2S8 PLANA: MANAGEMENT PROTOCOL FOR FOLLOW-UP PRE-NATAL CHECK-UP (Flowchart No. 29) 1. 0 Advise the patient to continue her multivitamins and iron supplements. 2. 0 Remind the patient about the importan ce of proper nutrition, persona l hygiene, taking enough rest, using the right kind of clothing and the importan ce of exercise. Advise the patient to do the following to relieve the minor discomforts of pregnancy: 3. 1. For nausea and/or vomiting ("morning sickness"): 3. 1. 1. Have a light breakfast. 3. 1. 2. Eat small frequent meals instead of three full meals, if the nausea/ vomiting occurs later in ithe day. 3. 1. 3. Avoid fatty foods. 3. 2. FOi:· "heartburn": 3. 2. 1. Have small frequent meals. 3. 2. 2. Do not lie down immediately after eating. 3,3. For constipation: 3. 3. 1. Drink plenly offlujds. 3. 3. 2. Eat plenty of leafy vegetab les and raw fruits especially ripe papaya. 3. 3. 3. Avoid eating banana (especially the latundan variety), apple or sta T apple. 3-4-For varicosities and hemorrhoids: 3. 4. 1. Do not stand or stay in one position for a 1011g time. 3. 4. 2. Whenever possible, sit down and elevat~ the legs for at least five 3. 4. 3. 3. 4. 4. 3-4-S-minutes. Do leg raising exercises. Use support or elastic stockings, if necessary. When lying down, lie sideways (either left or right side) with the top leg forward thereby placing the baby's weight on the bed. 3. 4. 6. Do knee-chest position if there are hemorrhoids. 3. 5. For increased non-foul smelling mucoid vaginal discharge: 3. 5. 1. Take a balh dailv. 3. 5. 2. Wash tl1e genitltl area frequently,,.,ith soap and water or with one tablespoon Del Monte vinegar mixed with 1/2 utabo" lukewarm water. 3. 6. For shortness of breathing during the last tlnee months of pregnancy: 3. 6. 1. Assume a semi-sitt ing position with the back well supported by pillows. 3,6. 2. Discourage the patie. nl from wearing "biglds~. 3-7-For leg cramps: 3. 7. 1. Rub or massage the affecte_d area gently. 3. 7. 2. Elevate the feel often. 3-7-3, Keep the leg ·warm. 3·8· For swelli11g of the legs: 3. 8. 1. Rest frnquently. 3. 8. 2. If an activity can be done while sitting down, sil down. md don't do ,...._ _____________ _ = 