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: 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
5-Page ANC History Taking Format: https://ihatepsm.com/blog/5-page-anc-history-taking-format-essential-gui...
Pallor and its Grading: https://ihatepsm.com/blog/pallor-and-its-grading
Why ANC History Taking Matters?: https://ihatepsm.com/blog/why-anc-history-taking-matters
#Obstetric index (GPAL) in Antenatal Case History: https://ihatepsm.com/blog/obstetric-index-gpal-antenatal-case-history
#Decoding Gravida and Para: Terms in Antenatal History Taking: https://ihatepsm.com/blog/decoding-gravida-and-para-terms-antenatal-hist...
#Duration of Pregnancy: Understanding the Trimesters and Gestational Age Categories: https://ihatepsm.com/blog/duration-pregnancy-understanding-trimesters-an...
#Calculation of Expected Date of Delivery (EDD) and Period of Gestation (POG): https://ihatepsm.com/blog/calculation-expected-date-delivery-edd-and-per...
#Antenatal Care and Case Booking: https://ihatepsm.com/blog/antenatal-care-and-case-booking
#Clinical Significance of Antenatal History Components (Socio-Demographic components): https://ihatepsm.com/blog/clinical-significance-antenatal-history-compon...
Antenatal History Taking: Significance of Clinical Components: https://ihatepsm.com/blog/antenatal-history-taking-significance-clinical...
Trimester-wise History Taking in Antenatal Care: FIRST Trimester: https://ihatepsm.com/blog/trimester-wise-history-taking-antenatal-care-f...
Trimester-wise History Taking in Antenatal Care: SECOND Trimester: https://ihatepsm.com/blog/trimester-wise-history-taking-antenatal-care-s...
Trimester-wise History Taking in Antenatal Care: THIRD Trimester: https://ihatepsm.com/blog/trimester-wise-history-taking-antenatal-care-t...
Trimester-wise History Taking in Antenatal Care: A Comprehensive Guide (all 3 trimesters): https://ihatepsm.com/blog/trimester-wise-history-taking-antenatal-care-c...
Components of Birth Preparedness and Complication Readiness (BPCR): https://ihatepsm.com/blog/components-birth-preparedness-and-complication...
BPCR in brief: https://ihatepsm.com/blog/%E2%80%98birth-preparedness-and-complication-r...
Specific Health Protection during Antenatal Visits: https://ihatepsm.com/blog/specific-health-protection-during-antenatal-vi...