Table 1 |
|
| Contents of antenatal care (ANC) package in icddr,b area, Matlab, Bangladesh | |
| Topics | Activities* by ANC visits (1st visit: gestation week (GW) 15–19; 2nd visit: GW 24; 3rd visit: GW 32; 4th visit: GW 36) |
| Rapport building | Establish rapport with pregnant women |
| History taking | Current and past pregnancy, history of chronic disease, contraceptive use, and family history |
| Clinical Examination | |
| Maintain infection prevention measures (all visits) | |
| General | |
| Height | |
| Weight | |
| Anemia | |
| Edema | |
| Blood pressure | |
| Abdominal | |
| Fundal height (2nd, 3rd and 4th visits) | |
| Fetal heart sound (2nd, 3rd and 4th visits) | |
| Fetal position and presentation (3rd and 4th visits) | |
| Vaginal | (restricted unless physician decides) |
| Share findings | Share the clinical findings with mother and support person |
| Ultrasound examination | |
| Identify last menstrual period date (1st visit) | |
| Fetal growth (all visits) | |
| Early diagnosis of twin (1st visit) | |
| Any congenital malformation (1st and 2nd visit) | |
| Placental position (2nd , 3rd and 4th) | |
| Amount of liquor (2nd, 3rd and 4th) | |
| Mal-presentation (3rd and 4th) | |
| Routine Investigations | |
| Urine dip-stick – albumin and sugar | |
| Routine and microscopic examination (icddr,b Hospital) | |
| Blood grouping and hemoglobin estimation (icddr,b Hospital) | |
| Immunization and drugs | |
| Immunization against tetanus | |
| Anti- helminth drug use (2nd visit) | |
| Iron and folic acid supplementation and checking | |
| Risk factor identification and management | |
| Antibiotic use for pre-mature rupture of membrane | |
| Corticosteroid treatment for women with risk or in preterm labor | |
| Induction of labor for postdated pregnancy | |
| Asymptomatic bacteriuria (icddr,b Hospital) | |
| Anti-D for Rh-negative mother | |
| Tracking | |
| Tracking of women with risk factors | |
| Counseling | |
| Diet and rest including work sharing and hygiene practice | |
| Immunization | |
| Micronutrient supplementation | |
| Birth preparedness (money, transport, pieces of cloths, delivery place) | |
| Breast feeding | |
| Preterm and/or low birth weight | |
| Immediate newborn care | |
| Danger signs of newborn and mother | |
| Documentation | Proper documentation of all services |
*The items belong to column heading ‘Activities’ are presented by font-weight indicating the changes of interventions over the study period: normal - interventions unchanged; Italic: interventions strengthened; bold and italic: new interventions added.
Pervin et al. BMC Pregnancy and Childbirth 2012 12:111 doi:10.1186/1471-2393-12-111
