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ANTENATAL CASE
(as taken on 16 , 17 and 18 February 2017)
1
GPLA Score- G2 P1 L1
PRESENTING COMPLAINTS:
3
Apparently all right till present date.
No complaints till date.
No H/O of dysmenorrhea.
• Normal appetite.
10
There is no clubbing.
There is no cyanosis.
Weight- 60 kgs.
Respiratory examination :
RR is 20 br / min
normal bronchial and vesicular
sounds are heard
No abnormal respiratory sounds
heard.
Dept. of preventive and social medicine, JIPMER
Abdominal examination
19
Inspection:
abdomen is distended in the lower part.
At RHC:
1.pregnancy detection test : done +ve
2.hemoglobin examination : done
Hb=11.4g/dl(current levels)
3. urine test for presence of
albumin and sugar done : absent
4.rapid malaria test : -ve
At individual level:
1.Advised to take nutritious food. Especially about iron
rich diet
2. She is advised regarding danger signs of pregnancy.
3.Advice for institutional delivery.
4.Importance of exclusive breast feeding.
5.Importance of family planning.
6. Compliance to iron folate tablets.
At family level:
1.supportive family members
2. Provide adequate diet and rest.
3. Accompany for regular follow up visits
4.Preparation for transport to health facility.
At community level:
1. Regular counselling and home visits, early
identification of diseases and proper management
to be done.
2. Health education and Health promotion about
pregnancy management.
3. Education about post natal care and breast
feeding and care of new born.
Provisional diagnosis-
26 years old, Mrs. Sharmila Krishnamoorthy with
G2P1L1 is in her 2nd trimester of pregnancy and
progressing to normal pregnancy and safe
confinement.
Thank you