Topic Follow Up Maternal Child Nutrition Client
Learning outcomes
Explain Routing monitoring in pregnancy
Describe Routine monitoring in lactation
Describe Growth monitioring chart
Routine Monitoring in Pregnancy
Definition:
Routine monitoring in pregnancy (also called antenatal monitoring) refers to
the regular check-ups, examinations, and tests done throughout pregnancy
to ensure the health and safety of both the mother and the developing fetus.
Objectives
To assess maternal health and detect complications early (e.g.,
anemia, hypertension, diabetes).
To monitor fetal growth and well-being.
To provide health education, nutritional advice, and emotional support.
To prepare the mother for safe delivery and postpartum care.
Components of Routine Antenatal Monitoring
Aspects Monitored and their Purpose / Significance
1. Maternal General Health - Weight and BMI<br>- Blood
pressure<br>- Pulse and temperature Detect pre-eclampsia,
hypertension, or infection; ensure adequate weight gain (≈1–2 kg in first
trimester, then ~0.5 kg/week).
2. Urine Examination - Sugar<br>- Protein<br>- Albumin Detect
gestational diabetes (sugar) or pre-eclampsia (proteinuria).
3. Blood Investigations - Hemoglobin level<br>- Blood group & Rh
typing<br>- VDRL, HIV, HBsAg screening<br>- Blood sugar test Detect
anemia, infections, and Rh incompatibility; screen for diabetes.
4. Fetal Monitoring - Fundal height<br>- Fetal heart rate (normal 110–
160 bpm)<br>- Fetal movements Assess fetal growth and viability.
5. Ultrasound Scans - Early dating scan (8–12 weeks)<br>- Anomaly scan
(18–22 weeks)<br>- Growth scans (as needed) Confirm gestational age,
check for congenital anomalies, and monitor fetal development.
, 6. Immunization- Tetanus toxoid (TT) / Tdap Protect mother and baby
from tetanus and pertussis.
7. Nutritional & Supplement Monitoring - Iron, folic acid, and calcium
supplementation compliance Prevent anemia and promote healthy fetal
growth.
8. Counseling & Health Education - Diet and hygiene<br>- Birth
preparedness<br>- Warning signs (bleeding, swelling, decreased
movements, etc.) Empower the mother to recognize danger signs early and
promote safe delivery.
Routine Monitoring in Lactation
Definition:
Routine monitoring in lactation refers to the regular observation,
assessment, and support provided to a breastfeeding mother and her infant
to ensure successful breastfeeding, good maternal health, and adequate
infant growth and nutrition.
Objectives
To ensure that the mother is healthy and producing sufficient breast
milk.
To ensure the baby is feeding effectively and growing well.
To detect and manage breastfeeding difficulties early (e.g., sore
nipples, engorgement).
To promote exclusive breastfeeding for the first 6 months.
To encourage continuation of breastfeeding with complementary
feeding up to 2 years or beyond.
Aspects Monitored / Assessed and their Purpose / Significance
1. Mother’s General Health - Nutritional status, hydration, rest,
mental well-being <br> - Postnatal recovery (lochia, uterine involution)
Ensure adequate recovery and ability to breastfeed effectively.
2. Breast Examination - Breast fullness, tenderness, nipple condition
(cracks, pain, infection) <br> - Milk secretion Early detection of breast
problems such as mastitis, blocked ducts, or engorgement.
Learning outcomes
Explain Routing monitoring in pregnancy
Describe Routine monitoring in lactation
Describe Growth monitioring chart
Routine Monitoring in Pregnancy
Definition:
Routine monitoring in pregnancy (also called antenatal monitoring) refers to
the regular check-ups, examinations, and tests done throughout pregnancy
to ensure the health and safety of both the mother and the developing fetus.
Objectives
To assess maternal health and detect complications early (e.g.,
anemia, hypertension, diabetes).
To monitor fetal growth and well-being.
To provide health education, nutritional advice, and emotional support.
To prepare the mother for safe delivery and postpartum care.
Components of Routine Antenatal Monitoring
Aspects Monitored and their Purpose / Significance
1. Maternal General Health - Weight and BMI<br>- Blood
pressure<br>- Pulse and temperature Detect pre-eclampsia,
hypertension, or infection; ensure adequate weight gain (≈1–2 kg in first
trimester, then ~0.5 kg/week).
2. Urine Examination - Sugar<br>- Protein<br>- Albumin Detect
gestational diabetes (sugar) or pre-eclampsia (proteinuria).
3. Blood Investigations - Hemoglobin level<br>- Blood group & Rh
typing<br>- VDRL, HIV, HBsAg screening<br>- Blood sugar test Detect
anemia, infections, and Rh incompatibility; screen for diabetes.
4. Fetal Monitoring - Fundal height<br>- Fetal heart rate (normal 110–
160 bpm)<br>- Fetal movements Assess fetal growth and viability.
5. Ultrasound Scans - Early dating scan (8–12 weeks)<br>- Anomaly scan
(18–22 weeks)<br>- Growth scans (as needed) Confirm gestational age,
check for congenital anomalies, and monitor fetal development.
, 6. Immunization- Tetanus toxoid (TT) / Tdap Protect mother and baby
from tetanus and pertussis.
7. Nutritional & Supplement Monitoring - Iron, folic acid, and calcium
supplementation compliance Prevent anemia and promote healthy fetal
growth.
8. Counseling & Health Education - Diet and hygiene<br>- Birth
preparedness<br>- Warning signs (bleeding, swelling, decreased
movements, etc.) Empower the mother to recognize danger signs early and
promote safe delivery.
Routine Monitoring in Lactation
Definition:
Routine monitoring in lactation refers to the regular observation,
assessment, and support provided to a breastfeeding mother and her infant
to ensure successful breastfeeding, good maternal health, and adequate
infant growth and nutrition.
Objectives
To ensure that the mother is healthy and producing sufficient breast
milk.
To ensure the baby is feeding effectively and growing well.
To detect and manage breastfeeding difficulties early (e.g., sore
nipples, engorgement).
To promote exclusive breastfeeding for the first 6 months.
To encourage continuation of breastfeeding with complementary
feeding up to 2 years or beyond.
Aspects Monitored / Assessed and their Purpose / Significance
1. Mother’s General Health - Nutritional status, hydration, rest,
mental well-being <br> - Postnatal recovery (lochia, uterine involution)
Ensure adequate recovery and ability to breastfeed effectively.
2. Breast Examination - Breast fullness, tenderness, nipple condition
(cracks, pain, infection) <br> - Milk secretion Early detection of breast
problems such as mastitis, blocked ducts, or engorgement.
