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A pregnant woman smiling and talking to a doctor.

What is prenatal care and why is it important?

Having a healthy pregnancy is one of the best ways to promote a healthy birth. Getting early and regular prenatal care improves the chances of a healthy pregnancy. This care can begin even before pregnancy with a preconception care visit to a health care provider.

Citations

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  1. Centers for Disease Control and Prevention. (2015). Preconception health and health care. Retrieved May 20, 2016, from http://www.cdc.gov/preconception/planning.html [top]
  2. U.S. Preventive Services Task Force (2017). Final recommendation statement: Folic acid for the prevention of neural tube defects: Preventive medication. Retrieved January 17, 2017, fromhttps://www.uspreventiveservicestaskforce.org/Page/Document/
    RecommendationStatementFinal/folic-acid-for-the-prevention-of-neural-tube-defects-preventive-medication
     External Web Site Policy [top]
  3. March of Dimes. (2011). Your first prenatal care checkup. Retrieved May 20, 2016, from http://www.marchofdimes.org/pregnancy/your-first-prenatal-care-checkup.aspx External Web Site Policy [top]
  4. Child Trends Databank. (2015). Late or no prenatal care. Retrieved May 20, 2016, from http://www.childtrends.org/?indicators=late-or-no-prenatal-care External Web Site Policy [top]
  5. American College of Obstetricians and Gynecologists. (2014). Preeclampsia and high blood pressure during pregnancy. FAQ034. Retrieved May 20, 2016, from http://www.acog.org/Patients/FAQs/Preeclampsia-and-High-Blood-Pressure-During-Pregnancy External Web Site Policy [top]
  6. American College of Obstetricians and Gynecologists. (2013). Tobacco, alcohol, drugs, and pregnancy. FAQ170. Retrieved May 20, 2016, from http://www.acog.org/Patients/FAQs/Tobacco-Alcohol-Drugs-and-Pregnancy External Web Site Policy [top]
  7. Centers for Disease Control and Prevention. (2011). Fetal alcohol spectrum disorders. Retrieved August 1, 2012, from http://www.cdc.gov/Features/FASD [top]
  8. Eckstrand, K. L., Ding, Z., Dodge, N. C., Cowan, R. L., Jacobson, J. L., Jacobson, S. W., et al. (2012). Persistent dose-dependent changes in brain structure in young adults with low-to-moderate alcohol exposure in utero. Alcoholism: Clinical and Experimental Research, 36(11), 1892–1902. PMID: 22594302 [top]
  9. Centers for Disease Control and Prevention. (2016). Folic acid. Data and statistics. Retrieved December 12, 2016, from https://www.cdc.gov/ncbddd/folicacid/data.html [top]
  10. NIH Office of Dietary Supplements. (2016). Folate.Dietary supplement fact sheet. Retrieved May 20, 2016, from http://ods.od.nih.gov/factsheets/Folate-HealthProfessional  [top]
  11. American Pregnancy Association. (2015). Acne during pregnancy. Retrieved May 20, 2016, from http://americanpregnancy.org/pregnancy-health/acne-during-pregnancy/ External Web Site Policy [top]
  12. Office on Women’s Health. (2012). Prenatal care fact sheet. Retrieved May 20, 2016, from http://www.womenshealth.gov/publications/our-publications/fact-sheet/prenatal-care.html [top]

What are some common signs of pregnancy?
How do I know if I’m pregnant?
What is prenatal care and why is it important?
What are some common complications of pregnancy?
What is a high-risk pregnancy?
What infections can affect pregnancy?
What is labor?
What is a cesarean delivery?
What should I know about postpartum depression?


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Pregnancy Care

Overview

Pregnancy care consists of prenatal (before birth) and postpartum (after birth) healthcare for expectant mothers.
It involves treatments and trainings to ensure a healthy prepregnancy, pregnancy, and labor and delivery for mom and baby.
Prenatal Care

Prenatal Care

Prenatal care helps decrease risks during pregnancy and increases the chance of a safe and healthy delivery. Regular prenatal visits can help your doctor monitor your pregnancy and identify any problems or complications before they become serious.
Babies born to mothers who lack prenatal care have triple the chance of being born at a low birth weight. Newborns with low birth weight are five times more likely to die than those whose mothers received prenatal care.
Prenatal care ideally starts at least three months before you begin trying to conceive. Some healthy habits to follow during this period include:
  • quitting smoking and drinking alcohol
  • taking folic acid supplements daily (400 to 800 micrograms)
  • talking to your doctor about your medical conditions, dietary supplements, and any over-the-counter or prescription drugs that you take
  • avoiding all contact with toxic substances and chemicals at home or work that could be harmful
Pregnancy

