al neelain university f aculty of medicine semester (7) primary health care course

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Al Neelain University F aculty of Medicine Semester (7) Primary Health Care Course. Antenatal care The F ocused A ntenatal Care Approach (FANC). Dr.Abeer Abuzeid Atta Elmannan. Session outlines. The maternity Cycle. Objectives of Antenatal care. - PowerPoint PPT Presentation


Antenatal care

Al Neelain University Faculty of Medicine Semester (7)Primary Health Care Course

Antenatal careThe Focused Antenatal Care Approach (FANC).

Dr.Abeer Abuzeid Atta Elmannan Session outlines The maternity Cycle.Objectives of Antenatal care.Traditional approach versus FANC approach.Concepts and principles of FANC.The schedule, objectives and procedures covered in FANC visits .The Safe Motherhood Initiative.The Mother-Baby Package.

The stages in maternity cycle Fertilization : Takes place in outer part of fallopian tube.Antenatal or prenatal period : Care during pregnancyovum: 0-14 daysEmbryo: 14 days-9 weeks Fetus: 9the week to birth Intranatal period : Care during or at the time of birth.Post-natal period :Care of the mother (and the newborn) immediately after birth and extending for about 6 weeks (Puerperium ).Interconceptional period :care of a woman during her reproductive years, between pregnancies.3Antenatal care The primary aim is to achieve at the end of a pregnancy a healthy mother and a healthy baby.Ideally it should begin soon after conception, and continue throughout pregnancy. Visits should be;- Once a month during the first 7 months - Twice a month during the next month.- Once a week thereafter if everything is normal.

Objectives of antenatal careTo promote, protect, and maintain the health of the mother during pregnancy.To detect high risk To foresee complications and prevent them .To remove anxiety associated with delivery.To reduce maternal and infant mortality.To teach the mother. To sensitize the mother to the need for family planning. To pay attention to the under fives accompanying the mother. The Traditional antenatal care servicesDeveloped in the early 1900s. This model assumes that frequent visits and classifying pregnant women into low and high risk is the best way to care for the mother and the fetus. The traditional approach was replaced by focused antenatal care (FANC).Focused antenatal care FANC : concepts and principlesIt is a goal-oriented antenatal care approach, which was recommended by researchers in 2001 and adopted by the World Health Organization (WHO) in 2002Focused antenatal care: FANC FANC aims to promote the health of mothers and their babies through targeted assessments of pregnant women.FANC split pregnant women into those eligible to receive routine ANC (the basic component) and those who need specialised care .FANC emphasises targeted and individualised care planning and birth planning. FANC makes the pregnant woman, with her husband and the family, participatory. A pregnant woman has four antenatal visits.

FANC aims to facilitate: Identification and treatment of already established diseaseEarly detection of complicationsProphylaxis and treatment for diorders.

FANC also aims to give holistic individualised care to each woman through timely guidance and advice on:

Birth preparedness .Nutrition, immunization, personal hygiene and family planningCounselling on danger symptoms .

Basic principles of focused antenatal care Antenatal care service providers make a thorough evaluation of the pregnant woman.They administer prophylaxis as indicated.With the mother, they decide on where to have the follow-up antenatal visits.Provided that quality of care is given much emphasis the majority of pregnancies progress without complication.No pregnancy is labelled as risk-free till proved otherwise. Pregnant women and their husbands are seen as risk identifiers and they are also collaborators with the health service.Advantages of FANCeffective in terms of reducing maternal and perinatal mortality (deaths) and morbidity (disease, disorder or disability). FANC is the best approach for resource-limited countriesFailings of the traditional approach to antenatal careThe traditional approach to antenatal care is unable to identify accurately women who are at risk of developing any of life-threatening conditions. It identifies some women as being low risk who subsequently develop danger symptoms that need urgent professional intervention.Basic differences between traditional and focused antenatal careCharacteristicsTraditional antenatal care Focused antenatal care Number of visits 1618 regardless of risk status4 for women categorised in the basic component .Approach Vertical: only pregnancy issues are addressed by health providersIntegrated with other services; e.g counselling on danger symptoms, HIV testing, malaria prevention, nutrition, vaccination, etc.Assumption Assumes that the more the number of visits, the better the outcomesAssumes all pregnancies are potentially at risk. Targeted and individualised visits help to detect problemsUse of risk indicatorsRelies on routine risk indicators, such as maternal height


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