MAMA ALERT - User contributions [en]

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2026-05-02T14:04:27Z

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

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

'''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 ==

<div class="mama-stats">
<div class="mama-stat"><div class="mama-stat-num">26</div><div class="mama-stat-label">Symptom Cards</div></div>
<div class="mama-stat"><div class="mama-stat-num">3</div><div class="mama-stat-label">Severity Levels</div></div>
<div class="mama-stat"><div class="mama-stat-num">108</div><div class="mama-stat-label">Ambulance Link</div></div>
</div>

== 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" | <div class="mama-legend-label">🟡 Yellow Alert</div><div class="mama-legend-headline">Watch & plan</div><div class="mama-legend-body">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.</div>
| class="orange" | <div class="mama-legend-label">🟠 Orange Alert</div><div class="mama-legend-headline">Same-day care</div><div class="mama-legend-body">Go to the PHC or CHC the same day. Do not wait until tomorrow. Do not self-medicate.</div>
| class="red" | <div class="mama-legend-label">🔴 Red Alert</div><div class="mama-legend-headline">Emergency now</div><div class="mama-legend-body">Call 108 immediately. The woman must reach a CHC or District Hospital as fast as possible.</div>
|}

== All 26 cards ==

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

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

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

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

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

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

== 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.

Headache Keeps Coming Back

2026-05-02T12:19:48Z

Adminsuper:

{{Severity Banner
| level = yellow
| card_no = 01
| title = Headache Keeps Coming Back
| subtitle = Headache that comes again and again, even after good rest
}}

{{Card Infobox
| card_no = 01
| severity = yellow
| category = Pain
| audio = HeadacheKeepsComingBack_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre → PHC
| image = Card_01_HeadacheKeepsComingBack.png
}}

== What is this? ==

A headache that keeps coming back is not just simple tiredness. It means the head feels heavy, tight, or throbbing even after sleep and rest. It may be there most of the day, or it may return every day. This kind of headache can be a warning sign of high blood pressure in pregnancy, called pre-eclampsia. High blood pressure can harm the mother’s brain, kidneys, and other organs, and it can also affect the baby’s growth. That is why it is important to notice a headache that does not go away and take action early.[1]

Sometimes this headache gets worse over a few days. It can be felt more in the second and third months of pregnancy and later in pregnancy too. The woman may feel dizzy, tired, or feel pressure behind the eyes. If the headache comes with blurred vision, swelling of the feet or face, or pain in the upper belly, it becomes more dangerous. Early care can prevent serious problems like fits, stroke, or loss of the baby.[1]

{{Action Steps|
* Tell the ASHA about the headache at her next home visit or by phone
* Drink clean water often and take regular rest in a quiet, dark room
* Avoid very salty food and self-medicines for headache without a doctor’s advice
* Go to the Sub-Centre if the headache lasts more than 2 days or keeps coming back
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre
| step3 = PHC
| step4 = CHC
}}

{{Risk Window|
A recurring headache in pregnancy becomes dangerous when it lasts more than one full day, happens almost every day, or becomes stronger over time. It is especially worrying if it comes with blurred vision, seeing spots, swelling of face or hands, or pain in the upper belly. In these situations, the woman should go to the Sub-Centre or PHC on the same day to have her blood pressure checked and get proper treatment.[1]
}}

{{Audio Guide|file=HeadacheKeepsComingBack_Khasi.mp3|duration=2:00}}

=== Related cards ===
* [[Swollen_Feet|Swollen Feet – check every morning]]
* [[Face_Hands_Feet_All_Swollen|Face, hands, feet all swollen]]
* [[Blood_Pressure_High|Blood pressure high 140/90 or above]]
* [[Severe_Headache_with_Vision_Disturbed|Severe headache with disturbed vision]]

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pain]]

Headache Keeps Coming Back

2026-05-02T12:19:06Z

Adminsuper: /* Related cards */

{{Lang Switcher}}
{{Severity Banner
| level = yellow
| card_no = 01
| title = Headache Keeps Coming Back
| subtitle = Headache that comes again and again, even after good rest
}}

{{Card Infobox
| card_no = 01
| severity = yellow
| category = Pain
| audio = HeadacheKeepsComingBack_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre → PHC
| image = Card_01_HeadacheKeepsComingBack.png
}}

== What is this? ==

A headache that keeps coming back is not just simple tiredness. It means the head feels heavy, tight, or throbbing even after sleep and rest. It may be there most of the day, or it may return every day. This kind of headache can be a warning sign of high blood pressure in pregnancy, called pre-eclampsia. High blood pressure can harm the mother’s brain, kidneys, and other organs, and it can also affect the baby’s growth. That is why it is important to notice a headache that does not go away and take action early.[1]

Sometimes this headache gets worse over a few days. It can be felt more in the second and third months of pregnancy and later in pregnancy too. The woman may feel dizzy, tired, or feel pressure behind the eyes. If the headache comes with blurred vision, swelling of the feet or face, or pain in the upper belly, it becomes more dangerous. Early care can prevent serious problems like fits, stroke, or loss of the baby.[1]

{{Action Steps|
* Tell the ASHA about the headache at her next home visit or by phone
* Drink clean water often and take regular rest in a quiet, dark room
* Avoid very salty food and self-medicines for headache without a doctor’s advice
* Go to the Sub-Centre if the headache lasts more than 2 days or keeps coming back
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre
| step3 = PHC
| step4 = CHC
}}

{{Risk Window|
A recurring headache in pregnancy becomes dangerous when it lasts more than one full day, happens almost every day, or becomes stronger over time. It is especially worrying if it comes with blurred vision, seeing spots, swelling of face or hands, or pain in the upper belly. In these situations, the woman should go to the Sub-Centre or PHC on the same day to have her blood pressure checked and get proper treatment.[1]
}}

{{Audio Guide|file=HeadacheKeepsComingBack_Khasi.mp3|duration=2:00}}

=== Related cards ===
* [[Swollen_Feet|Swollen Feet – check every morning]]
* [[Face_Hands_Feet_All_Swollen|Face, hands, feet all swollen]]
* [[Blood_Pressure_High|Blood pressure high 140/90 or above]]
* [[Severe_Headache_with_Vision_Disturbed|Severe headache with disturbed vision]]

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pain]]

Main Page

2026-05-02T12:17:31Z

Adminsuper: /* See also */

MediaWiki:Sidebar

2026-05-02T12:15:57Z

Adminsuper:

* navigation
** mainpage|Main Page
** Category:Symptom_Cards|All 26 Cards
** Category:Yellow_Alert|🟡 Yellow Alert (Watch)
** Category:Orange_Alert|🟠 Orange Alert (Same Day)
** Category:Red_Alert|🔴 Red Alert (Emergency)

* Project
** About_the_Project|About the Project
** https://tattvafoundation.org|Tattva Foundation
** Special:RecentChanges|Recent changes

* SEARCH
* TOOLBOX
* LANGUAGES

Main Page

2026-05-02T11:40:52Z

Adminsuper: /* Project background */

Main Page

2026-05-02T11:40:34Z

Adminsuper: /* Where are the cards used? */

Cord or Limb Visible

2026-05-02T11:38:46Z

Adminsuper: Created page with "{{Severity Banner | level = red | card_no = 26 | title = Cord or Limb Visible | subtitle = The most urgent obstetric emergency in this deck — call 108 this second }} {{Card Infobox | card_no = 26 | severity = red | category = Bleeding | audio = Cord_or_Limb_Visible_Khasi.mp3 | call_108 = yes | pathway = 108 → District Hospital (Emergency OT) | image = Card_26_Cord_or_Limb_Visible.png }} == What is this? == If the umbilical cord — the tube that car..."

{{Severity Banner
| level = red
| card_no = 26
| title = Cord or Limb Visible
| subtitle = The most urgent obstetric emergency in this deck — call 108 this second
}}

{{Card Infobox
| card_no = 26
| severity = red
| category = Bleeding
| audio = Cord_or_Limb_Visible_Khasi.mp3
| call_108 = yes
| pathway = 108 → District Hospital (Emergency OT)
| image = Card_26_Cord_or_Limb_Visible.png
}}

== What is this? ==

If the umbilical cord — the tube that carries blood and oxygen from the placenta to the baby — slips out of the birth canal before the baby's head, this is called cord prolapse. If an arm or leg of the baby appears at the birth canal opening before the head, this is also an emergency. In both cases, the cord or the baby's position is blocking or cutting off the flow of blood and oxygen to the baby.

Every minute without oxygen can cause permanent brain damage in the baby. This is the most urgent obstetric emergency in the MAMA ALERT deck. The only life-saving treatment is an emergency Caesarean section at a hospital with a functioning operating theatre. Nothing that can be done at home will fix this — only a hospital can.

{{Action Steps|
* '''Call 108 immediately — right now, this second'''
* Place the woman in knee-chest position — on hands and knees, bottom raised
* '''Do NOT pull, press, or touch the cord or the visible limb'''
* '''Do NOT allow the woman to push or strain'''
* Go directly to the District Hospital — do not stop at a PHC or CHC
}}

{{Referral Pathway
| step1 = 📞 108
| step2 = District Hospital (Emergency OT)
}}

{{Risk Window|
This is an emergency from the very moment the cord or limb is visible. '''Do not wait even five minutes.''' The knee-chest position (on hands and knees with bottom raised) reduces pressure on the cord and buys a few minutes of oxygen for the baby — but only a hospital can save the baby. Call 108 immediately and go directly to the District Hospital.
}}

== Khasi audio guide ==

{{Audio Guide|file=Cord_or_Limb_Visible_Khasi.mp3|duration=2:10}}

== Related cards ==

* [[Vaginal_Bleeding|Vaginal Bleeding]] — cord prolapse may occur alongside bleeding
* [[Mother_Has_Collapsed|Mother Has Collapsed]] — severe distress can follow
* [[Fits_or_Body_Shaking|Fits or Body Shaking]] — another highest-level emergency

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Bleeding]]

No Urine 12 Hours

2026-05-02T11:37:46Z

Adminsuper: Created page with "{{Severity Banner | level = red | card_no = 25 | title = No Urine 12+ Hours — Very Dry | subtitle = Not passing urine for 12 or more hours means go to the PHC or CHC today for an IV drip }} {{Card Infobox | card_no = 25 | severity = red | category = Pre-existing | audio = No_Urine_12_Hours_Khasi.mp3 | call_108 = yes | pathway = ASHA → PHC / CHC (same day — IV drip) | image = Card_25_No_Urine_12_Hours.png }} == What is this? == Passing little or no..."

{{Severity Banner
| level = red
| card_no = 25
| title = No Urine 12+ Hours — Very Dry
| subtitle = Not passing urine for 12 or more hours means go to the PHC or CHC today for an IV drip
}}

{{Card Infobox
| card_no = 25
| severity = red
| category = Pre-existing
| audio = No_Urine_12_Hours_Khasi.mp3
| call_108 = yes
| pathway = ASHA → PHC / CHC (same day — IV drip)
| image = Card_25_No_Urine_12_Hours.png
}}

== What is this? ==

Passing little or no urine for 12 hours or more means the kidneys are under severe stress. In a pregnant woman, this can happen because of very severe vomiting and dehydration, severe pre-eclampsia affecting the kidneys, or a serious body infection (sepsis). The lips and skin feel very dry, the eyes look sunken, and the woman may feel dizzy or too weak to stand.

This is not something that can be managed with oral fluids at home. She needs fluids given directly into a vein (IV drip) at the PHC or CHC. The sooner she gets there, the less damage occurs. Do not wait to see if passing urine improves on its own — it will not.



{{Action Steps|
* Give very small sips of ORS if she can swallow — this is a temporary measure only
* '''Tell your ASHA immediately'''
* '''Go to the PHC or CHC the same day — she needs an IV drip'''
* Do not assume this will resolve by itself
}}

{{Referral Pathway
| step1 = 📞 108
| step2 = ASHA
| step3 = PHC / CHC (IV drip same day)
}}

{{Risk Window|
When a pregnant woman has passed no urine for 12 hours and cannot drink enough fluids — this cannot be managed at home. She needs an IV drip at the PHC or CHC the same day. '''If this is combined with severe swelling, headache, or fits — go to the CHC immediately and call 108.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=No_Urine_12_Hours_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Cannot_Eat_or_Drink|Cannot Eat or Drink]] — severe vomiting causing dehydration is a common cause
* [[Face_Hands_Feet_All_Swollen|Face Hands Feet All Swollen]] — severe pre-eclampsia affecting the kidneys
* [[Mother_Has_Collapsed|Mother Has Collapsed]] — kidney failure can contribute to collapse

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Pre-existing]]

Cannot Stand Up

2026-05-02T11:36:53Z

Adminsuper: Created page with "{{Severity Banner | level = red | card_no = 24 | title = Cannot Stand Up | subtitle = A pregnant woman who cannot stand even with help must be carried to an ambulance }} {{Card Infobox | card_no = 24 | severity = red | category = Pre-existing | audio = Cannot_Stand_Up_Khasi.mp3 | call_108 = yes | pathway = 108 (stretcher transport only) → CHC / District Hospital | image = Card_24_Cannot_Stand_Up.png }} == What is this? == When a pregnant woman suddenl..."