During Pregnancy

Once you become pregnant, you’ll need to schedule regular healthcare appointments throughout each stage of your pregnancy.
A schedule of visits may involve seeing your doctor:
  • every month in the first six months you are pregnant
  • every two weeks in the seventh and eighth months you are pregnant
  • every week during your ninth month of pregnancy
During these visits, your doctor will check your health and the health of your baby.
Visits may include:
  • taking routine tests and screenings, such as a blood test to check for anemia, HIV, and your blood type
  • monitoring your blood pressure
  • measuring your weight gain
  • monitoring the baby’s growth and heart rate
  • talking about special diet and exercise
Later visits may also include checking the baby’s position and noting changes in your body as you prepare for birth.
Your doctor may also offer special classes at different stages of your pregnancy.
These classes will:
  • discuss what to expect when you are pregnant
  • prepare you for the birth
  • teach you basic skills for caring for your baby
If your pregnancy is considered high risk because of your age or health conditions, you may require more frequent visits and special care. You may also need to see a doctor who works with high-risk pregnancies.
Postpartum Care

Postpartum Care

While most attention to pregnancy care focuses on the nine months of pregnancy, postpartum care is important, too. The postpartum period lasts six to eight weeks, beginning right after the baby is born.
During this period, the mother goes through many physical and emotional changes while learning to care for her newborn. Postpartum care involves getting proper rest, nutrition, and vaginal care.

Getting Enough Rest

Rest is crucial for new mothers who need to rebuild their strength. To avoid getting too tired as a new mother, you may need to:
  • sleep when your baby sleeps
  • keep your bed near your baby’s crib to make night feedings easier
  • allow someone else to feed the baby with a bottle while you sleep

Eating Right

Getting proper nutrition in the postpartum period is crucial because of the changes your body goes through during pregnancy and labor.
The weight that you gained during pregnancy helps make sure you have enough nutrition for breast-feeding. However, you need to continue to eat a healthy diet after delivery.
Experts recommend that breast-feeding mothers eat when they feel hungry. Make a special effort to focus on eating when you are actually hungry — not just busy or tired.
  • avoid high-fat snacks
  • focus on eating low-fat foods that balance protein, carbohydrates, and fruits and vegetables
  • drink plenty of fluids

Vaginal Care

New mothers should make vaginal care an essential part of their postpartum care. You may experience:
  • vaginal soreness f you had a tear during delivery
  • urination problems like pain or a frequent urge to urinate
  • discharge, including small blood clots
  • contractions during the first few days after delivery
Schedule a checkup with your doctor about six weeks after delivery to discuss symptoms and receive proper treatment. You should abstain from sexual intercourse for four to six weeks after delivery so that your vagina has proper time to heal.
Takeaway

The Takeaway

It’s important to stay as healthy as possible during pregnancy and during the postpartum period. Stay on top of all of your healthcare appointments and follow your doctor’s instructions for the health and safety of you and your baby.
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Importance Of Antenatal Care







