PREGNANCY

RESOURCE SPEAKER:
DESA R. PALCO, RHM II
CONTENT OUTLINE
A. Early Signs of
Pregnancy
B. Making a list of
Pregnant Women
C. Prenatal Care
D. Health Tips for
Pregnant Women
E. Preparation for Labor
and Delivery
EARLY SIGNS
OF
PREGNANCY
• Menstruation stops
• Nausea and Vomiting
• Frequent Urination
• Feeling lazy and sleepy
• Feeling dizzy
• Enlargement of the
Breasts
MAKING A LIST
OF PREGNANT
WOMEN
 Ask for the name, age, address,
husband’s name, last menstrual
period, how many months pregnant,
have you had a baby before, number
of prior pregnancy, Caesarean
section or Normal delivery.
 Discuss present and past medical
conditions and familial health history.
PRENATAL
CARE
• Prenatal care is receiving
care from a health care
provider (physician,
midwife or nurse) at a
health facility to ensure
healthy delivery by
reducing the risk of
pregnancy
complications.
PRENATAL VISITS
Trimester/Months # of Visits

1st Trimester/1-3 mos. Once a month

2nd Trimester-6-7 mos. Once a month
8 mos. Twice a month
9 mos. Weekly

NOTE: If High Risk Pregnancy(teenage pregnancy & 40 yrs. old and

above) , or with Hypertension, Diabetes and Heart Disease, the
health care provider may advise more frequent prenatal visits.
 LABORATORY EXAMS

Urinalysis, Complete
Blood Count, Blood
Typing, Hepatitis B
Test

Ultrasound, VDRL
 • Introduced Birth and Emergency
Plan.
• Tetanus-Diphtheria Injections.

TT1- As soon as pregnancy is confirmed.

TT2- One month after
TT3- Six months after
TT4- 1 year after
TT5- 1 year after
 DURING FOLLOW-UP
PRENATAL CARE:
Measure weight gain and
growth of uterus.
Check baby’s Fetal Heart
Tone.
Examine abdomen to check
the position of the baby.
Oral examination. ( At Least
once throughout the whole
pregnancy )
WARNING SIGNS OF PREGNANCY

Swelling of the legs, hands or face.

Severe headache, dizziness, blurring of vision.
Vaginal Bleeding
Pallor or Anemia
Fever and chills
Vomiting
Severe abdominal pain
Vaginal discharge
Painful urination
Watery vaginal discharge
Convulsions
Absence of/reduced fetal movements9less than 10 kicks in 12
hours in the second half of pregnancy.
HEALTH TIPS
FOR A
PREGNANT
WOMAN
Encourage the
pregnant woman to
eat foods rich in
protein, iron and
calcium.
Practice oral and
personal hygiene.
Don’t resort to self
medication for this
can harm you and
the baby.
Increase intake of
water.
Exercise as tolerated.
Provision of iron with folic
acid tablets to prevent
anemia .
Avoid eating salty, soft
drinks and caffeinated
drinks.
Avoid alcohol and
smoking during
pregnancy.
Encourage Family
Planning.
Advised Newborn
Screening.
Prepare for possible
emergency (money,
blood donor,
transportation).
PREPARATION FOR BREASTFEEDING
Benefits to Mothers:
 When BF is initiated directly after birth,
mother’s chances of bleeding after delivery
are considerably reduced.
Exclusive BF during the first 6 months will
delay the next pregnancy.
BF is convenient in terms of not having to
prepare a bottle.
FOLLOW UP VISITS
• It is very important for a pregnant woman to
have a complete prenatal check up. BHW’s
should visit and check the actual condition of
the home and environment of the pregnant
woman.
PREPARATION
FOR LABOR
AND DELIVERY
In case of any complication, the pregnant
woman must be referred to a health facility
to provide best care for the mother.
The mother must prepare all the needed
items for her delivery. (maternal record,
clean clothes for washing, drying and
wrapping the baby, sanitary pads, clothes
for mother and baby, food and water for
woman.
Advise when to go.
▪ If woman living near the facility, she should go
at first signs of labor:
● a bloody sticky discharge
● painful contraction every 20 minutes or less
● waters have broken

▪ If living far from the facility, she should go 2-3

weeks before baby due date or stay either with
the maternity waiting home, with family, or
friends near the facility.