28 year old married woman comes to you for preconception counselling. She has been married for last one year and now wants to start her family. Her menstrual cycle is regular.

Task 3a: The patient asks you regarding dietary advise on nutritional supplementation and activity. What will you advise this patient?

Task 3b: Maternal Mortality is high in our population. Summarise the components of effective Focused Care, which can lead to better health outcomes.

Supplemenation

Balanced Diet

Iodine

Iron

Calcium

Reduce intake of caffeine, avoid alcohol, and do not smoke.

Vitamin D

Folic Acid

Activity

Regular excercise

Maintain a healthy weight

Stress Management

Targeted assessment to ensure normal progress during pregnancy

Early detection of complications and potential problems

Individualised care including supportive measures

Immunisation against tetanus

preventive measures for malaria, anaemia, nutritional deficiencies, sexually transmitted infections, including prevention of mother to child transmission of HIV

decide on where to have the follow-up antenatal visits, how frequent the visits should be, where to give birth and whom to be involved in the pregnancy and postpartum care.

Regular Follow-ups during pregnancy, as recommended by the World Health Organization (WHO)

Educate about the signs of labor, danger signs,