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1

Booklet for expecting mothers

Maternal Health Division

Ministry of Health & Family Welfare

Government of India

2

Printed 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 visits

and 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:

4

REGISTRATION

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

5

ANTENATAL 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 6

ANTENATAL CHECK-UP

Get your blood pressure checked to detect high BP which can be dangerous for you and your baby. 7 T

ETANUS

TO x OI d IN j

ECTION

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 d

URING PREGNANCY

paneer-these are rich in calcium, proteins and vitamins. provide daily requirement of proteins in vegetarians. 10

RICH SOURCES OF IMPORTANT NUTRIENTS

Prefer using variety of local seasonal foods, vegetables and fruits being grown in and around your area

IronGreen leafy vegetables, whole

grains, cereals, dry fruits, nuts,

ProteinsPaneer, milk and other milk products, combined grains, seeds, nuts, egg, meat, poultry, soya beans.

11

CLEANLINESS

Wash your hands with soap and water

toilet of self and baby.

Clip your nails regularly.

12 REST d

URING PREGNANCY

which is good both for you and the baby 13

FAMILY SUPPORT

pleasant and encouraging. to health facility.

Care and support by husband

in child bearing 14 to preserve your health and life D

ANGER SIGNALS

D

URING PREGNANCY

Excessive swelling in legs.Bleeding per vaginum.

Fever.Convulsions.

15 d

ANGER SIGNALS

d

URING 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 U

Vaginal 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.

16

Post delivery care ensures good health

and wellness for you and your baby P

OSTPARTUM

C ARE

Contact P H C

Inability to pass urine

Pain lower abdomenContact F R U

Excessive vaginal bleeding

Foul smelling vaginal discharge

Fever

PROBLEMS AFTER

D

ELIVERY

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 weather

Head and feet should be kept covered.

dANGER

SIGNALS

IN N EW B ORN 18

BREASTFEE

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 19

COMPLEMENTARY 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 months

Add ladoo, biscuits, bread and other

the meals.

It is important for you to understand that:

20

6 weeksBCG (if not given at birth) Ͳϭ

st doseOPV - 1 st st

10 weeksͲϮ

nd doseOPV - 2 nd nd

14 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

D

ULE FOR BABY

21

FAMILY PLANNING A

d

VICE (S

PACING

METHO d S delivery; one pill is to be taken daily.

D M P A

three months It can be used during

3 years spacing between

child bearing ensures 22

FAMILY PLANNING A

d VICE (PERMANENT METHO d S If your family is complete, you can opt for a permanent method of

Vasectomy can be done by a very

small incision. Vasectomy does not cause any weakness, and does not need long rest. 23
jANANI -S HISHU S

URAKSHA

K

ARYAKRAM

A national initiative

Free and cashless delivery

Free drugs and consumables

Free diet during stay (up to 3 days for normal delivery and 7 days

Free provision of blood

Free treatment

Free drugs and consumables

Free provision of blood

24
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