Course: Antenatal Care Part 2

Topic outline

General
- About/License Page
- Pre-test Quiz
Topic 1
Providing Focused Antenatal Care (FANC)
- Introduction Page
  Introduction
- Learning Outcomes Page
- Focused antenatal care: concepts and principles Page
  Focused antenatal care: concepts and principles
- Advantages of FANC Page
  Advantages of FANC
- Failings of the traditional approach to antenatal care Page
  Failings of the traditional approach to antenatal care
- Comparions of traditional and focused antenatal care Page
  Comparions of traditional and focused antenatal care
- Important elements of FANC Page
  Important elements of FANC
- The basic and specialised components of FANC Page
  The basic and specialised components of FANC
- Objectives and procedures at each FANC visit Page
- The first FANC visit Page
  The first FANC visit
- The second FANC visit Page
  The second FANC visit
- The third FANC visit Page
  The third FANC visit
- The fourth FANC visit Page
  The fourth FANC visit
- Birth preparedness, complication readiness and emergency planning Page
  Birth preparedness, complication readiness and emergency planning
- Normal birth preparedness Page
  Normal birth preparedness
- Birthing supplies the mother should prepare Page
  Birthing supplies the mother should prepare
- Complication readiness and emergency planning Page
  Complication readiness and emergency planning
- Causes of delay in getting emergency help Page
  Causes of delay in getting emergency help
- Making a referral Page
  Making a referral
- Video: Focused Antenatal Care Page
- Summary Page
- Quiz
Topic 2
Health Promotion Issues During Pregnancy
- Introduction Page
  Introduction
- Learning Outcomes Page
- Nutrition during pregnancy Page
  Nutrition during pregnancy
- Eating well Page
  Eating well
- Talking to women about food Page
  Talking to women about food
- Eating well with little money Page
  Eating well with little money
- Food groups and their nutrients Page
  Food groups and their nutrients
- Video: Food for Life: What Pregnant Women Need to Eat Page
- The five most important vitamins and minerals Page
  The five most important vitamins and minerals
- Hygiene during pregnancy Page
  Hygiene during pregnancy
- Living a healthy lifestyle Page
  Living a healthy lifestyle
- Immunization against tetanus Page
  Immunization against tetanus
- Benefits of early and exclusive breastfeeding Page
  Benefits of early and exclusive breastfeeding
- Unhealthy beliefs and practices about feeding newborns Page
  Unhealthy beliefs and practices about feeding newborns
- General principles of early and exclusive breastfeeding Page
  General principles of early and exclusive breastfeeding
- Video: Benefits of breastfeeding Page
- Postpartum family planning Page
  Postpartum family planning
- Breastfeeding and contraception Page
  Breastfeeding and contraception
- Benefits of birth spacing Page
  Benefits of birth spacing
- Video: Breastfeeding technique Page
- Summary Page
- Quiz
Topic 3
Counselling on Danger Symptoms
- Introduction Page
  Introduction
- Learning Outcomes Page
- General principles of counselling the pregnant woman Page
  General principles of counselling the pregnant woman
- What is special about counselling pregnant women? Page
  What is special about counselling pregnant women?
- What are the common danger symptoms during pregnancy? Page
  What are the common danger symptoms during pregnancy?
- Video: Warning Signs in Pregnancy Page
- Telling pregnant women about the danger symptoms Page
  Telling pregnant women about the danger symptoms
- Advantages of husband/partner involvement in antenatal counselling Page
  Advantages of husband/partner involvement in antenatal counselling
- Checklist after each antenatal counselling session Page
  Checklist after each antenatal counselling session
- Summary Page
- Quiz
Topic 4
Reduce Mother to Child Transmission of HIV
- Introduction Page
  Introduction
- Learning Outcomes Page
- Video: Prevention of HIV: It begins with me Page
- PMTCT of HIV in antenatal care Page
  PMTCT of HIV in antenatal care
- When does HIV transmission occur from mother to baby? Page
  When does HIV transmission occur from mother to baby?
