Between weeks 20–28)
Goals
Address problems
- Take action if abnormal laboratory results
- Ensure Tetanus Toxoid (TT) vaccination
- Exclude multiple pregnancy
- Assess for signs of pregnancy-induced hypertension (PIH)
- Check foetal growth
- Exclude anaemia. If anaemic.
- Assess the degree of the patient’s risk (normal or high)
History taking
- Interval history of symptoms and/or problems, e.g., vaginal bleeding (antepartum haemorrhage [APH]), drainage of liquor
- Date of first foetal movements
Examination
- As for 1st antenatal visit, plus
- Weight: Amount and pattern of weight change
Laboratory investigations
- Same as for 1st antenatal visit
Health promotion
- Same as for 1st antenatal visit, PLUS
- Advise/discuss with patients how to recognize and promptly report any problems so that prompt treatment
may be given, e.g., vaginal bleeding (APH), draining of liquor, blurred vision, and labour pains - Discuss lab results and the need to treat the partner as necessary
- Discuss voluntary counselling and testing (VCT) in relation to HIV, IPT, and ITN as found relevant