Report 2011 - Deepalaya

Health status
She doesn't think she has worms and she is now visiting mobile clinic for postnatal cares.
Comments: Her low BMI might be a consequence of lack of food that contributes, with vegetarianism, to lower
her Hb status that was probably low before entering pregnancy. Moreover, having 25 years old and a
background of 8 pregnancies, she might suffer from chronic iron deficiency, as her body can never restore iron
between each pregnancy. She also had 5 abortions, so she might have lost amounts of blood in her motherhood
life. Abortion might also be consequences of chronic iron deficiency, and having this gynecological history, she
has increased risks of delivery complications, as we have seen in her last pregnancy. Her blood losses have also
decreased her iron store during her last pregnancy. The newborn weight of 3,1 kg on the 11 th day is not very
high, but we don't know his birth weight. Anemia and breech position with hard labor during delivery are
factors that could increase risk of low birth rate for Seena’s baby. Proper cares should be given to him as is at
higher risk for neonatal mortality, malnutrition and anemia. Visiting the clinic for ANC and PNC, taking her iron
tablets and having institutional delivery are good habits that may prevent Seena to suffer from more severe
level of anemia, considering her gynecological story. Her iron supplementation should be continued as her Hb
value is still low and because breastfeeding also increases her needs in iron. We think she could benefit from a
family planning method as she had many complications during her several pregnancies, she suffers from
moderate anemia and also because as she is living in Gogjaka, she used to have access to health care from the
Mobile Clinic that is not running anymore from October 1 st (then she could hardly get ANC in case for
subsequent). Pills would be a good option as they could stop her menstruation and then reduce her blood losses
to improve her iron status and her health.