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{{DISPLAYTITLE:MAMA ALERT — Pregnancy Danger Signs &amp;amp; ASHA Guidance · Meghalaya}}

&lt;div class="mama-banner mama-red" style="margin-top:0;"&gt;
&lt;div class="mama-banner-icon"&gt;🤰&lt;/div&gt;
&lt;div class="mama-banner-body"&gt;
&lt;div class="mama-banner-meta"&gt;MAMA ALERT · UMLING BLOCK · MEGHALAYA&lt;/div&gt;
&lt;div class="mama-banner-title"&gt;High-Risk Pregnancy Symptom Cards&lt;/div&gt;
&lt;div class="mama-banner-sub"&gt;26 bilingual cards · Khasi audio guidance · Direct 108 emergency link&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;


'''MAMA ALERT''' is a set of '''26 colour-coded pregnancy danger-sign cards''' built for ASHA workers, pregnant women and their families in '''Umling Block, Ri-Bhoi District, Meghalaya'''. Each card describes one warning sign — from a recurring headache to vaginal bleeding to fits — and tells the family in plain language what to do, when to worry, and which facility to reach. This wiki is the digital reference for that card set, with linked Khasi-language audio for every card.

Most maternal complications in remote villages are not missed because the danger sign is hidden — they are missed because nobody at home knows whether what they are seeing is normal, or because care is sought too late. The cards close that recognition gap. A single swollen foot in the evening is normal; both feet swollen overnight is not. The card explains the difference and points to the right next step.

== At a glance ==

&lt;div class="mama-stats"&gt;
&lt;div class="mama-stat"&gt;&lt;div class="mama-stat-num"&gt;26&lt;/div&gt;&lt;div class="mama-stat-label"&gt;Symptom Cards&lt;/div&gt;&lt;/div&gt;
&lt;div class="mama-stat"&gt;&lt;div class="mama-stat-num"&gt;3&lt;/div&gt;&lt;div class="mama-stat-label"&gt;Severity Levels&lt;/div&gt;&lt;/div&gt;
&lt;div class="mama-stat"&gt;&lt;div class="mama-stat-num"&gt;108&lt;/div&gt;&lt;div class="mama-stat-label"&gt;Ambulance Link&lt;/div&gt;&lt;/div&gt;
&lt;/div&gt;

== Severity at a glance ==

Every card belongs to one of three colour groups. The colour tells the family how urgent the situation is — and which facility to head for.

{| class="mama-legend"
|-
| class="yellow" | &lt;div class="mama-legend-label"&gt;🟡 Yellow Alert&lt;/div&gt;&lt;div class="mama-legend-headline"&gt;Watch &amp;amp; plan&lt;/div&gt;&lt;div class="mama-legend-body"&gt;Tell the ASHA, drink fluids, rest, and visit the Sub-Centre or PHC at the next ANC visit. The symptom is mild now but can grow.&lt;/div&gt;
| class="orange" | &lt;div class="mama-legend-label"&gt;🟠 Orange Alert&lt;/div&gt;&lt;div class="mama-legend-headline"&gt;Same-day care&lt;/div&gt;&lt;div class="mama-legend-body"&gt;Go to the PHC or CHC the same day. Do not wait until tomorrow. Do not self-medicate.&lt;/div&gt;
| class="red" | &lt;div class="mama-legend-label"&gt;🔴 Red Alert&lt;/div&gt;&lt;div class="mama-legend-headline"&gt;Emergency now&lt;/div&gt;&lt;div class="mama-legend-body"&gt;Call 108 immediately. The woman must reach a CHC or District Hospital as fast as possible.&lt;/div&gt;
|}

== All 26 cards ==

=== 🟡 Yellow Alert · watch and plan ===

&lt;div class="mama-grid"&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Headache Keeps Coming Back|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 01&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Headache · Keeps Coming Back&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;A recurring or daily headache that does not go away with rest.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Swollen Feet|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 02&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Swollen Feet · Check Every Morning&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Feet remain swollen after a night of rest, or swelling is uneven.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Baby Not Moving|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 03&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Baby Not Moving · Count 10 Kicks&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Fewer than 10 movements felt over two hours of quiet observation.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Cannot Eat or Drink|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 04&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Cannot Eat or Drink · 2+ Days&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Severe vomiting or inability to keep food down for over two days.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Pale Eyelid and Nails|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 05&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Pale Eyelid &amp;amp; Nails&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Inside of lower eyelid looks white or pink instead of red — anaemia sign.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Body Feels Hot|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 06&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Body Feels Hot · Above 38°C&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Fever above 38°C / 100.4°F during pregnancy needs evaluation.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Age Risk|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 07&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Age Risk · Under 18 / Over 35&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Mothers below 18 or above 35 carry higher pregnancy risk.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Last Baby Under 2 Years|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 08&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Last Baby Less Than 2 Years Ago&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;A short gap between pregnancies puts more strain on the body.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Burning Urine|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 17&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Burning Urine · With Fever&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Painful or frequent urination with fever — needs antibiotics.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Twins or More|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 16&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Twins or More&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Multiple-baby pregnancy needs hospital delivery and extra ANC.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Previous C-Section|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 15&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Previous C-Section&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;A scar from a past C-section means the next delivery must be at hospital.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card yellow"&gt;[[Previous Baby Died|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 23&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Yellow&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Previous Baby Died · Special Care&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;A history of stillbirth or neonatal death needs hospital delivery.&lt;/div&gt;]]&lt;/div&gt;
&lt;/div&gt;