{{Severity Banner
| level = red
| card_no = 24
| title = Cannot Stand Up
| subtitle = A pregnant woman who cannot stand even with help must be carried to an ambulance
}}

{{Card Infobox
| card_no = 24
| severity = red
| category = Pre-existing
| audio = Cannot_Stand_Up_Khasi.mp3
| call_108 = yes
| pathway = 108 (stretcher transport only) → CHC / District Hospital
| image = Card_24_Cannot_Stand_Up.png
}}

== What is this? ==

When a pregnant woman suddenly cannot stand or walk — even with someone's help — she is in a serious medical emergency. She may feel the room spinning, be too weak to lift herself, or be slipping in and out of consciousness. This level of weakness means the body is failing. Severe blood loss, severe dehydration, eclampsia, or another life-threatening condition may be happening.

Do not try to walk her to a vehicle or sit her upright on her own. She must be transported lying flat on a surface. Call 108 immediately. If she is conscious and can swallow, give small sips of ORS while waiting — but nothing by mouth if she is not fully awake. Every minute counts.

{{Action Steps|
* '''Call 108 immediately'''
* '''Do NOT make her walk or sit up — transport her lying flat'''
* If she is conscious and can swallow, give very small sips of ORS only
* Keep her warm and stay with her until the ambulance arrives
* '''Go to the CHC or District Hospital — not just the PHC'''
}}

{{Referral Pathway
| step1 = 📞 108 (stretcher)
| step2 = CHC / District Hospital
}}

{{Risk Window|
Any pregnant woman who cannot stand even with support must be transported lying flat in an ambulance — never seated in a regular vehicle alone. '''Call 108 immediately.''' Trying to walk her or sit her upright can cause further collapse. This is a CHC or District Hospital emergency, not a clinic.
}}

== Khasi audio guide ==

{{Audio Guide|file=Cannot_Stand_Up_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Mother_Has_Collapsed|Mother Has Collapsed]] — what to do if she becomes fully unconscious
* [[Very_Pale_Cannot_Stand|Very Pale Cannot Stand]] — severe anaemia as a cause
* [[Fits_or_Body_Shaking|Fits or Body Shaking]] — another cause of sudden inability to stand

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Pre-existing]]

Previous Baby Died

2026-05-02T11:36:26Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 23 | title = Previous Baby Died — Needs Special Care Now | subtitle = A previous baby loss means this pregnancy must be registered and monitored carefully }} {{Card Infobox | card_no = 23 | severity = yellow | category = Pre-existing | audio = Previous_Baby_Died_Khasi.mp3 | call_108 = no | pathway = ASHA → CHC / District Hospital (register) → all ANC visits → deliver at hospital | image = Card_23_Prev..."

{{Severity Banner
| level = yellow
| card_no = 23
| title = Previous Baby Died — Needs Special Care Now
| subtitle = A previous baby loss means this pregnancy must be registered and monitored carefully
}}

{{Card Infobox
| card_no = 23
| severity = yellow
| category = Pre-existing
| audio = Previous_Baby_Died_Khasi.mp3
| call_108 = no
| pathway = ASHA → CHC / District Hospital (register) → all ANC visits → deliver at hospital
| image = Card_23_Previous_Baby_Died.png
}}

== What is this? ==

When a woman has had a baby who was born still, or who died within the first four weeks of life, the current pregnancy needs extra careful monitoring. A previous baby loss can have many causes — some of which can happen again if they are not identified and managed early. This does not mean this pregnancy will have the same outcome — but it means that more care is needed, starting from the very first day.

Register at the CHC or District Hospital as early as possible. Tell the doctor or ANM about the previous baby loss at every single check-up. Attend all ANC visits without missing any. If any new danger sign appears during this pregnancy, go to the facility the same day — do not wait.

{{Action Steps|
* Register with your ASHA and at the CHC or District Hospital as soon as possible
* Tell the doctor or ANM about the previous baby loss at every visit
* Attend every ANC check-up — do not miss any
* Plan to deliver only at the CHC or District Hospital
}}

{{Referral Pathway
| step1 = ASHA
| step2 = CHC / District Hospital (register early)
| step3 = All ANC visits
| step4 = Deliver at hospital only
}}

{{Risk Window|
The higher risk runs from the very first day of this pregnancy until delivery and the first weeks after birth. If any danger sign appears — headache, swelling, bleeding, reduced fetal movement — go to the facility that same day. '''Early registration and regular check-ups are the most important protective steps for this pregnancy.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Previous_Baby_Died_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Age_Risk|Age Risk]] — may overlap with previous baby loss history
* [[Last_Baby_Under_2_Years|Last Baby Under 2 Years]] — short spacing after a loss
* [[Baby_Not_Moving|Baby Not Moving]] — fetal movement monitoring is especially important in this group

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Very Pale Cannot Stand

2026-05-02T11:35:37Z

Adminsuper: Created page with "{{Severity Banner | level = red | card_no = 22 | title = Very Pale — Cannot Stand | subtitle = Completely pale eyelids and cannot stand means severe anaemia — go to hospital immediately }} {{Card Infobox | card_no = 22 | severity = red | category = Bleeding | audio = Very_Pale_Cannot_Stand_Khasi.mp3 | call_108 = yes | pathway = 108 → CHC / District Hospital (blood transfusion needed) | image = Card_22_Very_Pale_Cannot_Stand.png }} == What is this?..."

{{Severity Banner
| level = red
| card_no = 22
| title = Very Pale — Cannot Stand
| subtitle = Completely pale eyelids and cannot stand means severe anaemia — go to hospital immediately
}}

{{Card Infobox
| card_no = 22
| severity = red
| category = Bleeding
| audio = Very_Pale_Cannot_Stand_Khasi.mp3
| call_108 = yes
| pathway = 108 → CHC / District Hospital (blood transfusion needed)
| image = Card_22_Very_Pale_Cannot_Stand.png
}}

== What is this? ==

When the inner eyelids and the fingernails look completely white or almost colourless, and the woman cannot stand without support, her blood count has fallen to a dangerously low level. This is severe anaemia. The body does not have enough red blood cells to carry oxygen to the muscles and organs. She may feel she is about to faint, or her head spins when she tries to stand.

This level of anaemia is a medical emergency. The woman may need a blood transfusion — a treatment that is only available at the CHC or District Hospital. Iron tablets will not work fast enough at this stage. She needs emergency hospital care right now.

{{Action Steps|
* '''Tell your ASHA immediately'''
* '''Go to the CHC or District Hospital right now — she may need a blood transfusion'''
* Do not try to manage this with tablets or home remedies
* If she cannot walk — carry her and call 108 for an ambulance
}}

{{Referral Pathway
| step1 = 📞 108
| step2 = CHC / District Hospital (blood transfusion)
}}

{{Risk Window|
When the inner eyelids are completely white and the woman cannot stand without help, or feels she is about to faint — this is a blood-transfusion emergency. Iron tablets act too slowly. '''She must reach the CHC or District Hospital the same day.''' Delay is extremely dangerous, especially close to delivery.
}}

== Khasi audio guide ==

{{Audio Guide|file=Very_Pale_Cannot_Stand_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — the earlier, less severe stage
* [[Vaginal_Bleeding|Vaginal Bleeding]] — heavy bleeding is a common cause of severe anaemia
* [[Mother_Has_Collapsed|Mother Has Collapsed]] — what to do if she loses consciousness

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Bleeding]]

Mother Has Collapsed

2026-05-02T11:32:24Z

Adminsuper: Created page with "{{Severity Banner | level = red | card_no = 21 | title = She Has Collapsed / Loss of Consciousness | subtitle = An unconscious pregnant woman is a life-threatening emergency — call 108 immediately }} {{Card Infobox | card_no = 21 | severity = red | category = Pre-existing | audio = Mother_Has_Collapsed_Khasi.mp3 | call_108 = yes | pathway = 108 → CHC / District Hospital (adult attendant must travel) | image = Card_21_Mother_Has_Collapsed.png }} == Wh..."

{{Severity Banner
| level = red
| card_no = 21
| title = She Has Collapsed / Loss of Consciousness
| subtitle = An unconscious pregnant woman is a life-threatening emergency — call 108 immediately
}}

{{Card Infobox
| card_no = 21
| severity = red
| category = Pre-existing
| audio = Mother_Has_Collapsed_Khasi.mp3
| call_108 = yes
| pathway = 108 → CHC / District Hospital (adult attendant must travel)
| image = Card_21_Mother_Has_Collapsed.png
}}

== What is this? ==

If a pregnant woman suddenly collapses and cannot be woken, or cannot respond to her name or to touch, she has lost consciousness. This is a medical emergency. The cause may be severe fits (eclampsia), a very heavy internal bleed, dangerously low blood count, or a sudden severe drop in blood pressure. In every case, she must reach the CHC or District Hospital within minutes.

Do not try to wake her by shaking her hard. Do not give anything by mouth — no water, no food, no medicine. One adult must stay with her at all times. Phone 108 immediately. Another adult must ride in the ambulance with her — she must never travel alone.

{{Action Steps|
* '''Lay her on her side (recovery position) — tilt her head back gently to keep airway open'''
* '''Do NOT put water, food, or medicine in her mouth'''
* '''Phone 108 immediately'''
* Keep her warm and stay with her until the ambulance arrives
* '''An adult must travel with her in the ambulance — she must not be alone'''
}}

{{Referral Pathway
| step1 = 📞 108
| step2 = CHC / District Hospital
}}

{{Risk Window|
There is no safe waiting time when a pregnant woman is unconscious. '''Call 108 the moment she collapses.''' Do not wait at home trying home remedies or hoping she will wake up. An adult attendant must be in the ambulance with her at all times. This is an immediate life-threatening emergency.
}}

== Khasi audio guide ==

{{Audio Guide|file=Mother_Has_Collapsed_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Fits_or_Body_Shaking|Fits or Body Shaking]] — fits usually precede collapse
* [[Very_Pale_Cannot_Stand|Very Pale Cannot Stand]] — severe anaemia can cause collapse
* [[Vaginal_Bleeding|Vaginal Bleeding]] — heavy bleeding can cause unconsciousness

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Pre-existing]]

Baby Not Moving 12 Hours

2026-05-02T11:31:31Z

Adminsuper: Created page with "{{Severity Banner | level = red | card_no = 20 | title = No Movement 12+ Hours | subtitle = No fetal movement for 12 or more hours is an emergency — go to the PHC or CHC immediately }} {{Card Infobox | card_no = 20 | severity = red | category = Movement | audio = Baby_Not_Moving_12_Hours_Khasi.mp3 | call_108 = yes | pathway = ASHA → PHC / CHC → District Hospital | image = Card_20_Baby_Not_Moving_12_Hours.png }} == What is this? == A baby that has..."

{{Severity Banner
| level = red
| card_no = 20
| title = No Movement 12+ Hours
| subtitle = No fetal movement for 12 or more hours is an emergency — go to the PHC or CHC immediately
}}

{{Card Infobox
| card_no = 20
| severity = red
| category = Movement
| audio = Baby_Not_Moving_12_Hours_Khasi.mp3
| call_108 = yes
| pathway = ASHA → PHC / CHC → District Hospital
| image = Card_20_Baby_Not_Moving_12_Hours.png
}}

== What is this? ==

A baby that has not moved at all for 12 hours or more is in a serious situation. A healthy baby moves throughout the day and night. A long silence — especially after the baby was previously active — can mean the baby is in serious distress and is not getting enough oxygen. This is very different from the quiet spells that last an hour or two when the baby is sleeping.

Do not wait until morning. Do not wait to see if movement returns. Go to the PHC or CHC immediately — day or night. The doctor will listen to the baby's heartbeat using a machine (cardiotocograph or Doppler). If the heartbeat is abnormal, the woman will need emergency care at the District Hospital.

{{Action Steps|
* '''Tell your ASHA immediately — do not wait even a moment'''
* '''Go to the PHC or CHC right now — day or night'''
* Tell the doctor exactly how many hours there has been no movement
* '''If the baby's heartbeat is abnormal — go to the District Hospital at once'''
}}

{{Referral Pathway
| step1 = 📞 108
| step2 = ASHA
| step3 = PHC / CHC
| step4 = District Hospital
}}

{{Risk Window|
Any baby that has not moved for 12 or more hours must be checked at a facility immediately — day or night, with or without other symptoms. '''Do not wait until morning.''' If the fetal heartbeat cannot be detected or is abnormal, go to the District Hospital without delay. This is an emergency even if there is no bleeding or pain.
}}

== Khasi audio guide ==

{{Audio Guide|file=Baby_Not_Moving_12_Hours_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Baby_Not_Moving|Baby Not Moving]] — the earlier, less severe stage
* [[Vaginal_Bleeding|Vaginal Bleeding]] — bleeding can accompany fetal distress
* [[Strong_Belly_Pain|Strong Belly Pain]] — pain combined with no movement is a serious emergency

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Movement]]

Fits or Body Shaking

2026-05-02T11:29:23Z

Adminsuper: Created page with "{{Severity Banner | level = red | card_no = 19 | title = Fits / Body Shaking | subtitle = Fits during pregnancy are a life-threatening emergency — call 108 immediately }} {{Card Infobox | card_no = 19 | severity = red | category = Pre-existing | audio = Fits_or_Body_Shaking_Khasi.mp3 | call_108 = yes | pathway = 108 → CHC / District Hospital (MgSO4 treatment) | image = Card_19_Fits_or_Body_Shaking.png }} == What is this? == Fits (convulsions) during..."

