SN Time Specific Contents T/L T/L Evaluation

Objectives media methods

1 5 Introduce Greeting Poster Brainstorming What do you know
mins Urinary tract Introduction about danger signs
infection. Pretest of pregnancy?
Topic introduction

2 3 Define Any signs/symptoms indicating --- Lecture What is danger

mins danger signs potential risk to mother or fetus or sign of pregnancy?
of pregnancy obstacle requiring special attention,
. which if not treated threatens the life
of mother or fetus is the danger sign of
pregnancy.
3 7 Enumerate ● Medical conditions like Diabetes Metacards Interactive What are the risk
mins the risk mellitus, hypertension, heart lecture factors/causes of
factors and disorders, hypothyroidism or endangering
causes pregnancy?
hyperthyroidism.
endangering
pregnancy. ● Overweight/underweight mother
● Early pregnancy
● Multiple pregnancy
● Late pregnancy
● Abnormal placental location
● Uterine fibroids
● History of spontaneous abortion
● Grand multipara

4 Illuminate The danger signs includes; Chart Interactive What are the
the danger ● Swelling of limbs and face : It is a paper discussion danger signs of
signs of manifestation of underlying pregnancy?
pregnancy hypertension
● Pale conjunctiva, tongue, mucosa
and nail beds indicating anemia
● Persistent vomiting
● Jaundice
● Vaginal bleeding
 ● Severe headache, blurred vision
and epigastric pain
● Seizure
● Rupture of membrane
● Excessive or foul smelling discharge
● Persistent lower abdominal pain
● Fever
● Decreased fetal movement (fetal
kicks < 10 times in 12 hours)

SN. Time Specific Contents T/L T/L Evaluation

Objectives media methods
5 List down the If not promptly identified and sought Flipchart
complications for medical care these signs may
related with progress or lead to
danger signs ● Intrauterine growth restriction &
of pregnancy. low birth weight
● Chorioamnitis
● Preterm labor
● Preterm birth
● Hypertension – blindness
● Postpartum hemorrhage
● Intrauterine death
● Neonatal death
● Maternal death

6 Explain the A) Birth preparedness and

management complication readiness
of danger
signs of Birth preparedness is the process of
pregnancy. planning for a normal birth.
Complication readiness is anticipating
the actions needed in case of an
emergency.

Knowing what labour means will help

the mother know what will happen,
and this in turn helps her feel
comfortable and assured during the
last days or weeks of her pregnancy.
Delivery should be taken by skilled
birth attendant. Plan a appropriate
place where woman will deliver.

Planning for any additional costs,

money source, birth companion
needed during delivery time.

Preparing supplies for her care and the

care of her newborn baby.

Complication readiness and emergency

planning
Immediately seek medical care if
danger symptoms are seen.

Alert them to plan for transportation

with vehicle owners.

Decide who will accompany her to the

health facility.
Decide who will care for her family
while she is away.

A pregnant woman may bleed

massively (haemorrhage) during or
after delivery and may need blood to
be given to her. You should make sure
that she or her husband identifies two
healthy adult volunteers who agree to
act as blood donors if she needs it.
Reassure the potential blood donors
that they will not be harmed by giving
blood, and their general health will be
assessed before donating.

Delay in health care increases maternal

mortality and morbidity rate.

B) Completion of at least 8 ANC

visits as per WHO
recommendation
 C) The occurrence of danger signs
can be prevented by;
● Managing disease condition,
exercises, good nutrition.

● Avoid tobacco and alcohol use

during pregnancy.

● Take medication to control

hypertension.

D) Spontaneous abortion

It can be managed by bed rest.

Administration of hormones and
recurrent follow ups and
hospitalization. Avoid travelling long
distances during first trimester of
pregnancy.

E) Persistent nausea and

vomiting can be managed by
visiting hospitals and taking
antemetics
F) Woman should visit hospital
immediately in case of rupture
of membrane/water
breakdown.

7 Summary Danger signs are the warning signs of s Structured What is danger
underlying complications during interactive sign of pregnancy?
pregnancy such as fever, decreased session What are the risk
fetal movement, seizure, foul smelling factors /causes
discharge, vaginal bleeding etc. In endangering the
order to ensure safety of mother and pregnancy?
fetus, prompt identification and What are the
management is necessary. For that complications of
every mother should complete 8 ANC danger signs?
visits as per the protocol, take What are the ways
supplements and healthy foods every to manage danger
day and be aware of danger signs of signs?
 pregnancy and prepare herself for any
complications in her advance.

REFERENCES

1. Dutta DC. Textbook of Obstetrics. 9th ed. India; Jaypee brothers Medical publishers; 2016
2. Counseling for Maternal and Newborn Health Care: A Handbook for Building Skills.
Available from : https://www.ncbi.nlm.nih.gov/books/NBK304179/#session7.s4 [Accessd
20th November, 2021]