OB 2

Perinatal care

Aka prenatal or antenatal care

Care provided from conception to onset of labor

Organogenesis

Period when baby’s organ are forming

As soon as pregnancy is suspected

First visit

Every 4 weeks

Through 28 weeks

Weekly visits

37 weeks until delivery

Demographic data

Age, address, religion etc

Helps understand social context and potential risk factors

Chief concerns

LMP, early pregnancy signs, discomfort

Family profile

Past medical history

Lifestyle assessment

Alcohol consumption, smoking habits, work conditions

Reproductive history

Previous pregnancy, surgery, sexual history

Gravida

Total number of pregnancy

Para

Number of pregnancy reaching viability

Term

Full term delivery

preterm

premature deliveries

abortion

pregnancies ending before 20 weeks

living

currently living children

multiple

multiple gestation

mcdonald’s rule: fundal height assessment

estimates gestational age using relationship between uterine and pregnancy progression

bartholomew’s rule: anatomical landmarks

uses the position of uterine fundus

leopold’s manuever: the hands-on assessment

performed at 32 weeks and beyond

fundal grip

identify whether fetal head/buttocks occupy fundus

umbilical grip

to locate the fetal back and extremities

pawlik’s grip

assess what fetal parts is in the pelvic inlet

pelvic grip

determine fetal attitude and degree of flexion

Haase’s rule: fetal length estimation

estimates for fetal length in cm

Johnson’s rule

estimates fetal weigh in grams

fetal heart rate

audible with doppler ultrasound at 10-12 weeks

funic souffle

from blood in umbilical artery

uterine souffle

blood in uterine vessels

teratogens

harmful substances that damages the developing fetus

streptomycin/quinine

cause 8th crania nerve damage

tetracycline

tooth enamel staining and inhibited bone growth

thalidomide

cause limb defects

alcohol/smoking/caffeine/cocaine

associated with low birth weight and fetal alcohol syndrome

first trimester

ambivalence, fears, fantasy, anxiety

focuses on herself and physical changes

second trimester

tranquil period

becomes more interested in developing fetus

third trimester

anticipation of labor and delivery