Table 1 Focused antenatal care model Tanzania (checklist)
Focused antenatal care | ||||
|---|---|---|---|---|
Checklist | ||||
Parameter | First visit (< 16 weeks) | Second visit 20–24 weeks | Third visit 28–32 weeks | Fourth visit (36 weeks) |
1. Registration |
| |||
2. History taking | ||||
Personal history |
| |||
Family history |
| |||
Social history |
| |||
Past medical/surgical history |
| |||
History of complaints in current pregnancy |
|
|
|
|
3. Examination | ||||
Head to toe (whole body) |
|
|
|
|
Pallor |
|
|
|
|
Oedema (other than ankle-specify) |
|
|
|
|
Breast |
|
| ||
Lungs and heart |
|
| ||
4. Observation and clinical investigation | ||||
Temperature |
| |||
Pulse |
| |||
Blood pressure |
|
|
|
|
Weight |
|
|
|
|
5. Obstetric complications | ||||
Fundal height |
|
|
|
|
Foetal presentation and engagement |
|
| ||
Foetal heart sound |
|
|
| |
6. Pelvic (vaginal) examination | ||||
Soft tissue assessment |
|
| ||
Bony pelvic assessment |
| |||
7. Laboratory investigations | ||||
Blood: | ||||
Haemoglobin |
|
|
|
|
Grouping and rhesus factor |
| |||
RPR |
| |||
HIV testing |
| |||
Urine: | ||||
Protein, sugar, acetone |
|
|
|
|
8. Drug administration and immunization | ||||
Iron |
|
|
|
|
Folic acid |
|
|
|
|
Antimalarials (Fansidar 3 tablets) |
|
| ||
Tetanus toxoid |
|
|
| |
9. Client Education and counselling (for the couple) | ||||
Process of pregnancy and its complications |
|
|
|
|
Diet and nutrition |
|
|
|
|
Rest and exercise in pregnancy |
|
|
|
|
Personal hygiene |
| |||
Danger signs in pregnancy |
|
|
|
|
Use of drugs in pregnancy |
|
|
|
|
Effects of STI/HIV/AIDS |
|
|
|
|
Voluntary counselling and testing for HIV |
| |||
Care of breasts and breast feeding |
|
| ||
Symptoms/signs of labour |
|
| ||
Plans of delivery (emergency preparedness, place of delivery, transportation, financial arrangements) |
|
|
|
|
Plans for postpartum care |
|
| ||
Family planning |
|
| ||
Harmful habits (e.g. smoking, drug abuse, alcoholism) |
|
|
|
|
Schedule of return visit |
|
|
|
|
