Control

Prenatal
María Camila Molina Jiménez
Interna mayor UPB
 Contenido
01 02
Definición Epidemiologia

03 04
Generalidades “Motivos de consulta”
 01 ¿ Qué es?

Programa integral previo al parto, mediante

un enfoque coordinado para la atención
médica y apoyo psicosocial.
 01 Contribuye a:

 Asesoramiento preconcepcional
 Captación precoz de gestantes
 Mejorar la salud materna
 Informar cambios, promoviendo el autocuidado adecuado
 Promover el desarrollo del feto
 Identificar e intervenir tempranamente los riesgos relacionados con la gestación.
 Disminuir a morbimortalidad materno infantil
 Generar condiciones óptimas que permitan un parto seguro
 01 Objetivos

 Vigilar la evolución de la gestación a fin de identificar precozmente a la

gestante con factores de riesgo biopsicosociales, enfermedades
asociadas y propias del embarazo, para un manejo adecuado y oportuno

 Establecer un plan integral de control prenatal y atención del parto

conforme con la condición de salud de la gestante, que garantice el
manejo de acuerdo con su complejidad en los diferentes niveles de
atención del sistema de salud.
 01 Objetivos

 Ofrecer educación a la gestante, a su pareja o su acompañante, que

permita una interrelación adecuada entre los padres, las familias y su
hijo desde la gestación.
Consulta
preconcepcional
Identificación de la mujer o familia con
intención reproductiva a corto plazo,
donde se ofrece la anticoncepción
como alternativa y la toma de decisión
sobre la fecundidad es informada libre
de coacciones o violencias
 Diagnóstico
precoz
Después de la primera ausencia
de menstruación y antes de la
semana 10 de gestación
02 Epidemiología
02 Epidemiología
Factores de riesgo
 Madre > 16 años o >35 años
 Nivel socioeconomico
 HTA
 Diabetes pregestacional
 Cardiopatia
 Autoinmunidad
 Abuso de sustancias o tóxicos
 Prematuridad previa
 Obesidad
 Maltrato
02 Epidemiología
Factores de riesgo
 Aneuploidias
02 Epidemiología
Factores de riesgo
 Aneuploidias
02 Epidemiología

Mission Vision
Mercury is close to the Sun and it’s Venus has a very beautiful name and
the smallest planet in the Solar it is the second planet from the Sun
System
 03 Generalidades

 36,38 y 40 S /  Primera: 30 min  Nulipara: 10

Riesgos  Médico  Tardío: 40 min  Multipara:7
 Seguimiento: 20 min Mensual 36s
Quincenal: 40s
 Primera consulta
1. Asesorar sobre opciones
 Planeación
 Deseo
 IVE

2. Valoración integral e identificación riesgos

Anamesis
 Antecedetes personales
 Antecedentes ginecologicos
 Antecedentes obstétricos
• G_P_A/E/M
• Nacidos vivos, malformaciones congenitas, muertes perinatales, peso al nacer, semanas
• ultiples, prematuros, prolongados, vía
• Intervalo intergenesico, FUP
• Placentas previas, abruptios, RPMO, RCIU
• Infecciones, hemorragias, THP
 Primera consulta
2. Valoración integral e identificación riesgos
 Antecedetes familiares
• HTA, preclampasia, eclampsia, DM
• Autoinmunidad
• Trastoros psiquiatricos
• Congénitas
• Epilepsia
• Infecciosos

3. Gestación actual
 Edad gestacional (FUM, altura uterina, ecografia obstetrica)
 Movimientos fetales
 Síntomas infecciosos urinarios o cervico vaginales
 Cefaleas, edemas persistentes, epigastralgia
 Hemorroides
 Vomitos, vauseas
 Primera consulta
4. Valoración psicosocial
 Estructura y dinamica familiar
 Redes de apoyo social y comunitario
 Indagar o identificar situaciones de vulnerabilidad: estresores, exclusión social, pobreza, marginalidad y
manejos.
 Abuso de drogas y alcohol: intervenir terapia 5 30 min, informar riesgos  Ruta

