A.

NANDHINI
M.SC 1st YEAR
RVS COLLEGE OF
NURSING
 INTRODUCTION
• Pregnancy is time of many Physiologic
and Psychological changes that can
positively or negatively affect the
woman,her fetus and her family.
Misconception , Inadequate Information
and Unanswered questions about
pregnancy, birth and parenthood are
common. The ultimate goal of any
pregnancy is the birth of healthy newborn
and nurses play a major role in helping
the pregnant woman and her partner to
• Nursing management
during pregnancy
include

1. Preconception care
2. Antipartum care
3. Intrapartum care
4. Post partum care
 OBJECTIVES

The main objectives of this preconceptional

care and counselling is to ensure that a
women enters prgnancy with an optimal
level of health which would be safe for
both to herself and the fetus and also
their families.
 PRECONCEPTIONAL VISIT,RISK
ASSESSMENT AND EDUCATION
Identification of high risk factors
Base level health status
Rubella and hepatitis immunisation
Folic acid supplementation
Maternal health is optimised
preconceptionally
Fear of the incoming pregnancy
Patient with medical complications
Drugs used before pregnancy
contd...

Women should be urged to stop

smoking,taking alcohol and abusing drugs.
Inheritable genetic diseases
Couples with history of recurrent fetal loss
or with a history of congenital
abnormalities.
contd....
To discuss with the couple about the
place,time and mode of delivery and the
care of newborn.
To motivate the couple about the need of
family planning and also appropriate
advice to couple seeking MTP.
 Registration of pregnancy

Early registration of pregnancy

increases the total ANC visits made by
pregnant women during pregnancy, ensures
better utilization of ANC services and
improves maternal and foetal health.
 PICME
PREGNANCY AND INFANT COHORT
MONITORING AND EVALUATION

• PICME is system started by Tamilnadu

Government to track all pregnant women.
• This registration is available at
https://picme.tn.gov.in/.This can be done
since the conception of pregnancy until
obtaining a birth certificate for the
newborn.
• The persons registered under PICME are
provided with a 12 digit RCH ID.
 BENEFITS OF PICME UNDER RCH

Birth certificate
Amount given after PICME registration
 HISTORY COLLECTION
The history collection includes
• Vital statistics
• Complaints
• Present illness
• Present pregnancy
• Obstetric history
• Menstral history
• Past medical and surgical history
• Family history and personal history
 ANTENATAL EXAMINATION

• General examination
• Obstetrical examination
 INVESTIGATIONS
• Routine investigations includes blood and
urine and cervical cytology.
• Special investigations includes
Serological tests
Genetic screening
Ultrasound examination
 HEALTH EDUCATION
The principles of antenatal advices
• to councel the women about the
importance of regular check up.
• to maintain and improve the healthstatus
of the women to the optimum till delivery.
• to improve the psychology and remove the
unknown fear by counselling.
 COMPONENTS
• Diet
• Personal hygeine
• Rest and sleep
• Bowel habits
• Bathing and clothing
• Dental care
• Care of breasts
• Sexual hygeine
• Travel and exercises
Contd..
• Regular health check up
• Immunization
• Preparation for child birth
• Planned parenthood
• Daily fetal movement count
• Minor disorders
• Diagnosing and treating high risk
pregnancies.
 INTRAPARTUM CARE
• Intranatal care means care taken
during labour. This Consists of
taking care of not only the mother
but also the newborn at the time
of child- birth.
 Postpartum care

• The world Health Organization

(WHO) stated that postnatal care
(PNC) is defined as a care given to
the mother and her newborn baby
immediately after the birth of the
placenta and for the first 42 days of
life.
 CONCLUSION

Finally in this chapter we are discussed

about the nursing management during
pregnancy.It begins with brief discussions
about the minor disorders in pregnancy and
its management and also the stages of
pregnancy and how to promote the
wellbeing of mother and the fetus.
 BIBILIOGRAPHY

DC DUTTA’S .,A TEXT BOOK OF

OBSTETRICS.,9TH
EDITION.,PUBLISHED BY JAYPEE
BROTHERS MEDICAL PUBLISHERS(P)
LTD.,Pg NO 106-127.
CHARLES R.B. BECKMENN,FRANK
W.LING,BARBARA M. BARZANSKY.,A
TEXT BOOK OF OBSTETRICS AND
GYNECOLOGY.,PUBLISHED BY
LIPPINCOTT WILLIAMS AND WILKINS.,
6TH EDITION.,Pg NO 57-125.