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Integrated Maternal and Newborn Care Basic Skills Course ...

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• Ideally take preventive steps early with appropriate care <strong>and</strong> nourishment of the girl<br />

child.<br />

• Counsel families/mothers to ensure that women in general:<br />

o delay child bearing until they are at least 20 years old.<br />

o have adequate nutrition.<br />

o have sufficient rest <strong>and</strong> are not subjected to hard work during pregnancy.<br />

o have basic care to detect <strong>and</strong> treat problems before pregnancy.<br />

• Ensure through care <strong>and</strong> counseling that pregnant women:<br />

o receive quality prenatal care, including taking iron <strong>and</strong> folic acid to manage anemia<br />

<strong>and</strong> preventing malaria through the intermittent preventive treatment of malaria <strong>and</strong><br />

use of insecticide-treated bednets.<br />

o recognize danger signs <strong>and</strong> seek appropriate care.<br />

o follow birth spacing (2-3 years) through being encouraged to use contraception.<br />

Complications of Low Birth Weight<br />

Low birth weight babies have several h<strong>and</strong>icaps that make them more susceptible to a number<br />

of problems, many of which can be life threatening, especially in smaller, more preterm infants.<br />

Some of the key issues are noted in Table 15, along with some strategies for treatment <strong>and</strong><br />

management.<br />

138<br />

<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />

<strong>Basic</strong> skills course

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