Page 195 - Health, Population and Environment Education 10

f. Immunization/Vaccination
Immunization is given to prevent various
types of diseases. A female should have timely
immunization against tetanus during pregnancy
so as to prevent female and growing foetus from
tetanus. She should be immunized against tetanus
from 7 month of pregnancy till 2 weeks before
th
delivery. In case of first pregnancy, 2 dose of
tetanus injection should be given in 7 and 8th
th
month of pregnancy.
Fig: 23
2. Safe Delivery and Natal Care
Natal care is the care taken to the woman during the delivery period. It includes the
health care services and assistance for the safe delivery. As pregnancy and delivery period
are crucial and critical for females, the pregnant female should not be left alone in home
in the late stage. The labour pain can start at any time during the late stage. Once, there is
discharge of amniotic fluid during late stage, a pregnant female should be rushed to the
hospital. There is presence of trained medical people and other health equipments in the
hospital. So, the delivery becomes quite safe in the hospital. Even she can have assistance
from medical people in case of any complications. In case the hospital or health centres
are far from home, the midwife should be pre-informed about late pregnancy before
hand. In case, if there is no midwife in the nearby places, then people must arrange for
money and the vehicle to take pregnant woman in the concerned hospital or then people
can arrange for delivery in home. In that case, people can take help from the experienced
family members, relatives or neighbours. The following things should be considered
during delivery.

a. A pregnant woman should be rushed immediately to hospital when the symptoms of
labour pain appear or the midwife should be immediately informed.

b. The pregnant female should be given energetic liquid, fruit juices as well as glucose
water.
c. She should be encouraged for defecation and urination.

d. The pregnant woman should be consolled with love, affection, sympathy and security.
e. The room in which delivery is going to be performed should be clean, warm and
sunlight coming.
f. The female assisting for delivery of the child should clean and cut nails, sterilize the
equipments to cut umblical cord as well as the string to tie umblical cord.

g. There should be arrangement of delivery kit. If not, there should be availability of
blade, string, handkerchief, soap and boiled water.

3. Care for Postnatal Mother
The period of two months after delivery is regarded as maternity period or post natal
period. Actually, it is the responsibility of family members to take care of mother and
GREEN Health, Population and Environment Education Book-10 195