Visit | Gestation in weeks (months) | What to do/check | Messages to be given |
---|---|---|---|
PREGNANCY | |||
1 | 8–18 wks (2- 4th mo) | Recruitment | • Value of attending ANC for initial evaluation • Ask if attended 1st ANC visit • Start counselling on adequate diet for mother • Value of taking the iron and folate supplements given at the clinic • Value of tetanus vaccine during pregnancy |
2 | 19–22 wks (5th mo) | Remind mother to go for 2nd ANC visit | • Continue counselling on mother’s diet • Value of attending ANC |
3 | 23–27 wks (6th mo) | Ask if attended 2nd ANC visit (24 -28wks) | Start counselling on • Infant feeding • Birth plan • Value of attending ANC • Continue couseling on maternal nutrition |
4 | 28–32 wks (7th mo) | Remind mother to go for 3rd ANC visit (32wks) | • Value of attending ANC • Value of early initiation of breastfeeding • Continue counselling on mother’s diet |
5 | 33–35 wks (8th mo) | Ask if mother attended 3rd ANC visit; Check birth plan | • Value and duration of exclusive breastfeeding • Give messages on child spacing • Continue counselling on mother’s diet • Birth plan |
6 | 36–37 wks (8th -9th mo) | Remind mother to go for 4th ANC visit at 36 wks | Review • early initiation of breastfeeding, • exclusive breastfeeding • Birth plans • How to care for the baby’s cord • Counsel on maternal nutrition during lactation |
7 | 38–40 wks (9th mo) |  | If not delivered do as in visit 6 |