Sputum for Acid Fast Bacilli (AFB) – Testing for TB (where applicable)
Iron – Folic Acid Supplementation (IFAS)
DOSE OF IFAS
Tetanus Toxoid (TT) vaccination
DOSE OF TT
WHEN TO GIVE
At first contact or as early as possible in pregnancy
At least 4 weeks after TT1
At least 6 months after TT 2 or during subsequent pregnancy
At least 6 months after TT 3 or during subsequent pregnancy
At least 1 year after TT 4 or during subsequent pregnancy
Intermittent Preventive Treatment (IPT)
The Ministry of Health Guidelines on Malaria direct to give preventive treatment to pregnant women in endemic malaria areas at least twice during each pregnancy even if there is no physical sign of infection and the haemoglobin is within normal range.
DOSE OF IPT
WHEN TO GIVE
After quickening-16 weeks
At least 4 weeks after 1st dose
Curative treatment includes;
Treatment of existing conditions such as syphilis,anemia and urinary tract infection
Danger signs in pregnancy
Bleeding per vagina
Drainage of liqour
Severe abdominal pains
Generalized body swellings
Reduced foetal movements
It is important to provide health education to pregnant mother on following areas;
They are normally performed by tradition birth attendant (TBA) disadvantages with them is that they are not; Trained to perform safe deliveries and how to handle complications . They lack supplies required to ensure the baby is born in as safe,sterile environment. Also they don’t have the supplies needed to manage complications such as medication, needles, syringes and iv fluids. This exposes mother eminent dangers such as post-partum hemorrhage among other. To avoid those dangers ; mother following home delivery should be offered postnatal care at hospital settings.
Postnatal care following home delivery
Women who deliver at home should be reviewed at a health facility as soon as possible and preferably within 24 hours after delivery
Community health volunteer (CHV) should refer or accompany the mothers to the health facility
At the facility the women should receive the standard package of postnatal care.
All women should be advised to report any health concerns to a healthcare professional
Pregnancy mother should educated important of;
Receiving care from a skilled birth attendant
Managing complications arising from her or child effectively and promptly
Which complications are likely to arise during delivery?
(Ask the mothers to share experiences on complications that they may have experienced)
Prompt for examples of:
Mal-presentation and Mal-position (Eg.) Breech presentation, leading to prolonged and/or obstructed labour
Post-partum haemorrhage: Bleeding after delivery
Cord prolapse and presentation: conditions where the umbilical cord lies in-front of the presenting part which is normally the head.
Foetal distress leading to asphyxia
Pre-Eclampsia and Eclampsia
What are some of the ways we can keep ourselves healthy?