PNC CASE PRESENTATION

NIVEDHITHA M
PARKAVI R
PIYUSH SHARMA
POLIMARI SRI LAVANYA
PRACHI PRIYA
PRITHA SINGH
JANANI M
 INDEX CASE INFORMATION
• Name : Mrs. Amudha
• Age : 24
• Education : Diploma
• Occupation: home maker
• Address : No.7, Mariamman koil street,shanmugapuram,
Mettupalayam.
• Husband’s name : Mr. Manikandan
• Religion : Hindu
 FAMILY PROFILE
NAME RELATION AGE/SEX EDUCATION OCCUPATION INCOME MEDICAL
TO HOF ILLNESS

Manikandan self 33/M 10TH Driver 10000/-

-

Amudha wife 24/F diploma Homemaker

- -

Jeshwanth son 3/M Preschool

- - -

Harishwaran son 2months/M Pneumonia

- - -

Type of family: Nuclear

Total number of members: 4
 FAMILY TREE:

MANIKAN AMUDHA
DAN

JESHWA HARISHWARAN
NTH
 SOCIOECONOMIC STATUS
• Total family income : 10000/-
• Per capita income : 2500/-
• Modified BG Prasad scale: Lower middle class
 HISTORY OF PRESENTING ILLNESS
CHIEF COMPLAINTS: No complaints at present
• No h/o fever with rashes
 OBSTETRIC HISTORY
• The obstetric score for the patient is G-2 P-2 L-2 A-0
• Her last menstrual period[LMP] - 29th March 2023
• Her Expected date of delivery - 3rd Jan 2024
• Delivery date -29th Dec 2023
• FULL Term pregnancy
• Baby gender - male
• Baby birth weight -3.2 kg
 ANTENATAL HISTORY
1ST TRIMESTER
• It was a spontaneous pregnancy confirmed by UPT after 60 days of
amenorrhea
• Registered at Mettupalayam PHC
• Number of ANCvisits :3
• Dating scan taken and corresponding.
• Folic acid taken
H/O Hyperemesis gravidarum
- no h/o breathlessness
-no h/o burning micturition
-no h/o fever with rashes
-no h/o of bleeding PV
 INVESTIGATIONS DONE
 Haemoglobin levels : 11.5g/dL
 HbsAg : negative
 Blood sugar : 131mg/dL
 VDRL : non reactive
 Urine albumin and urine sugar: nil
 Thyroid test : Hypothyroidism
 Blood group :
 2 TRIMESTER
nd

• Quickening felt at 5th month

• Immunized for 2 doses of Td vaccine
• IFA and Ca supplements were taken
• Number of ANC visits : 3
• Anomaly scan taken and normal
• No h/o convulsions
-no h/o burning micturition
-no h/o pedal edema
-no h/o Pregnancy induced Hypertension and GDM
-no h/o fever with rashes
 3RD TRIMESTER
• Percieved normal fetal movements
• IFA and Ca supplements were taken
• Number of ANC visits: 4
• No h/o bleeding PV
- no h/o leaking pv
-no h/o pain abdomen
-no h/o burning micturition
- no h/o bowel and bladder disturbances
 INTRA NATAL HISTORY
 Place of delivery –Lakshmi Narayana hospital
• It was a normal FULL TERM vaginal delivery 29/12/23
• The birth weight of the baby is 3.15 kg
• Baby cried immediately after birth
 POST NATAL HISTORY
• Breastfed[colostrum] immediately after birth
• No prelacteal feeds given
• Baby was admitted in NICU for pneumonia
• Date of discharge was on Jan 12 2024
• Baby passed meconium and urine within 24 hrs
• h/o any chronic comorbidities hypothyroidism
• Stopped iron and calcium tablets after 1 month
• Fall of umbilical cord stump was on 7th day
• Govt maternity benefits were not availed [ JSY]
• No of PNC visits: 1
• AWW services were recieved
 PAST OBSTRETIC HISTORY
• Age of the women during pregnancy: 24
• Spacing duration was 3 years
• 2 doses of TT was given
• IFA tablets were taken
• Duration of gestation : 39 weeks
• Place of delivery: Rajiv Gandhi hospital
• It was a FULL TERM vaginal delivery
• Birth Wt of the baby was 3.14 kgs
• Exclusive Breastfeeding was given for 6months
 CONTRACEPTIVE HISTORY
• N/H/O of use of contraceptives before and after delivery
 MENSTRUAL HISTORY
• She attended menarche at 14 years
• IRREGULAR menstrual cycle – every 2 months
• Bleeding last for 3 days with moderate flow
• n/h/o clots
• n/h/o dysmennorhea
 MARITAL HISTORY
• Age at marriage was : 19
• Non consanguineous marriage
• Age at 1st pregnancy was 21
• Age at 2nd pregnancy was 24
• No Contraceptives were used
 PAST HISTORY
•N/H/O hospitalisation
•N/H/O of past surgeries
•N/H/O hypertension , DM , TB .
•N/H/O blood transfusion
 PERSONAL HISTORY

