Report 2011 - Deepalaya

Physical examination
• Number of weeks: 34
• Weight : 55 kg
• Height : 1,65 m
• BP : 110/70
• Hb : 4.8 gm %
• G2P1A1
•
BMI : 20,2 kg/m 2
Comments: This woman had more than 3 ANC, as recommended. Within three fourth of the 3 rd trimester of
gestation reported here, we notice that her weight intake is 3kg. She might not meet the expected weight intake
of 6 kg for the last trimester (see Data analysis section for more explications). The increase in Hb value might be
a mistake by the health worker while pasting the note in the pad or, hopefully, due to iron supplementation.
General information
This woman is 19 years old and is Hindu. She has completed her 8 th grade at school and got married at the age
of 18 years old.
Habits and living conditions
She eats meat on some occasions but she considers herself as a vegetarian, thus we understand that she might
have a typical diet composed of vegetables, rice and flour products. She has access to water by hand pump and
sometimes has electricity at home. She doesn't have access to any toilet/latrines and defecates in the garden.
She drinks about 5-6 glasses of water per day and sleeps about 8 hours during the night and 1 hour during the
day. Her work consists of carrying grass for the cows (physical work) and she always wear footwear. She visits
Tauru’s hospital for her annual check-up and in case of any health problem.
Comments: Practicing open air defecation increases her risk of contracting parasites infections by eating
contaminated food from the garden. Hey water supply is, on the other hand, probably not a source of
contamination as water pump is considered to be a safe source of clean water if area is kept cleaned.
Vegetarianism might highly contribute to her anemic status as her diet, though containing some meat products,
might not meet the expectations for adequate iron intake.
Gynecological and obstetrical history
She is 19 years and presently in the 32 nd week of her second pregnancy. Her last pregnancy ended in abortion
after 8 months of gestation (A1) which was probably less than one year ago as she got married at the age of 18
years old.
Her first menses were at age 17 and she reports pain during her periods, but no vaginal discharge or blood loss.
She had more than 3 antenatal check-ups and is taking iron tablets given by Deepalaya's mobile clinic.
According to our data, her Hb value has improved from 4,5 gm/dl on August 24 th to 4,8 gm/dl today, but she is
still suffering from severe anemia.
She gained 2 kg during the last month and as this is her last trimester, we would expect her weight to increase
to at least 59 kg until full term, to meet the normal weight intake standards. According to her answers, she
didn't change anything in her diet during her pregnancy, but she eats more than usual.
She had never used any family planning method. She plan to deliver in hospital and will visit Gusbethi clinic if
she has any problem during her pregnancy.
Comments: Her pelvic pain might be normal “dysmenorrhea” as she doesn't have any other pelvic symptoms.
We don't have any information about this previous abortion and antenatal cares that have been provided. We
don't know if it happened at home or in hospital and if she had important blood loss that might have