Pregnancy Check || Antenatal Care

Summary

In this video, Yulia Setiapuasari, a midwifery student, conducts a comprehensive antenatal check-up on a pregnant woman. The process includes a detailed physical examination, vital signs assessment, and various checks such as hair, skin, eyes, nose, mouth, neck, and extremities. The examination also covers breast health, fetal heart rate, and measurements of uterine growth. Additionally, vulvar hygiene and a series of reflex and muscle checks are performed. All results are within normal limits, concluding with the mother's well-being and gratitude for the thorough care.

Takeaways

• 😀 The antenatal care session begins with a greeting and an inquiry about any complaints, especially regarding religious duties.
• 😀 The physical examination is conducted thoroughly, from head to toe, including a genital check to detect any abnormalities in the pregnancy.
• 😀 Standard medical tools like a thermometer, stethoscope, blood pressure cuff, Doppler device, and reflex hammer are used during the examination.
• 😀 The patient's height and weight are measured, and vital signs such as temperature, blood pressure (118/80 mmHg), pulse (80 bpm), and respiratory rate (20 breaths/min) are checked.
• 😀 A thorough check of the patient's hair, eyes, nose, mouth, and ears is performed to ensure there are no health concerns.
• 😀 The patient’s neck is checked for any enlarged glands or thyroid issues, and her hands and nails are inspected for any abnormalities.
• 😀 The armpits are checked for any lumps or swelling, and the breasts are examined for lumps, hyperpigmentation, or discharge.
• 😀 The height of the uterine fundus is measured to assess fetal position, and the fetal heart rate (144 bpm) is checked using a Doppler device.
• 😀 The legs are examined for any swelling or edema, and varicose veins are checked in both legs and ankles.
• 😀 A vulva hygiene examination is performed, ensuring no unusual discharge, and the skene and Bartholin glands, as well as the anal area, are checked for any abnormalities.
• 😀 The examination concludes with a review of the results, confirming that all findings are within normal limits and the patient is doing well.

Q & A

What is the purpose of the antenatal care checkup performed in the script?

The purpose of the antenatal care checkup is to assess the health of the pregnant mother and her baby, perform physical examinations, check vital signs, and ensure everything is progressing normally during the pregnancy.

What are the main areas of examination during the physical checkup?

The main areas of examination include measuring the mother's height and weight, checking vital signs (temperature, blood pressure, pulse, and breathing rate), conducting a physical assessment of the head, eyes, nose, mouth, ears, neck, arms, hands, breasts, and vulva hygiene, as well as assessing the fetal heart rate, fundal height, and checking for swelling or varicose veins.

Why is it important to measure the fetal heart rate during the checkup?

Measuring the fetal heart rate is important to ensure the baby is healthy and not in distress. A normal fetal heart rate can indicate that the baby is well and developing properly.

How is the measurement of the uterine fundus done, and why is it important?

The uterine fundus is measured by palpating the mother's abdomen to determine the position and size of the uterus. This helps assess the baby's position, growth, and whether the fetus has entered the pelvis.

What does the examination of the breasts involve, and why is it done?

The breast examination involves checking for lumps, hyperpigmentation of the areola, and the condition of the nipples (checking if they are protruding and whether there is any discharge). This is done to ensure there are no signs of abnormal conditions, such as mastitis or other breast-related issues.

What is the significance of measuring the mother's vital signs like blood pressure, pulse, and temperature?

Measuring vital signs like blood pressure, pulse, and temperature is crucial for monitoring the mother's overall health. High blood pressure, irregular pulse, or abnormal temperature can indicate potential complications during pregnancy, such as preeclampsia or infection.

What does the examination of the vulva and perineum involve?

The vulva and perineum examination involves cleaning the area and checking for any discharge, swelling, or signs of infection. It also includes checking for the health of the Bartholin and Skene glands, which can indicate any issues such as cysts or infection.

What was the mother's response when asked about the frequency of washing her hair?

The mother responded that she washes her hair three times a week. The examiner also checked if her hair was clean and whether it was falling out.

Why is checking for edema and varicose veins important during the checkup?

Checking for edema and varicose veins is important because excessive swelling or varicose veins can indicate underlying health issues such as poor circulation, gestational hypertension, or preeclampsia. These checks help ensure the mother's well-being during pregnancy.

What steps were taken to maintain hygiene during the examination?

To maintain hygiene, the examiner used gloves and cleaned the tools with a chlorine solution. The vulva hygiene was performed carefully using cotton swabs, and all equipment was sanitized after use to prevent contamination.