ANTENATAL CARE

BY :
AFIF ZHAFIR ZIDANE (P21331119002)
ANGGUN GITA PERTIWI (P21331119011)
DHEMARA NURSALIM B. (P21331119021)
GITA MUTIARA SANTIKA (P21331119030)

D4-2A GIZI
Antenatal care
Throughout your pregnancy you will have regular check-ups, either at an
antenatal clinic or with your own doctor. This is to make sure that both
you and the baby are fit and well, to check that the baby is developing
properly and as far as possible, to prevent anything going wrong, either
during your pregnancy or when you go into labour. These check-ups also
give you a chance to get answer to the question and worries that are
bound to crop up at difference stages of your pregnancy. Where you go
for your antenatal care depends on where you are going to have your
baby.

Pemeriksaan kehamilan
Selama kehamilan anda, anda akan memiliki pemeriksaan rutin, baik
di klinik kebidanan atau dengan dokter anda sendiri. Ini untuk
memastikan bahwa anda dan bayi anda sehat dan baik, untuk
memastikan bahwa bayi berkembang dengan baik dan sejauh
mungkin, untuk mencegah hal yang salah, baik selama kehamilan
anda, atau ketika anda pergi bekerja. Pemeriksaan ini juga
memberikan anda kesempatan untuk mendapatkan jawaban atas
pertanyaan dan kekhawatiran yang terikat ketika muncul perbedaan
tahap-tahap kehamilan anda. Di mana anda pergi untuk pemeriksaan
kehamilan tergantung pada di mana anda akan memiliki bayi anda.
If you are going to have your baby in hospital, then you
will go either to an antenatal clinic at the hospital or to
your own doctor for most of your check-ups and in
between to the hospital antenatal clinic. This is could
"shared care", your antenatal care being shared by the
hospital and your doctor.

Jika anda akan memiliki bayi di rumah sakit, maka anda akan pergi ke sebuah
klinik kehamilan yang ada di rumah sakit atau ke dokter anda sendiri untuk
pemeriksaan dan di antara ke rumah sakit klinik antenatal. Hal ini bisa "berbagi
kebaikan", Saat perjalanan menuju rumah sakit untuk pemeriksaan kehamilan.
If you are going to have you baby and a GP unit, or at home, than you
will probably go to your own doctor and midwife for all your
antenatal care. To book in for antenatal care, your first step is to see
your doctor. If you are then referred to a hospital, you can book for
your antenatal care at the same time as you book your bed for
delivery. Remember that if you are working you have the right to paid
time at work, without losing pay, to attend for antenatal care.

Jika anda akan memiliki bayi anda dan GP unit, atau di rumah, lalu mungkin
anda akan pergi ke dokter anda sendiri dan bidan untuk pemeriksaan
kehamilan. Untuk melakukan pemeriksaan kehamilan, langkah pertama
adalah temui dokter anda. Jika anda kemudian dirujuk ke rumah sakit, anda
dapat melakukan pemeriksaan kehamilan pada waktu yang sama seperti yang
anda memesan tempat tidur melahirkan. Ingat bahwa jika anda bekerja, anda
memiliki hak untuk dibayar waktu pada saat bekerja, tanpa kehilangan
pembayaran, untuk menghadiri untuk pemeriksaan kehamilan.
The first visit
Most women go to their antenatal clinic for the first time
around the 8th to 12th week of pregnancy. The earlier you go
the better. If there is anything wrong, however slight, then its
best to find out early so that the problem can be dealt with.
The clinic can also keep much better check on, for example,
chances in your blood pressure, if the first test is done early
in your pregnancy. Your first visit to the clinic is likely to be
your contest. Clinics vary, but this is usually, what happens.

