GOAL ORIENTED ANTENATAL CARE PROTOCOL

  • Goals for ANC vary depending on the timing of the visit/ duration of pregnancy
  • In normal (uncomplicated) pregnancies, aim for at least 4 routine visits as follows:
    ANTENATAL VISIT WEEK OF PREGNANCY
    1st ≤20
    2nd 20–28
    3rd 28–36
    4th >36
  • If a woman comes for first ANC later than the 1st trimester, combine and attend to the preceding goals
  • At all visits: Address identified problems, check blood pressure, and measure the symphysio-fundal height (SFH) and foetal heart activity
  • Encourage the woman to bring her partner or a family member to at least one visit
  • Check for HIV sero-status; test if not tested or repeat test if the last test was over 3 months ago
  • Encourage couple testing and disclosure with good counselling
  • For all HIV sero-positive pregnant women, ensure that the mother is counselled and started on ART for life
    (Option B+)