pre counselling

8/20/2019 pre counselling

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Pre-marriageCounseling


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Female Reproductive System


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Male Reproductive System


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FERTILIZATION

(impregnation is t!e "usion o"gametes to initiate t!e developmento" a ne# individual organism$


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Sperm cell and Egg cell


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Antenatal %are

A type of preventive healthcarewith the goal of providingregular check-ups that allowdoctors or midwives to treat andprevent potential health

problems throughout the courseof the pregnancy whilepromoting healthy lifestyles that

benet both mother and child.


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&renatal 'isits

First trimester (st to )rd mont!s o"pregnancy* at least once$

Second trimester (+t! to ,t! mont!s o"pregnancy *at least once$

T!ird trimester (-t! to .t! mont!s o"pregnancy / monthly$


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Tips to Remem0er

I #ill eat a 0alanced diet and increase my inta1e o" "ood "or energy2car0o!ydrates3 protein3 'itamin A3 "olic acid3 iron and ot!er nutrients$

I #ill start 0reast care in preparation "or 0reast"eeding$

I #ill ma1e sure to receive TETAN4S TO5OI6 immuni7ation to protect mysel"and my 0a0y$

I #ill sleep inside a treated mos8uito net every nig!t i" I live or travel in amalaria endemic area$

I s!ould not smo1e3 avoid cigarette smo1e and not allo# smo1ing inside t!e!ouse$

I #ill practice oral personal !ygiene$ I #ill visit my dentist regularly$

I #ill not resort to sel" medication nor ta1e drugs and alco!ol "or t!is can !armme and my 0a0y$

I #ill prepare "or possi0le emergency (money 3 0lood donor near0y 0loodcenter3 transportation3 and identi"y a !ig!er re"erral !ospital$ I #ill alsoprepare money "or ne#0orn screening and ot!er necessities$

I #ill !ave counseling on F& to space my ne9t pregnancy or stop gettingpregnant "or I !ave ac!ieved my desired "amily si7e$


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EMER:EN%; SI:NS<

S#elling o" t!e legs3 !ands and "ace$

Severe !eadac!e3 di77iness3 0lurring o" vision$

'aginal 0leeding or vaginal spotting$

&allor or anemia

Fever and c!ills

'omiting

Fast or di=cult 0reat!ing

Severe a0dominal pain

'aginal disc!arge and genital sores

&ain"ul urination

>atery vaginal disc!arge

%onvulsions or loss o" consciousness

A0sence or reduced "etal movements ( less t!an ? 1ic1s in @!ours in second !al" o" pregnancy$


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Facility ased 6elivery

•

S!ould deliver in t!e !ealt! center or!ospital in t!e presence o" trained!ealt! #or1er (nurse3 mid#i"e3doctor


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&ostpartum %are

• >it!in @+ !ours

*Rapid assessment and management o"emergency signs (di=culty o" 0reat!ing3 cyanosis3 s!oc130leeding3 "ever3 severe a0dominal pain3 convulsions$

•

>it!in #ee1 pre"era0ly @*) days *&!ysical e9amination

* c!ec1 vaginal 0leeding2 "oul smelling disc!argec!ec1 "or 0reast"eeding pro0lems$

* c!ec1 "or danger signs( "ever3 4TI3 perineal pain3

anemia• At +*, #ee1s

*&!ysical e9amination

*%!ec1 "or danger signs


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E9panded &rogram o" Immuni7ation

%:* at 0irt!