- Risk factors that increase the risk of HIV transmission during pregnancy Page
  Risk factors that increase the risk of HIV transmission during pregnancy
- PMTCT: core interventions Page
  PMTCT: core interventions
- Antiretroviral prophylaxis (ARP) and antiretroviral therapy (ART) Page
  Antiretroviral prophylaxis (ARP) and antiretroviral therapy (ART)
- Routine HIV testing during pregnancy Page
  Routine HIV testing during pregnancy
- Detecting HIV infection using blood tests Page
  Detecting HIV infection using blood tests
- Opt-in and opt-out approaches Page
  Opt-in and opt-out approaches
- Counselling women who refuse HIV testing Page
  Counselling women who refuse HIV testing
- Discussing HIV test results: post-test counselling Page
  Discussing HIV test results: post-test counselling
- Post-test counselling for HIV-positive pregnant women Page
  Post-test counselling for HIV-positive pregnant women
- Post-test counselling for HIV-negative pregnant women Page
  Post-test counselling for HIV-negative pregnant women
- Checklist for HIV testing and counselling during the antenatal period Page
  Checklist for HIV testing and counselling during the antenatal period
- Additional care for the HIV-positive woman during pregnancy Page
  Additional care for the HIV-positive woman during pregnancy
- Summary Page
- Quiz
Topic 5
Premature Rupture of Membranes (PROM)
- Introduction Page
  Introduction
- Learning Outcomes Page
- Premature rupture of membranes Page
  Premature rupture of membranes
- Classifications of PROM Page
  Classifications of PROM
- Risk factors for PROM Page
  Risk factors for PROM
- Infection can cause PROM Page
  Infection can cause PROM
- Malpresentation of the fetus Page
  Malpresentation of the fetus
- Multiple pregnancy and excess amniotic fluid Page
  Multiple pregnancy and excess amniotic fluid
- Cervical incompetence Page
  Cervical incompetence
- Trauma to the abdomen Page
  Trauma to the abdomen
- Diagnosis of PROM Page
  Diagnosis of PROM
- Complications of PROM Page
  Complications of PROM
- Infection after PROM Page
  Infection after PROM
- Cord prolapse Page
  Cord prolapse
- Fetal hypoxia and asphyxia Page
  Fetal hypoxia and asphyxia
- Placental abruption Page
  Placental abruption
- Preterm labour Page
  Preterm labour
- Deformity of fetal limbs Page
  Deformity of fetal limbs
- Actions in a case of PROM Page
  Actions in a case of PROM
- When should you conduct the delivery before referral? Page
  When should you conduct the delivery before referral?
- When should you refer before conducting the delivery? Page
  When should you refer before conducting the delivery?
- Summary Page
- Quiz
Topic 6
Common Medical Disorders in Pregnancy
- Introduction Page
  Introduction
- Learning Outcomes Page
- Malaria in pregnancy Page
  Malaria in pregnancy
- Anaemia in pregnancy Page
  Anaemia in pregnancy
- Prevention of anaemia in pregnancy Page
  Prevention of anaemia in pregnancy
- Treatment of anaemia in pregnancy Page
  Treatment of anaemia in pregnancy
- Urinary tract infections Page
  Urinary tract infections
- Prevention of UTIs Page
  Prevention of UTIs
- Diagnosing UTIs Page
  Diagnosing UTIs
- Treating a bladder infection Page
  Treating a bladder infection
- In conclusion Page
  In conclusion
- Summary Page
- Quiz
Topic 7
Hypertensive Disorders of Pregnancy
- Introduction Page
  Introduction
- Learning Outcomes Page
- Video: Warning Signs in Pregnancy Page
- How does hypertension affect pregnancy? Page
  How does hypertension affect pregnancy?
- Effects on blood vessels and body fluids Page
  Effects on blood vessels and body fluids
- Effects of maternal hypertension on the fetus Page
  Effects of maternal hypertension on the fetus
- Common complications of severe pre-eclampsia for the mother Page
  Common complications of severe pre-eclampsia for the mother
- Summarising maternal and fetal complications of severe pre-eclampsia Page
  Summarising maternal and fetal complications of severe pre-eclampsia
- Classification of hypertension during pregnancy Page
  Classification of hypertension during pregnancy
- Video: Diagnosing Hypertension (High Blood Pressure) Page
- Classification of pre-eclampsia Page
  Classification of pre-eclampsia
- Diagnostic signs of eclampsia Page
  Diagnostic signs of eclampsia
- Risk factors for pre-eclampsia/eclampsia Page
  Risk factors for pre-eclampsia/eclampsia
- Clinical features of severe pre-eclampsia. Page
  Clinical features of severe pre-eclampsia.
