Antenatal Care at Nest Hospital,Thane

Antenatal care (ANC) refers to the care provided to a pregnant woman from conception until the birth of the baby. The primary aim of antenatal care is to ensure the health and well-being of both the mother and the fetus throughout pregnancy. This care includes monitoring the pregnancy, providing medical advice, managing any complications, and preparing the mother for delivery.

By identifying and treating pregnancy-related complications, ANC lowers maternal and perinatal morbidity and mortality. In addition, by identifying women and girls who are more likely to experience complications during labor and delivery, ANC ensures that these women and girls receive the proper care. Furthermore, almost 25% of maternal fatalities and near-misses are attributable to indirect causes of maternal morbidity and mortality, such as HIV and malaria infections. Through integrated care delivery, ANC offers a significant chance to prevent and control concurrent illnesses.


Importance of Antenatal Care:

Antenatal care is vital for ensuring a healthy pregnancy, safe delivery, and a good start to life for the newborn. It plays a crucial role in reducing maternal and infant mortality rates and improving overall health outcomes for mothers and babies. Regular antenatal visits are essential for monitoring and managing potential risks, providing education and support, and preparing women for childbirth.

Antenatal Care

Antenatal Care
  1. Monitoring Maternal Health
    • Detection of Complications: Regular antenatal visits allow healthcare providers to monitor the mother's health and identify any complications, such as high blood pressure, gestational diabetes, or infections, early on.
    • Nutritional Guidance: Pregnant women receive advice on proper nutrition to support their health and the baby’s development, including the need for supplements like folic acid and iron.
    • Health Education: Women are educated about healthy practices during pregnancy, including the importance of avoiding alcohol, tobacco, and other harmful substances.

  2. Monitoring Fetal Health
    • Development Tracking: Through ultrasound and other tests, healthcare providers can track the development of the fetus, ensuring it is growing at a healthy rate.
    • Detection of Fetal Anomalies: Regular check-ups allow for the early detection of congenital anomalies or other conditions that might affect the fetus, enabling timely intervention.

  3. Preparation for Delivery
    • Birth Planning: Antenatal care helps women and their families prepare for delivery by discussing birth plans, identifying the preferred delivery method, and ensuring that the necessary arrangements are made in advance.
    • Reducing the Risk of Complications: By identifying risk factors during pregnancy, healthcare providers can plan for any special care or interventions needed during delivery, reducing the risk of complications.

  4. Promoting Mental Health
    • Support for Mental Well-being: Part of prenatal care is assessing a woman for mental health conditions like depression or anxiety, offering assistance and referrals when necessary, and assisting her in adjusting to the emotional shifts that come with pregnancy.

  5. Reducing Maternal and Infant Mortality
    • Timely Interventions: Regular antenatal visits increase the chances of timely interventions if complications arise, which can be life-saving for both the mother and the baby.
    • Vaccinations: Pregnant women receive important vaccinations, such as the tetanus toxoid vaccine, which protects both the mother and the baby from preventable diseases.

  6. Promoting Healthy Behaviors
    • Education on Safe Practices: Antenatal care provides an opportunity to educate women on safe pregnancy practices, breastfeeding, and newborn care, which can lead to better health outcomes for both mother and child.

  7. Empowering Women
    • Informed Decision-Making: Through antenatal care, women are empowered with information about their pregnancy and childbirth options, enabling them to make informed decisions about their care.

Test during Antenatal care (ANC)

Antenatal care (ANC) involves a series of checkups, tests, and assessments designed to monitor the health of the pregnant woman and the developing fetus. Regular ANC visits are crucial for identifying potential risks, managing any complications, and ensuring the overall well-being of both mother and child.

Antenatal care is crucial for ensuring a healthy pregnancy and reducing the risks of complications during childbirth. Here are some common tests and assessments conducted during ANC:

  1. Initial Blood Tests:
    • Blood Type and Rh Factor: Determines the mother’s blood type and Rh factor to anticipate any potential blood group incompatibility with the baby.

    • Complete Blood Count (CBC): Assesses overall health, including checking for anemia.

    • Infectious Diseases Screening:
      • HIV Test: To check for HIV status.
      • Syphilis Test (VDRL or RPR): To screen for syphilis.
      • Hepatitis B and C: Screening for hepatitis B and C infections.
      • Rubella Immunity: Checks if the mother is immune to rubella.

    • Blood Sugar Levels: To check for gestational diabetes, especially in high-risk pregnancies.

  2. Urine Tests:
    • Urinalysis: Detects proteins, glucose, and signs of infection, which can indicate conditions like preeclampsia or urinary tract infections.
    • Culture for Urinary Tract Infections (UTIs): Identifies any bacterial infections.

  3. Ultrasound Scans:
    • First Trimester Ultrasound: Confirms the pregnancy, estimates the gestational age, and checks for multiple pregnancies.
    • Nuchal Translucency Scan (NT Scan): Performed between 11-14 weeks to assess the risk of chromosomal abnormalities such as Down syndrome.
    • Anatomy Scan (Mid-Trimester Scan): Usually performed between 18-22 weeks to examine the baby’s development and detect any structural abnormalities.
    • Growth Scans: Additional ultrasounds to monitor the baby’s growth, especially in high-risk pregnancies.

  4. Genetic Screening Tests:
    • Non-Invasive Prenatal Testing (NIPT): A blood test to screen for chromosomal conditions like Down syndrome, Edwards syndrome, and Patau syndrome.
    • Chorionic Villus Sampling (CVS) or Amniocentesis: Invasive tests for detecting genetic conditions, usually done if there is an increased risk based on screening tests or family history.

  5. Blood Pressure Monitoring:
    • Regular checks to monitor for hypertension, which could indicate preeclampsia.

  6. Glucose Tolerance Test:
    • Typically done between 24-28 weeks to screen for gestational diabetes.

  7. Group B Streptococcus (GBS) Screening:
    • Conducted between 35-37 weeks to check for the presence of GBS bacteria, which can be passed to the baby during delivery.

  8. Fetal Heart Rate Monitoring:
    • Regularly checking the baby’s heartbeat to ensure it is within a normal range.

  9. Maternal Weight and Fundal Height Measurement:
    • Tracking the mother's weight gain and measuring the size of the uterus to monitor the baby’s growth.

  10. Kick Counts and Non-Stress Test (NST):
    • In the later stages of pregnancy, monitoring fetal movements and performing NSTs to assess the baby’s well-being.

  11. Nutritional Support:
    • Guidance on proper nutrition, including the intake of folic acid, iron, and other essential vitamins and minerals.

  12. Regular ANC visits also include discussions about nutrition, exercise, labor, delivery plans, and any other concerns or questions the mother may have.