* dose given

* to prevent "rom tu0erculosis$

&ENTA'ALENT* st dose given at , #ee1

*@nd dose given + #ee1s a"ter t!e Brst dose*)rd dose given + #ee1s a"ter t!e second

dose

C potentially deadly diseases< Daemop!ilus Inuen7atype (a 0acteria t!at causes meningitis3 pneumonia andotitis3 #!ooping coug!3 tetanus3 !epatitis anddip!t!eria$


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P! *"st dose given at # week

-$nd dose given % weeks after the rst d

-&rd dose given % weeks after the second

dose

P! produces antibodies in the blood '(humoral(or serum immunity) to all three types of

poliovirus* and in the event of infection* thisprotects the individual against polio paralysis bypreventing the spread of poliovirus to thenervous system$


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&%' * st dose given at , #ee1*@nd dose given + #ee1s a"ter t!e Brst

dose

*)rd dose given + #ee1s a"ter t!e seconddose

Pneumococcal con,ugate vaccine (&%' isa pneumococcal vaccine and a con,ugate

vaccine used to protect in"ants3 young c!ildren3and adults against disease caused 0y t!e0acterium Streptococcus pneumoniae(t!e pneumococcus$


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EASES* given at . mont!s

* dose

is a vaccine t!at is very eGective atpreventing measles$H A"ter one dose JCKo" c!ildren nine mont!s o" age and .CKover t#elve mont!s o" age are immune$

https://en.wikipedia.org/wiki/Vaccinehttps://en.wikipedia.org/wiki/Measleshttps://en.wikipedia.org/wiki/Measles_vaccinehttps://en.wikipedia.org/wiki/Measles_vaccinehttps://en.wikipedia.org/wiki/Measleshttps://en.wikipedia.org/wiki/Vaccine


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MMR * given at year old * dose

T!e / vaccine is an immuni7ation vaccine against measles3 mumps3 and ru0ella (:erman measles$ It is a mi9ture o" liveattenuated viruses o" t!e t!ree diseases3 administered via

inection$

https://en.wikipedia.org/wiki/Immunizationhttps://en.wikipedia.org/wiki/Measleshttps://en.wikipedia.org/wiki/Mumpshttps://en.wikipedia.org/wiki/Rubellahttps://en.wikipedia.org/wiki/Attenuated_virushttps://en.wikipedia.org/wiki/Attenuated_virushttps://en.wikipedia.org/wiki/Attenuated_virushttps://en.wikipedia.org/wiki/Attenuated_virushttps://en.wikipedia.org/wiki/Rubellahttps://en.wikipedia.org/wiki/Mumpshttps://en.wikipedia.org/wiki/Measleshttps://en.wikipedia.org/wiki/Immunization


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!01A02 A supplementation /starting at , mont!s (??3??? I4

* ne9t a0ove year old(@??3??? I4

* i" t!e c!ild is @+ mont!s upto , years old (@??3??? I4 t#ice ayear


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N4TRITION

E3C4S0!E 5/EAS16EE7028

*irt! up to , mont!s

*at least J times in @+ !ours

* do not give ot!er "oods or uids


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# months up to "$ months

- breastfeed as often as the child

wants -add any of the following9 lugaw

with added oil* mashed vegetablesor beans* :aked sh* pulveri;edroasted dilis* nely-ground meal*

egg yolk* bite-si;ed fruits

- & times per day if breastfed

- < times per day if not breastfed


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@ mont!s up to years

*0reast"eeed as o"ten as t!e c!ild #ants$

* give ade8uate amount o" "amily "oods

li1e rice3 camote3 potato3 Bs!3 c!ic1en3meat3 mongo3 pulveri7ed roasted dilis3mil1 and yello# vegeta0les (malunggay3s8uas!3 "ruits (papaya3 0anana$ Addoil or margarine$

* C times per day * "eed t!e 0a0y nutritious snac1s li1e

"ruits$


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$ years and older

* give ade8uate amount o""amily "oods at ) meals

eac! day *also t#ice daily3 give

nutritious "oods 0et#eenmeals3 suc! as 0oiled

yello# camote3 0oiledyello# corn3 peanuts3 0oiledsa0a 0anana3 ta!o3 "ruitsand "ruit uice$


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FAMIL; &LANNIN:


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IM&ORTAN%E OF FAMIL; &LANNIN:


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INTRA*4TERINE 6E'I%E

( I46


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ILATERAL T4AL LI:ATION


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NON*S%AL&EL 'ASE%TOM;


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Marriage is acommitment3 Not a

Feeling$


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pre counselling

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