Table 13.1 summarises the basic differences between the traditional and focused antenatal care approaches.
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Table 13.1 Basic differences between traditional and focused antenatal care.
|Characteristics||Traditional antenatal care||Focused antenatal care|
|Number of visits||16–18 regardless of risk status||4 for women categorised in the basic component (as described later in this study session)|
|Approach||Vertical: only pregnancy issues are addressed by health providers||Integrated with PMTCT of HIV, counselling on danger symptoms, risk of substance use, HIV testing, malaria prevention, nutrition, vaccination, etc.|
|Assumption||More frequent visits for all and categorising into high/low risk helps to detect problems. Assumes that the more the number of visits, the better the outcomes||Assumes all pregnancies are potentially 'at risk'. Targeted and individualised visits help to detect problems|
|Use of risk indicators||Relies on routine risk indicators, such as maternal height <150 cm, weight <50 kg, leg oedema, malpresentations before 36 weeks, etc.||Does not rely on routine risk indicators. Assumes that risks to the mother and fetus will be identified in due course|
|Prepares the family||To be solely dependent on health service providers||Shared responsibility for complication readiness and birth preparedness|
|Communication||One-way communication (health education) with pregnant women only||Two-way communication (counselling) with pregnant women and their husbands|
|Cost and time||Incurs much cost and time to the pregnant women and health service providers, because this approach is not selective||Less costly and more time efficient. Since majority of pregnancies progress smoothly, very few need frequent visits and referral|
|Implication||Opens room for ignorance by the health service provider and by the family in those not labelled 'at risk', and makes the family unaware and reluctant when complications occur||Alerts health service providers and family in all pregnancies for potential complications which may occur at any time|
Last modified: Sunday, 13 July 2014, 8:43 PM