*Danger Signs

1. any type of vaginal bleeding

2. headache, dizziness, blurred vision
3. puffiness of face and hands
4. pallor
Prenatal Care

Schedule of Visits
1st as early as pregnancy, 1st
trimester

2nd - 2nd trimester

3rd & subsequent visits - 3rd trimester

More frequent visits for those at risk

with cx
TETANUS TOXOID IMMUNIZATION SCHEDULE
FOR WOMEN

Vaccin Minimum Age Percent Duration of

e Interval Protecte Protection
d
As early as possible
TT1 during pregnancy 80%
TT2 At least 4 Infants born to
weeks later the mother will
80%
be protected
from neonatal
tetanus.
Gives 3 years
protection for
the mother from
tetanus.
 At least 6 Infants born to the
TT3 months 90%
later mother will be protected
from neonatal
tetanus.
Gives 5 years protection
for the mother.
TT4 At least 1 99% Gives 10
year later protection
for the
mother
TT5 At least 1 year 99% Gives
later lifetime
protection for
the mother.
All infants
born to that
mother
will be
protected.

Dose:0.5ml
Route: Intramuscularly
Site: Right or Left Deltoid/Buttocks
Components of Prenatal
Visits
History taking
Determination of obstetrical score- G, P, TPAL,AOG,EDD
U/A for Proteinuria, glycosuria and infxtn
Dental exam
Wt. Ht. BP taking
Exam of conjunctiva and palms for pallor
Abdominal exam - fundic ht, Leopolds maneuver and FHT
 Exam of breasts, face, hands and feet for edema and neck for
thyroid enlargement
Health teachings- nutrition, personal hygiene, common complaints
Tetanus toxoid immunization
Iron supplementation from 5th mo. of pregnancy - 2 mos.
Postpartum
In goiter endemic areas iodized capsule once a year
In malaria infested areas- prophylactic Chloroquine ( 150 mg/tab ) 2
tabs/ wk for the whole duration of pregnancy
 UNDER FIVE CLINIC

The first five years of life form the foundations of the childs physical
and mental growth and development. Studies have shown the
mortality and morbidity are high among this age group. The
Department of Health established the Under Five Clinic Program to
address this problem.