CLINICO SOCIAL CASE

STUDY
ANTENATAL CASE
Dr.Lavanya
IInd year PG
 IDENTIFICATION DATA
Sunanda/22 yrs / F / Hindu / Illiterate /
Housewife / W/o. Maruthi, 2-4-628/11,
Sundernagar, Kachiguda, Hyderabad
H/o. Amenorrhoea of 20 weeks.
LMP: 12/2/2011
EDD: 19/11/2011
 FAMILY DETAILS
Name Age Sex Edn Occupn Health Immuni
(yrs) status zation
Baburao 55 M IL Labourer Normal
Kamala 50 F IL Maid Serv Normal
Maruthi 28 M 6th Unemp. Normal
Sunanda 22 F IL Unemp. Normal TT 1
Soni 11 F 3rd Student Normal
Sachin 10 M 2nd Student Normal
Monica 2 F Normal To date
 HOUSING
Rented house Rs.1000/month
Pucca house with 2 rooms (7x6 ft. each), no
separate kitchen.
Fuel used is kerosene
Drinking water is municipal tap water, collected
on alternate days and water for washing
purpose is stored without cover
No adequate ventilation and lighting.
No cross ventilation
No setback
 HOUSING
Sanitary latrine present and utilised,
Bathroom is separate
Sullage and sewage go into underground
drainage.
Refuse disposed into the municipal bin.
Vector breeding site in front (garbage), no
stagnant water
 NUTRITIONAL HISTORY
(of index patient)
FOODS Kcalories
BREAKFAST 4 idlies 300
2 tbsp chutney (coconut) 120
LUNCH 3 cups rice 510
1 cup plain dhal 200
DINNER 1 roti 100
1 cup veg with gravy 170
TOTAL 1400
 NUTRITIONAL HISTORY
(of the family)

FOODS K.calories Protiens

Rice 1 kg/d 4000 160 gm
Thoor dal 250 g/d 1000 50 gm
Chicken 500 g/week
Mangoes 1 kg/d 720
Oil (palm) 25-30 gm/d 247.5
Salt 30-35 gm/d
 FAMILY COEFFICIENTS
Total calories consumed by the family
=5967.5

Total family consumption co-efficient = 5.8

Unit calorie consumption per coefficient =

Total calories consumed by the family 5967.5 =1028.88
Total family consumption co-efficient 5.8
 FAMILY COEFFICIENTS
Consumption of protien per unit coefficient=

total gm of protein 210 = 36.2

total family coefficient 5.8
 SOCIO ECONOMIC STATUS
Total family income: 6000/month
Percapita income: 6000/7 = 857.1 : 1
Head of the family is illiterate :1
Occupation is labourer :2
Total score :4
According to Kuppuswamy they belong to
Lower class ( score <5)
 HEALTH SEEKING BEHAVIOUR
The family goes to UHC when there is any
health problem
Regular ANC at the UHC since 6 wks of
gestation
The child (Monica 2 yrs) has been
immunized appropriately to date
 CLINICAL HISTORY
Chief complaints
Present pregnancy
Past history
Menstrual history
Obstetric history
Marital history
Family history
Personal history
Dietary history
Environment
GPE
Systemic examination
Laboratory findings
 COMPREHENSIVE DIAGNOSIS
Sunanda aged 22 yrs hindu lady, illiterate,
housewife, belonging to lower social class
is now at 20 weeks of gestation, with no
significant past history and family history,
has food taboos regarding papaya and
tamarind (hot foods) and is deficient in
calories by 1180 kcal/d (2580 1400
kcal), is anemic (Hb 9 g/dl) and is under
regular ANC at the UHC.