COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
key principles in midwifery model of care
1. continuity of care
2. informed choice
3. shared decision making
4. choice of birthplace
cultural awareness in prenatal care
- self awareness = know our own biases --> do NOT let them interfere w/ care
- affects women's experience
components of prenatal care
- early & cont. risk assessment
- health promotion (+ preconception visit)
- medical & psychosocial interventions
- standard documentation
- health of childbearing family thru 1st yr following birth
total prenatal visits
- 10 to 14
adequate prenatal care
= 9 visits
monthly visits
,- 4 to 28 wks
bimonthly visits
- 28 to 36 wks
wkly visits
- 36 wks to delivery
late to prenatal care
- starting care after 12 wks
1st prenatal visit
- establish rapport & relationship
- full Hx (personal, genetic, partners, family)
- menstrual Hx
- sexual Hx
- moms safety --> DV screening
- depression screening
- substance use/risk
- environmental exposures
- education on health promotion
- anticipatory guidance about fetal growth
- common discomforts
1st prenatal visit -- blood labs
- CBC
- blood type
- antibody screen
, - hep B, rubella, varicella titers
- Hgb A1c
- HIV (optional)
- syphilis (RPR/VDRL)
- sickle cell (if high risk)
- lead screening (if high risk)
1st prenatal visit -- other labs
- UA --> protein (albumin)
--> C&S is bacteria
- G/C
- pap if >21 yrs or abnormal w/in last 3 yrs
- PPD (if indicated)
1st prenatal visit documenting
- pre Pg weight
- VS
1st prenatal visit -- education
- stopping harmful substances
- seat belt use
- travel
- dental care
- employment/education plans
- exercise & activity
- hot tub use