14.5 Nutritional assessment of pregnant women

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The clinical assessment remains same with added information about

• last menstrual date and trimester
• pre-pregnancy weight if available
• clinical assessment to rule out high risk pregnancy or pregnancy with complication
• routine antenatal care and advise

For first trimester BMI can be used for nutritional assessment. Throughout pregnancy, weight gain should be recorded during each visit and mother should be asked to come with her Mother and Child Protection card to the DOTS center. During second and third trimester, MUAC can be used for classifying nutritional status. During pregnancy the suggested MUAC cutoff for.