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  • Antepartal Period: By: Mark Vincent C. Maranan, RN

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    The antepartal period involves assessing and monitoring the pregnancy. Key steps include estimating gestational age using fundal height, last menstrual period, and fetal size. Pregnancy is classified by gravida (number of pregnancies), parity (number of births), and other outcomes. The fetus grows approximately 5 cm per month and 115 grams per week in the second half of pregnancy. Physiologic changes in pregnancy include changes to the uterus, vagina, skin, breasts and other signs. Prenatal visits occur monthly until 28 weeks and biweekly until delivery to monitor the pregnancy.

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    ANTEPARTAL Assessment

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    The antepartal period involves assessing and monitoring the pregnancy. Key steps include estimating gestational age using fundal height, last menstrual period, and fetal size. Pregnancy is classified by gravida (number of pregnancies), parity (number of births), and other outcomes. The fetus grows approximately 5 cm per month and 115 grams per week in the second half of pregnancy. Physiologic changes in pregnancy include changes to the uterus, vagina, skin, breasts and other signs. Prenatal visits occur monthly until 28 weeks and biweekly until delivery to monitor the pregnancy.

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    51 views24 pages

    Antepartal Period: By: Mark Vincent C. Maranan, RN

    Uploaded by

    markyboi
    The antepartal period involves assessing and monitoring the pregnancy. Key steps include estimating gestational age using fundal height, last menstrual period, and fetal size. Pregnancy is classified by gravida (number of pregnancies), parity (number of births), and other outcomes. The fetus grows approximately 5 cm per month and 115 grams per week in the second half of pregnancy. Physiologic changes in pregnancy include changes to the uterus, vagina, skin, breasts and other signs. Prenatal visits occur monthly until 28 weeks and biweekly until delivery to monitor the pregnancy.

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    of 24

    ANTEPARTAL

    PERIOD
    by: Mark Vincent C. Maranan,RN
    Antepartal Assessment
    • Estimation of duration of
    pregnancy/ fetal height &
    weight
    • OB Classifications
    • Fetal length/weight
    determination
    • Physiologic changes in
    pregnancy
    • Signs of pregnancy
    • Prenatal visit
    AOG Determination

    • McDonald’s Rule

    – Fundic ht (cm)=AOG (wks)


    – Fundic ht (cm) / 4= AOG (mos)
    AOG Determination
    • Bartholomew’s Rule

    – milestone measurements:
    symphysis pubis
    umbilicus
    xiphoid process
    EDC / EDD / EDB

    • Nagele’s Rule

    – minus 3 mos & add


    7 days to LMP
    Fetal Length / Weight
    • Haase’s Rule
    – Month x 5 = length
    (cm)

    • Johnson’s Rule
    – Fundic ht – n x 115=
    gm
    (12 engaged)
    (11 not engaged)
    OB Classifications
    • Gravida -total no. of pregnancies
    • Para -# of babies born
    • Full term -#of babies born > 37 wks
    • Preterm -# of babies born bet. 20-37 wks
    • Abortion -pregnancies ending before 20 wks
    TPAL: Assessing Parity

    • An acronym, TPAL:
    • T= term birth(s)
    • P= preterm birth(s)
    • A= abortion(s) / miscarriage(s)
    • L= living children
    GTPAL : Assessing Gravidity
    • An acronym, GTPAL / GFAL:
    • G = gravidity
    • T = full term birth(s)
    • P = pre-term birth(s)
    • A = abortion(s)
    • L = living children
    Physiologic Changes
    • Uterus
    – Hegar’s sign
    – Goodel’s sign
    – operculum
    • Vagina
    – Chadwick’s sign
    – Leukorrhea
    – Change of pH
    • Abdominal wall
    – Striae gravidarum
    • Skin
    – Linea nigra
    – Chloasma
    • Breasts
    • Ovaries
    Signs of Pregnancy
    1st trimester 2nd trimester

    Amenorrhea Quickening
    Morning sickness Striae gravidarum
    Breast changes Increased skin
    Urinary frequency pigmentation
    PRESUMPTIVE Enlarging uterus

    Chadwick’s sign Enlarged abdomen


    Hegar’s sign Braxton Hick’s
    Goodel’s sign contraction
    Positive hCG Ballotement
    Prenatal Visit
    • Visits every 4 weeks
    up to 28 weeks
    gestation (during the
    1st & 2nd trimesters).
    • 29-36 weeks visits
    are scheduled q2
    weeks.
    • 37-40 weeks
    gestation visits are q
    week.
    Pelvic Examination
    Leopold’s Maneuver
    •end
    Diagnostic Tests
    • Blood studies (CBC, UA,
    blood typing)
    • Ultrasound
    • Amniocentesis
    • Percutaneous umbilical
    blood sampling
    • Chorionic villi sampling
    • BPS
    BPS Scoring (Fetal Apgar)
    • Fetal breathing
    • Fetal movement
    • Fetal tone
    • Amniotic fluid
    volume
    • Placental grade
    • Fetal heart
    reactivity

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