Prepregnancy

Services
• Prepregnancy services include provision of
iron and folate supplementation,
counselling and provision of Family
Planning (FP) methods, and prevention and
management of infection and lifestyle-
related diseases.

• It highlight the provision of modern FP

methods to reduce unplanned pregnancies
and unmet needs of women and adolescents
that can expose them to unnecessary risks
from pregnancy, including and childbirth.
Services:
1. Micronutrient supplementation

2. Iron and Folate: 60 mg

elemental iron with 400
microgram folic acid tablet daily
for 3-6 months

3. lodized oil capsule with 200 mg

iodine 1 capsule for 1 year
(women ages 15-45)

4. Promotion of the use of iodized

salt
5. Nutrition counselling

6. Promotion of healthy lifestyle including advice

relative to smoking cessation, healthy diet,
regular exercise and moderation alcohol intake
(DOH, 2009)

7. Advice on family planning and provision of

family planning services

8. Prevention and management of lifestyle-

related diseases like diabetes and cardiovascular
diseases
9. Counselling prevention, and management
of infection including Sexually Transmitted
Infections (STIs) and HIV/AIDS

10. Adolescent health services

11. Deworming women of reproductive age to

reduce other causes of iron deficiency
anemia

12. Provision of oral health services

 05
Early Identification and
Management of Nutritionally
at-Risk Pregnant Client.
The nutritional status of the Philippines is
monitored and targeted by the Nutrition
Program

The program is composed of nutritional

assessment methods evaluating the
anthropometric measurements, biochemical or
laboratory parameters, chemical indicators, dietary
history, and health history of the patient.
 Common Anthropometric Measurements
Anthropometric Measurements
Weight-for-Age
(WFA)
Height-for-Age
(HFA)
Weight-for-Height (WFH)
Body Mass Index (BMI)
Mid-Upper Arm Circumference (MUAC)
Skin-Fold Thickness
Indication Formula Interpretation
Used to evaluate the degree of Actual Body Weight x 100 • 110% = Obesity
Expected Body Weight
undernutrition • 91% - 110% = Normal
• 76% - 90%=1st Degree
Undernutrition (Mild)
• 61% - 75 % = 2nd
Degree Undernutrition
(Moderate)
• ≤60% = 3\% Degree
Undernutrition (Severe)
An indicator of child growth used to assess N/A Low WFH (≤+ 2SD ) Stunting
stunting depending on the patient's sex
An indicator of child growth used to assess N/A Low WFH (≤ + 2SD ) Wasting
wasting depending on the patient's sex High WFH (≤ + 2SD ) :
Overweight
(Weight in kilograms) • WHO Criterion: BMI of 20-
2
(Height in Meters 25 is desirable
• Asian Criterion: BMI of
18.50-22.90 is desirable
Used as a rapid screening for malnutrition N/A • >115 mm: Normal
for children who are 1-4 years old
• <115 mm: Acute
Undernutrition
Estimates the percentage of body fat at N/A Depends on the body part
specific locations of the body (femoral,
abdominal, triceps)