3. 8. 3. it whil~ standing or squatting, Whenever possible, elevate the legs. 4. 0 Advise patient to prepare the haby"s things as soon as possible. 5. 0 Encourage the patient tq have regular pre-natal check-up. 6. o Do home visit if patient fails to return for follow-up. PLAN B: 1. 0 Refer the patient to a doctor within 24 to 48 hou_rs. 2. 0 Advise patient to continue taking multivitamins and iron supplement. 3. 0 Encourage the patient to follow the advice given during the :fitst visit, especial1y those pertaining to personal cleanliness, proper nutrition and exercises. 4. 0 For the supportive ma. n. agement of the problems presented, follow the instruction given in Plan B of the Managemen t Protocol for Initial Pre-natal check-up (Logic Tree Flowchart #28). 5. 0 Pi:ovide the doctor to whom the patient is being referred to with the appropriate record or referral note containing tl1e briefhistory, physical examination findings, laboratory results (if available) and management started at the referring level. PLAN C: 1. 0 Refer the patient iinmediately to a hospital (preferab ly the nearest one). 2. 0 Keep the patient and her companion calm. 3. 0 Make the patient lie down quietly. 4. 0 If she has difficulty breathing, place the patient in a semi-sitting position with her back well supported. 5. 0 Provide the hospital where the patient is being referred to with the appropriate clinical record or referral note containing a brief history, physical examination findings, laboratory results (if available) and management started at the referring level. 259 