Risk Approach in Antenatal Care

Risk Approach in Antenatal Care | Identification of High-Risk Pregnancy

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
Components of Antenatal care
Prenatal Advice
Risk Approach in Antenatal Care
Ensuring Complete Registration of Antenatal Women in the Jurisdiction: Ensuring Complete Antenatal Registration
Specific Health Protection during Antenatal Visits
Lecture on Antenatal Care: Antenatal Care
5-Page ANC History Taking Format: 5-Page ANC History Taking Format: Essential Guide for Perfect Assessments
Pallor and its Grading
Why ANC History Taking Matters?

#Obstetric index (GPAL) in Antenatal Case History: Obstetric index (GPAL) in Antenatal Case History
#Decoding Gravida and Para: Terms in Antenatal History Taking: Decoding Gravida and Para: Terms in Antenatal History Taking
#Duration of Pregnancy: Understanding the Trimesters and Gestational Age Categories: Duration of Pregnancy: Understanding the Trimesters and Gestational Age Categories
#Calculation of Expected Date of Delivery (EDD) and Period of Gestation (POG): Calculation of Expected Date of Delivery (EDD) and Period of Gestation (POG)
#Antenatal Care and Case Booking: Antenatal Care and Case Booking
#Clinical Significance of Antenatal History Components (Socio-Demographic components): Clinical Significance of Antenatal History Components (Socio-Demographic components)
Antenatal History Taking: Significance of Clinical Components
Trimester-wise History Taking in Antenatal Care: FIRST Trimester
Trimester-wise History Taking in Antenatal Care: SECOND Trimester
Trimester-wise History Taking in Antenatal Care: THIRD Trimester
Trimester-wise History Taking in Antenatal Care: A Comprehensive Guide (all 3 trimesters))
Components of Birth Preparedness and Complication Readiness (BPCR)
BPCR in brief: ‘Birth Preparedness and Complication Readiness’ (BP/CR)
Specific Health Protection during Antenatal Visits