NURSING

1. MITTAL COLLEGE OF NURSING
CLASS PRESENTATION ON
Micro planning

2. MICRO BIRTH PLAN
This is a tool basically to structure the events/actions related with pregnancy and
delivery (To be drawn up by ANM/ASHA). Essentially it consists of
Registration and filling up of JSY card
Calculation of EDD(Expected date of delivery)
Informing dates of three essential check ups
Identification of health facility where delivery will take place
Identification of means of transport

3. What is JSY
• Janani Suraksha Yojana (JSY) is a safe
motherhood intervention under the National
Health Mission. It is being implemented with
the objective of reducing maternal and
neonatal mortality by promoting institutional
delivery among poor pregnant women. The
scheme, launched on 12 April 2005 by the
Hon’ble Prime Minister

4. Registration and filling up of JSY card
Each village of 1000 population is expected to have one
ASHA or an equivalent worker registered with the sub-
centre and the PHC of that concerned village, who would
be working under the supervision of the ANM and in
tandem with the AWW. Under JSY, her main role would
be:
• To organize delivery care services for the registered
expectant mother,
• To assist in immunization of the new born and
• To act as a propagator/motivator of family planning
services.

7. Calculation of EDD(Expected date of
delivery
One simple and common method for calculating your delivery date is as follows:
• Mark down the date when your last period started.
• Add seven days.
• Count back three months.
• Add a whole year.
For example, if the first day of your last period was April 9, 2020, adding seven
days will make the date April 16, 2020. Counting back three months results in the
date of January 16. Finally, adding a year yields an estimated delivery date of
January 16, 2021...
Resources that help me to estimate due date.
There are many due date calculators available to help you estimate your due date.
These tools allow you to enter the date of the first day of your last period and then
hit the calculate button. The tool will then tell you an estimated due date for your
baby. Several of these tools include:
1. American Pregnancy Association, ~Pregnancy Calculator.
2. March of Dimes, ~Due Date Calculator.

8. Prenatal care
• The ideal initial prenatal care visit occurs
before conception with a pre-conceptive
visit.
• A pre-conceptive visit allows modification
of behavioral choice, medication and
optimizing medical concerns before
conception.

9. Antenatal check up
• Planed examination and observation for the women
from conception till the birth.
Schedule for antenatal visit
• Timing of the first visit/registration - The first visit or
registration of a pregnant woman for ANC should take
place as soon as the pregnancy is suspected.
• The first visit should take place within 12 weeks.
• Second visit - Between 14 and 26 weeks
• Third visit - Between 28 and 34 weeks
• Fourth visit - Between 36 weeks and term.

10. Importance of prenatal and antenatal
care
• Reduce the risk of pregnancy complications.
• Reduce the fetus's and infant's risk for
complications.
• Help ensure the medications women take are
safe.
• Decrease the risk of certain birth defect.
• Diagnosis and testing pregnancy complication.

12. Informing dates of three essential
check ups
Most pregnant women can follow a schedule
like this:
• Weeks 4 to 28 of pregnancy. Go for one
checkup every 4 weeks (once a month).
• Weeks 28 to 36 of pregnancy. Go for one
checkup every 2 weeks (twice a month).
• Weeks 36 to 41 of pregnancy. Go for one
checkup every week (once a week).

13. Identification of health facility where
delivery will take place
• Delivery in health facilities has been promoted to improve
maternal and child health care. A free delivery policy was
introduced at designated health care facilities (HCF) in 2013.
• It should be a proper hygiene and well managed place.
• Proper take care and full support provide by health facility center.
• Antenatal checkup services would be provided by OBGY
specialists/Radiologist/physicians with support from private sector
doctors to supplement the efforts of the government sector.
Importance of facility based delivery
• Increasing the proportion of women who deliver in a health facility
can be an important means in reducing maternal mortality in low-
income settings. ... Deliveries in health facilities can ensure that
women are attended by skilled personnel and also link women to
the referral system in the case of any complications.

15. Identification of means of transport
• Transport of pregnant women emergencies in India : an
analysis of the 108 ambulance service system data.
• The transport of pregnant women to an appropriate
health facility plays a pivotal role in preventing
maternal deaths. In India, state-run call-centre based
ambulance systems (‘108’ and ‘102’), along with
district-level
• Janani Express and local community-based innovations,
provide transport services for pregnant women. We
studied the role of ‘108’ ambulance services in
transporting pregnant women routinely and obstetric
emergencies in India.

17. Conclusion
• Micro birth planning is a very good
intervention of NRHM as it covers all the
detailing.
• Reducing maternal and neo-natal mortality by
promoting institutional delivery among the
poor pregnant women.
• It inform expected date of delivery.
• Monitor and feedback machenism.
• It provide health facility for save delivery.

18. Bibliography
• https://www.scribd.com/
• https://www.nichd.nih.gov/
• https://www.womenshealth.gov/
• https://overlakeobgyn.com/
• https://jhpn.biomedcentral.com

19. THANK
YOU