Kunjungan pertama
Kebanyakan wanita pergi ke klinik kehamilan untuk pertama
kalinya sekitar 8 sampai 12 minggu kehamilannya. Semakin
cepat anda pergi semakin lebih baik. Jika ada sesuatu yang
salah, walau sedikit, maka yanh terbaik untuk mencari tahu
lebih awal sehingga masalah dapat ditangani. Klinik ini juga
dapat melakukan pemeriksaan jauh lebih baik, misalnya,
memeriksa tekanan darah anda, tes pertama dilakukan di awal
kehamilan anda. Kunjungan pertama anda ke klinik
kemungkinan untuk memastikan anda. Klinik bervariasi, tetapi
ini biasanya, apa yang terjadi.
You will be asked a lot of questions – about you health
about any illnesses or operations you have had about
any previous pregnancies and about your family – for
example, whether there are twin in the family or any
inherited illnesses. You will also be asked for the date
of the first day of your last monthly priode, so the
doctor or midwife can work out when your baby will
be due. Others questions will probably cover your job
and your partner’s job, and what sort of
accommodation you live in. this is to find out whether
there is anything about your circumstances that might
make pregnancy more difficult for you.
Anda akan ditanya banyak pertanyaan - tentang
kesehatan Anda tentang penyakit atau operasi yang
pernah Anda alami tentang kehamilan sebelumnya
dan tentang keluarga Anda - misalnya, apakah ada
saudara kembar dalam keluarga atau penyakit
bawaan apa pun. Anda juga akan ditanyai tanggal
hari pertama priode bulanan terakhir Anda,
sehingga dokter atau bidan dapat menentukan
kapan bayi Anda akan lahir. Pertanyaan lain
mungkin akan membahas pekerjaan Anda dan
pekerjaan pasangan Anda, dan akomodasi seperti
apa yang Anda tinggali. Ini untuk mengetahui
apakah ada sesuatu tentang keadaan Anda yang
mungkin membuat kehamilan lebih sulit bagi Anda
 You will probably want to ask a lot of questions
yourself – about antenatal care, about the
hospital, about your pregnancy. You may also
want to say something about what you hope for
in pregnancy and at the birth. Tell the midwife
anything that you feel is important. Write down in
your advance the know

Anda mungkin ingin mengajukan banyak pertanyaan sendiri - tentang perawatan

antenatal, tentang rumah sakit, tentang kehamilan Anda. Anda mungkin juga ingin
mengatakan sesuatu tentang apa yang Anda harapkan dalam kehamilan dan saat
kelahiran. Beri tahu bidan apa pun yang menurut Anda penting. Tulis di muka Anda
yang tahu
You will be weighed. From now on your
weight gain will be checked regularly.
Your height will also be measured
because it is some guide to whether
you can expect a normal delivery.
Anda akan ditimbang. Mulai sekarang
kenaikan berat badan Anda akan
diperiksa secara teratur. Tinggi badan
Anda juga akan diukur karena ini adalah
panduan untuk mengetahui apakah
Anda dapat mengharapkan pengiriman
normal.
You will be asked to give a sample of urine. This will be tested for
a number of things including sugar, pregnant women may have
sugar in their urine from time to time, but if it is found repeatedly,
you will be chacked for diabetes. Diabetes has to be very carefully
controlled in pregnancy. Protein this is check, among other things,
that your kidneys are coping with the demands of pregnancy. Any
infection which would need to be treated. Your urine will be
checked at every antenatal visit after this.

Anda akan diminta untuk memberikan sampel urin. Ini akan diuji
untuk beberapa hal termasuk gula, wanita hamil mungkin
memiliki gula dalam urin mereka dari waktu ke waktu, tetapi jika
ditemukan berulang kali, Anda akan kedinginan karena diabetes.
Diabetes harus dikontrol dengan sangat hati-hati dalam
kehamilan. Protein ini adalah cek, antara lain, bahwa ginjal Anda
mengatasi tuntutan kehamilan. Infeksi apa pun yang perlu diobati.
Urin Anda akan diperiksa pada setiap kunjungan antenatal setelah
ini.
Your blood pressure will be taken. This too will be checked at
every visit from now on. If your blood pressure goes up a lot
later in pregnancy, it can endanger the baby, but regular blood
pressure checks mean that it can be detected early and kept
under control. If you are not told the result when your blood
pressure is checked, always ask.

Tekanan darah Anda akan diambil. Ini juga akan diperiksa pada setiap
kunjungan mulai sekarang. Jika tekanan darah Anda naik jauh di akhir
kehamilan, itu dapat membahayakan bayi, tetapi pemeriksaan
tekanan darah secara teratur berarti bahwa ia dapat dideteksi lebih
awal dan tetap terkendali. Jika Anda tidak diberi tahu hasilnya ketika
tekanan darah Anda diperiksa, selalu tanyakan.
If you or your partner have ever had herpes, let your
doctor or midwife know. This is important because
herpes can cause meningitis in a baby. To avoid this,
women with an inactive infection in the last three
weeks of pregnancy usually have a Caesarean
delivery.

Jika Anda atau pasangan Anda pernah menderita

herpes, beri tahu dokter atau bidan. Ini penting karena
herpes dapat menyebabkan meningitis pada bayi.
Untuk menghindari hal ini, wanita dengan infeksi tidak
aktif dalam tiga minggu terakhir kehamilan biasanya
melahirkan secara caesar.
A cervical smear test will probably be done although it may be
left until your postnatal check-up. The purpose of the test is to
detect early changes in the cervix, which could later lead to
cancer. The test is a bit uncomfortable but not plainful. By sliding
a plastic or metal instrument called a speculum into the vagina,
the doctor can look at the cervix.