• ¿DURANTE EL ULTIMO AÑO, ha sido humillada, menospreciada, insultada o amenazada por su pareja?
• ¿DURANTE EL ÚLTIMO AÑO, fue golpeada, bofeteada, pateada, o lastimada físicamente de otra manera?
• ¿DESDE QUE ESTÁ EN GESTACIÓN, ha sido golpeada, bofeteada, pateada, o lastimada físicamente de
alguna manera?
• ¿DURANTE EL ÚLTIMO AÑO, fue forzada a tener relaciones sexuales?
 Primera consulta
4. Valoración psicosocial
 Durante el mes pasado, ¿se ha sentido triste, deprimida o sin esperanza
con frecuencia?
 Durante el mes pasado, ¿ha permanecido preocupada por tener poco
interés o placer para hacer las cosas cotidianas?
 Una tercera pregunta se debe considerar si la mujer responde “sí” a
cualquiera de las preguntas iniciales: ¿Siente que necesita ayuda?
 Primera consulta
Examen fisico

 Por sistemas: Completo, cefalocaudal, signos vitales

 Medias antropometricas: peso, talla, altura uterina e IMC
 Metas de ganancia de peso

IMC < 20 kg/m2 = ganancia entre 12 a 18 Kg

IMC entre 20 y 24,9 kg/m2 = ganancia entre 10 a 13 Kg IMC entre 25
y 29,9 kg/m2 = ganancia entre 7 a 10 Kg
IMC > 30 kg/m2 = ganancia entre 6 a 7 Kg

Remisión urgente a plan de manejo nutricional a IMC <20 kg/m2

Tardio: IMC pregestacional
 Primera consulta
5. Valoración ginecológica y obstétrica
Examen fisico

 # Fetos, situación, presentación fetal, fetocradia y movimientos fetales

 Exmaen genital de ser necesario: sangrados, leucorreas, condiciones del cuello,
dolor anexial
 Primera consulta
EXAMENES DE LABORATORIO

Chagas (endemicas) ELISA

Urocultivo VIH rápida IgG igM Toxoplasma
s >98%

Avidez (<16s)
Hemograma Treponémica sifilsi Ecografias
IgA (>16s)

Tamizaje mensual IgM 

Hemoclasificación AgHbs Tamizaje Ca cuello uterino
IgG (-) IgM (-)

IgG en 2 semanas  IgG

Glicemia Ig IgM Rubeola
(-) / IgM (+)
A picture is worth a
thousand words
 Primera consulta
2009 2016 2022

Venus 0,06 0,38 0,38

Mars 0,11 0,53 0,38

Saturn 1,16 9,4 1,16

 Our process
1 2

Mars Saturn
Despite being red, Saturn has rings and
Mars is cold it’s a gas giant

3 4
Venus Mercury
It has a nice name but It's the closest planet
it’s very hot to the Sun
Awesome
words
Patient care

Mars Jupiter
Mars is a cold Jupiter is a very
place, not hot big planet

Venus Saturn
Venus has a very Saturn has several
nice name rings
 Areas we cover

Mars Venus Saturn

Despite being red, Venus has a very Saturn has rings and
it’s a cold place beautiful name it’s a gas giant

Mercury Neptune Jupiter

Mercury was named Neptune is far away Jupiter is a gas giant
after a god from us as well
Key accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
● Here you can list your accomplishments
 Development

1 month 3 months 7 months 9 months

Neptune Mars Jupiter Venus

Neptune is far away Mars is a very cold Jupiter is a gas giant Venus has a very nice
from us place indeed and big name
4,498,300,000
Big numbers catch your audience’s attention
 Innovations
Saturn Mars
Saturn has rings and Despite being red,
it’s a gas giant it’s a cold place

Neptune Venus
Neptune is far away Venus has a very
from us beautiful name

Jupiter Mercury
Jupiter is a gas giant Mercury was named
as well after a god
Quality improvement measures

Mars Venus Jupiter Saturn

Mars is a cold Venus has a very Jupiter is a gas Saturn has several
place, not hot nice name giant and big rings
A picture
always
reinforces the
concept
Images reveal large amounts of data, so
remember: use an image instead of a long text.
Your audience will appreciate it
Testimonials
Mars
«Mars is a cold
place, not hot»

Saturn
«Saturn has
several rings»

Venus
«Venus has a nice
name»
 Our team

Laura Albright Fred Patterson Rose Harrison

You can speak about this You can speak about this You can speak about this
person here person here person here
 Awards

Neptune Venus
Neptune is far away Venus has a very nice
from us name
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