Report 2011 - Deepalaya

contributed to her low Hb level. Considering that she got married at age 18, and thus enter reproductive life at
this age, the birth spacing between her abortion and this current pregnancy is less than a couple of months, if
she is 19 years old, which is not favorable to increase her Hb level and is also contributing to severe anemia.
Health status
She has abdominal pain and she thinks that she is infected by worms, but has never seen any worms in her
swoons. She knows that she is anemic and she presently has some symptoms such as headache, fatigue and
pain in feet. She doesn't have any fear about the outcomes of her pregnancy.
Comments: Her gynecologic-obstetrical history of abortion and severe anemia are risk factors for maternal and
newborn mortality and morbidity. Education about family planning and nutrition would be beneficial also for
this woman who is entering reproductive life.
Clinic Data
Not available
Case # 2- Raj Kumari w/o Husaijas from Padheni
Information from the interview of September 29 th
Physical examination
• Weight : 52 Kg
• Height : 1,63 m
• BP : 110/70
• Hb : 6 gm %
• Now : G1P1L1A0
• Baby's weight: 3,4 kg
•
BMI: 19,6 kg/m 2
General information
This woman is now 20 years old and she is from Hindu religion. She got married at the age of 19 years old and
has completed her 8 th grade at school.
Gyneco-obstetrical history
She had her first menses at 17 years old and has always been regular and never had spotting or any blood loss.
She has delivered her first baby 21 days ago at home with the Dai from her village (trained) and she is now
breastfeeding. She had ANC given by Deepalaya's clinic and she also visited Tauru hospital and some caretakers
in other villages during her pregnancy. Thus she had taken iron and calcium tablets, but no other medicine. She
had never used any family planning method. Her baby didn't receive any immunization.
She changed her diet during her pregnancy; she was eating less than usual only because she had less appetite.
Her expected date of delivery was on September 1 st and the expected weight of her baby was 3,66 kg according
to the clinic's data.
Habits and living conditions
She says she is vegetarian but she eats about 2 pieces of chicken every week. She drinks around 4 or 5 glasses of
water per day. She knows how to cook food properly.
She gets access to water by water supply and has electricity at home. She doesn't have access to any
latrine/toilet so she has to defecate in the garden. She always wears footwear and she is doing housework.