Routine Antenatal Care
- Focused ANC Visits and referral: 1st visit: before 16 weeks of gestation, 2nd visit: from 20 to 24 weeks of gestation, 3rd visit: from 28 to 32 weeks of gestation & 4th visit: from 36 to 40 weeks of gestation, referral and follow-up should be given to pregnant women with complications.
- Early detection and diagnosis of disease/abnormality ie quick check, history taking, physical examination, laboratory investigation & decision making.
- At least 2 doses of tetanus toxoid vaccination
-Screening and management of pre-eclampsia
- Counseling on health promotion: Intermittent preventive treatment for malaria in pregnancy, insecticide-treated nets, personal hygiene, diet and nutrition, danger signs
- Prevention of mother-to-child transmission (PMTCT) of Human Immunodeficiency Virus (HIV)
- Birth and emergency preparedness: Identify place of birth, preparing essential items, identify at least two blood donors, prepare fund for transport, identify decision maker family members
Routine postnatal care
- For the mother: Promotion of healthy behaviours, danger sign recognition and family planning
- For the baby: Promotion of healthy behaviours – hygiene, warmth, breastfeeding, danger sign recognition and provision of eye prophylaxis and immunisations according to local policy
- Extra care for low birthweight babies or babies born to HIV-positive mothers and babies with other special needs.