The definition and schedule (Standard protocol) for antenatal visits during pregnancy are as follows:

  • ANC 1 (1st Visit): Within 12 weeks of pregnancy
  • ANC 2 (2nd visit): Within 14 to 26 weeks of pregnancy
  • PMSMA Visit is applicable for all Pregnant Women whose ANC 1 is done and PW who are Identified as HRP cases
  • ANC 3 (3rd visit): Within 28 to 32 weeks of pregnancy
  • ANC 4 (4th visit): Between 36 to 40 weeks / expected date of delivery (EDD)

In case of high-risk pregnancy, PW may go for more than four visits to the health facility for ANC checkups.
Condition:
Perform 4 ANC Visits, after each ANC checkup move the record to next ANC
Allow access to view and edit each ANC Visit
For each ANC Visit, show ANC completed list and ANC due list
Logic for ANC due list of Pregnant Women:

  • ANC 1: List of Women whose Pregnant Women Registration is done and 'weeks of pregnancy' is < = 12 weeks (84 Days from LMP Date)
  • ANC 2: List of Women whose ANC 1 is done and 'weeks of pregnancy' is > = 14 weeks (98 Days from LMP Date) and < 28 weeks (195 Days from LMP Date)
  • PMSMA Visit: List of Women whose ANC 1 is done and 'weeks of pregnancy' is > = 14 weeks (98 Days from LMP Date) and < = 40 weeks (280 Days from LMP Date) and PW who are Identified as HRP cases
  • ANC 3: List of Women whose ANC 2 is done and 'weeks of pregnancy' is > = 28 weeks (196 Days from LMP Date) and < 36 weeks (251 Days from LMP Date)
  • ANC 4: List of Women whose ANC 3 is done and 'weeks of pregnancy' is > = 36 weeks (252 Days from LMP Date) and < = 40 weeks (280 Days from LMP Date)


ANC Visit

 

 

 


Photo

Name:

w/o:

Age:

 

 

Phone No.

MCP No.

RCH Id:

 

 

LMP

EDD

 

 


ANC Visit data entry form: here some the fields differ from visit to visit based on the given logic.

S.No.

Name of data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

1

ANC Date

Date Picker
  • Is Mandatory
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Accept Date after 5 weeks from LMP Date
  • Date less than 4 weeks from Last ANC Date must not be allowed.
  • Accept date greater than Last ANC Date.
  • Not greater than Today's Date

2

Weeks of Pregnancy

Text Box

 
  • Auto calculated
  • Auto Calculate from LMP date to till current ANC Date and convert to weeks
  • Read only
  • ASHA incentive of Rs 50 gets added for 1st time registration of beneficiary ,when the "Weeks of Pregnancy"field Autopopulates between 1 to 12 weeks. (FMR-3.1.1.1.13)

3

ANC Period

Spinner

Choose:

  • ANC 1
  • ANC 2
  • ANC 3
  • ANC 4
  • Should be editable, based on User choice
  • Default Value is auto select based on below conditions
  • Display ANC 1, if "ANC Date" is within 12 weeks from LMP Date.
  • Display ANC 2, if "ANC Date" is between 14- 26 weeks from LMP Date.
  • Display ANC 3, if "ANC Date" is between 28-32 weeks from LMP Date.
  • Display ANC 4, if "ANC Date" is between 36 weeks up to EDD from LMP Date.
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]]></ac:plain-text-body></ac:structured-macro>

4

Abortion If Any

Radio Group

Choose:

  • No
  • Yes
  • Open "Abortion Date", "Abortion Type" and "Facility" data field on selection of Yes option and are mandatory.
  • Default Value is "No"
  • If "Yes", then Woman should be again moved to Eligible couple Tracking section

5

Abortion Type

Spinner

Choose:

  • Induced
  • Spontaneous
    Default value – 0
  • If Induced option is chosen, then Enable below "Facility" data field
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6

Facility

Spinner

Choose:

  • Govt. Hospital
  • Pvt. Hospital
    Default Value 0

 

7

Abortion Date

Date Picker
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Accept date between 5 weeks to 20 weeks from LMP Date
  • Not greater than Today's Date
  • Disable the ANC detail Fields "Weight of PW (Kg)", "BP of PW (mm Hg) – Systolic/Diastolic"," Pulse Rate", "HB (gm/dl)", "Fundal Height / Size of the Uterus (in weeks)"," Urine Albumin"," Random Blood Sugar Test"," Date of Td / TT (1st Dose)", "Date of Td / TT (2nd Dose)", "Date of Td / TT (Booster Dose)","No. of Folic Acid Tabs given"," Any High Risk conditions"," High Risk conditions"," Referral Facility", Is HRP Confirmed?"," Who had identified as HRP?"," Maternal Death"," Probable Cause of Death" ,"Other Death Cause" "Death Date", "Has the pregnant woman delivered?"," Next ANC Visit Date"

8

Weight of PW (Kg)


Custom Number Picker
  • Accept numeric (integer) value only
  • Values from 30 to 200

 

9

BP of PW (mm Hg) – Systolic

Edit Text Box
  • Accept numeric (integer) value only
  • Values from 50 to 300
  • Default value 0
  • Default Value: to be null if no data is entered
  • Mandatory if "BP Diastolic (mm Hg)" filled.
  • Systolic: < 90 or >= 140 is HRP Case

10

BP of PW (mm Hg) - Diastolic

Edit Text Box
  • Accept numeric (integer) value only
  • Values from 30 to 200
  • Default Value 0
  • Default Value: to be null if no data is entered.
  • Mandatory if "BP Systolic (mm Hg)" filled.
  • Systolic should be greater than Diastolic
  • Diastolic: < 60 or >= 90 is HRP Case

