UNICEF/WHO Illustrations by Mehul Mahicha Book Design by Lopez Design Register yourself at the nearest health facility as soon as pregnancy First ANC Check up Wash your own and child's hands with soap and water every time
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1
Booklet for expecting mothers
Maternal Health Division
Ministry of Health & Family Welfare
Government of India
2Printed with technical support from UNICEF/WHO
Illustrations by Mehul Mahicha Book Design by Lopez Design 3 Carry MCH card with you for all ANC/PNC/well baby visitsand to the place you go for deliveryMy Name: Age:
Husband's Name: Phone No.:Address:
No. of living children: a) Male
b) Female LMP: EDD:Blood Group:
Contact No. of:
Phone No. of PHC:
4REGISTRATION
Register yourself at the nearest health facility as soon as pregnancy is detected. First ANC Check upAs soon as the period is missed or the period.Second ANC Check upIn 4
th - 6 th month of pregnancy.Third ANC Check up
In 7 th - 8 th month of pregnancy.Fourth ANC Check upIn 9
th month of pregnancy.Regular ANC visits protect you and your baby
5ANTENATAL CHECK-UP
checked at every visit. Ensure that you receive IFA tablets and two doses of Inj. Tetanus Toxoid (TT). Always consult your MO if necessary or referred. Get urine tested for albumin and sugar. Get your weight checked. (Average weight gain during pregnancy is 9 -11 kg).Get your haemoglobin measured to
assess anaemia. sugar saves you and your 6ANTENATAL CHECK-UP
Get your blood pressure checked to detect high BP which can be dangerous for you and your baby. 7 TETANUS
TO x OI d IN jECTION
8 I RON F OLIC ACI d (IFA)TABLETS
During pregnancy 100 tablets of iron and folic acid will be given. of pregnancy. If you are anaemic, you will be advised to take two IFA tablets daily, one tablet in the morning and one in the evening. and ensures delivery of a healthy baby 9 d IET dURING PREGNANCY
paneer-these are rich in calcium, proteins and vitamins. provide daily requirement of proteins in vegetarians. 10RICH SOURCES OF IMPORTANT NUTRIENTS
Prefer using variety of local seasonal foods, vegetables and fruits being grown in and around your areaIronGreen leafy vegetables, whole
grains, cereals, dry fruits, nuts,ProteinsPaneer, milk and other milk products, combined grains, seeds, nuts, egg, meat, poultry, soya beans.
11CLEANLINESS
Wash your hands with soap and water
toilet of self and baby.Clip your nails regularly.
12 REST dURING PREGNANCY
which is good both for you and the baby 13FAMILY SUPPORT
pleasant and encouraging. to health facility.Care and support by husband
in child bearing 14 to preserve your health and life DANGER SIGNALS
DURING PREGNANCY
Excessive swelling in legs.Bleeding per vaginum.
Fever.Convulsions.
15 dANGER SIGNALS
dURING PREGNANCY & LABOR
Immediately contact ANM/MO in case of following:
Contact P H C
High grade fever or
any medical illness.Vaginal bleeding in early
pregnancy.Leaking per vaginum before
onset of labour.High blood pressure detected
in ANC. abdomen.Contact F R UVaginal bleeding in advanced
pregnancy.Decreased or no foetal
movements. of breath. and/or blurring of vision.High blood pressure
detected in ANC. Fits.Labour pains or leaking before
9 month of pregnancy.
Leaking for more than
12 hours without labour pains.
Foul smelling leaking with or
without fever.Labour pains more than
12 hours.
16Post delivery care ensures good health
and wellness for you and your baby POSTPARTUM
C AREContact P H C
Inability to pass urine
Pain lower abdomenContact F R U
Excessive vaginal bleeding
Foul smelling vaginal discharge
FeverPROBLEMS AFTER
DELIVERY
17 2.Inability to suck
3.Inablity to pass urine and stools
4.Umbilical stump is red or has pus
5.More than 10 pustules over
body or one large boil 6.Jaundice7. Fever
8.Diarrhoea
9.Dull and lethargic baby
11.Eyes are red or infected
12.Any birth defects are seen
NEWBORN CARE
- Properly covered according to weatherHead and feet should be kept covered.
dANGERSIGNALS
IN N EW B ORN 18BREASTFEE
d ING your new born at the earliest, preferably within one hour of delivery to develop proper sucking.Mother's milk is best for health and
growth of your baby 19COMPLEMENTARY FEE
d ING complementary foods. in sweetened undiluted milk. with added ghee/oil or khichri with added oil/ghee. Add cooked vegetables (such as potatoes, carrots, green leafy vegetables, yellow pumpkins, etc) also in the servings. any cereal porridge cooked in milk.Mashed boiled/fried potatoes or give one
seasonal fruit (banana/ cheeko/ mango) yogurt, seasonal fruits (such as banana, guava,mango etc.), vegetables (such as potatoes, carrots,beans.More than 24 monthsAdd ladoo, biscuits, bread and other
the meals.It is important for you to understand that:
206 weeksBCG (if not given at birth) Ͳϭ
st doseOPV - 1 st st10 weeksͲϮ
nd doseOPV - 2 nd nd14 weeksͲϯ
rd doseOPV - 3 rd rd st dose nd dose rd to 9 th doses at the interval of 6 months. (total of 7 doses)IMMUNISATION SCHE
DULE FOR BABY
21FAMILY PLANNING A
dVICE (S
PACING
METHO d S delivery; one pill is to be taken daily.D M P A
three months It can be used during3 years spacing between
child bearing ensures 22FAMILY PLANNING A
d VICE (PERMANENT METHO d S If your family is complete, you can opt for a permanent method ofVasectomy can be done by a very
small incision. Vasectomy does not cause any weakness, and does not need long rest. 23jANANI -S HISHU S
URAKSHA
KARYAKRAM
A national initiative
Free and cashless delivery
Free drugs and consumables
Free diet during stay (up to 3 days for normal delivery and 7 daysFree provision of blood
Free treatment
Free drugs and consumables
Free provision of blood
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