Antenatal Care Services: by DR - Chinedu Ibeh Thursday, 16 APRIL 2015
Antenatal Care Services: by DR - Chinedu Ibeh Thursday, 16 APRIL 2015
Antenatal Care Services: by DR - Chinedu Ibeh Thursday, 16 APRIL 2015
SERVICES
BY DR.CHINEDU IBEH
Thursday,16TH APRIL 2015
Sir Robert Hutchison, 20th
century physician, British
Medical Journal (1953), 1: 671.
4 weekly---------- 28 weeks
2 weekly --------- 36 weeks
weekly ------------ delivery
Preventive Services
Family-centered care
Health promotion
GOAL 1; EARLY DETECTION AND
TREATMENT OF PROBLEMS
Malaria – history and physical exam, fever and
accompanying signs/symptoms, region where
woman lives, complicated vs. uncomplicated
cases
Pre-eclampsia/eclampsia – measurement of
blood pressure
Rhesus incompatibility
GOAL 2 –PREVENTION OF DISEASES
AND COMPLICATIONS
Nutrition
Hygiene
Child spacing
Danger signs during Pregnancy
-Vaginal bleeding or discharge
-Difficulty in breathing
-Fever
-Convulsions/loss of consciousness
A skilled
attendant at
childbirth is the
most effective
intervention!
Radiographic Pelvimetry
a] Xray Pelvimetry
c]CT Pelvimetry
When is Pelvimetry done?
In
late Pregnancy[preferable]-around
36-37wks GA or at onset of labour.
[soft tissues are more distensible
thus making the procedure more
accurate and less uncomfortable
when done around this time]
PELVIC ANATOMY
Bony Pelvis
Pelvic Planes
Pelvic Diameters
BONY PELVIS
BONY PELVIS CONTD
PELVIC PLANES AND DIAMETERS
ANY CONTRIBUTION?
REFERENCES
Stuart Campbell, Chritopher Lees.[2000] Labour in
Obstetrics by Ten Teachers. 17th Edition. ELST with
Arnold Publishers, New Delhi.
Gray Cunningham etal[2009]. Pelvimetry in William
Obstetrics, 23rd Edition. McGraw Hill Professional
Publishing , New York
Pattinson RC, Farrell E-ME [2009] Pelvimetry for fetal
cephalic presentation at or near term Cochrane
Collaboration
http://www.cochrane.org/search/site/pelvimetry
[accessed 13/04/15]
REFERENCES CONTD