..-First semester Second Semester Third Semester--4-16 weeks 17-28wee ks 29-36weeks 37-4,0 weeks-provide counseling Provlde counseling ' Provide lnforma-tion Provide counsel-messages and messag-cs and Ing messages and validate birth lnltfalite birth plah: review birth plan: and valrdate plan: r J Nutrition & U Nutrition & birth plan: l J Del's and don't's hygiene,, hyglt:me ~ 1 Nutrition & in pregnancy ' ! Discomforts In ' I Discomforts in hygiene 0 Warning signs In-pregnancy pregnancy !. J Nutrition & pregnancy oo's and don't's f Do's and don't's In hygiene i J Fertility I ' in pregnancy preenancy C, Do's and awareness and 1J warning signs 1n l J Warning signs In don't's in FP pregnancy pregnancy pregnancy C Breastfeeding, ' Ferttllty I Fertility 0 Warning signs Child care and awi. lreness and FP awareness ahd FP in pregnancy family health r. ; Breastfe eding, l Breastfeed ing, 0 Fertility U Delivery and Child care. and Child care and awareness and emergency famrly health family health FP, preparations J Oellverv and L Delivery and I] Breastfeeding, 0 Personal hygiene emergency emergency Chtld care and after delivery preparalion!. prepara Hons family health [J Delivery and Schedule 2nd Schedule 2nd emergency I prenatal visit & l prenatal visit & preparations update HBMR update HBMR r, Personal hygiene after H this is the 1st delive(y visit, ensure that 1st trimester acti Vlties Schedule 4th have been done prenatal visit preferably 1-2 weeks before delivery ANTENATAL REGISTRATION When,t woman comes in for the firstprenntnl visit, which the governmen t aims on Lhe 4h L<> 16 w11cks or pnign~mcy. the health care provider computes the age of gestation :incl ll1l' cxpl'ctccl date of delivery. The home based maternal record (HBMR) is also prc:pn 1·c·ll. ( u) Tlw ll BM R is retained by Lhe woman and serves as her "passport" to . tpprnpl'ial c ltl. )alth care. lt b a sirnple card designed to facilitate the easy recording and intcq)l'etation of comprehensi Ye informi\lion 011 the health status of a woman before her lirst pregnancy. during the current pregnancy, delivery, postpartum and nconal. al period:-; antl during t,w, subsequent pregnanc ies. The cards can also be used tn record i11form:1tio11 thu;ng the periods hetween p1·egnancies and on the woman's brcnst-fecding, family plnnning, and tetanus toxoid immunization status. TETANUS TOXOID IMMUNIZAT ION Telanm; is caused by an anaerobic spore forming bacteria called clostrid:ium tetani that enters the body of the newborn through unsterile techniques in cutting and dressing the umbilical cord. While it is found in the environment, the organism can only survive 293 