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Risk Approach in Antenatal Care

• The main purpose of the antenatal care is to identifying the ‘high – risk’ cases among a large antenatal population, and at the earliest possible
• These high risk cases can be provided skilled care while the routine appropriate care is provided to all the remaining
• The ‘high – risk’ antenatal women are:
o Elderly primi (primi ≥ 30 yr.)
o Short statured primi (≤ 140 cm)
o Mal-presentations like breech, transverse lie
o Antepartum hemorrhage, threatened abortion
o Pre – eclampsia and eclampsia
o Anemia
o Twins, hydramnios
o Bad Obstetric history (previous still-birth, intrauterine death, manual removal ofplacenta)
o Elderly grand multipara
o Prolonged pregnancy (14 days after EDD)
o History of previous caesarean or instrumental delivery
o Pregnancy associated with general disease like cardiovascular disease, kidney disease, DM, TB, liver disease, malaria, convulsions, asthma, HIV, RTI, and STI etc.
o Treatment for infertility
o Three or more spontaneous consecutive abortions
• Risk approach is a managerial tool for improving MCH care
• The purpose is to provide better services for all but with special attention to those who need them the most
• This approach achieves maximum utilization of resources
• It enables unconventional human resources to be involved in providing antenatal care e.g. traditional birth attendants, community health workers etc.
• Risk approach improves both the coverage and quality of MCH care

Antenatal Care:
Components of Antenatal Care:
Prenatal Advice:
Risk Approach in Antenatal Care:
Ensuring Complete Registration of Antenatal Women in the Jurisdiction:
Specific Health Protection during Antenatal Visits;
Lecture on Antenatal Care: