Page 79 - fourth year book
P. 79
MATERNAL AND CHILD HEALTH CARE (MCH)
7. Care of teeth: the fetal demands for calcium, that is withdraw
during pregnancy from mother’s tooth and bones. For tooth
extraction, a local analgesic is administered to avoid cyanosis.
8. Coitus: during pregnancy is normal and depend on the mother in a
previous history of abortion might be an indication for avoiding
coitus during first 3 months.
9. Smoking: if heavy smokers, try to cut down because nicotine in
excess dose cause vasoconstriction and affect placental function.
10. Bathing: avoid hot bath because may cause faint, a daily shower is
ideal avoid tub-bath.
11. Bowels: moves every day without use laxatives, regulate her habit
of defecation, increase fluid intake and maintain her diet to avoid
constipation.
12. Avoid taken any drugs: without doctor order, avoid exposure to
infectious disease esp. German measles.
13. Exercise and relaxation: should be simple and not to be strenuous.
Walking is excellent to stimulate the circulation, feeling good
appetite.
14. Warning without frightening tells pregnant women about
unusually symptoms to be treated in early stages and avoid
complications.
15. Avoid x-ray vaginal douching, catheter and enemas are
contraindicated.
16. Diet: diet should contain meat, milk, vegetables and fruits.
17. Minor discomfort.
Health teaching during the second trimester
1. Help family to establish their role as parents.
2. Husband can adapt to the changes occurring to his wife.
3. Better family life and family planning.
4. Avoid heavy weights, may predispose to abortion, avoid constant
standing lead to varicose veins, avoid climb to reach high shelves
because over balancing and her tendency to faint.
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