ASSESSMENT !PROTOCOL FOR FOLLOW-UP PRE-NATAL CHECK UP (Logic Tree No. 29) DIRECTION: Determine/identify whlch of the following symptom s/signs (S/S) or history data (Hx D) are present and follow the flowchart for the appropriate plan of management. RED S/S or Hx D Vaginal bleeding even if spotting only specially if there is no associated abdominal pain Abdomin al pain especially if severe and/or in the lower part of the abdomen Sudden release of fluid from the vagina Blurring of vision Perststent and/or severe headache Difficulty of breathing during the first six months of pregnancy or it occurs in a patient with a known heart problem Swelling of the face especially upon waking up Swelling of the hands Systolic Pressure of 160 mm mercury and above or Diastolic Pressure of 100 mm mercury and above No fetal heart rate in a pregnancy with AOG of at least 16 weeks Fetal heart rate less than 120 beats per minute or more than 160 beats per minute YELLOW S/S or HXO Persistent and/or excessive nausea and/or vomiting Chills Ear discharge Cough and/or colds Diarrhea or constipation Painful urination Itchiness of the vaginal area Foul smelling vaginal discharge Fetal movement has stopped or has decreased In number and/or In quality Fetal movement has not been felt and the AOG is at least 20 weeks Weight gain of 5 lbs. (or 2. 25 kilos) per week or higher or less than one pound (400 grams) a week in pregnan cy with more than 12 weeks AOG Fundlc height higher or lower than what Is expected based on AOG Head, back or arms occupying the top or upper part of the fundus GREEN S/S or Hx D Slfght. nausea and/or vomiting Frequent but non-painful urination during the first few weeks of pregnancy or during the last few weeks of the pregnancy Difficulty of breathing during the last three months of pregnancy Leg cramps during the later months of pregnancy Increased non-foul smelling mucoid vaginal discharge Regular fetal movements if AOG is at least 20 weeks Weight gain of 75 grams (0. 1 lbs. ) per week during the first three months and 400 grams (1 lb. ) per week during the remaining months Patient's blood pressure within normal llmlts based on her previous blood pressure readings Fundic height within the expected llmlt based on AOG Head is occupying the 255 