• Mixed diet
• Good sleep and appetite
• n/h/o bowel and bladder disturbances
• n/h/o substance abuse
• n/h/o drug allergy
 FAMILY HISTORY

• Non Consanguineous marriage

• N/H/O DM, Hypertension in the family
• N/H/O cardiovascular diseases in the family
• N/H/O TB and bronchial asthma
 DIETARY HISTORY- Qualitative
• Mixed diet
• Non- veg food frequency ; 3 days
• Staple food is rice
• Taking fruits and vegetables daily
• N/H/O skipping meal
• Salt consumption- 1kg/3 months
• Oil consumption : 2L/month
• No Diet modication
• No food faddism and food taboos
DIETARY HISTORY - Quantitative
INTERVALS QUANTITY CALORIES[kcal] PROTEINS [g]

MORNING Puri [4] 400

Veg curry[ 1cup] 170 3.8
AFTERNOON Rice [2 bowls] 340 8
Veg dry 150 3.8
EVENING nuts 85 15
DINNER Dosa [3] 375
Veg curry[ 1cup] 150 3.8

TOTAL - 1670 35g

REQUIRED - 2130 63g
COMMENTS - 460kcal deficient 28g deficient
 ENVIRONMENTAL HISTORY
MICRO ENVIRONMENT:
• Rented pucca house
• No of living rooms:2
• No overcrowding { as per person per room criteria}
• Lighting source : natural lighting [ adequate]
• Ventilation: adequate
KITCHEN:
• Present inside the house
• Fuel used : LPG
• No Smoke outlet present – indoor air pollution
present
• Sullage is disposed into the drainage canal
• WATER : Source of water: tap water
Frequency : 3 times a day
Storage: vessel container closed with lid
Household purification: boiling
Drawing method: poured out
• WASTE DISPOSAL:Dustbin inside house and covered
Collected by sweeper daily
• CHILD FRIENDLY HOUSE : no slippery floors, sharp objects
• HOUSE HOLD LATRINE is present
• No pets In the house
MACRO ENVIRONMENT

• Roads: clean cement roads present

• Street lights : present
• No common dustbin
• Stray dogs present
• No mosquito breeding sites present
 PSYCHOSOCIAL HISTORY
• Family is supportive
• Husband is caring and supportive
• Praticipating in famil festivals and functions
• N/H/O percieved self stigma
• No gender preference
• N/H/O domestic violence
 SOCIOCULTURAL HISTORY

•No pre lacteal feeds were given

•No traditional / cultural practices followed
 KAP
KNOWLEDGE ATTITUDE PRACTICE

IMMUNIZATION Knows that Willing to vaccinate Immunized till date

vaccination prevents child
diseases
BREAST MILK Knows importance of willing to exclusive
exclusive breastfeed breastfeeding for 6
breastfeeding months
GENDER Aware of gender has no gender follows no gender
PREFERENCE preference preference preference

FAMILY PLANNING Knows about Willing to undergo Family planning not

family family planning done yet
planning
 KNOWLEDGE ATTITUDE PRACTICE

IFA TABLETS Not aware of the Willing to take Stopped taking

importance of IFA IFA Tablets tablet after 1
tablets month of delivery
REGULAR CHECKUPS Has knowledge Willing to come visited hospitals
about the regular for regular for her ANC
checkups checkups
EXAMINATION
 IMMUNIZATION HISTORY
AGE VACCINES RECEIVED

At Birth OPV-0
BCG -0
Hep - B
6th Week OPV-1
RVV-1
PCV-1
FIPV-1
Penta-1

• IMMUNIZED UP TO DATE