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4. Preventive in Obs and Peds
4. Preventive in Obs and Peds
isthmus
ten
Teen
(ninteen)
MCH problem
Malnutrition
Infection Nischay pregnancy kit
Uncontrolled pregnancy
Scanned by CamScanner
rat
(vi)
⑳ pot
We monis
1-7
I zwk
To foresee complication and prevent them
so - In
- 26
32
v-
=
· -
-
12
6
-
· 36
advice for the women to visit medical
officer at PHC for the third visit
>
-
*
month +
7 days
+ a
EDD =
LMP
Confirm the
current pregnancy
in first visit
Systolic BP 140
Complain of Diastolic blood pressure 90
abnormal Y
tightening of
annealing on
her finger
If diastolic, BP,
more than +2 ↑
-
110MMhg it 9 -
11 kg
indicate immitent =
eclampsia
-
20 week … lower border of umblicus
Fetals parts.. 22 week
After six month rate
-22 week through ear
Scanned by CamScanner
Early pregnancy detection
Facilitate proper planning and allow for proper care
Record the data of LMP and calculate EDD
population
timely detection of complication at an early stage
pregnancy is unwonted. Refer to PHC to provide safe abortion services.
umwate
↓
= /
loo
y
+
1014Y
>Y
Total
expected =-
pregnarly
One home visit Bhai health worker, female and pregnant woman house . House visit win her confidence
140 cm
Prolong pregnancy
Antepartum haemorrhage
duppenin
threatened abortion
treatment for infertility
>
-
Asymptomatic Bacteriuria
Because of physiological change during pregnancy the pregnant women is more prone to UTI
Gestational diabetes
Syphilis.. Occur after six month..ten daily injection of procaine penicillin 6 lakhs unit
German measles/ rubella..earlier pregnancy, infection, Occur the greater the damage to the
foetus
Yeah, vaccinated of all school age children
Vaccine all women of childbearing age who are sero negative and then effective contraceptive
method for 8 weeks after vaccination
HIV infection
Hepatitis B infection
Scanned by CamScanner
(3 Year gap)
SG-3 ,
000
-
5000 population
E 1st Week 1 ,3 ,7
↓
6
week
⑫
-
11
=
14 , 21 , 28
I village
1 , 000 *
days
hos
on
C-
⑭
-
>
---O
Scanned by CamScanner
#
*
X 8- B
↑
reast
=O
-
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~
-
-
-
-
-
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- - - -
-
e
T -
- = D
=
Much F
=
>
-
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=
Whey
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-
Breast G
↑
C
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e
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- -
=T
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1 - /
Y =
67 double
seal- Temple
evat
Eg
-
-
after that① in 2kg every year
se
>
-
ED
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To
L #
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A - V
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vl
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oom
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t =
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8
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d
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= -
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T
O ing
-
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Scanned by CamScanner
Scanned by CamScanner
*
=
A
- -
-
- -
C -
- =>
Integrated child
services
-
-
Reference
development
C --
& -
2
z
#
-
nutrition 33B
-
Multicentric
-
-
-
under
Gath severly
1)
-
Reference
study
.
= -
- -
-- -
--
-
-
-
da
=
>
--
Illi
=>
A
A -
-- -
- - -
- - -
-
337-42 Weeks
Term
e
Preferably measured within first
hour of life
-
& EX
·
a
No ma
-
D
-
⑭ -
-
-
⑪ -
-
⑮
>
-
E -
- -
-
-
-
-
-
-
-
·
-
&
-
T =
g
ot
F
=
Fetal growth retardation
Babies born
early .Their
intrauterine growth
may be normal.Give -
6
good neonatal care
this baby may catch
Premem
up growth -
f
X
-
- - >
-
L---
Scanned by CamScanner
F -
-
X -
L
z
p
X
:
-
=> .
