Routine Antenatal Checkup :

To be don every month, till 7 months are completed. Then every 15 days in last 2 months.

Record weight.

Record B.P.

Look for Edema feet  Pallor.

Palpate the height of Uterus.

In late months, palpate the position  of the fetus, and ausultate fetal heart sounds.

Routine investigations :

Haemoglobin, Blood group & Rh.

Urine Albumin – every month.

Ultrasonography – in 5^th  9^th month.

Refer the patient to Obstetrician & for Ultrasound if:

If Uterine height dose not correspond to the weeks of Gestation – whether more, or less.

If fetalHeart Sounds are not heard after 6^th month.

If fetal parts are not felt or liquor is excess

If there is even slight bleeding per vagina.

If fetus is in breech or transverse position.

If fetal movements perceived by patient reduce.

If Toxemia of Pregnancy – High BP, Edema, Headache, blurring of vision, albuminuria.

Routine Antenatal Treatment

Cap. Raricap 1 OD (Iron =2I)

Tab Ostocalcium 1 bd (Calcium = 2C)

Inj. T.T.1/2cc IM in 7^th, 8^th, & 9^th month. (14-7i) during 1^st trimester, add.

Folvit 5 mg 1 bd (Folica cid = 2H-7)

Cap. Becozinc 1 OD (Zinc =2L)

Cap. Evion 400 mg 1 OD (Vit E = 2F)

Routine Antenatal Advise

Well Balanced food, with extra proteins, milk, cereals, eggs or meat.

Plenty of Green vegetables & fruits.

Regular Exercise like walking.

Adequate rest, with sleep for 8 hrs. at night and 2 hrs at noon.

Daily bath, with special attention to cleanliness of vulva. (No Vaginal Douche.) Nipples should be cleaned, and lifted up if retracted.

Avoid Long journey in first trimester and last 2 months. If unavoidable, prefer Train.

Avoid sexual Intercourse in last 6 weeks to prevent ascending infections.

If constipation, give Liquid Paraffin 15ml or Isabgol 2 tsp. Do not give strong purgatives.

General Rules to be followed while prescribing to Pregnant Patients:

In early pregnancy, avoid any medications except Iron, calcium, Paracetamol and antacids.

No newly introduced drugs should be given during pregnancy. Only drugs, whose safety has been established over years, should be prescribed.

Avoid antithyroid drugs, cytotoxic drugs, anti-coagulant drugs.

In Late pregnancy, Do not give Aspirin, (bleeding tendency), Sulpha (neonatal Jaundice), Tetracyclin (stains teeth),

Chloromycetin (Grey baby syndrome), Aminoglycosides (Deafness)

Cap. Raricap

Tab Ostocalcium

Inj. T.T.1/2cc IM

Folvit 5 mg

Cap. Becozinc

Cap. Evion