Pregnancy Planner Wheel Final for Print

The planner is divided into six steps, which are outlined below. The first step involves introducing oneself to the client and explaining the purpose of the visit. This is followed by a brief explanation of the importance of the client's last normal menstrual period (LNMP) and how it will be used to confirm pregnancy. The client's LNMP is recorded on the client card, and the red arrow is turned to point to the date of the LNMP. The second step involves establishing the client's likely date of delivery. This is done by following the purple arrow, which marks the client's last LNMP, clockwise around the circle to the second purple arrow, which indicates the expected date of delivery. The third step involves determining how far the client is into her pregnancy. This is done by keeping the red arrow pointed at the date that shows the client's LNMP and following the finger around the wheel to identify today's date. The time between the client's LNMP and today's date allows the user to determine how far the client is into her pregnancy. The fourth step involves identifying which trimester the client is in. This is done by determining how many weeks into her pregnancy the client is and using the following guidelines: 1-12 weeks = 1st Trimester, 13-27 weeks = 2nd Trimester, and 28-40 weeks = 3rd Trimester. The fifth step involves determining the client's clinical care needs based on her current stage of pregnancy. This includes assessing for PrEP eligibility and referring eligible women for PrEP, as well as providing guidance on infant feeding counseling and exclusive breastfeeding. The sixth step involves providing guidance on clinical services that should be provided to the client at her different stages of pregnancy. This includes screening for TB and other STIs, as well as providing guidance on maternal ART during pregnancy and breastfeeding to prevent mother-to-child transmission of HIV. The Pregnancy Planner also includes a section on danger signs, which outlines the following danger signs: severe headache, abdominal pain, drainage of liquor from the vagina, vaginal bleeding, and reduced fetal movements. If any of these danger signs exist, the user is instructed not to initiate and refer for management. The planner also includes a section on clinical services for HIV-negative pregnant women, which includes assessing for PrEP eligibility and referring eligible women for PrEP, as well as providing guidance on infant feeding counseling and exclusive breastfeeding. For HIV-positive pregnant women, the planner includes guidance on maternal ART during pregnancy and breastfeeding to prevent mother-to-child transmission of HIV, as well as monitoring serum creatinine and viral load (VL) at different stages of pregnancy and post-delivery. The planner also includes a section on labor and delivery, which outlines the services that will be offered to the client during labor if she is living with HIV. This includes providing guidance on the use of DTG and allowing the client to make an informed choice, as well as initiating all pregnant and breastfeeding women on ART. Overall, the Pregnancy Planner is a comprehensive tool that provides guidance on clinical care needs for pregnant women, including HIV-negative and HIV-positive women. It is designed to help healthcare providers provide high-quality care to pregnant women and prevent mother-to-child transmission of HIV.