{{Severity Banner
| level = red
| card_no = 19
| title = Fits / Body Shaking
| subtitle = Fits during pregnancy are a life-threatening emergency — call 108 immediately
}}

{{Card Infobox
| card_no = 19
| severity = red
| category = Pre-existing
| audio = Fits_or_Body_Shaking_Khasi.mp3
| call_108 = yes
| pathway = 108 → CHC / District Hospital (MgSO4 treatment)
| image = Card_19_Fits_or_Body_Shaking.png
}}

== What is this? ==

Fits (convulsions) during pregnancy — where the body shakes uncontrollably and the woman loses consciousness — are a life-threatening emergency called eclampsia. This is caused by very high blood pressure that has reached the point where it affects the brain and nervous system. Without treatment within minutes, fits can cause permanent brain damage or death.

A fit can happen suddenly, even in a woman who seemed well before. It can happen before, during, or after delivery. The only effective treatment is an injection of magnesium sulphate, which must be given at the CHC or District Hospital by trained medical staff. Every minute from the moment the fit begins matters.

{{Action Steps|
* '''Lay the woman on her side (recovery position) to prevent choking'''
* '''Do NOT put anything in her mouth — no food, water, or medicine'''
* Keep her head safe and clear the space around her body
* '''Call 108 immediately'''
* '''Go to the CHC or District Hospital at once — there is no time to wait'''
}}

{{Referral Pathway
| step1 = 📞 108
| step2 = CHC / District Hospital (MgSO4)
}}

{{Risk Window|
Every second matters from the moment fits begin. There is no safe waiting time — not even minutes. Magnesium sulphate injection must be given at the CHC to stop further fits and prevent death. '''Do not give any food, water, or medicine through the mouth during or after a fit.''' This is among the most dangerous conditions in the MAMA ALERT deck.
}}

== Khasi audio guide ==

{{Audio Guide|file=Fits_or_Body_Shaking_Khasi.mp3|duration=2:10}}

== Related cards ==

* [[Blood_Pressure_High|Blood Pressure High]] — untreated high blood pressure is the cause of eclampsia
* [[Severe_Headache_with_Vision_Disturbed|Severe Headache with Vision Disturbed]] — the warning stage before fits
* [[Mother_Has_Collapsed|Mother Has Collapsed]] — manage similarly if she is unconscious

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Pre-existing]]

Vaginal Bleeding

2026-05-02T11:28:26Z

Adminsuper:

{{Severity Banner
| level = red
| card_no = 18
| title = Vaginal Bleeding
| subtitle = Any bleeding from the birth canal in any month is an emergency
}}

{{Card Infobox
| card_no = 18
| severity = red
| category = Bleeding
| audio = Vaginal_Bleeding_Khasi.mp3
| call_108 = yes
| pathway = ASHA → 108 → CHC / District Hospital
| image = Card_18_Vaginal_Bleeding.png
}}

== What is this? ==

Any vaginal bleeding during pregnancy, at any month, is '''not normal'''. Even small spotting needs urgent attention. The cause may be that the placenta is not properly attached to the uterus, or it may be early labour before the baby is full-term. Both situations can put the mother and baby at serious risk if care is delayed.

A small streak of blood that stops on its own '''still needs to be checked the same day'''. Heavy bleeding, especially with belly pain or after a fall, is a true emergency — the woman must reach a District Hospital within the hour.

{{Action Steps|
* '''Call ASHA immediately'''
* '''Phone 108 for the ambulance'''
* Lie down on the left side — '''do NOT stand'''
* '''Do NOT eat or drink anything''' (a C-section may be needed)
* Go to the CHC or District Hospital right away
}}

{{Referral Pathway
| step1 = 📞 108
| step2 = ASHA
| step3 = CHC
| step4 = District Hospital
}}

{{Risk Window|
Any vaginal bleeding during pregnancy, at any month, must be treated as urgent. '''Do not wait for the bleeding to stop on its own.''' Even a small amount of spotting must be checked at a facility on the same day. Heavy bleeding with belly pain, or bleeding after a fall, is a true emergency — the woman must reach the District Hospital within the hour.
}}

== Khasi audio guide ==

{{Audio Guide|file=Vaginal_Bleeding_Khasi.mp3|duration=2:14}}

== Related cards ==

* [[Strong_Belly_Pain|Strong Belly Pain]] — bleeding plus pain is a higher-risk combination
* [[Mother_Has_Collapsed|Mother Has Collapsed]] — what to do if she becomes unconscious
* [[Very_Pale_Cannot_Stand|Very Pale Cannot Stand]] — sign of severe blood loss
* [[Previous_C-Section|Previous C-Section]] — risk factor that increases the seriousness

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Bleeding]]

Burning Urine

2026-05-02T11:27:41Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 17 | title = Burning Urine / Frequency — With Fever | subtitle = Burning when passing urine is a sign of infection that must be treated with the right medicine }} {{Card Infobox | card_no = 17 | severity = yellow | category = Pre-existing | audio = Burning_Urine_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre → PHC | image = Card_17_Burning_Urine.png }} == What is this? == A burning or stingin..."

{{Severity Banner
| level = yellow
| card_no = 17
| title = Burning Urine / Frequency — With Fever
| subtitle = Burning when passing urine is a sign of infection that must be treated with the right medicine
}}

{{Card Infobox
| card_no = 17
| severity = yellow
| category = Pre-existing
| audio = Burning_Urine_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre → PHC
| image = Card_17_Burning_Urine.png
}}

== What is this? ==

A burning or stinging pain when passing urine, or needing to pass urine very often, is a sign of a urinary tract infection (UTI). UTIs are very common in pregnancy because body changes make it easier for bacteria to enter the bladder and kidneys. If not treated with the correct antibiotic, a UTI can spread to the kidneys and cause a serious infection (sepsis) that can trigger premature labour.

Do not try to treat a UTI on your own with leftover tablets, herbal remedies, or by drinking more water alone. The ANM or doctor will test the urine and give the correct antibiotic for pregnancy. Take every tablet in the full course — do not stop when the burning eases. Drink at least 8 glasses of water a day to support recovery.

{{Action Steps|
* '''Tell your ANM or go to the PHC — do not treat this at home with leftover medicine'''
* Get a urine test — the ANM can do this at the Sub-Centre
* Take the antibiotic given by the doctor and finish the entire course
* Drink at least 8 glasses of water every day
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre (urine test)
| step3 = PHC
}}

{{Risk Window|
A UTI becomes dangerous when it has spread to the kidneys — signs include back and side pain, fever and shivering, foul-smelling urine, and nausea. A kidney infection during pregnancy can trigger early labour. '''If any of these signs appear alongside the burning, go to the PHC the same day.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Burning_Urine_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Body_Feels_Hot|Body Feels Hot]] — fever alongside UTI can mean it has spread to the kidneys
* [[Strong_Belly_Pain|Strong Belly Pain]] — kidney infection causes back and belly pain
* [[Cannot_Eat_or_Drink|Cannot Eat or Drink]] — infection often stops eating and drinking

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Twins or More

2026-05-02T11:27:16Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 16 | title = Twins or More | subtitle = Multiple babies mean extra check-ups and hospital delivery is essential }} {{Card Infobox | card_no = 16 | severity = yellow | category = Pre-existing | audio = Twins_or_More_Khasi.mp3 | call_108 = no | pathway = ASHA → CHC / District Hospital (register early) → monthly ANC → deliver at hospital | image = Card_16_Twins_or_More.png }} == What is this? == When two..."

{{Severity Banner
| level = yellow
| card_no = 16
| title = Twins or More
| subtitle = Multiple babies mean extra check-ups and hospital delivery is essential
}}

{{Card Infobox
| card_no = 16
| severity = yellow
| category = Pre-existing
| audio = Twins_or_More_Khasi.mp3
| call_108 = no
| pathway = ASHA → CHC / District Hospital (register early) → monthly ANC → deliver at hospital
| image = Card_16_Twins_or_More.png
}}

== What is this? ==

When two or more babies are growing in the womb, the mother's body carries far more weight and works much harder than in a single pregnancy. She is more likely to feel very tired, short of breath, and uncomfortable. The babies may grow more slowly and are more likely to be born early — before they are fully ready.

Twins and triplets almost always need a hospital delivery — often a Caesarean section. Complications during labour and delivery are much more common with multiple pregnancies, and a surgical team must be ready. Register at the CHC or District Hospital as soon as twins are confirmed, and attend a check-up every month without missing any.

{{Action Steps|
* Register at the CHC or District Hospital immediately after twins are confirmed
* Attend a full check-up every month — do not miss any
* Prepare money and transport for the hospital from now
* '''Deliver only at the CHC or District Hospital — never at home'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = CHC / District Hospital (register early)
| step3 = Monthly ANC
| step4 = Deliver at hospital only
}}

{{Risk Window|
The risk in a twin or multiple pregnancy runs throughout the entire pregnancy — not just at delivery. High blood pressure, severe anaemia, and early labour are all much more common. '''Hospital delivery is essential — a home delivery with twins carries a very high risk of death for both mother and babies.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Twins_or_More_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Blood_Pressure_High|Blood Pressure High]] — much more common in twin pregnancies
* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — anaemia is very common when carrying twins
* [[Previous_C-Section|Previous C-Section]] — another reason hospital delivery must be planned early

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Previous C-Section

2026-05-02T11:26:02Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 15 | title = Previous C-Section | subtitle = A scar on the uterus means this pregnancy must end in a hospital }} {{Card Infobox | card_no = 15 | severity = yellow | category = Pre-existing | audio = Previous_C-Section_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre / District Hospital (register) → deliver at CHC / District Hospital | image = Card_15_Previous_C-Section.png }} == What is this? ==..."

{{Severity Banner
| level = yellow
| card_no = 15
| title = Previous C-Section
| subtitle = A scar on the uterus means this pregnancy must end in a hospital
}}

{{Card Infobox
| card_no = 15
| severity = yellow
| category = Pre-existing
| audio = Previous_C-Section_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre / District Hospital (register) → deliver at CHC / District Hospital
| image = Card_15_Previous_C-Section.png
}}

== What is this? ==

When a baby was delivered by Caesarean section (C-section) in a previous pregnancy, a scar is left on the uterus. In the current pregnancy, this scar can sometimes tear open — especially if labour starts without the woman reaching a hospital first. This tearing is called uterine rupture and is a life-threatening emergency for both the mother and the baby.

This does not mean a normal vaginal delivery is impossible — but it means the delivery must happen in a hospital that can perform a C-section and provide a blood transfusion if needed. Register at the CHC or District Hospital as soon as possible. Plan transport well before the expected delivery date. If labour pains start at home, go to the hospital immediately without waiting.

{{Action Steps|
* Register at the Sub-Centre or District Hospital as soon as possible
* Tell the doctor or ANM about your previous C-section at every visit
* Plan your transport to the CHC or District Hospital before labour starts
* '''If labour pains start at home — go to the hospital immediately, do not wait'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre (register)
| step3 = CHC / District Hospital (deliver)
}}

{{Risk Window|
The risk of the uterine scar tearing is present throughout the pregnancy and is highest when labour starts at home without medical support. If labour pains begin — no matter how mild — go to the hospital right away. '''There is no safe time to wait once labour starts for a woman with a previous C-section.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Previous_C-Section_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Vaginal_Bleeding|Vaginal Bleeding]] — uterine rupture causes severe internal bleeding
* [[Strong_Belly_Pain|Strong Belly Pain]] — scar tenderness or rupture presents as severe belly pain
* [[Twins_or_More|Twins or More]] — another reason for planned hospital delivery

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Cannot Breathe Properly

2026-05-02T11:22:05Z

Adminsuper: Created page with "{{Severity Banner | level = orange | card_no = 14 | title = Cannot Breathe Properly — Even Sitting Still | subtitle = Difficulty breathing at rest, or blue lips — go to the PHC today; call 108 if lips turn blue }} {{Card Infobox | card_no = 14 | severity = orange | category = Breathing | audio = Cannot_Breathe_Properly_Khasi.mp3 | call_108 = yes | pathway = ASHA → PHC (same day) → 108 if lips / extremities turn blue | image = Card_14_Cannot_Breath..."

{{Severity Banner
| level = orange
| card_no = 14
| title = Cannot Breathe Properly — Even Sitting Still
| subtitle = Difficulty breathing at rest, or blue lips — go to the PHC today; call 108 if lips turn blue
}}

{{Card Infobox
| card_no = 14
| severity = orange
| category = Breathing
| audio = Cannot_Breathe_Properly_Khasi.mp3
| call_108 = yes
| pathway = ASHA → PHC (same day) → 108 if lips / extremities turn blue
| image = Card_14_Cannot_Breathe_Properly.png
}}

== What is this? ==

Feeling slightly breathless when climbing stairs or walking quickly in late pregnancy is common and usually not a problem. But if a woman cannot take a full deep breath even while sitting still and at rest, feels her chest is tight, or feels like she cannot get enough air, this is a danger sign. The body should always be able to breathe comfortably when at rest.