Tes apusan serviks mungkin akan dilakukan meskipun

mungkin dibiarkan sampai pemeriksaan pascanatal. Tujuan
dari tes ini adalah untuk mendeteksi perubahan awal pada
serviks, yang nantinya dapat menyebabkan kanker. Tes ini
agak tidak nyaman tetapi tidak jelas. Dengan menggeser
instrumen plastik atau logam yang disebut spekulum ke
dalam vagina, dokter dapat melihat serviks.
Later visits
Later antenatal visits are usually shorter. Your weight, urine and blood pressure will be
checked. Your abdomen will be felt to check your baby’s position and growth. And the
doctor of midwife will listen to your baby’s heartbeat. You’ll be able to listen to the
heart yourself as your pregnancy goes on. You can also ask any questions that you
have or talk about anything that is worrying you. Talking is much a part of antenatal
care as all the test and examinations. At first you will probably go to the antenatal
clinic just once month. Then in the last two or three months of your pregnancy, you
will be asked to go more often. If you cannot keep an antenatal appointment, let your
doctor or clinic know, and arrange another date.

Kunjungan Berikutnya
Kunjungan pemeriksaan kehamilan berikutnya biasanya lebih pendek. Berat badan
anda, urin, dan tekanan darah akan diperiksa. Perut anda akan terasa untuk memeriksa
posisi dan pertumbuhan bayi. Dan dokter bidan akan mendengarkan detak jantung
bayi anda. Anda dapat mendengarkan jantung anda seiring berjalannya kehamilan
anda. Anda juga dapat menanyakan pertanyaan pertanyaan yang anda punya atau
anda bicarakan tentang apapun yang anda khawatirkan. Pembicaraan merupakan
bagian dari pemeriksaan kehamilan sebagai seluruh test dan pemeriksaan. Pada
awalnya anda mungkin datang ke antenatal klinik sebulan sekali. Lalu dalam 2-3 bulan
kehamilan, anda akan diminta untuk datang lebih sering. Jika anda tidak dapat menjaga
janji temu pemeriksaan kehamilan, biarkan dokter atau pihak klinik tahu, dan mengatur
tanggal lain.
Who’s who in antenatal care
The obstetrician
If you are having a baby in hospital, you will be under the care of a
consultant obstetrician, a doctor who specializes in looking after pregnant
women and their babies. The consultant heads the team of doctors,
midwives and health visitors who will look after you through your pregnancy.
At your first visit to antenatal clinic, you will probably meet either your
consultant or one of the doctors working with the consultant. If you specially
want to see youe consultant at any time, speak to the sister in charge of the
antenatal care.

Siapa yang ada di pemeriksaan kehamilan

Dokter kandungan
jika anda melahirkan bayi di rumah sakit, anda akan ada di bawah penanganan
konsultan obsterician, seorang dokter yang ahli dalam menangani wanita hamil
dan bayinya. Konsultan mengepalai tim dokter, bidan, dan tenaga kesehatan
yang akan merawat anda anda melalui masa kehamilan anda. Pada awal
kunjungan anda ke antenatal klinik, anda mungkin akan bertemu antara
konsultan anda atau salah satu dokter yang bekerja dengan konsultan. Jika
anda benar-benar ingin bertemu konsultan anda pada waktu tertentu, katakan
pada perawat yang berjaga di pemeriksaan kehamilan.
The Midwife
Midwives either work in hospitals or in the community. They are nurses with special training
in delivering and caring for mothers and babies. If you go to hospital antenatal clinic, you’ll
probably see a hospital midwife at every visit, sometimes seeing a doctor as well. A midwife
will also look after you during labor and, if your delivery is normal, will deliver your baby.
You – and your baby – will be looked after by midwives and nurses working on the hospital’s
postnatal wards until you go home. You will probably also meet student midwives. They are
usually qualified nurses and work with fully trained midwives. A community midwife will
probably get to know you before your baby is born and then visit you at home from the time
you leave hospital until ten days after the birth. Community midwives are also somtimes
attached to GP’s practices and often share in giving you antenatal care. They are also
involved in GP unit deliveries and are responsible for home delivery.
Bidan
Bidan bekerja di rumah sakit atau di tengah masyarakat. Mereka adalah perawat dengan
pelatihan khusus dalam memberikan dan merawat ibu dan bayi. Jika anda pergi ke klinik
kehamilan, anda mungkin akan bertemu seorang bidan rumah sakit di setiap kunjungan,
terkadang anda juga bertemu dokter seperti biasa. Seorang bidan juga akan menjaga anda
selama persalinan dan jika persalinan anda normal, anda akan melahirkan bayi anda. Anda
dan bayi anda akan dirawat oleh bidan dan perawat yang ada di bangsal pasca kelahiran
sampai anda pulang ke rumah. Anda mungkin akan bertemu bidan siswa. Mereka biasanya
perawat berkualitas dan bekerja dengan penuh pelatihan bidan. Sebuah bidan masyarakat
akan mungkin mengenali anda sebelum bayi anda lahir dan kemudian mengunjungi anda ke
rumah dari waktu anda meninggalkan rumah sakit sampai sepuluh hari setelah kelahiran.
Komunitas bidan juga terkadang terikat dengan praktek dokter umum dan sering berbagi
dalam memberikanmu pemeriksaan kehamilan. Mereka juga terlibat dalam kesatuan dokter
umum persalinan dan bertanggung jawab atas persalinan di rumah.
General Practitioner
Most women go to their own GP for at last some of their some
antenatal care. You wil be given the same sort of routine checks, and if
you need to have tests that involve hospital equipment, your GP will
refer you to hospital for them.

