A.

The Focused model of ANC

As WHO (2015) recommended, there are interventions at each ANC visit
based on four-visit model as applied in focused ANC.
Table I. The four-visit outlined in WHO clinical guidelines

Source : WHO, 2015

 There are standards points that should be done in ANC based on Depkes
policy (2007).These points should be done in the first assessment of ANC:
1. Documentation of patients identity
2. Documentation of patients current obstetric status
3. Documentation of patients obstetric history
4. Documentation of patients contraception history
5. Physical and laboratory diagnostic examination
6. Obstetric examination
7. Toxoid tetanus immunization
8. Supplementation of Fe tablet and folat, calsium, vitamins, and necessary
other minerals (as indication)
9. Advision and counseling
Beside that, there are standards point that should be done on the following
assessment of ANC (after the first assessment):
1. Detect the pregnancy complication
2. Labor preparation
3. Detect the maternal and fetal emergency
4. Physical examination
5. Giving the counseling
6. The activity that should be done include the history checking for the
problem; general, obstetrical, and laboratory examination; TT
immunization if needed; giving the routine medicine; and education and
counseling.

B. ANC Schedule
The assesment should be initiated as soon as possible. In Depkes policy
(2007), the minimum requirement for ANC visitation schedules are four
visits. The first visitation is in the trimester gestation, the second is in the
second trimester gestation, and the third and fourth should be done in the
third trimester gestation (in 28-36 weeks gestation and 36-weeks older
 gestation). It should be noted that if there are some other emergency signs
such as bleeding, overly nausea, inactivity of fetus, and so on, patient should
immediately check their pregnancy.

There are minimal standard on Antenatal Care, which include the 7Ts:
1. (Timbang) berat badan (measure the body weight)
2. Ukur (Tekanan) darah (measure the blood pressure)
3. Ukur (Tinggi) fundus uteri (measure the fundus height)
4. Pemberian imunisasi (tetanus toxoid) (Tetanus toxoid immunization)
5. Pemberian tablet besi, minimal 90 tablet selama kehamilan (Giving the
ferrous tablet, minimum 90 tablets in pregnant period)
6. Tes terhadap penyakit menular seksual (Sexual transmitted diseases test)
7. Temu wicara dalam rangka persiapan rujukan (Meeting in mother referral
preparation)
(Saifuddin, 2002)

Source :

Depkes. 2007. Pedoman Pelayanan Antenatal.

http://perpustakaan.depkes.go.id:8180/bitstream/123456789/768/4/BK2007-
G59.pdf. Accessed in May 2017.
WHO. 2015. Opportunities for Africas Newborns.
www.who.int/pmnch/media/publications/aonsectionIII_2.pdf. Accessed in May
2017.
Saifuddin. 2002. Pelayanan Kesehatan Maternal dan Neonatal. Jakarta: Sagung
Seto. (kayanya ini kelamaan dah)