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The Multi-Purpose Health Worker (MPHA) or Auxiliary Nurse Midwife (ANM) should visit a pregnant woman at least 6 times during the 9 months of pregnancy. These visits are crucial for monitoring both the health of the mother and the developing baby. Below is a breakdown of the recommended visits: 1st Visit (First Trimester - 0 to 12 weeks): This visit should be made early in pregnancy as soon as the woman is aware of her pregnancy. The MPHA or ANM will: Confirm the pregnancy. Take the woman’s medical and obstetric history. Check for any existing health conditions (e.g., anemia, hypertension). Counsel on diet, lifestyle, rest, and the importance of antenatal care. Provide iron folic acid supplements and immunizations like tetanus toxoid. 2nd Visit (Second Trimester - 13 to 26 weeks): This visit should take place around 14 to 20 weeks. Key actions include: Monitoring blood pressure, weight, and urine for sugar and proteins. Checking fetal growth and assessing fundal height. Offering screening for conditions like gestational diabetes or anemia. Giving information on safe practices during pregnancy and preparing for labor. 3rd Visit (Second Trimester - 27 to 30 weeks): The MPHA or ANM will: Conduct regular checks on maternal and fetal health, including fundal height measurement. Monitor the mother's blood pressure, and check for any edema or swelling. Ensure the woman is aware of the signs of preterm labor and other pregnancy complications. 4th Visit (Third Trimester - 31 to 34 weeks): This visit should occur between 31 to 34 weeks and includes: Checking maternal weight, blood pressure, and urine. Measuring fetal growth and ensuring the baby is in the correct position. Assessing for any complications like preeclampsia or gestational diabetes. Providing education on the signs of labor and when to seek help. 5th Visit (Third Trimester - 35 to 37 weeks): This visit should occur around 35 to 37 weeks: Ensure that maternal and fetal health is progressing well. Check for signs of preterm labor, swelling, or other risks. Discuss the delivery process, pain relief options, and what to expect during labor. 6th Visit (Third Trimester - 38 to 40 weeks): The final visit should be between 38 to 40 weeks: Ensure the woman is ready for delivery. Check maternal and fetal health. Provide counseling on postpartum care and newborn care. Ensure the woman is aware of when to go to the hospital for delivery. Additional Visits (If Required): If complications arise, such as bleeding, swelling, severe headache, or reduced fetal movement, extra visits may be required. Follow-up after delivery is essential to monitor the health of the mother and baby. Summary: In total, the MPHA or ANM should visit the pregnant woman at least 6 times during the pregnancy. These visits occur during each trimester and include critical health assessments, screenings, counseling, and education to ensure a safe pregnancy and delivery. I hope I clarified your answer