- Risk approach in antenatal care aims at identifying the high risk antenatal cases so as to provide specialised care, and appropriate level of care for others
- The high risk cases are:
- elderly primi (more than 30 years of age)
- short primi (less than 140 cm height)
- antepartum haemorrhage
- twin, hydramnios
- preeclampsia, eclampsia
- previous instrumental delivery, caesarean section
- previous still birth, intrauterine death, manual removal of placenta
- elderly grandmultipara
- prolonged pregnancy (more than 2 weeks post date)
- diseases complicating pregnancy – heart disease, renal disease, diabetes, liver disease, tuberculosis etc
- The high risk cases should be identified as early as possible to prevent development of complications
- Risk approach also involves utilisation of non conventional resources like – traditional birth attendants, woman’s groups, community health workers
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