Pradhan Mantri Surakshit Matritva Abhiyan

Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) is being introduced to ensure quality Antenatal to over 3 crore pregnant women in the country. Under the campaign, a minimum package of antenatal care services would be provided to the beneficiaries on the 9th day of every month at the Pradhan Mantri Surakshit Matritva Clinics to ensure that every pregnant woman receives at least one checkup in the 2nd and 3rd trimester of pregnancy. If the 9th day of the month is a Sunday/ a holiday, then the Clinic should be organized on the next working day.

Pradhan Mantri Surakshit Matritva Abhiyan envisages improvement in the quality and coverage of Antenatal Care (ANC) including diagnostics and counseling services as part of the Reproductive Maternal Neonatal Child and Adolescent Health (RMNCH+A) Strategy.

Objectives of Pradhan Mantri Surakshit Matritva Abhiyan

• Ensure at least one antenatal checkup for all pregnant women in their second or third trimester by an OBGY specialist/physician.

• Improve the quality of care during ante-natal visits. This includes ensuring provision of the following services:

  • All applicable diagnostic services

  • Screening for applicable clinical conditions

  • Appropriate management of any existing clinical condition such as Anaemia, Pregnancy induced hypertension, Gestational Diabetes etc.

  • Appropriate counselling services and proper documentation of services rendered

  • Additional service opportunity to pregnant women who have missed ante-natal visits

• Identification and line-listing of high risk pregnancies based on obstetric/ medical history and existing clinical conditions

• Appropriate birth planning and complication readiness for each pregnant woman especially those identified with a risk factor or a co-morbid condition

• Special emphasis on early diagnosis, adequate and appropriate management of women with malnutrition

Benefits of Pradhan Mantri Surakshit Matritva Abhiyan

Following are the services available to the beneficiaries of Pradhan Mantri Surakshit Matritva Abhiyan yojana.

• A detailed history of all the beneficiaries will be taken and then examined and assessed for any danger signs, complications or any high risk status.

• Blood Pressure, per abdominal examination and examination for fetal heart sounds will be done for all the beneficiaries coming for ANC check - up.

• If a woman visiting a public health facility requires a specific investigation, sample will be collected at the facility itself and transported to the appropriate centre for testing. ANM/ MPW will be responsible for transporting the collected sample, conveying the results to the pregnant women and appropriate follow up.

• After examination by ANM/Staff Nurse, Medical Officer to also examine and attend to every beneficiary attending PMSMA .

• All identified high risk pregnancies will be referred to higher facilities and JSSK help desks that have been set up at these facilities will be responsible for guiding the referred women once they reach the facilities. MCP cards to be issued to all beneficiaries.

• All identified High Risk women including those with complications to be managed and treated by OBGY/CEmOC/BEmOC Specialist). If needed, such cases will be referred to higher level facilities and a referral slip with probable diagnosis and treatment given will be mentioned on the slip.

• One ultrasound is recommended for all pregnant women during the 2nd/ 3rd trimester of pregnancy. If required, USG services may be made available in a PPP mode and expenditure booked under JSSK.

• Before leaving the facility every pregnant women to be counselled, may be individually or in groups, on nutrition, rest, safe sex, safety, birth preparedness, identification of danger signs, institutional delivery and Post - partum Family Planning ( PPFP ) .

• Filling out the MCP cards at these clinics will be mandatory and a sticker indicating the condition and risk factor of the pregnant women will be added onto MCP card for each visit:

• Green Sticker - for women with no risk factor detected

• Red Sticker – for women with high risk pregnancy

• Blue – for women with Pregnancy Induced Hypertension

• Yellow – pregnancy with co-morbid conditions such as diabetes, hypothyroidism, STIs

• Counselling session to focus on the following topics:

• Care during pregnancy.

• Danger signs during pregnancy.

• Birth preparedness & Complication readiness, contact details to be used in case of need

• Family Planning

• Importance of nutrition including iron - folic acid consumption and calcium supplementation.

• Rest

• Safe sex

• Institutional delivery.

• Identification of referral transport.

• Entitlements under Janani Suraksha Yojana (JSY)

• Entitlements and service guarantee under Janani Shishu Suraksha Karyakram (JSSK)

• Post - natal care.

• Breastfeeding and complementary feeding.

Apply for Pradhan Mantri Surakshit Matritva Abhiyan

Follow the below steps to access service under Pradhan Mantri Surakshit Matritva Abhiyan

• All the beneficiaries visiting the Facility are first registered in a separate register for Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA).

• After registration, ANM & SN ensures that all basic laboratory investigations are done before the beneficiary is examined by the OBGY /Medical Officer. The report of the investigations should ideally be handed over within an hour and before the beneficiaries are meeting the doctors for further checkups. This will ensure identification of High Risk status (like anemia, gestational diabetes, hypertension, infection etc.) at the time of examination and further advice. In certain cases, where additional investigations are required, beneficiaries are to be advised to get those investigations done and share the report during next PMSMA or during her routine ANC check - up visit.

• Lab Investigations - USG, & all basic investigations – Hb , Urine Albumin, RBS (Dip stick), Rapid Malaria test, Rapid VDRL test, Blood Grouping, CBC ESR, USG

Hospital List

Following type of hospitals provide Pradhan Mantri Surakshit Matritva Abhiyan.

• Rural Areas 

  • Primary Health Centers

  • Community Health Centers

  • Rural Hospitals -Maternity Homes

  • Sub-District Hospital

  • District Hospital

  • Medical College Hospital

• Urban Areas

  • Urban Dispensaries

  • Urban Health Posts

References

While crafting this guide, we have consulted reliable and authoritative sources, including official government directives, user manuals, and pertinent content sourced from government websites.

• PMSMA

• PMSMA Website