文档介绍：Prenatal Care
Ⅰ.The Purpose of Prenatal Care
Pregnancy is a normal physiological course that is only plicated by pathological processes threatening to the mother and fetus. However even a normal pregnancy may alter the pregnant woman’s physiological function, so that danger to the mother or fetus may occur.
Therefore the purpose of prenatal care is to ensure an plicated pregnancy for mother and baby.
In addition, the early identification and treatment of the high-risk pregnancy is also very important.
Ⅱ.Definition of Perinatology
In recent years perinatology has been established and there are 4 possible definition described by world anization(WHO).
1. from the 28th week of pregnancy to the first week of postpartum
2. from the 20th week of pregnancy to the 4th week of postpartum
3. from the 28th week of pregnancy to the 4th week of postpartum
4. from the formation of embryo to the first week of postpartum
At the present, the first definition has been used widely in clinic practice
Ⅲ.Date of the Prenatal Examination
Prenatal examination begins on the early stage of pregnancy.
At the 20-36th week of gestation performed once every 4 weeks.
After the 36th week of gestation once a week.
That is, at 20,24,28,32,36,37,38,39,40 week respectively,and the total number is 9.
Ⅳ.First Prenatal Visit
1. History * age * job * EDC(expected date of confinement) * menstrual and post obstetric history * history of present pregnancy
* family history and husband health status
The EDC is arrived at by counting back 3 months or adding 9 months from the first day of the LMP (Last Menstrual Period) and then adding 7 days.
2. Physical Examination
General examination
Development, nutrient, height, spine, complicated with other disease, breast (nipple), weight, edema……
3. Obstetric Examination
1) Abdominal Examination
*inspection:
*palpation: four maneuvers of leopold
*auscultation: