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
References:
httpss://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682867/
https://www.unicef.org/pakistan/media/4356/file/Pakistan%20Maternal%20Nutrition%20Strategy%202022-27.pdf
https://iris.who.int/bitstream/handle/10665/259947/WHO-RHR-18.02-eng.pdf
https://pdf.usaid.gov/pdf_docs/pnada620.pdf
https://www.open.edu/openlearncreate/mod/oucontent/view.php?id=44§ion=20.3#:~:text=FANC%20aims%20to%20promote%20the,affect%20the%20outcomes%20of%20pregnancy
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,