- Headache Page
  Headache
- Blurred vision/visual disturbance Page
  Blurred vision/visual disturbance
- Epigastric pain Page
  Epigastric pain
- Decreased urine output Page
  Decreased urine output
- Decreased or absent fetal kick Page
  Decreased or absent fetal kick
- Generalised (pathologic) oedema Page
  Generalised (pathologic) oedema
- Clinical features of eclampsia Page
  Clinical features of eclampsia
- Convulsions in eclampsia Page
  Convulsions in eclampsia
- What can you do if you diagnose a hypertensive disorder in a pregnant woman? Page
  What can you do if you diagnose a hypertensive disorder in a pregnant woman?
- Actions if pre-eclampsia is not severe Page
  Actions if pre-eclampsia is not severe
- Persuading affected women to go for medical treatment Page
  Persuading affected women to go for medical treatment
- Supportive pre-referral treatment for severe pre-eclampsia Page
  Supportive pre-referral treatment for severe pre-eclampsia
- Emergency referral for eclampsia Page
  Emergency referral for eclampsia
- Summary Page
- Quiz
Topic 8
Abortion and other Causes of Early Pregnancy Bleeding
- Introduction Page
  Introduction
- Learning Outcomes Page
- What is early pregnancy bleeding? Page
  What is early pregnancy bleeding?
- Spontaneous abortion Page
  Spontaneous abortion
- Induced abortion Page
  Induced abortion
- Clinical classification of abortion Page
  Clinical classification of abortion
- Methods of provision of abortion Page
  Methods of provision of abortion
- Goals of the post-abortion service Page
  Goals of the post-abortion service
- Important messages for women after a spontaneous or induced abortion Page
  Important messages for women after a spontaneous or induced abortion
- Follow-up care after an abortion Page
  Follow-up care after an abortion
- Pre-referral treatment in an emergency Page
  Pre-referral treatment in an emergency
- Other causes of early pregnancy bleeding Page
  Other causes of early pregnancy bleeding
- Ectopic pregnancy Page
  Ectopic pregnancy
- Molar pregnancy Page
  Molar pregnancy
- Post-abortion family planning Page
  Post-abortion family planning
- When to start family planning Page
  When to start family planning
- Summary Page
- Quiz
Topic 9
Late Pregnancy Bleeding
- Introduction Page
  Introduction
- Learning Outcomes Page
- What causes late pregnancy bleeding? Page
  What causes late pregnancy bleeding?
- Placental abruption Page
  Placental abruption
- Haemorrhagic shock Page
  Haemorrhagic shock
- Acute renal failure Page
  Acute renal failure
- Heart failure Page
  Heart failure
- Placenta previa Page
  Placenta previa
- Ruptured uterus Page
  Ruptured uterus
- What to do for a woman with late pregnancy bleeding Page
  What to do for a woman with late pregnancy bleeding
- Summary Page
- Quiz
Topic 10
Starting IV Fluid Therapy and Catheterising the Pregnant Woman
- Introduction Page
  Introduction
- Learning Outcomes Page
- When to start IV fluid therapy Page
  When to start IV fluid therapy
- Setting up the IV fluid therapy equipment Page
  Setting up the IV fluid therapy equipment
- Sterile techniques for IV fluid therapy Page
  Sterile techniques for IV fluid therapy
- Selecting the IV cannula Page
  Selecting the IV cannula
- Selecting the venipuncture site Page
  Selecting the venipuncture site
- Inserting the IV cannula Page
  Inserting the IV cannula
- Monitoring during IV therapy Page
  Monitoring during IV therapy
- Establishing a monitoring routine Page
  Establishing a monitoring routine
- When to stop IV infusion Page
  When to stop IV infusion
- Bladder catheterisation Page
  Bladder catheterisation
- Bladder catheterisation equipment Page
  Bladder catheterisation equipment
- Steps in the catheterisation procedure Page
  Steps in the catheterisation procedure
- General care for the catheterised person Page
  General care for the catheterised person
- Removing the catheter Page
  Removing the catheter
- Summary Page
- Quiz