1. ANTE-NATAL CARE Dr. Anas Al Marzouki Consultant & Associate Professor

2. RATIONALRATIONAL TO HELP MOTHER MAINTAIN WELL BEING, & ACHIEVE A HEALTHY OUTCOME FOR HERSELF & HER INFANT

3. OBJECTIVESOBJECTIVES  Pre-pregnancy counseling & early pregnancy care  Identification of high risk & low risk pregnancies  Detection & treatment maternal/or fetal abnormalities  Screening & prevention of maternal & fetal complications  Evaluation stander of ANC

4. PRE-PREGNANCY COUNSELING

5. EARLY PREGNANCY CARE  Vomiting  Nutrition  Bowel habits  Drug  Smoking  Screening for infection  Coitus

6. BOOKING VISIT  LMP........................EDD........................  Gestional age  Past obstetric, medical, & surgical  Examination  Routine tests  Advice

7. HISTORYHISTORY IDENTIFICATION OF RISK FACTORS & CATEGORIZED WHICH PATIENTS HIGH OR LOW RISK

8. EXAMINATIONEXAMINATION  General  Obstetric examination : Inspection. Palpation. Auscultation

9. ROUTINE TESTS  Blood group & Rh typing  CBC  Urinalysis  MSU  Hb Ag  Rubella  Syphilis  U/S

10. FOLLOW UP EXAMINATION  Fetal growth  FHR  BP  Weight gaining  Urine testing  Regular check up

11. SCREENING TESTS  Anemia  GDM  Antibodies  S.alpha-fetoprotein  Hb electrophoresis  Chest x ray

12. PERINATAL MORTALITY RATE

13. MATERNAL MORTALITY RATE