=== 🟠 Orange Alert · same-day care needed ===

&lt;div class="mama-grid"&gt;
&lt;div class="mama-grid-card orange"&gt;[[Severe Headache with Vision Disturbed|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 09&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Orange&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Severe Headache + Vision Change&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;A bad headache plus dim or blurred vision — possible pre-eclampsia.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card orange"&gt;[[Cannot See Clearly|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 10&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Orange&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Cannot See Clearly · Blurred Vision&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Sudden loss of clear vision in the third trimester is a danger sign.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card orange"&gt;[[Face Hands Feet All Swollen|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 11&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Orange&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Face, Hands, Feet — All Swollen&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Generalised swelling, not just feet — same-day BP and urine check needed.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card orange"&gt;[[Blood Pressure High|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 12&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Orange&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Blood Pressure 140/90 or Above&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;High BP in pregnancy can lead to eclampsia — never self-medicate.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card orange"&gt;[[Strong Belly Pain|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 13&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Orange&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Strong Belly Pain · Does Not Stop&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Severe, non-stop abdominal pain — never give a painkiller and wait.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card orange"&gt;[[Cannot Breathe Properly|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 14&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Orange&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Cannot Breathe Properly&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Breathlessness even while sitting still — needs same-day evaluation.&lt;/div&gt;]]&lt;/div&gt;
&lt;/div&gt;

=== 🔴 Red Alert · call 108 immediately ===

&lt;div class="mama-grid"&gt;
&lt;div class="mama-grid-card red"&gt;[[Vaginal Bleeding|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 18&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Vaginal Bleeding&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Any bleeding from the birth canal in any month of pregnancy is an emergency.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card red"&gt;[[Fits or Body Shaking|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 19&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Fits / Body Shaking · Eclampsia&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Convulsions in pregnancy — a true life-threatening emergency.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card red"&gt;[[Baby Not Moving 12 Hours|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 20&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;No Movement for 12+ Hours&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Baby has not moved for half a day or more — go to hospital tonight.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card red"&gt;[[Mother Has Collapsed|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 21&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;She Has Collapsed&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Loss of consciousness — call 108 first, do not give food or water.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card red"&gt;[[Very Pale Cannot Stand|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 22&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Very Pale · Cannot Stand&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Severe paleness with weakness — possible massive blood loss.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card red"&gt;[[Cannot Stand Up|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 24&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Cannot Stand Up&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Severe weakness, cannot walk even with support — call ambulance.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card red"&gt;[[No Urine 12 Hours|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 25&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;No Urine for 12+ Hours · Very Dry&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Severe dehydration — needs IV fluids the same day.&lt;/div&gt;]]&lt;/div&gt;
&lt;div class="mama-grid-card red"&gt;[[Cord or Limb Visible|&lt;div class="mama-grid-card-meta"&gt;&lt;span class="mama-grid-card-num"&gt;CARD 26&lt;/span&gt;&lt;span class="mama-grid-card-badge"&gt;Red&lt;/span&gt;&lt;/div&gt;&lt;div class="mama-grid-card-title"&gt;Cord or Limb Visible at Birth&lt;/div&gt;&lt;div class="mama-grid-card-desc"&gt;Umbilical cord or baby limb visible outside — emergency C-section needed.&lt;/div&gt;]]&lt;/div&gt;
&lt;/div&gt;

== Frequently asked questions ==

=== What is MAMA ALERT? ===
MAMA ALERT is a set of 26 paper cards used by ASHA workers and pregnant women in Umling Block, Meghalaya. Each card describes one pregnancy danger sign in English and Khasi, and explains exactly what to do when it appears.

=== Who are the cards for? ===
Pregnant women, their husbands, mothers-in-law and any family caregiver in the household — plus ASHA workers, ANMs and Medical Officers who use the cards as a reference during home visits and ANC clinics.

=== When should I call 108? ===
Any '''Red Alert''' card means call 108 immediately. That includes vaginal bleeding, fits, loss of consciousness, no fetal movement for 12 hours, severe paleness, no urine for 12 hours, and a visible cord or limb. Do not wait, do not give medicines from home.

=== Are the cards in Khasi? ===
Yes — every card has a Khasi version. Use the language switcher at the top of every page to move between English and Khasi. Khasi audio guides are also linked on each card page.

=== Where are the cards used? ===
The cards are deployed across all villages of Umling Block, Ri-Bhoi District, Meghalaya, under the MNCH-HCD project of [https://tattvafoundation.org/ Tattva Foundation]. Plans are in place to scale to neighbouring blocks.

== How to use this wiki ==

* '''Pregnant women and families''' — find the symptom that matches what you see, follow the action steps, and if the card is red, call 108 immediately.
* '''ASHA workers''' — use the card pages during home visits. Each page lists the referral pathway and which facility to send the woman to.
* '''ANMs and Medical Officers''' — the card pages describe what investigation to keep ready when a woman with that symptom arrives.</text>
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