However, global, regional and comparable country reported data are only available for the previous recommendation which was a minimum of four visits. Currently available data indicate that women receive at least 4 antenatal care visits. Globally, while 86 per cent of pregnant women access antenatal care with a skilled health personnel at least once, only two in three 65 per cent receive at least four antenatal visits. In regions with the highest rates of maternal mortality, such as sub-Saharan Africa and South Asia, even fewer women received at least four antenatal visits 52 per cent and 49 per cent, respectively. In viewing the data, it is important to remember that these percentages bear no reflection on either the skill level of the health-care provider or the quality of care, both of which can influence whether such care actually succeeds in bringing about improved maternal and newborn health. Antenatal care can help women prepare for delivery and understand warning signs during pregnancy and childbirth.

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Live virus vaccines: Rubella, Measles, Mumps, Vericella, Yellow fever contraindicated Rabies, hepatitis A vaccines given at non pregnant state. If already taken within last 3 yrs, booster at 36 wks. Folic acid- 5 mg during 1st trimester Femg Fe and ca started at 13 wks continued for 3 months after pregnancy.

Exercise should be simple. Walking is ideal, but long period of walking should be avoided. The pregnant woman should avoid lifting heavy weights such as: mattresses, furniture, as it may lead to abortion. She should avoid long period of standing because it predisposes her to varicose vein. She should avoid setting with legs crossed because it will impede circulation To develop a good posture.

To develop good breathing habits, ensure good oxygen supply to the fetus. To prevent circulatory stasis in lower extremities, promote circulation, lessen the possibility of venous thrombosis Guide lines for exercises during pregnancy Maintain adequate fluid intake.

Warm up slowly, use stretching exercises but avoid over stretching to prevent injury to ligaments. Avoid jerking or bouncing exercises. Exercises on regular basis three times per week. After first trimester, avoid exercises that require supine position.


Antenatal Care

General principles[ 1 ] Keeping women informed Care should be centred on the pregnant woman; the aim should be to keep her fully informed on the progress of her pregnancy and to provide her with evidence-based information and support to make informed decisions. At first contact with a health professional, she should be given: Information on where antenatal care will be offered and by whom, including choice of providers where available and information about antenatal screening. Information about folic acid supplementation. Lifestyle advice including: Food hygiene and safe eating in pregnancy. Smoking cessation.


Antenatal Advices and Minor Disorders of Pregnancy

By focusing on a positive pregnancy experience, these new guidelines seek to ensure not only a healthy pregnancy for mother and baby, but also an effective transition to positive labour and childbirth and ultimately to a positive experience of motherhood. In , an estimated women died from pregnancy-related causes , 2. An important feature of these guidelines is their comprehensiveness. Not only do they provide recommendations on standard maternal and foetal assessments, but also on nutrition during pregnancy, on prevention and treatment of physiological problems commonly experienced during pregnancy e. The guidelines also include recommendations on counselling and supporting women who may be experiencing intimate partner violence.

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