Antenatal intranatal and post natal services

1. ANTENATAL
INTRANATAL AND POST
NATAL SERVICES

2. Antenatal/Prenatal Care
 Protecting and promoting the health of
pregnant mother.
 Providing maximum possible care to
pregnant mother.
 Identifying high risk mothers and treating
them.
 Ensuring safe delivery and birth of healthy
child.
 Preparing the pregnant mother
physically and mentally for the delivery.

3. Reducing the maternal mortality rate
and infant mortaliity rate.
Educating the mother about,
motherhood and taking care of the
newborn baby and herself.
Informing the mother about the family
planning and medical termination of
pregnancy.

4. Where it is provided?
ANTE NATAL CLINICS,PRENATAL
CLINICS,PHC’SCHC’S,
HOSPITAL’S AND MATERNITY
HEALTH CENTTRES

5. Activities of Prenatal Clinic
Collection of Facts
Antenatal Examination
Identifying the High-Risk Women
andTreating them
Prenatal Counselling.
immunizations and Health Protection .
Mentally, Preparing the Mother for
Pregnancy and Motivating Her for
Family Planning

6. Functions of Community Health Nurse in
Antenatal Clinic
 Selection of place for clinic.
 Fixing clinic days.
 Ensuring presence of specialists and helping
them.
 Contacting pregnant mothers
andmotivating them for consultations
atclinics.
 Preparing antenatal cards.
 Taking history and conducting
generalexaminations. (Testing Hb. and
urine,taking weight etc.)

7. Contd…
 ldentifying the high-risk group andcounselling them
accordingly.
 Assisting the specialist in obstetnc examination and conducting
the examination in her absence, referring the patient to
specialist in case of complications.
 Educating about food, child care or motherhood, family
planning andvaccination.
 Visiting homes.
 Guiding female health workers in prenalal clinics and
supervising them.
 Maintaining the records.
 Informing the pregnant mother about days and timings of

8. HEALTH TEACHING DURING PREGNANCY
 • Hygiene
 • Breast care
 • Dental care
 • Dressing
 • Travel
 • Sexual activity
 • Exercises
 • Contra indications
 • Sleep
 • Hazards

9. MINOR AILMENTS OF ANTENATAL PERIOD
Nausea and vomiting
Heartburn
Back ache
Urinary frequency
Varicosities

10. DANGER SIGNS DURING ANTENATAL PERIOD
 • Vaginal bleeding including spotting
 • Persistant abdominal pain
 • Severe and persistant vomiting
 • Sudden gush of fluid from vagina
 • Absence or decrease in fetal movement
 • Severe headache
 • Edema of hands,face,legs and feet
 • Fever above 100 f
 • Dizziness blurred vision diplopia
 • Painful urination

11. INTRANATAL CARE
Aims
 Maximum possible care to motherduring
delivery.
 Minimum harm to mother and child.
 Prevention ofcomplications likely fo arise
during delivery, as hemorrhage,
malpresentation,
 Neonatal care can be provided immediately
after birth. This include care of respiration,
resuscitation. taking care of cord and
checkup of eyes etc.

12. Responsibilities of Community Health Nurse
 Maintenance of delivery room forinstitutional delivery.
 Preparing for emergencies.
 Maintaining highest Standards ofcleanliness and asepsis
during delivery.
 Providing appropriate care during the allthree (first, second
and third) stges ofdelivery.
 Keeping in mind waming or alert signalscomplications and
situations requiringhelp from specialist.
 Preparing for neonatal care.
 Providing mental support to mother during delivery.
 Keeping delivery kit ready for home delivery.
 Acquiring services of specialists as and when required or
referring the high risk mother from rural areas to referral
units.

13. POST NATAL CARE
Aims
Taking care of mother and reestablishing
the optimum health ,as early as possible.
Protecting the mother from complications
during postnatal period.
Encouraging the breast feeding at the
earliest and taking care of the breasts.
Providing health education to mother and
family.
Providing family planning services.

14. Puerperal Care
Checking of Vital Signs
Measuring Fundal Height
Check Lochia
Perineal Care

15. POSTNATAL CARE HEALTH EDUCATION
Care of Breast
Care of Bladder and Bowel
Ambulation
Postnatal Advise
Diet
Postnatal exercises
Breast feeding

16. FAMILY PLANNING
Responsibilities of community Health Nurse
in Postnatal care
Prevention against complications
Post natal examination
Providing basic health education
Preparing mother for breast-feeding
Family planning
Postnatal home visit

17. NEONATAL CARE
EARLY NEONATAL CARE:
OBJECTIVES:
1. Estabilish & maintainance of cardio-
respiratory functions
2. Maintainance of body temperature
3. Avoidance of infection
4. Estabilish of satisfactory feeding
regimen
5. Early detection and treatment of
congenital and acquired disorders

18. IMMEDIATE CARE
clearing the airway:
apgar score
care of the cord
care of the eyes
Care of the skin
maintainance of body temperature
braest feeding