Difficulty breathing at rest can be caused by severe anaemia (not enough red blood cells to carry oxygen), a heart or lung condition made worse by pregnancy, or severe pre-eclampsia. It can also be a side effect of the baby pressing on the lungs in late pregnancy — but even then, the breathing should not cause distress at rest. If the lips, tongue, or fingertips turn blue or grey, call 108 immediately.

{{Action Steps|
* Sit upright — do not lie flat
* Tell your ASHA immediately
* Go to the nearest health facility the same day
* '''If lips or fingertips turn blue — call 108 immediately'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC (same day)
| step3 = 📞 108 if lips / extremities turn blue
}}

{{Risk Window|
Breathlessness that occurs even while sitting quietly — not just during walking or exertion — is always serious in pregnancy. If the lips, tongue, or fingertips become blue or grey, this is a life-threatening emergency: '''call 108 immediately and do not allow the woman to walk.''' Causes include heart failure, severe anaemia, and pulmonary embolism — all require emergency hospital care.
}}

== Khasi audio guide ==

{{Audio Guide|file=Cannot_Breathe_Properly_Khasi.mp3|duration=2:10}}

== Related cards ==

* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — severe anaemia is a common cause of breathlessness
* [[Blood_Pressure_High|Blood Pressure High]] — severe pre-eclampsia can cause breathlessness
* [[Mother_Has_Collapsed|Mother Has Collapsed]] — what to do if she loses consciousness

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Orange Alert]]
[[Category:Breathing]]

Strong Belly Pain

2026-05-02T11:17:50Z

Adminsuper: Created page with "{{Severity Banner | level = orange | card_no = 13 | title = Strong Belly Pain — Does Not Stop | subtitle = Severe belly pain that does not ease with rest must be checked today }} {{Card Infobox | card_no = 13 | severity = orange | category = Pain | audio = Strong_Belly_Pain_Khasi.mp3 | call_108 = no | pathway = ASHA → PHC (same day) → CHC | image = Card_13_Strong_Belly_Pain.png }} == What is this? == Sharp or severe pain in the belly during pregna..."

{{Severity Banner
| level = orange
| card_no = 13
| title = Strong Belly Pain — Does Not Stop
| subtitle = Severe belly pain that does not ease with rest must be checked today
}}

{{Card Infobox
| card_no = 13
| severity = orange
| category = Pain
| audio = Strong_Belly_Pain_Khasi.mp3
| call_108 = no
| pathway = ASHA → PHC (same day) → CHC
| image = Card_13_Strong_Belly_Pain.png
}}

== What is this? ==

Sharp or severe pain in the belly during pregnancy that does not ease with rest is not normal. It can come in waves or stay constant. Causes include the placenta separating from the wall of the uterus, premature labour starting too early, or other serious conditions. This type of pain is never something to push through at home.

The pain may feel like very strong cramps, a tightening of the whole belly, or a sharp pain in one spot. It may come with bleeding, nausea, or vomiting. Do not take a painkiller first — a painkiller can hide the pain and delay care that is urgently needed. Go to the PHC or CHC the same day without taking anything for the pain.

{{Action Steps|
* Tell your ASHA or the Village Health Committee immediately
* '''Go to the PHC or CHC the same day'''
* '''Do not take a painkiller — it can hide the problem from the doctor'''
* Do not press or rub the belly hard
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC (same day)
| step3 = CHC
}}

{{Risk Window|
Any severe or continuous belly pain during pregnancy — especially if the belly feels hard and tight like a board, or if bleeding or vomiting also appears — is dangerous. This can mean the placenta is separating from the uterine wall, cutting off the baby's oxygen. '''Go to the PHC or CHC the same day without taking any painkiller first.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Strong_Belly_Pain_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Vaginal_Bleeding|Vaginal Bleeding]] — belly pain with bleeding together is an emergency
* [[Baby_Not_Moving|Baby Not Moving]] — reduced movement with pain is a serious combination
* [[Blood_Pressure_High|Blood Pressure High]] — high BP can also cause severe belly pain in pre-eclampsia

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Orange Alert]]
[[Category:Pain]]

Blood Pressure High

2026-05-02T11:17:07Z

Adminsuper: Created page with "{{Severity Banner | level = orange | card_no = 12 | title = Blood Pressure High — 140/90 or Above | subtitle = High blood pressure in pregnancy always needs the same-day attention of a doctor }} {{Card Infobox | card_no = 12 | severity = orange | category = Pre-existing | audio = Blood_Pressure_High_Khasi.mp3 | call_108 = no | pathway = ASHA → PHC (same day) → CHC / District Hospital if persistent | image = Card_12_Blood_Pressure_High.png }} == Wha..."

{{Severity Banner
| level = orange
| card_no = 12
| title = Blood Pressure High — 140/90 or Above
| subtitle = High blood pressure in pregnancy always needs the same-day attention of a doctor
}}

{{Card Infobox
| card_no = 12
| severity = orange
| category = Pre-existing
| audio = Blood_Pressure_High_Khasi.mp3
| call_108 = no
| pathway = ASHA → PHC (same day) → CHC / District Hospital if persistent
| image = Card_12_Blood_Pressure_High.png
}}

== What is this? ==

High blood pressure in pregnancy — also called hypertension — means the reading is 140/90 mmHg or above on two readings taken 15 minutes apart. The blood is pressing too hard against the walls of the blood vessels. The woman may feel completely well, or she may have headaches, feel dizzy, or see flashing lights. The only way to know is to measure it.

High blood pressure can progress quickly to pre-eclampsia, and then to life-threatening fits (eclampsia), if it is not measured and treated. Never take blood pressure tablets on your own — only take medicine that a doctor has prescribed. Write down every reading in your MCP card so the doctor can see the pattern at every visit.

{{Action Steps|
* Write down the blood pressure reading and the date in your MCP card
* '''Go to the PHC the same day — do not wait'''
* '''Never take blood pressure medicine on your own without a doctor's instruction'''
* Go to the CHC or District Hospital if BP stays high or worsens
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC (same day)
| step3 = CHC / District Hospital if persistent
}}

{{Risk Window|
A blood pressure of 140/90 mmHg or above requires a visit to the PHC on the same day it is found — do not wait until the next scheduled ANC visit. If the reading stays high or increases despite treatment, go to the CHC or District Hospital. '''High blood pressure left untreated in pregnancy is one of the leading causes of maternal death.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Blood_Pressure_High_Khasi.mp3|duration=2:10}}

== Related cards ==

* [[Severe_Headache_with_Vision_Disturbed|Severe Headache with Vision Disturbed]] — key warning signs of pre-eclampsia
* [[Face_Hands_Feet_All_Swollen|Face Hands Feet All Swollen]] — whole-body swelling linked to high BP
* [[Fits_or_Body_Shaking|Fits or Body Shaking]] — the emergency that untreated high BP causes

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Orange Alert]]
[[Category:Pre-existing]]

Face Hands Feet All Swollen

2026-05-02T11:16:40Z

Adminsuper: Created page with "{{Severity Banner | level = orange | card_no = 11 | title = Face Hands Feet — All Swollen | subtitle = Whole-body swelling at the same time means go to the PHC today }} {{Card Infobox | card_no = 11 | severity = orange | category = Swelling | audio = Face_Hands_Feet_All_Swollen_Khasi.mp3 | call_108 = no | pathway = ASHA → PHC (same day) → CHC if BP ≥ 140/90 | image = Card_11_Face_Hands_Feet_All_Swollen.png }} == What is this? == When the whole b..."

{{Severity Banner
| level = orange
| card_no = 11
| title = Face Hands Feet — All Swollen
| subtitle = Whole-body swelling at the same time means go to the PHC today
}}

{{Card Infobox
| card_no = 11
| severity = orange
| category = Swelling
| audio = Face_Hands_Feet_All_Swollen_Khasi.mp3
| call_108 = no
| pathway = ASHA → PHC (same day) → CHC if BP ≥ 140/90
| image = Card_11_Face_Hands_Feet_All_Swollen.png
}}

== What is this? ==

When the whole body swells at once — face, hands, and feet together — this is different from the ordinary ankle swelling of late pregnancy. When the eyelids puff up, the fingers become thick and tight, and the feet are swollen all at the same time, the body is holding far too much fluid. This is almost always linked to rising blood pressure in pregnancy.

This type of swelling does not go away after a night of rest. It may build quickly over a day or two, or appear suddenly first thing in the morning. A urine test and blood pressure check are needed the same day. If blood pressure is 140/90 mmHg or above, the woman must go to the CHC without waiting.

{{Action Steps|
* '''Go to the PHC or Sub-Centre the same day'''
* Have blood pressure checked immediately on arrival
* Ask for a urine test to check for protein
* '''If BP is 140/90 or above — go to the CHC immediately'''
* Do not try to manage this at home
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC (same day)
| step3 = CHC if BP ≥ 140/90
}}

{{Risk Window|
When the face and hands are swollen — especially if the swelling is still present in the morning after a night of rest — this is not normal pregnancy swelling. It is a sign that the body is retaining fluid due to pre-eclampsia. A blood pressure of 140/90 mmHg confirms this is an emergency. '''Go to the PHC the same day without waiting.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Face_Hands_Feet_All_Swollen_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Swollen_Feet|Swollen Feet]] — milder swelling that can precede this stage
* [[Blood_Pressure_High|Blood Pressure High]] — the underlying cause
* [[Severe_Headache_with_Vision_Disturbed|Severe Headache with Vision Disturbed]] — part of the same pre-eclampsia cluster

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Orange Alert]]
[[Category:Swelling]]

Cannot See Clearly

2026-05-02T11:15:21Z

Adminsuper: Created page with "{{Severity Banner | level = orange | card_no = 10 | title = Cannot See Clearly — Blurred Vision | subtitle = Blurred or flashing vision during pregnancy must be checked the same day }} {{Card Infobox | card_no = 10 | severity = orange | category = Vision | audio = Cannot_See_Clearly_Khasi.mp3 | call_108 = no | pathway = ASHA → PHC (same day) → CHC / District Hospital if BP ≥ 140/90 | image = Card_10_Cannot_See_Clearly.png }} == What is this? ==..."

{{Severity Banner
| level = orange
| card_no = 10
| title = Cannot See Clearly — Blurred Vision
| subtitle = Blurred or flashing vision during pregnancy must be checked the same day
}}

{{Card Infobox
| card_no = 10
| severity = orange
| category = Vision
| audio = Cannot_See_Clearly_Khasi.mp3
| call_108 = no
| pathway = ASHA → PHC (same day) → CHC / District Hospital if BP ≥ 140/90
| image = Card_10_Cannot_See_Clearly.png
}}

== What is this? ==

Blurred vision, double vision, or seeing dark spots and flashing lights during pregnancy is not normal. It is a sign that blood pressure has risen to a level that is affecting the blood vessels in the eyes and brain. This symptom can appear suddenly and may come and go, making it easy to dismiss — but it must not be ignored.

A blood pressure check must happen the same day. Even if the blurring has passed by the time the woman reaches the facility, the blood pressure reading will show whether there is a danger. If the reading is 140/90 mmHg or above, she must go on to the CHC or District Hospital without further delay.

{{Action Steps|
* '''Go to the PHC the same day — do not wait overnight'''
* Have your blood pressure measured as soon as you arrive
* Tell the doctor exactly when the blurring started and what it looks like
* '''If BP is 140/90 or above — go to the CHC or District Hospital right away'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC (same day)
| step3 = CHC / District Hospital if BP ≥ 140/90
}}

{{Risk Window|
Blurred or flashing vision in pregnancy becomes a medical emergency when it is combined with headache, face or hand swelling, or upper belly pain — especially after the third month. A blood pressure reading of 140/90 mmHg or higher alongside these visual symptoms means the woman must reach the CHC or District Hospital the same day. '''Do not wait overnight.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Cannot_See_Clearly_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Severe_Headache_with_Vision_Disturbed|Severe Headache with Vision Disturbed]] — headache and vision problems together are more urgent
* [[Blood_Pressure_High|Blood Pressure High]] — root cause of vision changes in pregnancy
* [[Face_Hands_Feet_All_Swollen|Face Hands Feet All Swollen]] — part of the same pre-eclampsia warning cluster

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Orange Alert]]
[[Category:Vision]]

Severe Headache with Vision Disturbed

2026-05-02T11:14:46Z

Adminsuper: Created page with "{{Severity Banner | level = orange | card_no = 09 | title = Severe Headache — Vision Disturbed | subtitle = These two symptoms together point to dangerously high blood pressure — go today }} {{Card Infobox | card_no = 09 | severity = orange | category = Pain | audio = Severe_Headache_with_Vision_Disturbed_Khasi.mp3 | call_108 = yes | pathway = ASHA → PHC (same day) → CHC if BP ≥ 140/90 | image = Card_09_Severe_Headache_with_Vision_Disturbed.png..."

{{Severity Banner
| level = orange
| card_no = 09
| title = Severe Headache — Vision Disturbed
| subtitle = These two symptoms together point to dangerously high blood pressure — go today
}}

{{Card Infobox
| card_no = 09
| severity = orange
| category = Pain
| audio = Severe_Headache_with_Vision_Disturbed_Khasi.mp3
| call_108 = yes
| pathway = ASHA → PHC (same day) → CHC if BP ≥ 140/90
| image = Card_09_Severe_Headache_with_Vision_Disturbed.png
}}

== What is this? ==

A very severe headache — like a tight band being squeezed around the head — combined with blurred, dim, or flashing vision during pregnancy is a serious warning sign. These two symptoms together point to very high blood pressure pressing on the blood vessels of the brain and eyes. This is not a normal pregnancy headache that will ease with rest.

