Part 2 book “Review of preventive and social medicine” has contents: Preventive obstetrics, paediatrics and geriatrics, nutrition and health, nutrition and health, environment and health, health education and communication, health care in india, health planning and management, and other contents. | CHAPTER 8 Preventive Obstetrics, Paediatrics and Geriatrics MCH I Ante-natal and Post-natal Visits (RCH Program) • Ideal recommended ante-natal visitsQ: 13 – 14 Period of gestation 0 – 7 months 8th month 9th month onwards • Frequency of visitQ Once every month Twice a month Once a week Minimum recommended ante-natal visitsQ: 4 Visit Period of gestationQ First AN visit Early registration Second AN visit 14-26 weeks POG Third AN visit 28-34 weeks POG Fourth AN visit • 36 weeks POG - Term Minimum recommended post-natal visits : 3 Q Visit First PN visit Second PN visit Third PN visit Period of gestation 5 – Artificial feeding – Weight 30 years) Q – Short statured primi ( 5 parity) Q I Minimum recommended postnatal visitsQ: 3 Preventive Obstetrics, Paediatrics and Geriatrics I I Pregnancy + 350 Kcal Q • Lactation First 6 monthsQ + 600 Kcal – Prolonged pregnancy (> 14 days after EDD) – History of previous CS or instrumental delivery – Pregnancy associated with general diseases (diabetes, TB, etc.) Danger signals during labour: Basic criteria for identifying these mothers (so that they can be transferred to nearest PHC) includeQ: – Sluggish or no pains after rupture of membranes – No progress after rupture of membranes (only good pains for 1 hour) – Prolapse of hand or cord – Meconium stained liquor or slow irregular or fast fetal heart sound – Excessive show or bleeding during labour – Collapse during labour – Placenta not separated within half hour after deliveryQ – PPH or collapse – Temperature > 38° C Nutritional Requirements • Recommended daily energy intake: [NEW GUIDELINES 2011] Energy Allowance per day (Kcal) 92 Kcal/kg/day 80 Kcal/kg/day 2320 2730 3490 Adult Reference Female (Wt: 55 kg) Sedentary/Light workQ Moderate Work Heavy Work 1900 2230 2850 PregnancyQ Lactation First 6 monthsQ 6-12 months + 350 + 600 + 520 (+ indicates ‘over and above the daily requirement’) • Requirements in pregnancy and .
