Minimum ANC visits during pregnancy should be
Correct Answer: 3
Description: Ans. a (3). (Ref. Park, PSM, 22nd ed/pg 483)# Ideally mother should attend the antenatal clinic once a month during the first 7 months; twice a month, during the next month and thereafter once a week.# Because high proportion of mothers in India are from lower socioeconomic group and many are working women it is difficult to attend antenatal clinic so often.# Hence minimum of 4 visits should be the larget:-1st visit - within 12 weeks/as soon as pregnancy suspected (registration of pregnancy and first antenatal check up)2nd visit- 14--26 weeks3rd visit- between 28-34 weeks4th visit- between 26 weeks and term# It is advisable for woman to visit medical officer at the PHC during 28-34 weeks.# She may be advised to avail investigation facilities at the nearest PHC/CHC/FRU# Registration of pregnancy within 12 weeks is the primary responsibility of the ANM# Opportunities such as village Health Nutrition day should be availed to ensure early registration of pregnancy and antenatal checkup.TermCommentsAge compositionBelow 15 years decreasing, elderly increasingAge pyramidTypical of underdeveloped country in India with broad base and tapering top.In Switzerland it has bulge at middle.Sex ratioThe number of females per 1000 males. It is 936 in India.It has been adverse to women in India except for Kerala.Dependency ratioTotal dependency 65.5 (1995) and 55.5 (2005),child dependency 57.8 (1995) and 47.2 (2005),old-age dependency 7.6 (1995) and 8.3 (2005).Density of populationIt is number of persons per square km.It is >/= 4000/km2
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Social & Preventive Medicine
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