestational age is 23
weeks.
3RD STEP
 Check your due date, as confirmed by
ultrasound. Count back 38 weeks. Since some
women may ovulate later or sooner than others,
this is the most accurate way to calculate your
baby's gestational age. Even though a pregnancy
is 40 weeks, a baby's gestational age is 38 weeks
on its due date. Therefore, counting back 38
weeks from your due date will give you a
relatively accurate result. This will take a little
more time than the first method.
 
EDC (ESTIMATED DATE OF CONFINEMENT)
 is calculated by taking the first day of the last
normal menstrual period (FDLMP), subtracting 3
months, and adding 1 week.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy