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Antenatal OPD

General

Every Monday to Saturday from 1.30 pm to 4.00 pm.
OPD Registration paper issued from 1.30 pm to3.00 pm.

OPD Registration paper

Respective unit

New/old registration paper

If old then date stamp


NEW REGISTRATION FIRST VISIT

OPD Registration paper

Room No. 1: weight, urine albumin

Room No. 12: pre test counseling

Room No. 4: Blood sample collection for: Blood Group with Rh typing, Hemoglobin, VDRL, HIV, if advised ICT

History in hall:
    • Age, married since, marital status.
    • Chief complaints menstrual history LMP/EDD
    • Medical surgical history
    • Family history, history of previous hospitalization
    • History of hospitalization in present in present pregnancy,history of blood transfusion,
    • Immunization history.
    • Obstetric History of previous pregnancy and abortion in chronological order.
    • Duration of pregnancy.
    • Labour-spontaneous/induced
    • Duration of labor
    • Mode of delivery and outcome-live/stillborn.
    • If operative –indication, type of anesthesia/place of previous operation.
    • Birthweight and sex
    • Present health of child
    • Ante/intra/postpartum complication.
    • Abortion details
      1. Period of gestation
      2. Spontaneous/induced
      3. Medical/surgical
      4. Place
    • Contraception usage.
    • Categorisation of high risk in present pregnancy.
High risk pregnancy stamp if required.

General Examination: Temperature, pulse, blood pressure, pallor, oedema, cyanosis, icterus, thyroid.

Systemic Examination: cardiovascular system, respiratory system, central nervous system, others.

Prescription

Symptomatic treatment given

Investigation advised

Investigation forms given

Advice given

Next follow up date given

Breast feeding counseling done

Contraceptive counseling done

Eligibility for Janani suraksha yojana


FIRST VISIT TO ANTENATAL OPD
ADDITIONAL THINGS TO CHECK

FIRST TRIMESTER

USG-dating scan

Folic acid supplements.

SECOND TRIMESTER

Immunisation status

Malformation scan

Blood sugars

Hematinics and calcium supplements.

THIRD TRIMESTER

Malformation scan

Blood sugars

Immunization status

Pelvic adequacy: 36 weeks or later, in eligible patients


Provided pregnancy continues without complication patient to be seen

Every month till 28 weeks
Every fortnightly till 36 weeks
Then weekly until delivery.

SUBSEQUENT ANC VISIT

Check date and stamp

Room 1

Weight

Urine albumin

Tracing previous reports

Injection tetanus toxoid

Room 12 –tracing HIV reports and post test counseling

Waiting Hall

History

High/low risk: high risk pregnancy label if missed

Weeks of gestation by dates/scan

Vital parameters

Tracing reports

Any fresh complaints, encircling abnormal findings

Examination: Room No. 7, 8, 9, 10, or inner room No. 4

Investigation forms, advice given

Confirmation of whether patient is taking medication correctly

Appointment for follow up visit