• The main purpose of the antenatal care is to identifying the ‘high – risk’ cases among a large antenatal population, and at the earliest possible
• These high risk cases can be provided skilled care while the routine appropriate care is provided to all the remaining
• The ‘high – risk’ antenatal women are:
o Elderly primi (primi ≥ 30 yr.)
o Short statured primi (≤ 140 cm)
o Mal-presentations like breech, transverse lie
o Antepartum hemorrhage, threatened abortion
o Pre – eclampsia and eclampsia
o Anemia
o Twins, hydramnios
o Bad Obstetric history (previous still-birth, intrauterine death, manual removal ofplacenta)
o Elderly grand multipara
o Prolonged pregnancy (14 days after EDD)
o History of previous caesarean or instrumental delivery
o Pregnancy associated with general disease like cardiovascular disease, kidney disease, DM, TB, liver disease, malaria, convulsions, asthma, HIV, RTI, and STI etc.
o Treatment for infertility
o Three or more spontaneous consecutive abortions
• Risk approach is a managerial tool for improving MCH care
• The purpose is to provide better services for all but with special attention to those who need them the most
• This approach achieves maximum utilization of resources
• It enables unconventional human resources to be involved in providing antenatal care e.g. traditional birth attendants, community health workers etc.
• Risk approach improves both the coverage and quality of MCH care
Antenatal Care: http://www.ihatepsm.com/blog/antenatal-care
Components of Antenatal Care: http://www.ihatepsm.com/blog/components-antenatal-care
Prenatal Advice: http://www.ihatepsm.com/blog/prenatal-advice
Risk Approach in Antenatal Care: http://www.ihatepsm.com/blog/risk-approach-antenatal-care
Ensuring Complete Registration of Antenatal Women in the Jurisdiction: http://www.ihatepsm.com/blog/ensuring-complete-registration
Specific Health Protection during Antenatal Visits; http://www.ihatepsm.com/blog/specific-health-protection-during-antenatal...
Lecture on Antenatal Care: http://www.ihatepsm.com/resource/antenatal-care