Antenatal and Postnatal Care - Romanian Family Health Initiative ...

- Weight of each baby at delivery and Apgar scores• Current health conditions of children• Any problems with previous pregnancies or deliveries:- high blood pressure- seizures- bleeding or hemorrhage- infection- high blood sugar or diabetes- cesarean section, forceps- stillbirths and neonatal deaths- labor and birth-related data- babies born with a deformity- twinso Family-history- Any genetic diseases, malformations (on either side of the family).If so, refer client for genetic examination- Family-related diseases (high blood pressure, diabetes, obesity,psychiatric illnesses etc)Actual pregnancy history.o In case of suspected but unconfirmed pregnancy (very early pregnancy):• Ask some questions, in order to establish the possibility of a pregnancy(see Annex 2 Interview for Suspected Pregnancy)• If client answers do not confirm pregnancy,- Perform pregnancy test (5 weeks after LMP)OR- Perform physical examination (6 weeks after LMP)o In cases in which pregnancy is confirmed, inquire about:• Date of last menstrual period (LMP)• Any problems with this pregnancy:- Unusual fatigue- Prolonged nausea and vomiting- Sudden sharp continuous abdominal pains- Fever and chills- Severe continuous headache- Unusual changes in vision- Pain or burning on urination- Vaginal itching or unusual discharge- Leaking of fluid from vagina- Vaginal bleeding- Pain, redness, tenderness of calves- Swelling of face and hands- Constipation• Client’s diet:- Diet history (24 hour recall)- Appetite changes (e.g. food cravings, loss of appetite)Antenatal Care – Session 3: Client History 14