Nausea and vomiting may also be present alongside the headache and vision changes. Do not take a painkiller and wait for the symptoms to pass. This combination requires urgent blood pressure measurement and medical assessment at a PHC or CHC the same day. If blood pressure is found to be 140/90 mmHg or above, go to the CHC immediately without delay.

{{Action Steps|
* '''Go to the PHC or CHC today — do not wait'''
* Ask your ASHA to arrange transport immediately
* '''Have your blood pressure checked as soon as you arrive'''
* '''If BP is 140/90 or above — go to the CHC the same day without any delay'''
* Do not take a painkiller and go to sleep
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC (same day)
| step3 = CHC if BP ≥ 140/90
}}

{{Risk Window|
Any severe headache combined with blurred or flashing vision after the third month of pregnancy must be seen at the PHC or CHC the same day. This combination is the key warning sign of pre-eclampsia — a condition that can cause fits, stroke, and death within hours if blood pressure is not controlled. '''A blood pressure reading of 140/90 mmHg or above with these symptoms means go to the CHC immediately.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Severe_Headache_with_Vision_Disturbed_Khasi.mp3|duration=2:10}}

== Related cards ==

* [[Cannot_See_Clearly|Cannot See Clearly]] — blurred vision without headache also needs same-day care
* [[Blood_Pressure_High|Blood Pressure High]] — the underlying cause of this symptom combination
* [[Fits_or_Body_Shaking|Fits or Body Shaking]] — the emergency that untreated severe headache can lead to

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Orange Alert]]
[[Category:Pain]]

Last Baby Under 2 Years

2026-05-02T11:10:12Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 08 | title = Last Baby Under 2 Years — Body Needs More Time | subtitle = Pregnancies spaced less than 2 years apart carry higher risks for mother and baby }} {{Card Infobox | card_no = 08 | severity = yellow | category = Pre-existing | audio = Last_Baby_Under_2_Years_Khasi.mp3 | call_108 = no | pathway = ASHA → 4× ANC → Sub-Centre → CHC / District Hospital | image = Card_08_Last_Baby_Under_2_Years.pn..."

{{Severity Banner
| level = yellow
| card_no = 08
| title = Last Baby Under 2 Years — Body Needs More Time
| subtitle = Pregnancies spaced less than 2 years apart carry higher risks for mother and baby
}}

{{Card Infobox
| card_no = 08
| severity = yellow
| category = Pre-existing
| audio = Last_Baby_Under_2_Years_Khasi.mp3
| call_108 = no
| pathway = ASHA → 4× ANC → Sub-Centre → CHC / District Hospital
| image = Card_08_Last_Baby_Under_2_Years.png
}}

== What is this? ==

When the next pregnancy begins less than two years after the last delivery, the mother's body has not had enough time to rebuild its strength, iron stores, and nutrients. The uterus, blood, and bones all need time to recover. Pregnancies spaced too close together increase the chance of anaemia, low birth weight, and a baby born too early.

The current pregnancy can still go well — but it needs extra care and monitoring from the very beginning. Take Iron and Folic Acid tablets every day, attend at least four ANC visits, and plan to deliver in hospital. Register with your ASHA as early as possible so that care can start straight away.

{{Action Steps|
* Register with your ASHA as early as possible in this pregnancy
* Take Iron and Folic Acid tablets every day — do not miss
* Attend at least four ANC check-ups during the pregnancy
* Plan to deliver at a CHC or District Hospital
}}

{{Referral Pathway
| step1 = ASHA
| step2 = 4× ANC visits
| step3 = Sub-Centre
| step4 = CHC / District Hospital
}}

{{Risk Window|
The risk is present throughout the whole pregnancy when the last delivery was less than two years ago. Anaemia, premature birth, and low birth weight are more likely. These problems can be caught and managed through regular check-ups. '''Regular ANC visits and a hospital delivery are the most important protections.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Last_Baby_Under_2_Years_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Age_Risk|Age Risk]] — another pre-existing high-risk category needing early registration
* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — anaemia risk is higher with short birth spacing
* [[Previous_Baby_Died|Previous Baby Died]] — short spacing may overlap with previous baby loss

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Age Risk

2026-05-02T11:00:59Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 07 | title = Age Risk — Under 18 / Over 35 | subtitle = Young and older mothers need extra check-ups and must plan a hospital delivery }} {{Card Infobox | card_no = 07 | severity = yellow | category = Pre-existing | audio = Age_Risk_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre → CHC / District Hospital (for delivery) | image = Card_07_Age_Risk.png }} == What is this? == A woman who becomes..."

{{Severity Banner
| level = yellow
| card_no = 07
| title = Age Risk — Under 18 / Over 35
| subtitle = Young and older mothers need extra check-ups and must plan a hospital delivery
}}

{{Card Infobox
| card_no = 07
| severity = yellow
| category = Pre-existing
| audio = Age_Risk_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre → CHC / District Hospital (for delivery)
| image = Card_07_Age_Risk.png
}}

== What is this? ==

A woman who becomes pregnant under 18 years of age or over 35 years of age faces a higher level of risk during pregnancy and childbirth. A body that is still growing — under 18 — may not be strong enough to support the pregnancy or recover from delivery. A body over 35 is more likely to develop high blood pressure, anaemia, and complications during labour.

This does not mean something will definitely go wrong — it means that extra attention and planning are needed from the very first day. The most important steps are: register early with the ASHA, attend all four ANC check-ups, and plan your delivery at a CHC or District Hospital where doctors are available if a complication arises.



{{Action Steps|
* Register with your ASHA as soon as you know you are pregnant
* Attend all ANC check-ups — do not skip any
* '''Plan to deliver at a CHC or District Hospital — not at home'''
* Tell the doctor your age at every visit so they can watch for specific risks
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre
| step3 = CHC / District Hospital (delivery)
}}

{{Risk Window|
The risk runs from the first day of pregnancy until delivery and the early postnatal period. Women under 18 and over 35 are more likely to experience severe high blood pressure, severe anaemia, and complications during labour. '''Planning a hospital delivery is the single most important step — decide and prepare now, before any complication arises.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Age_Risk_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Last_Baby_Under_2_Years|Last Baby Under 2 Years]] — another pre-existing risk factor for early registration
* [[Blood_Pressure_High|Blood Pressure High]] — older mothers have a higher chance of hypertension
* [[Previous_Baby_Died|Previous Baby Died]] — overlapping high-risk categories

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Body Feels Hot

2026-05-02T10:55:56Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 06 | title = Body Feels Hot — Above 38°C / 100.4°F | subtitle = Any fever during pregnancy must be checked the same day }} {{Card Infobox | card_no = 06 | severity = yellow | category = Pre-existing | audio = Body_Feels_Hot_Khasi.mp3 | call_108 = no | pathway = ASHA → PHC | image = Card_06_Body_Feels_Hot.png }} == What is this? == A body temperature of 38°C (100.4°F) or above during pregnancy is a f..."

{{Severity Banner
| level = yellow
| card_no = 06
| title = Body Feels Hot — Above 38°C / 100.4°F
| subtitle = Any fever during pregnancy must be checked the same day
}}

{{Card Infobox
| card_no = 06
| severity = yellow
| category = Pre-existing
| audio = Body_Feels_Hot_Khasi.mp3
| call_108 = no
| pathway = ASHA → PHC
| image = Card_06_Body_Feels_Hot.png
}}

== What is this? ==

A body temperature of 38°C (100.4°F) or above during pregnancy is a fever. The woman may feel very hot to the touch, start to shiver, have a severe headache, or feel her whole body aching. Any fever during pregnancy needs attention — a high temperature can harm the baby's development and is usually a sign of an infection that needs treatment.

Common causes of fever in pregnancy include malaria, urinary tract infection, and other illnesses. Use a thermometer to measure the temperature — do not guess by touch alone. Paracetamol tablets are safe during pregnancy and will bring the temperature down while you arrange to go to the PHC. Always find the cause — never just treat the fever and stop.

{{Action Steps|
* Check the temperature with a thermometer
* Take one Paracetamol tablet and drink plenty of fluids
* Tell your ASHA the same day the fever starts
* '''Go to the PHC the same day if temperature is 38°C or above, or if it does not come down'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC
}}

{{Risk Window|
The fever becomes dangerous when it has lasted more than 24 hours without coming down, when it reaches 38.5°C or above, or when it comes with a very severe headache, stiff neck, rash, or difficulty breathing. '''Any fever in pregnancy lasting more than one day must be assessed at the PHC on the same day''' to find and treat the cause.
}}



== Khasi audio guide ==

{{Audio Guide|file=Body_Feels_Hot_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Burning_Urine|Burning Urine]] — urinary infection is a common cause of fever in pregnancy
* [[Severe_Headache_with_Vision_Disturbed|Severe Headache with Vision Disturbed]] — severe headache with fever may signal a serious infection
* [[Cannot_Eat_or_Drink|Cannot Eat or Drink]] — fever often stops eating and drinking

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Pale Eyelid and Nails

2026-05-02T10:54:54Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 05 | title = Pale Eyelid and Nails — Check Inside the Eyelid | subtitle = Pale inner eyelid and nails mean the blood is low in iron — treat it now }} {{Card Infobox | card_no = 05 | severity = yellow | category = Pre-existing | audio = Pale_Eyelid_and_Nails_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre (blood test) → PHC | image = Card_05_Pale_Eyelid_and_Nails.png }} == What is this? == Pu..."

{{Severity Banner
| level = yellow
| card_no = 05
| title = Pale Eyelid and Nails — Check Inside the Eyelid
| subtitle = Pale inner eyelid and nails mean the blood is low in iron — treat it now
}}

{{Card Infobox
| card_no = 05
| severity = yellow
| category = Pre-existing
| audio = Pale_Eyelid_and_Nails_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre (blood test) → PHC
| image = Card_05_Pale_Eyelid_and_Nails.png
}}

== What is this? ==

Pull down your lower eyelid gently and look at the inside surface. In a healthy person this is a deep, bright pink. If it looks pale pink, white, or almost colourless, it is a sign that the blood is low in iron. This condition is called anaemia. Also check the fingernails — pale, yellowish, or spoon-shaped nails point to the same problem.

Anaemia in pregnancy means the blood cannot carry enough oxygen to the mother's muscles and organs, or to the growing baby. The woman feels tired all the time, becomes breathless easily, and may feel dizzy when she stands. Anaemia is very common in pregnancy but it is easy to treat if found early. Taking Iron and Folic Acid tablets every single day — without missing — is the treatment. A blood test at the Sub-Centre will confirm how severe it is.

{{Action Steps|
* Ask your ASHA to check your lower eyelid at every home visit
* Go to the Sub-Centre for a haemoglobin blood test
* '''Take your Iron and Folic Acid tablet every single day — never miss a day'''
* Return for a check-up after one month to see if blood levels are improving
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre (blood test)
| step3 = PHC
}}

{{Risk Window|
Anaemia becomes an emergency when the inner eyelid is completely white, the nails are very pale, and the woman cannot stand without support or feels faint. Severe anaemia before delivery increases the risk of life-threatening bleeding. '''If these signs are severe, go to the Sub-Centre or PHC immediately.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Pale_Eyelid_and_Nails_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Very_Pale_Cannot_Stand|Very Pale Cannot Stand]] — the emergency stage of severe anaemia
* [[Cannot_Eat_or_Drink|Cannot Eat or Drink]] — poor nutrition contributes to anaemia
* [[Body_Feels_Hot|Body Feels Hot]] — fever worsens anaemia

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Cannot Eat or Drink

2026-05-02T10:54:06Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 04 | title = Cannot Eat or Drink — More Than 2 Days | subtitle = Vomiting that prevents any food or water from staying down needs IV fluids }} {{Card Infobox | card_no = 04 | severity = yellow | category = Pre-existing | audio = Cannot_Eat_or_Drink_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre (IV Fluids) | image = Card_04_Cannot_Eat_or_Drink.png }} == What is this? == Nausea and vomiting in e..."

{{Severity Banner
| level = yellow
| card_no = 04
| title = Cannot Eat or Drink — More Than 2 Days
| subtitle = Vomiting that prevents any food or water from staying down needs IV fluids
}}

{{Card Infobox
| card_no = 04
| severity = yellow
| category = Pre-existing
| audio = Cannot_Eat_or_Drink_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre (IV Fluids)
| image = Card_04_Cannot_Eat_or_Drink.png
}}

== What is this? ==

Nausea and vomiting in early pregnancy are very common and usually ease by the end of the third month. This is sometimes called morning sickness, though it can happen any time of day. Most women can still manage small sips of water and light food even when feeling very sick.

When vomiting is so severe that a woman cannot keep any food or water down at all — and this continues for more than two days — the body starts to dry out. Without fluids, both mother and baby are at risk. This level of sickness is not something to manage at home with oral fluids alone — an IV drip (fluids through a vein) at the Sub-Centre is needed.

