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Modes of Transmission
            i.   Through unsafe sexual intercourse with the infected partner.
            ii.  Use of the personal materials of the patient like clothes, towel, etc.
            iii.  Intimate contact with the infected person            Do You Know

                                                               •  The initial ulcer may be
            Signs and Symptoms                                    mistaken as a hard chancre,
            i.   Painful ulcers in and around genitalia           the typical sore of primary
            ii.  Pain with urination (dysuria)                    syphilis as opposed to the
            iii.  Swelling of glands in the groin                 soft chancre of chancroid.

            iv.  Vaginal discharge
            v.  Bleeding from the ulcers
            vi.  Oozing of grey or yellowish pus from the ulcers.

            vii.  Enlargement of the inguinal lymph nodes, the nodes located  in the fold between the
                leg and the lower abdomen
            viii. Painful lymphadenopathy


            Preventive and Control Measures
            i.   Unsafe sexual intercourse with the infected partner should be avoided.
            ii.  Condom should be used during sexual intercourse.
            iii.  Prostitution should be stopped.

            iv.  Blood should be screened before transfusion.
            v.  Intimate contact with the infected person should be avoided.
            vi.  Infected person should be treated in the early stage of infection.
            vii.  Proper health education should be given to develop awareness.

            viii. Personal belongings of the infected  person should not be used.
            ix.  The patient should be isolated.



              8.2  Safe Motherhood
            Safe  motherhood  is  one  of  the important areas  of
            reproductive health. Safe motherhood encompasses
            a series of initiatives, practices, protocols and service
            delivery guidelines designed to ensure that women
            receive a high quality gynecological, family planning,
            prenatal, delivery and postpartum care, in order to
            achieve optimal health for the mother, foetus and  Fig: 11
            infant during pregnancy.                                   Safe motherhood

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