SECOND ANTENATAL VISIT

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