{{Action Steps|
* Sip ORS (oral rehydration solution) slowly — a few sips every few minutes
* '''Tell your ASHA straight away'''
* Go to the Sub-Centre today if you cannot keep any liquid down at all
* Do not try to push through more than two days of not being able to drink
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre (IV Fluids)
}}

{{Risk Window|
The situation becomes dangerous when vomiting continues for more than two days with no break, or when the woman cannot swallow even water without bringing it up immediately. Dizziness and weakness that prevent her from standing are signs the body is severely dehydrated. '''She needs an IV drip at the Sub-Centre — this cannot be managed at home.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Cannot_Eat_or_Drink_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Body_Feels_Hot|Body Feels Hot]] — fever makes dehydration worse and faster
* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — dehydration worsens anaemia
* [[Strong_Belly_Pain|Strong Belly Pain]] — vomiting with severe belly pain needs urgent care

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]

Baby Not Moving

2026-05-02T10:53:07Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 03 | title = Baby Not Moving — Count 10 Kicks | subtitle = Fewer than 10 movements in two hours during the baby's active time needs attention }} {{Card Infobox | card_no = 03 | severity = yellow | category = Movement | audio = Baby_Not_Moving_Khasi.mp3 | call_108 = no | pathway = ASHA → PHC (same day) | image = Card_03_Baby_Not_Moving.png }} == What is this? == A healthy baby moves regularly inside the..."

{{Severity Banner
| level = yellow
| card_no = 03
| title = Baby Not Moving — Count 10 Kicks
| subtitle = Fewer than 10 movements in two hours during the baby's active time needs attention
}}

{{Card Infobox
| card_no = 03
| severity = yellow
| category = Movement
| audio = Baby_Not_Moving_Khasi.mp3
| call_108 = no
| pathway = ASHA → PHC (same day)
| image = Card_03_Baby_Not_Moving.png
}}

== What is this? ==

A healthy baby moves regularly inside the womb from around the fifth month of pregnancy onward. You may feel kicks, rolls, or flutters many times each day. Babies also have quiet periods when they sleep — this is normal. But during the time the baby is usually active, it should move at least 10 times in two hours.

If the baby seems quiet, find a peaceful moment, lie down on your left side, and count every movement — every kick, roll, and flutter. Try drinking something cold or sweet first, as this often wakes the baby. If you still count fewer than 10 movements in two hours, this is a sign to go to the PHC the same day.



{{Action Steps|
* Lie down on your left side in a quiet place
* Drink something cold or sweet to wake the baby
* Count every kick, roll, and flutter for two hours
* '''If fewer than 10 movements — call your ASHA and go to the PHC today'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = PHC (same day)
}}

{{Risk Window|
If the baby makes fewer than 10 movements in two hours during the time it is usually active, this is a warning sign that needs the same-day attention of a doctor. Do not wait to see if movement returns the next day. '''Call your ASHA and go to the PHC today.''' The doctor will listen to the baby's heartbeat to confirm that everything is safe.
}}

== Khasi audio guide ==

{{Audio Guide|file=Baby_Not_Moving_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Baby_Not_Moving_12_Hours|Baby Not Moving 12 Hours]] — the emergency stage needing immediate hospital care
* [[Vaginal_Bleeding|Vaginal Bleeding]] — bleeding can occur alongside reduced movement
* [[Strong_Belly_Pain|Strong Belly Pain]] — pain combined with reduced movement is more serious

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Movement]]

Swollen Feet

2026-05-02T10:50:53Z

Adminsuper: Created page with "{{Severity Banner | level = yellow | card_no = 02 | title = Swollen Feet — Check Every Morning | subtitle = Some swelling is normal; face and hand swelling is not }} {{Card Infobox | card_no = 02 | severity = yellow | category = Swelling | audio = Swollen_Feet_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre | image = Card_02_Swollen_Feet.png }} == What is this? == Mild swelling of the feet and ankles is common in late pregnancy, especially i..."

{{Severity Banner
| level = yellow
| card_no = 02
| title = Swollen Feet — Check Every Morning
| subtitle = Some swelling is normal; face and hand swelling is not
}}

{{Card Infobox
| card_no = 02
| severity = yellow
| category = Swelling
| audio = Swollen_Feet_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre
| image = Card_02_Swollen_Feet.png
}}

== What is this? ==

Mild swelling of the feet and ankles is common in late pregnancy, especially in the evening or after standing for a long time. The growing baby puts pressure on the blood vessels and the legs hold extra fluid. When this swelling goes away after a night of rest with legs raised, it is usually not dangerous.

Swelling that does not go down overnight, or that spreads to the face and hands, is a different and more serious sign. It can mean blood pressure is rising or there is a fluid problem that needs medical attention. A simple way to check: pull down your lower eyelid — if the inside looks white instead of deep pink, tell your ASHA the same day.

{{Action Steps|
* Tell your ASHA at her next visit
* Lie down with your legs raised — put a folded cloth or pillow under your feet
* Reduce salt in your food
* '''Go to the Sub-Centre the same day if swelling reaches your face or hands'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre
}}

{{Risk Window|
Swelling becomes dangerous when it is still there in the morning after a full night's rest, or when it has spread to the face, eyelids, or hands. Face and hand swelling in the last three months of pregnancy is a warning sign of pre-eclampsia. '''Go to the Sub-Centre the same day if the swelling has gone above your ankles or reached your face.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Swollen_Feet_Khasi.mp3|duration=1:50}}

== Related cards ==

* [[Face_Hands_Feet_All_Swollen|Face Hands Feet All Swollen]] — when swelling covers the whole body
* [[Blood_Pressure_High|Blood Pressure High]] — the most common cause of serious pregnancy swelling
* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — check your eyelid for this sign too

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Swelling]]

Vaginal Bleeding

2026-05-02T09:28:44Z

Adminsuper:

{{Severity Banner

| level = red
| card_no = 18
| title = Vaginal Bleeding
| subtitle = Any bleeding from the birth canal in any month is an emergency
}}

{{Card Infobox

| card_no = 18
| severity = red
| category = Bleeding
| audio = Vaginal_Bleeding_Khasi.mp3
| call_108 = yes
| pathway = ASHA → 108 → CHC / District Hospital
| image = Card_18_Vaginal_Bleeding.png
}}

== What is this? ==

Vaginal bleeding during pregnancy is a critical "danger sign" and must be treated as a medical emergency regardless of which month it occurs. It is often a symptom of severe complications such as a retained placenta or internal haemorrhage, which are primary causes of maternal mortality if not treated immediately.

Meghalaya's MOTHER app uses real-time data to track these high-risk cases, ensuring that medical officers are alerted the moment such symptoms are reported by frontline workers like ANMs or ASHAs. Swift action, including the immediate use of the 108 ambulance service, has been proven to save the lives of mothers facing these life-threatening conditions.

{{Action Steps|
* '''Call ASHA immediately'''
* '''Phone 108 for the ambulance'''
* Lie down on the left side — '''do NOT stand'''
* Do NOT eat or drink anything
* Go to the CHC or District Hospital right away
}}

{{Referral Pathway

| step1 = 📞 108
| step2 = ASHA
| step3 = CHC
| step4 = District Hospital
}}

{{Risk Window|
Vaginal bleeding becomes life-threatening immediately upon onset. It is exceptionally dangerous if it happens after the expected delivery date or is accompanied by the retention of the placenta, as this can lead to fatal blood loss within a very short window. If any spotting or bleeding is observed, do not wait for a scheduled checkup. '''Go to the nearest CHC or District Hospital within the same hour.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Vaginal_Bleeding_Khasi.mp3|duration=2:14}}

== Related cards ==

* [[Abdominal Pain]]
*

{{Emergency Footer}}

Vaginal Bleeding

2026-05-02T09:26:24Z

Adminsuper: Undo revision 38 by Adminsuper (talk)

{{Severity Banner
| level = red
| english = VAGINAL BLEEDING
| khasi = Ka jingthehsnam
}}

{{Card Infobox
| card_no = 18
| severity = red
| khasi_name = Ka jingthehsnam
| category = Bleeding
| audio = Vaginal_Bleeding_Khasi.mp3
| call_108 = yes
| pathway = ASHA → 108 → CHC / District Hospital
| image = Card_18_Vaginal_Bleeding.png
}}

== What is this? · Kaei Kane? ==

'''English:''' Any vaginal bleeding during pregnancy at any month is '''not normal'''. Even small spotting needs urgent attention. The cause may be that the placenta is not properly attached, or it may be early labour before the baby is full-term. Both can put the mother and baby's life at risk if care is delayed.

'''Khasi:''' Kano kano ka jingthehsnam na jaka kha ha kano kano ka por ba dang armet ''KAM LONG'' kaba shngain. Donkam Jingsumar kloi ban peit bniah. Ka daw ka lah ban long na ka jingbym shong skhem ka plakhun lane ka dei ka dak jong ka jingsdang ban kha ia I khyllung bym pat dap bnai. Kine baroh ki lah ban buh jingma ia ka jingim lada ym ioh jingsumar kham kloi.

== What to do now · Kumno ban leh mynta ==

{{Action Steps
| english =
* '''Call ASHA immediately'''
* '''Phone 108 for the ambulance'''
* Lie down on the left side — '''do NOT stand'''
* '''Do NOT eat or drink anything''' (a C-section may be needed)
* Go to the CHC or District Hospital right away
| khasi =
* '''Khot noh ia I ASHA mar mar'''
* '''Phone 108 na ka bynta ka ambulance'''
* Thiah lyndang bad '''YMDEI ban ieng'''
* '''YMDEI ban bam ne dih eiei''' (lah ban donkam ban shah puid)
* Leit sha ka CHC lane Distrik hospital mar mar
}}

== Referral pathway ==

{{Referral Pathway
| step1 = 📞 Call 108
| step2 = ASHA
| step3 = CHC
| step4 = District Hospital
}}

{{Risk Window
| english =
Any vaginal bleeding during pregnancy, at any month, must be treated as urgent. '''Do NOT wait for the bleeding to stop on its own.''' Even a small amount of spotting must be checked at a facility on the same day. Heavy bleeding with belly pain, or bleeding after a fall, is a true emergency — the woman must reach the District Hospital within the hour.
| khasi =
Kano kano ka jingthehsnam na jaka kha ha kano kano ka por ba dang armet — khot jingiarap noh kloi. WAT YM ap haduh ba ka jingthehsnam kan jah hi da lade. Wat haba don tang khyndiat I dak khah snam ruh donkam noh ban phah sumar kloi kloi ha kajuh hi ka sngi.
}}

== Audio guide ==

{{Audio Guide|file=Vaginal_Bleeding_Khasi.mp3|duration=2:14}}

The audio guide explains in Khasi what bleeding during pregnancy means, why it must never be ignored, and exactly which facility to go to. It is meant to be played for the family at the moment of the scan — no literacy needed.

== Connected QR features ==

This is a '''Red category''' card. Scanning the QR code on the printed version triggers:

# '''108 ambulance call''' — GPS location auto-populated
# '''CM-SMS transport roster''' — nearby vehicles displayed
# '''Facility pre-alert''' — CHC and District Hospital receive an emergency flag with the woman's RCH ID
# '''Location pings''' sent to the receiving facility every few minutes until the patient arrives

See [[MAMA ALERT QR Features]] for the full feature list.

== Related cards ==

* [[Strong Belly Pain]] — bleeding plus pain is a higher-risk combination
* [[Mother Has Collapsed]] — what to do if she becomes unconscious
* [[Very Pale Cannot Stand]] — sign of severe blood loss
* [[Previous C-Section]] — risk factor that increases the seriousness of bleeding

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Bleeding]]

Vaginal Bleeding

2026-05-02T09:25:41Z

Adminsuper:

{{Lang Switcher}}
{{Severity Banner

| level = red
| card_no = 18
| title = Vaginal Bleeding
| subtitle = Any bleeding from the birth canal in any month is an emergency
}}

{{Card Infobox

| card_no = 18
| severity = red
| category = Bleeding
| audio = Vaginal_Bleeding_Khasi.mp3
| call_108 = yes
| pathway = ASHA → 108 → CHC / District Hospital
| image = Card_18_Vaginal_Bleeding.png
}}

== What is this? ==

Vaginal bleeding during pregnancy is a critical "danger sign" and must be treated as a medical emergency regardless of which month it occurs. It is often a symptom of severe complications such as a retained placenta or internal haemorrhage, which are primary causes of maternal mortality if not treated immediately.

Meghalaya's MOTHER app uses real-time data to track these high-risk cases, ensuring that medical officers are alerted the moment such symptoms are reported by frontline workers like ANMs or ASHAs. Swift action, including the immediate use of the 108 ambulance service, has been proven to save the lives of mothers facing these life-threatening conditions.

