Page 80 - fourth year book

MATERNAL AND CHILD HEALTH CARE (MCH)

5. Travel: avoid airlines after 32nd week as there is possibility of
premature labour.

6. Rest and sleep: during second halt of pregnancy, the mother is
carrying constant load and increase to 11 kg . She advise to rest and
sleep at least 2 hrs/day.

7. Clothes: should be suitable, comfort, made from cotton. Bras

should be broad shoulder straps and constricting bands on the legs
to avoid varicose veins and edema. Shoes should be short heal and
broad base to maintain good posture.

8. Diet: increase fluids.

Health teaching during the third trimester
1. Exercise and recreation: homework, making beds, sweeping

polishing brings many but not all muscles into play se exercise
have been advised to keep the muscles to be used during labor in
good tone and the pelvic joints flexible.

2. Travel: avoid airline.

3. Breast care: should be massaged to milk the colostrums and
prevent it from blocking the ducts.

4. Pernieal care: due to frequency of urination and increase discharge.

5. Marital relation: would be avoided in last 3 weeks of pregnancy to
avoid infection.

6. Avoid: smoking, alcohol, drugs, x-ray, vaginal douching, catheter
and enemas.

7. Preparation for herself and her home for delivery or other place for
delivery.

8. Family planning should be educated.

9. Baby care: baby rearing and feeding.

10. Diet: increase iron and calcium.

11. True onset of labor.

12. Warning signs: vaginal hemorrhage, stopped fetal movement any
abnormal secretion, abnormal vomiting, oedema, headache,
abdominal pain.

13. Minor discomfort.

50