11

Pulse Rate

Edit Text Box
  • Accept numeric (integer) value only
  • Accept values upto 3 digits
  • Do not allow decimals

12

HB (gm/dl)

Custom Number Picker
  • Accept numeric (integer) value up to one decimal place only
  • Values from 2.0 to 15.0
  • Default Value: to be null if no data is entered
  • Severe Anemia (Hemoglobin is less than 7 gm/dl)

13

Fundal Height / Size of the Uterus (in weeks)

Custom Number Picker
  • Must accept numeric (integer) value only
  • Character limit 2
    Default value null
  • Disable field up to 12 Weeks of Pregnancy.
  • Accept numeric (integer) value only
  • Accept values upto 2 digits
  • Do not allow decimals

14

Urine Albumin

Radio Group

Choose:

  • Absent
  • Present

Default Value - null

15

Random Blood Sugar Test

Radio Group

Choose:

  • Not Done
  • Done
  • . Default Value - null

16

Date of Td / TT (1st Dose)

Date Picker
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Accept date between 5 weeks from LMP Date up to EDD
  • Not greater than Today's Date
  • Default Value: to be null if no data is entered.
  • Disable this data field if "Date of TD Booster Dose" is entered in the Last ANC Visit.

17

Date of Td / TT (2nd Dose)

Date Picker
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Accept date after 4 weeks from TD 1 Date up to EDD
  • Not greater than Today's Date
  • Default Value: to be null if no data is entered.
  • Enable this data field if "Date of TD 1st Dose" is entered in the Last ANC Visit.
  • Disable this data field if "Date of TD Booster Dose" is entered in the Last ANC Visit.
  • If "Date of TD 2nd Dose" is entered in the Last ANC Visit, then message as "All TD doses have been given" must appear alongside the data field.

18

Date of Td / TT (Booster Dose)

Date Picker
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Accept date between 5 weeks from LMP Date up to EDD
  • Not greater than Today's Date
  • Default Value: to be null if no data is entered.
  • Disable this data field if "Date of TD 1st Dose" is entered in the Last ANC Visit.
  • If "Date of TD Booster Dose" is entered in the Last ANC Visit, then message as "All TD doses have been given" must appear alongside the data field.

19

No. of Folic Acid Tabs given

Custom Number Picker
  • Must accept numeric (integer) value only
  • Default Value 0
  • Disable field if Weeks of Pregnancy is greater than 12 weeks
  • Accept value up to 60 No

20

No. of IFA tabs given

Custom Number Picker
  • Must accept numeric (integer) value only
  • Default Value 0
  • Disable field up to 12 Weeks of Pregnancy.
  • Default Value: to be null if no data is entered
  • Accept value up to 400 No

21

Any High Risk conditions

Radio Button
  • Options as
    Yes / No
  • If "Yes" is selected, then enable "High Risk conditions" drop down below
  • If "Yes", then flag this Woman as HRP Case and show in the scheduler till Delivery

22

High Risk conditions

Drop Down List

Choose:

  • NONE
  • HIGH BP (SYSTOLIC >=140 AND OR DIASTOLIC >=90 mmHg)
  • CONVULSIONS
  • VAGINAL BLEEDING
  • FOUL SMELLING

    DISCHARGE
  • SEVERE ANAEMIA (HB <7 gm/dl)
  • DIABETES
  • TWINS
  • OTHER
  • If "OTHER" is selected, then enable "Any Other High Risk conditions" Text Box below and is mandatory.
  • Default value is "NONE"

23

Any other High Risk conditions

Text Box
  • Accept alphabets only
  • Character limit 50

 

24

Referral Facility

Spinner

Choose:

  • Primary Health Centre
  • Community Health Centre
  • District Hospital
  • Other Private Hospital

 

25

Is HRP Confirmed?

Radio Button

Choose:
No
Yes

  • If "Is HRP Confirmed?" = "Yes" then
  • Add the Woman name in the "HRP List"
  • Display the name in the PMSMA list
  • Highlight the Pregnant Women in Red colour in the Pregnant Women List
  • Then flag as HRP Case and show in scheduler till Delivery

26

Who had identified as HRP?

Spinner

Is conditionally Mandatory
Choose:

  • ANM
  • CHO
  • PHC – MO
  • Specialist at Higher Facility
  • Enable only if "Yes" is selected above,
  • If "Yes" is selected above, then it is Mandatory

27

Maternal Death

Radio Button

Choose:

  • No
  • Yes
  • Default value is "No"
  • If "Yes" is selected, then open "Death Date" and "Probable Cause of Death" data field below and are mandatory.
  • If "Yes" is selected, then move this record 'MDSR' section

28

Probable Cause of Death

Spinner
  • Choose from

    A. ECLAMPSIA
    B. HAEMORRHAGE
    C. HIGH FEVER
    D. ABORTION
    E. OTHER
  • If "OTHER" is selected, then enable "Other Death Cause" Text Box and is mandatory.

29

Other Death Cause

Text Box
  • Accept only alphabets
  • Character limit 50

 

30

Death Date

Calendar
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Not greater than Today's Date
  • Should be less than EDD
  • Greater than LMP date
  • Greater than last visit date

31

Has the pregnant woman delivered?

Radio Button

Choose:

  • Yes
  • No
  • Default value null
  • Disable up to 22 weeks of pregnancy.
  • If "Yes" is selected, then move record to 'Delivery Outcome' Section

32

Next ANC Visit Date

Calendar
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Greater than Today's Date
  • Should be < = EDD
  • Greater than current visit date
    Show this PW on this Date in the To-do List



Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
On 9th of every month, ANC drive is being conducted at all major facilities.
Beneficiaries can be taken here during 2nd and 3rd trimester of the month.
ASHA receives an incentive of Rs. 100 / PMSMA day.

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