The registration process performed to identify and register a pregnant woman so that she can proceed to the antenatal care consultation.

Gathering basic information and available identifiers to enable determination of patient identity

Issue a unique identifier is used and possible at the facility. Review and update client record.

A routine antenatal care contact to counsel and provide antenatal care services to a pregnant woman.

Confirm the woman is pregnant using a urine dipstick test or by a blood test.

Health worker assesses woman to see whether there are any danger signs that warrant in-facility management or referral, or if possible, to proceed with the routine ANC contact.

If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.

Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment.

Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment.

Health worker orders or follows up on required laboratory tests and ultrasound, as necessary. Health worker informs woman of all tests ordered and explains why.

Based on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility.

If there are any diagnoses requiring referral or services that cannot be provided at the facility, health worker refers pregnant woman based on findings during counselling.

If a referral is not required, health worker schedules follow-up contact.

An antenatal care referral to provide timely and appropriate referrals to a higher-level facility or health-care provider.

The process followed to provide routine health promotion and follow-up within the community.

The process followed to compile and submit relevant data contributing to indicators and other reporting needs on a routine basis.

Configuration settings for decision logic and indicators that may vary by setting

The activity of gathering information about the end of a pregnancy and closing an antenatal care record.