First semester 4-16 weeks provide counseling messages and infdalize birth plan: ~. r,Ji. Jtrlt1Of1 & hygiene olscomforts in pregnancy oo's and don't's 1n pregnancy Warning signs In pregnancy Fertility awarene s-s apd FP Breastfeeding, Child care and family health g Delivery and emergency preparation s schedule'2nd p~enatal visit1~ update 'HBMR / Second semester 17-2Bweeks Provide counsellilg messages and review birth p_lan: -Nutrition & hygiene Dlscomrorts in pregnancy 1 ' D01s and don't's in pregnancy U Warning signs In pregnancy l. Fertility awareness and FP 1 Breastfeeding, Child core and family health l, Delivery and emergency preparal'ions Schedule 2nd prenatal visit & update HBMR If this Is the 1st visit, ensure that 1st trimester activities have been done ANTENATAL REGISTRATION Third Semester Z9-36weeks Provide counsel­ ing messages and validate birth plan: 17 Nutrition & hygiene 0 Nutrition & hygiene n Do'sahd don't's In pregnancy I, Warning signs In pregnancy [l Fertility awareness and FP. D Breastfeedfng, Child care and family health 0 Delivery and emergency pfeparations D Personal hygiene after delivery Schedule 4th prenatal visit preferab ly 1-2 weeks before dellvery 37-40weeks Provide lnforma-tjon and validate birth plan: [] Do's and don't's 0 [. I 0 l J in pregnancy Warning signs in pregnancy Fertility awareness and FP Breastfeedi ng, Child care and family health Delivery and emergency preparations n Personal hygiene after delivery When a woman comes in for"the first prenatal visit, whicl1 the government ai D1S on the 4th to. 16 weeks of pregnancy, the healtb care provider computes the age of gestation ond the expected date of delivery. 'The home based maternal record (HBMR) is also prepared. (. u) The HBMR is nc!taiaed by the woman anti serves as her "passport" to appropriate healtll care. It is a simple card designed to facilitate the easy recording and interpretution of compre l1ensive information on the health status of a woman before her firi>-t pregnnn<. :y, during ll1e current pregnancy, delivery, postpartum and neonatal periods, and during l,vo subsequent pregnancies. The cards can also be used to record inform. at ion duriug tl1e periods between pregnancies and on the woman's breast-feeding, family planning, and tetanus toxoid immunization status. . TETANUS TOXOID IMMUNIZATION Tetanus is caused by an anaerobic spore forming bacteria called clostridium tetani that enters the body of the newborn through unsterilc techniques in cutting and dressing the umbilical cord. Wh~eit is found in the environment, t11e organism can only survive 293 