Pe
D -
=> -
F
A
&
- 300
f -
Improve the health and nutrition of young girls
O C
Neonatal intensive care unit
=>
F Component of intensive care
↳
-
=
-
- -
E
A
- E- -
--
-
X-
-
-
-
- =>
= -
- -
- -
-
-
-
-
Intensive care
1. Ambulatory care… adjustment of temperature humidity oxygen supply
2. Feeding …by nasal catheter
3. Prevention of infection
Scanned by CamScanner
3) Make
-
classification
(International
disease)
-
of --
~
e -
-
&
-
8
-
-
-
-
-
-
⑧ S
#
-
=
&
d
/
z -
-
A
-
-- -
-
-
-
-
o -
my Penny
- -
Z =
⑫ 2
Scanned by CamScanner
=>
O
I
-
OB
F
~
-
-
-
-
E V
-
-
-
=
- -
0-
Scanned by CamScanner
PasMA-GRsYA
&
% S S
Des
28wk pick Fi
Scanned by CamScanner
ke
x
-
-
=>
- 03/10v
·
-
===
-
&
-
-
--
-
T ↑
F -
-
-
Scanned by CamScanner
⑭
-
Bo
*
- 000
X
P
-
: -
#
- - ⑭
-
-
-
>
-
-
~ ⑧
-
-
--
T
-
Y
X
Scanned by CamScanner
-
E So
T - -
- -
-
- -
- -
-
- -
Scanned by CamScanner
·
uSMR
-
- 36/1000
*
⑫
⑫ -
* -
#
20 -
-
e
-
-
F - ↑
-
-
-
A
N
-
↑ A -
⑫
-
-
-
f
I
L
I
-
- -
-
-
-
/ -
- O -
X - -
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
-
-
- -
-
03
- -
-6
-
710
= -
Scanned by CamScanner
⑨ &
>
- - -
En W
- - -
-
-
-
-
T
↑
&
·
-
ar
- ↑
T
Y -
T
-
-
-O
-
NO
-
~
↑
-
M
X
- -
-
-
A #
- 00
· -
Scanned by CamScanner
To -
-
A -
P
-
-
--
N
X
-
-
Dest
i
-
F
-
X
&
Y -
-
YF
·
Y
-
- -
E
Fr
e -
Scanned by CamScanner
g
>
-
-
- -
·
↑
·
HiN
Dinero
ca
Pros
trac
- -
-
-
-
-
-
-
-
F -
-
G
--
C
-
-
-
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C
-
- - -
Y -
2 -
-
T --
-
- - = ]
-
-
-
=
⑳
-
- i
%=
-
-
M -
>
- -
11 -
-
-
- -
- --
- - -
- -
↑
Scanned by CamScanner
* M
-
& =
E X
=
-
>
-
A
-
- -
&
=
-
-
-
-
- -
-
9:000
- - -
-
-
-
⑭ *
mas
·
v
-
~ -
- - -
-- --
-
-
>
-
->
-
- - -
S =
- >
-
F -
=>
E
-
-
-
A
-
-
F
-
-
- - -
-
-
-
- -
-
X
G
- -
# O
->
-
A
=
-
=>
80 -
-
-
-
-
-
-
Scanned by CamScanner
/
E =
-
T
-
-
-
-
-
= U
=
-
r3
-
MaM
Dm
-
-
000
000
e
KO
-
↳ - -
- -
---
- -
Scanned by CamScanner
opp
① -
danger Sisk
symptoms
r -
-
-
-
-
-
-
-
-
-
-
-
-
-
op T
-
-
-
-
O - -
S -
-
- 3
& -
-
O
-
-
- O =
①
-
-
se
-
-
O
E
=
-
! -
-
-
3
Z
-
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-
of
-
= -
-
0 -
-
F
-
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-
--
-
F - -
-
G
- -
= -
- --
-
-
0
-
-
- -
=
I so
- - --
-
- >
-
In day
e
j
A
- -
- -
-as
read 3 -
⑮me Es -
-
E
T -
----
-
-
- -
-
-
T
E
-
- -
-
-
Pneumonia
-
A
O =
E
-
n -
- #
O
-
- ④
-
-
↑ -
③
-
①
-
- -
⑤
-
#
-
-
⑥
-
⑥
-
-
-
~
-
- -
=>
-
-
-
-
-
-
-
&
-
-
-
-
-
&
earMeanti
-
Informer on Protect
Imp
=
-- -
= -
- &
O
↑
00 -
e-
- -
=
-
-
- -
-
est je
E
-
=
X
De
~
-
>
O -
Y
-
-
-
-
Scanned by CamScanner
sta tasmap
·
Bi M
up
masumum fertility a
se
e
mp
M Assum
Jakand
Total
(0)
·
- >
~
=
&
*
-
-
-
~
know extended till
sidfant i e
.
up to I
year
O
-
-
-
V #
~
=>
e
-
-
-
Scanned by CamScanner
disease
tropical
NTD :-
Neglected
A
~ -
-
=>
-
P e
-
~ -
R
-
&
-
-
-
T
= -↑
#
F
x
E
-- -
-
M
= - -
Go
De
-
-
-- -
--
A
z
-
37 3
365
.
-
- -
- -
·
Read
=
- -
--
-
- -
u -
--- -
- -
-
-
-
F
- - -- -
-
&
↑
- -
I
1 .
9 -
2
-
3 3
u
Y -
.
5
5