Question

A patient comes into the clinic for her first prenatal visit at 18 weeks' gestation. After explaining the prenatal visit schedule, the patient states, "I don't see any need to come back until I go into labor. What do I need to do in details?

Answer 1

18 weeks of gestation means a 5" and 5oz weighing fetus.According to WHO there should be a monthly visit till 28 weeks then fortnight visit from 28th to 36th week and there after a weekly visit till 40th week.

It is the period for screening the maternal status (anthropometric measurement, pelvic examination, blood test for any infectious diseases with blood grouping,periodic antenatal scan to assess any congenital abnormalities in the fetus,folic acid supplements to be initiated to prevent neural tube defects, EDD,diet,exercise,Tetanus toxoid vaccination ,etc.), and the fetal status(gestational age, weight,detecting any abnormalities, position, lie etc.,)

All this are necessary for a healthy delivery of the baby.When there is no antenatal visits,the chances to assess the mother and fetus,the cases like still birth,miscarriage ,maternal HTN,Gestational diabetes, congenital abnormality are failed to be detected in early stage and diagnosed and prevent any complications during Labour.

All this can be taught to her as a health education and created awareness and ensure and prepare her for a safe delivery.