Importance Of Antenatal Care

Importance Of Antenatal Care
Importance Of Antenatal Care [Illustration by Shiju George]
Antenatal care (also known as Prenatal care) refers to the regular medical and nursing care recommended for women during pregnancy. The importance of antenatal care is often overdone in most households as the would-be mother is flooded with advice about what is right and what is wrong for her. When should you start?
Make your first visit to an antenatal clinic as soon as possible after a missed period. This will ensure that you have professional help whenever you need it.
Importance of early attendance
You may be carrying some diseases such as Toxoplasmosis before pregnancy without any visible symptom. In such a case, it is important to identify and treat it early to avoid complications.
  • The trip to the gynaecologist has other benefits too. Your blood pressure can be checked and your weight can be monitored. Besides, any factors that could influence the baby’s development such as nutritional deficiencies (including excessive vomiting), infections and potentially hazardous drug therapy can be detected.
  • Complications like intra uterine growth retardation can be screened and prevented.
  • The gynaecologist will also help you plan for the delivery, advice you on the care of the newborn and your future reproductive health.
What to expect in your first visit?
Your first visit to the gynaecologist will help you become comfortable with the doctor so that you can trust him when you go into labour. Your doctor will want to know:
  • Your menstrual history (date of last menstrual period).
  • Your medical history – whether you have ever suffered from any diseases, like Rubella.
  • Your past and present pregnancy history.
  • Surgical history (if you have gone through any operation or blood transfusion).
  • Family history (if there is any history of twin pregnancy, diabetes or high blood pressure in your family).
  • Your personal history like smoking and consumption of alcohol, or any other drugs.
  • Drug history (if you are taking any medicine regularly or if you are allergic to any particular medicine).
Examination
  • The doctor will examine you to record your condition in the initial stage of pregnancy in order to be able to compare it later as the pregnancy grows.
  • After a general examination, he will check your height as this gives a rough estimate of the size of the pelvis. A woman with an average height of 5 feet and above usually has an adequate pelvis to bear a child.
  • He will also check your weight and then during each visit to calculate your weight gain. The total average weight gain should be around 10 to 12 kilograms. A low calorie balanced diet is important in pregnancy to watch out excessive weight gain.
  • The blood pressure recording during the first visit is used to compare it with subsequent readings. A rise in blood pressure is a bad sign in pregnancy and may indicate complications like pregnancy induced hypertension. Early detection of hypertension can prevent further complications leading to fits in pregnancy which may lead to intra uterine foetal and maternal death.
  • He then checks your pulse rate and lungs, and then your abdomen to assess the growth of the baby, its position, the condition of the scar left by any previous operation, any abdominal hernia and the foetal heart rate.
Vaginal examination during pregnancy
  • Earlier, the gynaecologist used to do a routine checkup of the vagina for the following reasons:
  • To confirm the pregnancy.
  • To confirm that the size of uterus corresponds to the period of pregnancy.
  • To exclude the presence of any tumours or other abnormalities in the pelvis.
  • To diagnose any infections in the vagina or cervix.
  • To diagnose the presence of any ulcer or erosion in the cervix (mouth of the uterus).
  • To take a routine cervical smear to rule out any disease.
  • To assess the size of the pelvic cavity.Nowadays a vaginal checkup is considered an intrusion and an ultrasound is used instead to keep abreast of the foetal growth.However, a vaginal examination cannot be avoided at the end of the 36th week of pregnancy.
  • Since it confirms the presentation of the baby.
  • It helps the doctor to assess the condition of the cervix.
  • It gives a fair idea of the pelvis in comparison to the presenting part of the baby.
Investigations
  • Few investigations are done during the first antenatal visit and then at intervals throughout pregnancy to ensure that it is proceeding normally.The following blood tests are of vital importance during pregnancy:
  • Haemoglobin estimation: The normal haemoglobin level in pregnancy is 11 grams to 13 grams (lower than the non pregnant woman) and any value less than 11 grams is considered anaemic.
  • Blood grouping: There are four major blood groups – A, B, AB or O. The knowledge about your blood group is important as an incompatible mother and baby could bring about complications.
  • Rhesus factor and antibodies: The rhesus compatibility of the mother and child is equally important. If she is rhesus negative, the doctor will recommend several tests to check for antibodies and suggest precautions that need to be taken during labour.
  • Rubella and other viral illnesses: A blood test will confirm whether you have had German measles (Rubella). Other virus tests include Toxoplasmosis, Cytomegalo virus, Herpes Simplex.
  • Hepatitis: Tests for Hepatitis antigen is equally important.
  • HIV (AIDS virus): Tests for the HIV virus is done with the patient’s consent.
  • Other blood tests include blood sugar test and V.D.R.L. test (test for sexually transmitted disease like Syphilis).
  • A routine examination of urine will provide information about any infection, presence of protein or sugar in urine.
Supplements
You will be prescribed a dose of folic acid everyday for the first three months of pregnancy. This meant to aid the proper development of the baby’s nervous system and to prevent a particular type of anaemia which occurs during pregnancy.To prevent anaemia, the doctor will recommend an iron supplement from the fourth month of pregnancy and ask you to continue it even after delivery when you will be feeding the baby. Besides iron, you will have to take some calcium and multivitamin supplements too since most women do not pay much attention to their diet.
Subsequent tests
Your blood will be tested to check haemoglobin levels at regular intervals. The doctor will do a second ultrasound scan in the 16th week to exclude any congenital anomaly of the baby and to also confirm the duration of pregnancy and growth of the baby. The third ultrasound scan will be around the 38th week to see the growth of the baby, position of the baby (normally it is head down position), condition of the placenta and position of the umbilical cord.
Immunisation
You will be given two doses of tetanus toxoid during the sixth and seventh months. If you have conceived within three years of your previous delivery, a single dose is enough.
Subsequent visits to the antenatal clinic
Your subsequent visits follow a regular routine unless you need to see your doctor more frequently for any problem. Visits are usually every four weeks until the 28th week of pregnancy. Thereafter, you will be asked to come every two weeks until the 36th week. And then every week till delivery. The patient is counselled about signs of labour and breast feeding.

5 comments on “Importance Of Antenatal Care”

  1. I would like to learn more about the importance of antenatal care because i need to help women during pregnancy.
  2. I want to learn as much as I can before I get pregnant so I can make sure my baby will be as healthy as possible. One of the most important factors for my health right now is getting the nutrients my body needs. I didn’t realize certain supplements were taken during different weeks of pregnancy but will an OB/GYN suggest any vitamins I need before conception?
  3. Thanks For Sharing This Article. I Find It Relevant Especially At This Time When I Am Doing My Attachment As A Populatio Health Expert, Specialising In MCH, In One Of The Health Centers In Bungoma County; Kenya. At Least I now Have A Clear Information To Share With Mothers As They Come For Their ANC Visits. Thanks

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