Dokter umum
Kebanyakan wanita pergi ke dokter umum mereka pada saat terakhir dari
beberapa pemeriksaan kehamilan mereka. Anda akan diberikan jenis
pemeriksaan rutin yang sama, dan jika anda perlu pemeriksaan yang
melibatkan peralatan rumah sakit, dokter umum anda akan mengarahkan anda
untuk ke rumah sakit untuk pemeriksaan tersebut.
The Health Visitor
The health visitors are nurses who have had extra training in caring
for people in the community – the old as well as the young. A health
visitor may be attached to your GP’s practice. If so, you will probably
see her if you go to your GP for antenatal care. Certainly a health
visitor will look after you and your baby from about ten days after the
birth onwards. She will visit you at home, and you will also be able to
see her at your local child health clinic.

Pengunjung kesehatan
Pengunjung kesehatan ialah perawat yang memiliki pelatihan lebih dalam
merawat orang dalam masyarakat – orang tua maupun anak muda. Seorang
pengunjung kesehatan mungkin terikat pada praktek dokter umum anda. Jika
begitu, anda mungkin akan bertemu dengannya dari sepuluh hari setelah
kelahiran kedepan. Dia akan mengunjungimu di rumah, dan anda dapat bertemu
dengannya klinik kesehatan anak setempat.
 SUMMARY OF THE TEXT

Throughout the pregnancy, it’s really important to regularly have check-ups either at an antenatal care or
with your own doctor. These check ups give you a chance to get answers from questions and worries
about the pregnancy. Where you go for your antenatal care depends on where you are going to have your
baby, either at at a hospital or a GP’s unit. At first visit, you will asked for anything that is important for
you and your baby’s health, such as a lot of questions about your health, weight, and many more, even
the date of the first day of your last monthly period. You also will be asked to give a sample of urine to
find out whether there is sugar or not in your body. For later visits, your visits are usually shorter. Your
abdomen will be checked to find out your baby’s position and growth. There are many health workers as
you are going to have your check up, such as the obstetritician, the midwife, general practitioner, and the
health visitor
QUESTIONS OF THE TEXT

1. Who’s who in antenatal care?

2. Why do we have to be asked to give a sample of urine?
3. When does the health visitor visit your house?
4. When the time of the week do the women go to the pregnancy clinic to do the
examination for the first time?
5. Why when checking pregnancy will be asked about the work of the spouse, and
what kind of place you live?
 SUMMARY OF THE VIDEO

prenatal care includes a series of office visit spanning the pregnancy to postpartum also performed are
investigations throughout the goal of this care is to minimize mordibity and mortality for both mother and
fetus and maximize chance of a safe delivery understanding your patient's medical history is very
important as medical conditions can affect health of the pregnant women and fetus conversely
QUESTIONS OF THE VIDEO

1. Why is it important to understand the medical history of pregnant women?Why do

we have to be asked to give a sample of urine?
2. During the period of pregnancy, usually pregnant women have a blood test, what
usually can be known from a blood test?
3. What is the goal of antenatal care?
4. What would we know from the ultrasound test?
5. What does the obstetrician or the midwife do at one last visit?
Thank you