PREGNANCY

DATA

Personal details

Age

Name

Education Level

Occupation

Address

Marital status

Height & Weight

Blood pressure

History of previous delivery

Year

Gender of baby

Length

Mode of delivery

Weight of infants at birth (kg)

Complication

Location of births & personal

Types of feeding and duration

Condition

Abortion history

Partner details

Husband's/Partner's name

Occupation

Address

Phone number

Present Pregnancy

Calculate of gravida and Para

Calculate gestation age

12 weeks

Menstrual history

Menses duration

Contraception history

Practice

Types

Duration

Lifestyle

Smoker

Alcoholic

Medical history

Diabetes mellitus

Allergy

Asthma

TB

Thalassemia

Heart Disease

Hypertension,Rheumatic heart

Immunization status

Tetanus Toxoid

Rubella vaccination

DIAGNOSTIC TEST

Urine Test

Glucose

Urine Pregnancy Test

Positive (two lines)

Fetal Heart Rate

Doppler @ >12 weeks

Pinard's @ 24 weeks

Blood Test

Vaginal Examination / Pap Smear

Lower abdomen ultrasound

Pelvic signs

Goodell's

Hegar's

Chadwick's

Ballottement

HEALTH EDUCATION

Nutrition in pregnancy

Iron supplements

Maturation of both RBC and WBC in bone
marrow

Folic acid

Vitamin D

Help in maintain absorption

Calcium

Maintain maternal bone mass

Growth and repair cells

Self care

Shoes

Firm/ low heels

Correct size

Posture

Good posture

Standing

Sitting

Lifting

Getting out of bed

Bath/Shower

Daily shower

No crossing leg

Warm shower/ Warm water

Not more than 38c

Clothing

Garments

Avoid restrictive

Loose clothes

Panties

Panties liner

Cotton type

Brassiers

Appropriate size

Supportive , no sagging

Broad straps

Avoid bubble bath or bath
oil

Use soft and unscented
tissue

Side lying position

Personal hygiene

Wash hand after urination

Perineal care

Wipe perineal from front to back

Breast care

Clean nipple with warm water

Avoid soap

Rest & sleep

Adequate rest

8 hours sleep

Regular nap

Sleeping position

Elevate leg

Fetal Movement Chart

10 movements / 12 hours

Parent craft

Educate the mother

Changing the pampers

Infants bathing

Bottle feeding

CHECK UP

Week 4~28: 1 visit/ month

Week 28~ 35: 1 visit/ 2 weeks

Week 36 & above: 1 visit/ week