ANTENATAL CARE

(ANTEPARTUM CARE, PRENATAL

CARE)
PENTINGNYA ANTENATAL CARE
TUJUAN ANTENATAL CARE
1. MENGURANGI KOMPLIKASI
ANTENATAL
2. MEMPERTAHANKAN KESEHATAN
FISIK DAN MENTAL IBU
3. SUPAYA PERSALINAN
BERLANGSUNG AMAN
4. SUPAYA IBU SEHAT POSTPARTUM
5. SUPAYA IBU DAPAT MEMENUHI
KEBUTUHAN JANIN
. MENGURANGI PREMATURITAS,
STILL BIRTH DAN KEMATIAN
NEONATAL
!. KESEHATAN BAYI OPTIMAL
ISTILAH "
PRIMIGRA#IDA MULTIGRA#IDA
PRIMIPARA MULTIPARA
NULLIGRA#IDA NULLIPARA
GRA#IDA
PARTURIENT PUERPERA
PEMERIKSAAN ORANG HAMIL
$ANAMNESA
$PEMERIKSAAN FISIK
TUJUAN "
1. MENGETAHUI STATUS KESEHATAN IBU
DAN ANAK
2. MENENTUKAN UMUR KEHAMILAN
3. MEMBUAT REN CANA PERA%ATAN
OBSTETRIK
PEMERIKSAAN OBSTETRIK
$PEMERIKSAAN LABORATORIUM
DIET ORANG HAMIL
RECOMMENDED DAILY ALLO%ANCES
NUTRIENT NON PREGNANT PREGNANT LACTATING
KILOCALORIES 22&& 25&& 25&&
PROTEIN (G) 55 & 5
#IT A ('G RE) (&& (&& 13&&
#IT D ('G) 1& 1& 12
#IT E (MG TE) ( 1& 12
#IT K ('G) 55 5 5
#IT C (MG) & !& )5
FOLATE ('G) 1(& 4&& 2(&
NIACIN (MG) 15 1! 2&
RIBOFLA#IN (MG) 1,3 1, 1,(
THIAMIN (MG) 1,1 1,5 1,
PYRIDO*INE B (MG) 1, 2,2 2,1
COBALAMINE B12 ('G) 2,& 2.2 2.
CALCIUM (MG) 12&& 12&& 12&&
PHOSPHORUS (MG) 12&& 12&& 12&&
IODINE ('G) 15& 1!5 2&&
IRON (MG OF FERROUS IRON) 15 3& 15
MAGNESIUM (MG) 2(& 32& 355
+INC (MG) 12 15 1)
GENERAL HYGIENE "
E*ERCISE
EMPLOYMENT SE#ERE PHYSICAL STRAIN
TRA#EL AIRCRAFT RESTRICTION
BATHING $ CARE OF THE BREAST
DOUCHE CONTRAINDICATED
CLOTHING NO HIGH HEELS
BO%EL HABITS
COITUS
CARE OF THE TEETH
IMMUNI+ATION
RECOMMENDATION FOR IMMUNI+ATION
DURING PREGNANCY
LI#E #IRUS #ACCINE "
MEASLES (RUBEOLA) CONTRAINDICATED
MUMPS (PAROTITIS ) CONTRAINDICATED
POLIOMYELITIS $ NOT ROUTINE
RUBELLA CONTRAINDICATED
YELLO% FE#ER TRA#EL TO HIGH$RISK AREA
INACTI#E #IRUS #ACCINE "
INFLUEN+A SERIOUS UNDERLYING DISEASE
RABIES , NON PREGNANT
HEPATITIS B AT HIGH RISK
INACTI#ATED BACTERIAL #ACCINE "
CHOLERA INTERNATIONAL TRA#EL
RE-UIREMENT
PNEUMOCCOCUS , NON PREGNANT
TYPHOID TRA#EL TO ENDEMIC AREAS
TO*OIDS "
TETANUS .DIPHTHERIA , NON PREGNANT
HYPERIMMUNE GLOBULINS "
HEPATITIS B " POST E*POSURE PROPHYLA*IS
RABIES " POST E*POSURE PROPHYLA*IS
TETANUS " POST E*POSURE PROPHYLA*IS
#ARICELLA " POST E*POSURE PROPHYLA*IS ()
H)
POOLED IMMUNE SERUM GLOBULINS
HEPATITIS A POST E*POSURE PROPHYLA*IS
MEASLES POST E*POSURE PROPHYLA*IS
ALCOHOL ABSTAIN
CAFFEINE REDUCED
ILLICIT DRUGS BANNED
MEDICATIONS CAUTIOUS
COMMON COMPLAIN "
NAUSEA AND #OMITTING
BACKACHE
#ARICOSITIES
HEMORRHOIDS
HEARTBURN
PICA
PTYALISM
FATIGUE
HEADACHE
LEUKORRHEA
PEMERIKSAAN ANTENATAL RUTIN
MENURUT
AMERICAN COLLEGE OF OBSTETRICS /
GYNECOLOGY
%AKTU PEMERIKSAAN
PERMULAAN H0 ATAU HEMATOKRIT
(SEDINI MUNGKIN) URINALYSIS
GOL DARAH / R1
ANTIBODY SCREEN
RUBELLA ANTIBODY
TITER
SYPHILLIS SCREEN
CER#ICAL CYTOLOGY
HEPATITIS B SCREEN
( . 1( USG
AMNIOCENTESIS
CHORIONIC #ILLI
SAMPLING
1 . 1( MATERNAL SERUM
ALPHAFETOPROTEIN
2 . 2( DIABETES SCREENING
H0 2 HEMATOCRIT
2( ANTIBODY TEST FOR R1
PROPHYLACTIC ADMINIS$
TRATION OF R13 (D)
IMMUNOGLOBIN
32 . 3 USG
TESTING FOR STD
H0 2 HEMATOCRIT
NASEHAT "
DIET, RELA*ATION, SLEEP, BO%EL HABIT,
E*ERCISE, BATHING, CLOTHING, RECREATION,
SE*UAL INTERCOURSE, SMOKING, DRUGS,
ALCOHOL, FOLLO% UP #ISIT.
RETURN #ISITS "
TIAP 4 MINGGU SAMPAI KEHAMILAN 2( MG.
TIAP 2 MINGGU SAMPAI KEHAMILAN 3 MG.
TIAP 1 MINGGU SAMPAI LAHIR.
TANDA BAHAYA "
$ PERDARAHAN #AGINAL
$ BENGKAK MUKA ATAU JARI
$ NYERI KEPALA BERAT ATAU
LAMA
$ PENGLIHATAN KABUR
$ MUNTAH TERUS2 AN
$ DEMAM
$ NYERI %AKTU KENCING
$ KELUAR CAIRAN BANYAK DARI
#AGINA
$ GERAK ANAK BERTAMBAH ATAU
HILANG
PROGNOSIS