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Age of Gestation
Number of pregnancies: gravida/parity
History of previous deliveries: full/pre-term, abortion, living
including the type and place of delivery, date and sex of baby
3. Antepartal Supervision
Name of health center/clinic, hospital or private physician
Date of first pre-natal check-up
Frequency of next visit to the clinic
Medications dose and frequency
Routine laboratory examination requested (e.g. urinalysis, CBC,
VDRL test)
4. Health instructions during pregnancy
Proper diet and nutrition
Personal hygiene
Rest and sleep
Activity and exercise
Initial and Periodic Health Appraisal
First Trimester
Perform general appraisal to determine changes in pregnancy and
detect early signs of illness
1. Weight
2. Height
3. Blood pressure
4. Temperature
5. Pallor/anemia conjunctiva, mouth, palms of her hands
6. Abdomen presence of scars, fundic height, perform leopolds
maneuver
7. Edema or varicosities
8. Vaginal infections
Second Trimester
Same with the first trimesters general appraisal
Auscultate the fetal heart tone (normal range 120-160 bpm)
Assessment and Preparation for delivery
1. Plan for delivery (home/lying-in/hospital)
2. Preparation of articles for care of the post partum and the new
born
3. Preparation of the family members for the incoming of the baby
Third Trimester
Same with the first and second trimester
Recognition of signs of false and true labor pains
Knowledge of the mechanism of labor
Final preparations for delivery
1. Home Delivery
- Preparation of place and supplies necessary in the
management of home delivery
- Provision of a birth attendant who will perform safe and clean
delivery
- Instructions on when to call for assistance for delivery
2. Hospital Delivery/Lying-in Clinic
- Definite hospital/lying-in clinic to go and its policies for
admission
- Things to prepare for confinement
Dental Care
The mother should practice good oral hygiene by regular toothbrushing
with fluoride toothpaste and using dental floss to remove food deposits in
between teeth. Visiting the dentist during the second trimester of pregnancy
is the safest and most stable period for necessary dental treatment. Invasive
treatment however, such as tooth extraction, root canal therapy and other
surgical procedures should be delayed and done after birth.
CLEAN AND SAFE OBSTETRIC DELIVERY
All births attendants must have the knowledge, skills, facilities and supplies
to perform clean and safe delivery and to provide postpartum care to mother
and newborn. They must ensure to implement the 3 CLEANS during delivery.
How to Implement the 3 Cleans during Delivery
Clean Hands
Wash your hands with soap and water thoroughly as frequently as
necessary.
Use sterile gloves
Clean Delivery Surface
The delivery area must be kept clean.
A clean lining which can easily be replaced when soiled is necessary.
Clean Cutting and Care of the Cord
Sterile instruments must be used
Cord dressing must be done aseptically
If the mother is to deliver at home, the cleanest part of house that is wellventilated and provides privacy should be prepared, as well as a clean mat,
clean blanket, pillow and other things for home delivery.
Things to Prepare for Home Delivery
For the Mother:
2 sterile forceps/1 scissors
Sterile gloves