Maternal child book Flashcards
Caveat to MCHRB
It is not a tool that can directly reduce maternal and child deaths
Age bracket for usage of book
mother and children from birth to 5 years
pink
Introduction
Family identification
Content
Sweet memories
orange
Pregnancy records
Maternal health records
Health messages during pregnancy
yellow
Health messages for delivery
Delivery records
Baby’s condition at birth
Discharge summary
blue
Postnatal records for mother
Child identification
Postnatal records for child
Health messages for mother after delivery
Health messages on family planning
Health messages for newborn (for less than 1 month)
Green
Health messages for newborn (for 1 month – 5 years) Records of child growth and development
Baby and child health records
Look out for these signs
Stages of growth (developmental milestones)
protocols in weight measurement
Weight is recorded in kg and checked every month for a year from birth, then every 3 months from year 1 to 2, then every 6 months from 2 to 5 years old.
Protocols in length
Length is measured in cm every 3 months from birth to age 2 then subsequently every 6 months from 2 to 5 years.
Nature of curve if EBF is done
If exclusive breastfeeding well done, the child’s curve should be parallel to any of the curves drawn.
Where plot is made
Since it is a monthly visit, the plot is ideally made in the middle of the box, and not on the line.
What’s the significance If the deviation continues for 3 consecutive months
Failure to thrive
What is the significance when the plot climbs upwards too steeply
it may suggest an endocrine/ metabolic problem or sheer obesity
Nutritional counselling done when
6wks, 14wks, 3 months, 6 months, 9 months, 18 months and 24 months
Continuum of care pointers
at least four antenatal care visits;
delivery assisted by a skilled birth attendant; and
three postnatal cares within initial 48 hours, at 2 weeks, and on sixth weeks postpartum
