Several conditions such as congenital diseases before pregnancy, lack of immunity of pregnant women to hereditary diseases can affect pregnancy. Conditions like this can be prevented so that the mother can minimize the negative influence on fetal growth and development.
The method of prevention by knowing the general health of the mother, detecting diseases that accompany pregnant women, pregnancy complications and risks related to pregnancy is antenatal care. By doing antenatal care, it is hoped that it will reduce the risk of pregnancy for the mother and the fetus.
In this article, our team will provide information on how much influence antenatal care has and how the steps are taken to achieve a healthy pregnancy until the day of delivery.
Definition of Antenatal Care
Antenatal care (ANC) is a pregnancy check provided by medical experts, both midwives and obstetricians, to mothers during pregnancy to help optimize the physical and psychological health of pregnant women so that mothers can go through a healthy pregnancy.
In addition, antenatal care can help deal with childbirth, postpartum, breastfeeding and reproductive health. Antenatal care is carried out by checking the health of the mother and fetus on a scheduled and regular basis. The active role of pregnant women is needed to determine the developments that occur, especially if abnormal developments are found.
By doing antenatal care, the danger signs can be informed of the symptoms encountered. So that prevention and treatment can help reduce negative effects on the mother and fetus.
Purpose of Antenatal Care
Changes that occur during pregnancy, both hormonal, physical and psychological, will affect the life of pregnant women. Knowledge of information about pregnancy is needed besides that you can consult with an obstetrician or midwife, this is one of the goals of antenatal care.
The purpose of other antenatal care is to help monitor pregnancy which can ensure the health of the mother and fetus as well as optimal development according to gestational age.
In addition, the aim of antenatal care is to maintain the health of the mother and fetus which includes physical, psychological and social health. By knowing the abnormalities that occur earlier, the negative effects on the fetus can be prevented and efforts are made to be born healthy. antenatal care also prepares pregnant women during the puerperium and during executive breastfeeding.
Thus, the aim of antenatal care is to help and support mothers such as their role as housewives who are obliged to take care of their children and husbands even though they are pregnant without having to feel burdened. So that the mother is more prepared and capable during pregnancy and after pregnancy.
Benefits of Antenatal Care
The benefits of antenatal care are divided into two, namely for the mother and the fetus. The benefit is of course very big in knowing the risks of pregnancy and the prevention that pregnant women must take in supporting the growth and development of the fetus.
In pregnant women, antenatal care can reduce pregnancy complications and also treat complications early that will affect pregnancy. In addition, to improve the physical and psychological health of pregnant women in facing childbirth. Even in preparation for maternal health for childbirth and breastfeeding.
As for the fetus, it is to maintain health while in the womb and reduce the risk of prematurity, underweight at birth or stillbirth.
Antenatal Care Visit
The condition of pregnant women varies so that when symptoms are found in pregnant women, you should immediately consult with an obstetrician or midwife.
Pregnant women carry out at least four examinations during the antenatal period. The first visit at 14 weeks of gestation, the second visit at 14-28 weeks of gestation. The third and fourth visits were during the third trimester of pregnancy.
The following are the objectives of antenatal care examinations for each gestational age:
1. First trimester
Examinations are carried out to determine the risk of mental harm and also prevent anemia. So that the condition of pregnant women supports continuing pregnancy in the next trimester. ( Read: Tips for Caring for Mother and First Trimester Fetus )
2. Second trimester
Information obtained from antenatal care examinations is to provide a level of mother’s awareness of several pregnancy diseases that often occur. Some of them are symptoms of preeclampsia, blood pressure or inflammation. ( Read: Tips for Caring for Mother and Second Trimester Fetus )
3. Third Trimester
Pregnant women can be checked to find out the condition of the mother and also the development of the fetus in preparation for delivery. The mental condition of pregnant women is very important to help smooth the labor process. ( Tips for Caring for Mother and Third Trimester Fetus )
Antenatal Care Services
Antenatal care services include the following steps:
1. Controlling Ideal Body Weight According to Gestational Age
The increase in body weight when young pregnant women are approximately 1 kg, while for the second and third trimesters each can provide an additional body weight of 5 kg, so at the end of gestational age, pregnant women must have a weight gain of 9-12 kg. Excessive weight gain will cause health problems as well as weight gain in pregnant women which will cause interference.
2. Measure Blood Pressure
In pregnant women, blood pressure checks are very important. Blood pressure that is high than normal conditions will have the risk of developing preeclampsia which will endanger the health of the mother and the fetus if left without consultation and treatment. Perform regular blood pressure checks to determine the health condition of pregnant women and take early prevention against preeclampsia.
3. Measuring Fundus Uterine Height
Every week experiencing growth and increasing in size. If there is an abnormal development, it can be noticed immediately. As for the age of 12 weeks the size of 1-2 fingers, while at the age of 20 weeks 3 fingers below the center. Meanwhile, at 28 weeks of gestation, the uterine fundus height is 3 fingers above the center. At week 36, the height of the 3 finger fundus is in Proc.xyphoideus. Whereas at week 40 the fundal height is in the middle of Proc.xyphoideus and
4. Giving Immunization
Microorganisms such as viruses and bacteria can attack pregnant women and interfere with fetal development and growth. Immunization can be given as an effort to maintain the immune system of pregnant women. Immunization can be consulted with a doctor so that the schedule for immunization is in accordance with the gestational age and condition of the pregnant woman.
5. Anemia Prevention
Prevention of anemia is given by giving iron tablets. Moreover, pregnant women are very susceptible to anemia. By carrying out pregnancy checks, it can be seen that the mother is at risk of developing anemia and also prevention that can be done, especially if the pregnant woman is approaching the age of delivery. Lack of blood will endanger the life of pregnant women.
6. Infectious Disease Test
It is very easy to spread the disease from pregnant women to fetuses. During pregnancy the mother has to do a series of tests related to infectious diseases such as HIV / AIDS, syphilis, gonorrhea or TORCH.