By sumanOn

By the end of this exercise, the participant will be able to understand about counselling antenatal complication, Micro birth Planning and Complication Readiness.

  • Promotion of institutional delivery
  • Birth preparedness and complication readiness
  • Recognizing danger signals and signs of labor
  • Diet, Rest, Family planning
  • Care of new born
  • Early Initiation and exclusive breast feeding
  • Janani Suraksha Yojana (JSY & JSSK)

Points to remember during antenatal Examination:

Maintaining respect and privacy;

  • Create a peaceful and quiet environment.
  • Make the woman feel comfortable and relaxed.
  • Ensure confidentiality.
  • Develop rapport.
  • Record all data on the MCP card.
  • Address unusual results

What are the signs and symptoms of complications?

  • Fever
  • Jaundice
  • Consistent vomiting with dehydration
  • Palpitations, tiredness
  • Breathlessness at rest / on mild exertion
  • Generalized swelling of body / puffiness on the face
  • Severe headache and/or blurring of vision
  • Passing less urine or burning micturition
  • Leaking or bleeding per vagina
  • Abnormal vaginal discharge / itching

Major Indications for referral to Higher Centre

If the mother is having any Previous history of:

  • Stillbirth or neonatal loss
  • Three or more spontaneous consecutive abortions
  • Obstructed labour
  • Preterm births
  • Twins or multiple pregnancy
  • Baby weight of 2.5 Kg or greater than 4 Kg
  • Hypertension, pre-eclampsia, or eclampsia
  • LSCS
  • Diabetes in previous pregnancy
  • Congenital illness anomaly of the baby
  • Medical treatment for infertility

Major Indications for referral to Higher Centre in current pregnancy

  • Rapid or difficult breathing/breathlessness at rest
  • Body temperature greater than 38°C
  • Jaundice
  • Haemoglobin 7-11 g% even after 30 days of using IFA tablets
  • Severe Anaemia (Hb 7 g%)
  • Excessive vomiting, inability to take anything orally
  • Low urinary output with high BP
  • High BP (>140/90 mmHg) with or without proteins in the urine
  • Multiple pregnancies
  • Pregnancy haemorrhage
  • Severe headache with impaired vision
  • Convulsions or loss of consciousness
  • Continuous severe stomach discomfort
  • Decreased or absent foetal movements
  • Foul-smelling discharge
  • Pre-labour rupture of membranes for more than 12 hours in a term pregnancy