Unmarried Gravida

Patient is accompanied by a relative, preferably parents.
Age proof is obtained.
If age proof is not available, Forensic Medicine opinion ia taken for age verification .
In OPD
<20 WEEKS
The patient is counceled.
History is taken.
Examination is done.
Community Development Officer reference is made.
Advise is given to follow up in antenatal OPD
OR
Admission is done in antenatal ward till delivery.
If patient wants termination of pregnancy
Consent is taken (If < 18 years parent’s/guardian’s sign on consent).
Admission is made in PPS Ward.
>20 WEEKS
Counseling is done for continuation of pregnancy.
History is taken.
Examination is done.
Community Development Officer reference is made.
Advise is given to follow up in antenatal OPD or Admission is made in antenatal ward till delivery.
For medicolegal case (MLC)
Call is sent to Casualty officer along with file
MLC stamp on is put on the Casualty paper and Indoor paper .
In antenatal ward
Community Development Officer (MSW) reference is made (Number 60).
Forensic Medicine reference is made if indicated.
Routine antenatal investigations are done.
Investigations are done to rule out STDs.
After delivery
Cord blood and mother's blood samples are sent for DNA analysis if required.
Mother is shifted to PPS Ward.
File is kept with staff.
Suppression of lactation is done (if indicated).
Baby kept as extra baby in postnatal ward, to be looked after by staff nurse.
Community Development Officer (MSW) reference is sent.
CDO contacts IAPA (Indian Association for Promotion of Adoption) or FSC (Family Service Centre).
At discharge check
Baby's adoption work is complete.
Mother's is fit for disharge.