Table 1.
Focused antenatal care model Tanzania (checklist)
| Focused antenatal care | ||||
| Checklist | ||||
| Parameter | First visit (< 16 weeks) | Second visit 20–24 weeks | Third visit 28–32 weeks | Fourth visit (36 weeks) |
| 1. Registration |  |
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| 2. History taking | ||||
| Personal history | |
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| Family history | |
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| Social history | |
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| Past medical/surgical history | |
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| History of complaints in current pregnancy | |
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| 3. Examination | ||||
| Head to toe (whole body) | |
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| Pallor | |
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| Oedema (other than ankle-specify) | |
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| Breast | |
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| Lungs and heart | |
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| 4. Observation and clinical investigation | ||||
| Temperature | |
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| Pulse | |
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| Blood pressure | |
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| Weight | |
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| 5. Obstetric complications | ||||
| Fundal height | |
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| Foetal presentation and engagement | |
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| Foetal heart sound | |
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| 6. Pelvic (vaginal) examination | ||||
| Soft tissue assessment | |
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| Bony pelvic assessment | |
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| 7. Laboratory investigations | ||||
| Blood: | ||||
| Haemoglobin | |
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| Grouping and rhesus factor | |
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| RPR | |
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| HIV testing | |
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| Urine: | ||||
| Protein, sugar, acetone | |
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| 8. Drug administration and immunization | ||||
| Iron | |
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| Folic acid | |
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| Antimalarials (Fansidar 3 tablets) | |
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| Tetanus toxoid | |
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| 9. Client Education and counselling (for the couple) | ||||
| Process of pregnancy and its complications | |
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| Diet and nutrition | |
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| Rest and exercise in pregnancy | |
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| Personal hygiene | |
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| Danger signs in pregnancy | |
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| Use of drugs in pregnancy | |
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| Effects of STI/HIV/AIDS | |
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| Voluntary counselling and testing for HIV | |
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| Care of breasts and breast feeding | |
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| Symptoms/signs of labour | |
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| Plans of delivery (emergency preparedness, place of delivery, transportation, financial arrangements) | |
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| Plans for postpartum care | |
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| Family planning | |
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| Harmful habits (e.g. smoking, drug abuse, alcoholism) | |
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| Schedule of return visit | |
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