{{Action Steps|
* '''Call ASHA immediately'''
* '''Phone 108 for the ambulance'''
* Lie down on the left side — '''do NOT stand'''
* Do NOT eat or drink anything
* Go to the CHC or District Hospital right away
}}

{{Referral Pathway

| step1 = 📞 108
| step2 = ASHA
| step3 = CHC
| step4 = District Hospital
}}

{{Risk Window|
Vaginal bleeding becomes life-threatening immediately upon onset. It is exceptionally dangerous if it happens after the expected delivery date or is accompanied by the retention of the placenta, as this can lead to fatal blood loss within a very short window. If any spotting or bleeding is observed, do not wait for a scheduled checkup. '''Go to the nearest CHC or District Hospital within the same hour.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Vaginal_Bleeding_Khasi.mp3|duration=2:14}}

== Related cards ==
* [[Abdominal Pain]]

{{Emergency Footer}}

MediaWiki:Sidebar

2026-05-02T07:59:10Z

Adminsuper:

MediaWiki:Sidebar

2026-05-02T07:58:56Z

Adminsuper:

Main Page

2026-05-02T07:53:24Z

Adminsuper:

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

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

'''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 ==

<div class="mama-stats">
<div class="mama-stat"><div class="mama-stat-num">26</div><div class="mama-stat-label">Symptom Cards</div></div>
<div class="mama-stat"><div class="mama-stat-num">3</div><div class="mama-stat-label">Severity Levels</div></div>
<div class="mama-stat"><div class="mama-stat-num">108</div><div class="mama-stat-label">Ambulance Link</div></div>
</div>

== 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" | <div class="mama-legend-label">🟡 Yellow Alert</div><div class="mama-legend-headline">Watch & plan</div><div class="mama-legend-body">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.</div>
| class="orange" | <div class="mama-legend-label">🟠 Orange Alert</div><div class="mama-legend-headline">Same-day care</div><div class="mama-legend-body">Go to the PHC or CHC the same day. Do not wait until tomorrow. Do not self-medicate.</div>
| class="red" | <div class="mama-legend-label">🔴 Red Alert</div><div class="mama-legend-headline">Emergency now</div><div class="mama-legend-body">Call 108 immediately. The woman must reach a CHC or District Hospital as fast as possible.</div>
|}

== All 26 cards ==

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

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

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

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

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

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

== 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 [[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.

== Project background ==

The MAMA ALERT cards were built under the '''Maternal, Newborn and Child Health — Human-Centred Design (MNCH-HCD) project''' of [[Tattva Foundation]] in Umling Block, Ri-Bhoi District, Meghalaya. The card content was developed and validated locally with ASHA workers, ANMs, traditional birth attendants, and pregnant women in the block. Both the symptom selection and the Khasi audio narration were tested in the field before scale-up.

== See also ==

* [[Khasi Audio Guides]] — index of all 26 audio files
* [[Referral Pathways]] — how ASHA → Sub-Centre → PHC → CHC → District Hospital works
* [[Emergency Transport]] — calling 108 and the CM-SMS roster
* [[For ASHA Workers]] — quick-start guide
* [[For Families]] — when to be worried, when to relax
* [[About the project]] — Tattva Foundation, MNCH-HCD, deployment timeline

[[Category:MAMA ALERT]]

Main Page

2026-05-02T07:50:58Z

Adminsuper:

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

<div class="mama-banner mama-red" style="margin-top:0;">
<div class="mama-banner-body">
<div class="mama-banner-level">MAMA ALERT · UMLING BLOCK · MEGHALAYA</div>
<div class="mama-banner-en">High-Risk Pregnancy Symptom Cards</div>
</div>
</div>

'''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 ==

<div class="mama-stats">
<div class="mama-stat"><div class="mama-stat-num">26</div><div class="mama-stat-label">Symptom Cards</div></div>
<div class="mama-stat"><div class="mama-stat-num">3</div><div class="mama-stat-label">Severity Levels</div></div>
<div class="mama-stat"><div class="mama-stat-num">108</div><div class="mama-stat-label">Ambulance Link</div></div>
</div>

== 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" | <div class="mama-legend-label">🟡 Yellow Alert</div><div class="mama-legend-headline">Watch & plan</div><div class="mama-legend-body">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.</div>
| class="orange" | <div class="mama-legend-label">🟠 Orange Alert</div><div class="mama-legend-headline">Same-day care</div><div class="mama-legend-body">Go to the PHC or CHC the same day. Do not wait until tomorrow. Do not self-medicate.</div>
| class="red" | <div class="mama-legend-label">🔴 Red Alert</div><div class="mama-legend-headline">Emergency now</div><div class="mama-legend-body">Call 108 immediately. The woman must reach a CHC or District Hospital as fast as possible.</div>
|}

== All 26 cards ==

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

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

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

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

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

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

== 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 [[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.

== Project background ==

The MAMA ALERT cards were built under the '''Maternal, Newborn and Child Health — Human-Centred Design (MNCH-HCD) project''' of [[Tattva Foundation]] in Umling Block, Ri-Bhoi District, Meghalaya. The card content was developed and validated locally with ASHA workers, ANMs, traditional birth attendants, and pregnant women in the block. Both the symptom selection and the Khasi audio narration were tested in the field before scale-up.

== See also ==

* [[Khasi Audio Guides]] — index of all 26 audio files
* [[Referral Pathways]] — how ASHA → Sub-Centre → PHC → CHC → District Hospital works
* [[Emergency Transport]] — calling 108 and the CM-SMS roster
* [[For ASHA Workers]] — quick-start guide
* [[For Families]] — when to be worried, when to relax
* [[About the project]] — Tattva Foundation, MNCH-HCD, deployment timeline

[[Category:MAMA ALERT]]

Headache Keeps Coming Back/kh

2026-05-02T07:34:22Z

Adminsuper: Created page with "{{Lang Switcher|current=kh}} {{Severity Banner | level = yellow | label = JINGMA STIEH | card_no = 01 | title = Ka jingktha khlieh kaba iaineh | subtitle = Ka jingpang khlieh kaba wan biang wat hadien ba phi thiah pynjahthait }} {{Card Infobox | card_no = 01 | severity = yellow | category = Jingpang | audio = HeadacheKeepsComingBack_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre → PHC | image = Card_01_He..."

{{Lang Switcher|current=kh}}
{{Severity Banner
| level = yellow
| label = JINGMA STIEH
| card_no = 01
| title = Ka jingktha khlieh kaba iaineh
| subtitle = Ka jingpang khlieh kaba wan biang wat hadien ba phi thiah pynjahthait
}}

{{Card Infobox
| card_no = 01
| severity = yellow
| category = Jingpang
| audio = HeadacheKeepsComingBack_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre → PHC
| image = Card_01_HeadacheKeepsComingBack.png
| label_card = CARD
| label_cat = Jait
| label_audio = Audio
| label_108 = 108
| label_path = Lynti iaid
| label_listen = 🔊 Sngew ha Khasi
| label_yes_108 = 📞 KHOT 108
| label_no_108 = Ym dei marwei
}}

== Kaei kane? ==

Ka jingpang khlieh kaba iai wan biang ne kaba ym jah wat hadien ba phi ioh thiah pynjahthait.[file:1] Ka lah ban sngew kum ka jingkhia ne jingkhih hapoh ka khlieh bad kan neh sindon ha ka sngi baroh.[file:1] Kane ka lah ban jia kham bunsien ha u bnai ba ar bad ba lai jong ka jingarmet, hynrei ka lah ban jia ruh long kawei ka dak jingsngewthuh ha baroh ka por.[file:1] Ka jingpang khlieh kaba iaineh ka lah long ka dak jong ka jingkiew palat ka blood pressure ha ka por armet.[file:1]

Lada ym shim khia ia kane ka jingpang khlieh, ka lah ban ialam sha ka jingpang khnang, jingkhie jingpra ha ka jabieng bad jingpang ha ki dkhot met.[file:1] Ka lah ruh ban ktah ia ka jingheh jingsan jong i khunlung hapoh ka kpoh.[file:1] Kumta ka long kaba donkam ban peitngor bad shimkam kloi ia ka jingpang khlieh kaba ym dam.[file:1]

{{Action Steps
| header = Kumno ban leh mynta
|
* Nang iathuh ha ka ASHA haba ka wan jngoh sha iing ne phone sha ka
* Dih um man ka por bad thiah ha ka jaka kaba shngain bad dum khyndiat
* Kiar na ka bam mluh palat bad na ki dawai pang khlieh khlem jingbatai doctor
* Leit sha Sub-Centre lada ka jingshitom ka neh palat ar sngi ne ka wan biang man ka sngi
}}

{{Referral Pathway
| label = Lynti iaid
| step1 = ASHA
| step2 = Sub-Centre
| step3 = PHC
| step4 = CHC
}}

{{Risk Window
| header = Ha kano ka por kan long jingma?
|
Ka jingpang khlieh ka long kaba ma haba ka neh palat ia ka shisngi pura, ne haba ka jia man ka sngi, ne haba ka nang jur nang jur.[file:1] Ka kham ma shuh shuh lada ka don ryngkat bad ka jingdum ha ki khmat, jingbym iohi shai, jingsieb ka durkhmat lane jingsuh ha ka kpoh.[file:1] Ha kitei ki por, dei ban leit sha Sub-Centre ne PHC ha kajuh ka sngi ban thew BP bad ioh jingai dawai kaba dei.[file:1]
}}

{{Audio Guide
| file = HeadacheKeepsComingBack_Khasi.mp3
| duration = 2:00
| header = Audio iaroh ha ka ktien Khasi
| meta = Por
}}

=== Ki card ba iadei ===
* [[Swollen_Feet_Check_Every_Morningkh|Ka jingsieb ki mat bad ki kjat]]
* [[Face_Hands_Feet_All_Swollenkh|Ka jingsieb ha baroh kawei ka met]]
* [[Blood_Pressure_High_140_90_or_Abovekh|Jingkiew palat ka Blood Pressure]]
* [[Severe_Headache_Vision_Disturbedkh|Jur ka jingktha khlieh bad thut ka bor iohi]]

{{Emergency Footer
| title = Phone 108 na bynta ka AMBULANCE
| sub = Lada donkam jingiarap mar mar — lane kali CM-SMS
}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Khasi pages]]
[[Category:Jingpang]]

Headache Keeps Coming Back

2026-05-02T07:30:24Z

Adminsuper: Created page with "{{Lang Switcher}} {{Severity Banner | level = yellow | card_no = 01 | title = Headache Keeps Coming Back | subtitle = Headache that comes again and again, even after good rest }} {{Card Infobox | card_no = 01 | severity = yellow | category = Pain | audio = HeadacheKeepsComingBack_Khasi.mp3 | call_108 = no | pathway = ASHA → Sub-Centre → PHC | image = Card_01_HeadacheKeepsComingBack.png }} == What is this? == A headache that keeps coming back is not..."

{{Lang Switcher}}
{{Severity Banner
| level = yellow
| card_no = 01
| title = Headache Keeps Coming Back
| subtitle = Headache that comes again and again, even after good rest
}}

{{Card Infobox
| card_no = 01
| severity = yellow
| category = Pain
| audio = HeadacheKeepsComingBack_Khasi.mp3
| call_108 = no
| pathway = ASHA → Sub-Centre → PHC
| image = Card_01_HeadacheKeepsComingBack.png
}}

== What is this? ==

A headache that keeps coming back is not just simple tiredness. It means the head feels heavy, tight, or throbbing even after sleep and rest. It may be there most of the day, or it may return every day. This kind of headache can be a warning sign of high blood pressure in pregnancy, called pre-eclampsia. High blood pressure can harm the mother’s brain, kidneys, and other organs, and it can also affect the baby’s growth. That is why it is important to notice a headache that does not go away and take action early.[1]

Sometimes this headache gets worse over a few days. It can be felt more in the second and third months of pregnancy and later in pregnancy too. The woman may feel dizzy, tired, or feel pressure behind the eyes. If the headache comes with blurred vision, swelling of the feet or face, or pain in the upper belly, it becomes more dangerous. Early care can prevent serious problems like fits, stroke, or loss of the baby.[1]

{{Action Steps|
* Tell the ASHA about the headache at her next home visit or by phone
* Drink clean water often and take regular rest in a quiet, dark room
* Avoid very salty food and self-medicines for headache without a doctor’s advice
* Go to the Sub-Centre if the headache lasts more than 2 days or keeps coming back
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre
| step3 = PHC
| step4 = CHC
}}

{{Risk Window|
A recurring headache in pregnancy becomes dangerous when it lasts more than one full day, happens almost every day, or becomes stronger over time. It is especially worrying if it comes with blurred vision, seeing spots, swelling of face or hands, or pain in the upper belly. In these situations, the woman should go to the Sub-Centre or PHC on the same day to have her blood pressure checked and get proper treatment.[1]
}}

{{Audio Guide|file=HeadacheKeepsComingBack_Khasi.mp3|duration=2:00}}

=== Related cards ===
* [[Swollen_Feet_Check_Every_Morning|Swollen Feet – check every morning]]
* [[Face_Hands_Feet_All_Swollen|Face, hands, feet all swollen]]
* [[Blood_Pressure_High_140_90_or_Above|Blood pressure high 140/90 or above]]
* [[Severe_Headache_Vision_Disturbed|Severe headache with disturbed vision]]

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pain]]

Main Page

2026-05-02T07:15:27Z

Adminsuper: /* At a glance */

__NOTOC__
{{DISPLAYTITLE:MAMA ALERT — Pregnancy Danger Signs & ASHA Guidance · Meghalaya}}{{Main Lang Switcher}}

<div class="mama-banner mama-red" style="margin-top:0;">
<div class="mama-banner-body">
<div class="mama-banner-level">MAMA ALERT · UMLING BLOCK · MEGHALAYA</div>
<div class="mama-banner-en">High-Risk Pregnancy Symptom Cards</div>
</div>
</div>

'''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 ==

<div class="mama-stats">
<div class="mama-stat"><div class="mama-stat-num">26</div><div class="mama-stat-label">Symptom Cards</div></div>
<div class="mama-stat"><div class="mama-stat-num">3</div><div class="mama-stat-label">Severity Levels</div></div>
<div class="mama-stat"><div class="mama-stat-num">108</div><div class="mama-stat-label">Ambulance Link</div></div>
</div>

== 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" | <div class="mama-legend-label">🟡 Yellow Alert</div><div class="mama-legend-headline">Watch & plan</div><div class="mama-legend-body">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.</div>
| class="orange" | <div class="mama-legend-label">🟠 Orange Alert</div><div class="mama-legend-headline">Same-day care</div><div class="mama-legend-body">Go to the PHC or CHC the same day. Do not wait until tomorrow. Do not self-medicate.</div>
| class="red" | <div class="mama-legend-label">🔴 Red Alert</div><div class="mama-legend-headline">Emergency now</div><div class="mama-legend-body">Call 108 immediately. The woman must reach a CHC or District Hospital as fast as possible.</div>
|}

== All 26 cards ==

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

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

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

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

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

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

== 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 [[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.

== Project background ==

The MAMA ALERT cards were built under the '''Maternal, Newborn and Child Health — Human-Centred Design (MNCH-HCD) project''' of [[Tattva Foundation]] in Umling Block, Ri-Bhoi District, Meghalaya. The card content was developed and validated locally with ASHA workers, ANMs, traditional birth attendants, and pregnant women in the block. Both the symptom selection and the Khasi audio narration were tested in the field before scale-up.

== See also ==

* [[Khasi Audio Guides]] — index of all 26 audio files
* [[Referral Pathways]] — how ASHA → Sub-Centre → PHC → CHC → District Hospital works
* [[Emergency Transport]] — calling 108 and the CM-SMS roster
* [[For ASHA Workers]] — quick-start guide
* [[For Families]] — when to be worried, when to relax
* [[About the project]] — Tattva Foundation, MNCH-HCD, deployment timeline

[[Category:MAMA ALERT]]

Main Page

2026-05-02T07:14:16Z

Adminsuper: /* At a glance */

__NOTOC__
{{DISPLAYTITLE:MAMA ALERT — Pregnancy Danger Signs & ASHA Guidance · Meghalaya}}{{Main Lang Switcher}}

<div class="mama-banner mama-red" style="margin-top:0;">
<div class="mama-banner-body">
<div class="mama-banner-level">MAMA ALERT · UMLING BLOCK · MEGHALAYA</div>
<div class="mama-banner-en">High-Risk Pregnancy Symptom Cards</div>
</div>
</div>

'''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 ==

<div class="mama-stats">
<div class="mama-stat"><div class="mama-stat-num">26</div><div class="mama-stat-label">Symptom Cards</div></div>
<div class="mama-stat"><div class="mama-stat-num">3</div><div class="mama-stat-label">Severity Levels</div></div>
<div class="mama-stat"><div class="mama-stat-num">108</div><div class="mama-stat-label">Ambulance Link</div></div>

== 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" | <div class="mama-legend-label">🟡 Yellow Alert</div><div class="mama-legend-headline">Watch & plan</div><div class="mama-legend-body">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.</div>
| class="orange" | <div class="mama-legend-label">🟠 Orange Alert</div><div class="mama-legend-headline">Same-day care</div><div class="mama-legend-body">Go to the PHC or CHC the same day. Do not wait until tomorrow. Do not self-medicate.</div>
| class="red" | <div class="mama-legend-label">🔴 Red Alert</div><div class="mama-legend-headline">Emergency now</div><div class="mama-legend-body">Call 108 immediately. The woman must reach a CHC or District Hospital as fast as possible.</div>
|}

== All 26 cards ==

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

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

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

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

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

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

== 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 [[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.

== Project background ==

The MAMA ALERT cards were built under the '''Maternal, Newborn and Child Health — Human-Centred Design (MNCH-HCD) project''' of [[Tattva Foundation]] in Umling Block, Ri-Bhoi District, Meghalaya. The card content was developed and validated locally with ASHA workers, ANMs, traditional birth attendants, and pregnant women in the block. Both the symptom selection and the Khasi audio narration were tested in the field before scale-up.

== See also ==

* [[Khasi Audio Guides]] — index of all 26 audio files
* [[Referral Pathways]] — how ASHA → Sub-Centre → PHC → CHC → District Hospital works
* [[Emergency Transport]] — calling 108 and the CM-SMS roster
* [[For ASHA Workers]] — quick-start guide
* [[For Families]] — when to be worried, when to relax
* [[About the project]] — Tattva Foundation, MNCH-HCD, deployment timeline

[[Category:MAMA ALERT]]

Template:Lang Switcher

2026-05-02T07:05:52Z

Adminsuper: Created page with "<noinclude> Language switcher pill — top-right of every card and main content page. == How it works == We follow the subpage convention: * English page lives at the base name, e.g. <code>Vaginal_Bleeding</code> * Khasi page lives at the <code>/kh</code> subpage, e.g. <code>Vaginal_Bleeding/kh</code> The template auto-detects which page it is on using <code>{{SUBPAGENAME}}</code>. == Usage == On the English page (place at the very top, just above the severity banner)..."

<noinclude>
Language switcher pill — top-right of every card and main content page.

== How it works ==
We follow the subpage convention:
* English page lives at the base name, e.g. <code>Vaginal_Bleeding</code>
* Khasi page lives at the <code>/kh</code> subpage, e.g. <code>Vaginal_Bleeding/kh</code>

The template auto-detects which page it is on using <code>{{SUBPAGENAME}}</code>.

== Usage ==
On the English page (place at the very top, just above the severity banner):
<pre>
{{Lang Switcher}}
</pre>

On the Khasi subpage:
<pre>
{{Lang Switcher|current=kh}}
</pre>

== Parameters ==
* '''current''' — set to <code>kh</code> on the Khasi subpage. Default is <code>en</code>.

== Notes ==
For the Main Page (which is not a subpage), there is a separate <code>{{Main Lang Switcher}}</code> template — see that page.

[[Category:Templates]]
</noinclude><includeonly><div class="mama-langbar">{{#switch:{{lc:{{{current|en}}}}}
| kh = [[../|English]] <span class="mama-lang-active">Khasi</span>
| #default = <span class="mama-lang-active">English</span> [[{{FULLPAGENAME}}/kh|Khasi]]
}}</div></includeonly>

Template:Audio Guide

2026-05-02T07:04:05Z

Adminsuper:

<noinclude>
Embeds the Khasi audio guide on a card page.

== Usage (English) ==
<pre>
{{Audio Guide|file=Vaginal_Bleeding_Khasi.mp3|duration=2:14}}
</pre>

== Usage (Khasi) ==
<pre>
{{Audio Guide
| file = Vaginal_Bleeding_Khasi.mp3
| duration = 2:14
| header = Audio iaroh
| meta = Por
}}
</pre>

[[Category:Templates]]
</noinclude><includeonly><div class="mama-audio">
<div class="mama-audio-header"><span class="mama-audio-icon">🔊</span> {{{header|Audio guide in Khasi}}}{{#if:{{{duration|}}}| <span class="mama-audio-meta">· {{{meta|Duration}}}: {{{duration}}}</span>}}</div>
[[File:{{{file|}}}]]
</div></includeonly>

Template:Referral Pathway

2026-05-02T07:03:24Z

Adminsuper:

<noinclude>
Visual referral chain — pill chips with arrows.

== Usage ==
<pre>
{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre
| step3 = PHC
| step4 = CHC
| step5 = District Hospital
}}
</pre>

Override the label for Khasi pages:
<pre>
{{Referral Pathway
| label = Lynti iaid
| step1 = ASHA
| step2 = Sub-Centre
| step3 = PHC
}}
</pre>

[[Category:Templates]]
</noinclude><includeonly><div class="mama-pathway">
<span class="mama-pathway-label">{{{label|Pathway}}}:</span>
<span class="mama-pathway-step">{{{step1|}}}</span>{{#if:{{{step2|}}}|<span class="mama-pathway-arrow">→</span><span class="mama-pathway-step">{{{step2}}}</span>}}{{#if:{{{step3|}}}|<span class="mama-pathway-arrow">→</span><span class="mama-pathway-step">{{{step3}}}</span>}}{{#if:{{{step4|}}}|<span class="mama-pathway-arrow">→</span><span class="mama-pathway-step">{{{step4}}}</span>}}{{#if:{{{step5|}}}|<span class="mama-pathway-arrow">→</span><span class="mama-pathway-step">{{{step5}}}</span>}}
</div></includeonly>

Template:Emergency Footer

2026-05-02T07:02:59Z

Adminsuper:

<noinclude>
108 emergency footer placed at the bottom of every card page.

== Usage (English — default) ==
<pre>
{{Emergency Footer}}
</pre>

== Usage (Khasi) ==
<pre>
{{Emergency Footer
| title = Phone 108 na bynta ka AMBULANCE
| sub = Lada donkam jingiarap mar mar — lane kali CM-SMS
}}
</pre>

[[Category:Templates]]
</noinclude><includeonly><div class="mama-emergency">
<div class="mama-emergency-call">108</div>
<div class="mama-emergency-body">
<div class="mama-emergency-title">{{{title|Call 108 for the ambulance}}}</div>
<div class="mama-emergency-sub">{{{sub|If urgent help is needed — or use the CM-SMS roster for transport.}}}</div>
</div>
</div></includeonly>

Template:Risk Window

2026-05-02T07:02:13Z

Adminsuper:

<noinclude>
"When is it dangerous?" callout. Single language.

== Usage (English) ==
<pre>
{{Risk Window|
Any vaginal bleeding during pregnancy at any month — call for help immediately.
}}
</pre>

== Usage (Khasi) ==
<pre>
{{Risk Window
| header = Ha kano ka por kan long jingma?
|
Kano kano ka jingthehsnam na jaka kha — khot jingiarap noh kloi.
}}
</pre>

[[Category:Templates]]
</noinclude><includeonly><div class="mama-risk">
<div class="mama-risk-header">⚠️ {{{header|When is it dangerous?}}}</div>
<div class="mama-risk-body">{{{1|}}}</div>
</div></includeonly>

Template:Action Steps

2026-05-02T07:01:42Z

Adminsuper:

<noinclude>
Action steps callout — "What to do now". Single language.

== Usage (English) ==
<pre>
{{Action Steps|
* Call ASHA immediately
* Lie on left side, do NOT stand
* Do not eat or drink
* Go to CHC or District Hospital right away
}}
</pre>

== Usage (Khasi — header translated) ==
<pre>
{{Action Steps
| header = Kumno ban leh mynta
|
* Khot noh ia I ASHA mar mar
* Thiah lyndang bad YMDEI ban ieng
}}
</pre>

== Parameters ==
* '''header''' — section heading. Default: "What to do now"
* '''1''' (positional, unnamed) — the bullet list content

[[Category:Templates]]
</noinclude><includeonly><div class="mama-action">
<div class="mama-action-header">{{{header|What to do now}}}</div>
{{{1|}}}
</div></includeonly>

Template:Card Infobox

2026-05-02T07:00:57Z

Adminsuper:

<noinclude>
Right-aligned info panel for MAMA ALERT card pages. All visible labels accept
overrides so the same template can be used on Khasi pages with translated labels.

== Usage (English) ==
<pre>
{{Card Infobox
| card_no = 18
| severity = red
| category = Bleeding
| audio = Vaginal_Bleeding_Khasi.mp3
| call_108 = yes
| pathway = ASHA → 108 → CHC
| image = Card_18_Vaginal_Bleeding.png
}}
</pre>

== Usage (Khasi — labels overridden) ==
<pre>
{{Card Infobox
| card_no = 18
| severity = red
| category = Theh snam
| call_108 = yes
| pathway = ASHA → 108 → CHC
| label_card = CARD
| label_cat = Jait
| label_audio = Audio
| label_108 = 108
| label_path = Lynti iaid
| label_listen = 🔊 Sngew ha Khasi
| label_yes_108 = 📞 Khot 108
| label_no_108 = Ym donkam
}}
</pre>

[[Category:Templates]]
</noinclude><includeonly>{| class="mama-infobox mama-infobox-{{lc:{{{severity|yellow}}}}}"
|-
! colspan="2" class="mama-infobox-title" | {{{label_card|CARD}}} {{{card_no|—}}} · {{uc:{{{severity|YELLOW}}}}}
{{#if:{{{image|}}}|
|-
| colspan="2" class="mama-infobox-image" | [[File:{{{image}}}|240px|frameless]]
}}
|-
! {{{label_cat|Category}}}
| {{{category|—}}}
{{#if:{{{audio|}}}|
|-
! {{{label_audio|Audio}}}
| [[:File:{{{audio}}}|{{{label_listen|🔊 Listen in Khasi}}}]]
}}
|-
! {{{label_108|108}}}
| {{#ifeq:{{lc:{{{call_108|no}}}}}|yes|<span class="mama-call-108">{{{label_yes_108|📞 CALL 108}}}</span>|{{{label_no_108|Not always required}}}}}
|-
! {{{label_path|Pathway}}}
| <small>{{{pathway|ASHA → Sub-Centre → PHC}}}</small>
|}</includeonly>