As a CHO, I want to capture comprehensive post-natal care details for a post-delivery woman across mandatory PNC visits, so that maternal health is monitored, risks are identified early, and the woman is correctly transitioned to Eligible Couple Tracking after the PNC period.

Acceptance Criteria

PNC Module Enablement & Lifecycle

• PNC module opens only after Date of Discharge is entered in Delivery Outcome
• Woman is moved to PNC Due List for ASHA when:
  • Marital Status = Married
  • Status of Woman = Post Natal Mother
• PNC schedule includes 7 mandatory visits over 42 days:
  • PNC1: 24–48 hours
  • PNC2: Day 3
  • PNC3: Day 7
  • PNC4: Day 14
  • PNC5: Day 21
  • PNC6: Day 28
  • PNC7: Day 42 (Final)

Auto-Populated & Display-Only Fields

• Name and Date of Delivery:
  • Auto-populated from Delivery Outcome
  • Display-only, non-editable
  • Name links to ANC & Delivery history

PNC Visit Selection & Date Logic

• PNC Visit
  • Mandatory, single-select
  • Visit options are incremental only: 1 → 3 → 7 → 14 → 21 → 28 → 42 days
  • Previously completed visits are removed from selection
• PNC Visit Date
  • Auto-calculated from Date of Delivery based on visit type
  • Cannot be:
    • Before delivery date
    • After today
    • Earlier than previous PNC visit date
  • Allowed ranges:
    • Day 1: Delivery date
    • Day 3: Exactly Delivery + 3 days
    • Day 7/14/21/28/42: ±3 days from scheduled date

Maternal Death Handling

• Maternal Death
  • Mandatory (default = No)
    • If Yes:
    • Enable and mandate:
      • Date of Death
      • Cause of Death
      • Place of Death
    • Close PNC case immediately
    • Disable remaining PNC fields
    • Update Beneficiary Status = Death
    • Sync death details to AMRIT
• Cause & Place “Other” selections enable mandatory free-text fields
• If Cause = Accident, mark as Non-maternal death

Maternal Health Assessment (If Alive)

• Maternal Symptoms
  • Mandatory multi-select
  • If ≥2 symptoms → show referral alert
  • “Other” enables free-text field
• Pallor
  • If Severe → referral alert
• Vaginal Bleeding
  • Heavy bleeding or foul smell → referral alert

Family Planning & Contraception Logic

• Postpartum Contraception Method
  • Mandatory selection
  • “Other” enables mandatory text field
• If permanent methods selected:
  • Male/Female Sterilization
  • Postpartum Sterilization (PPS)
  • Minilap

• • • Disable contraception fields in subsequent PNC visits
    • Retain last visit details as read-only
• Date of Sterilization
  • Mandatory when enabled
  • ≥ Delivery Date and ≤ Today
• If female permanent method selected:
  • After 42nd day PNC submission OR 60 days from delivery:
  • Update Status of Woman = Permanently Sterilized

Supplementation

• IFA Tablets
  • Numeric, >0 and ≤400
  • Supports 180-day postpartum supplementation
• Calcium
  • Numeric, ≤400

Transition to Eligible Couple Tracking

• After 42nd day PNC visit submission OR 60 days from Date of Delivery:
  • If no permanent sterilization selected:
    • Update Status of Woman = Eligible Couple
    •  
    • Move record to Eligible Couple and ECT Tracking sections

1. 1st Day - Accept date equal to Date of Delivery
2. 3rd Day – date should be equal to 3^rd day after delivery
3. 7th Day – date should be between Delivery + 7 (-3 and +3 ) in days
4. 14th Day - date should be between Delivery + 14 (-3 and +3) in days.
5. 21st Day - date should be between Delivery + 21 (-3 and +3 ) in days.
6. 28th Day - date should be between Delivery + 28 (-3 and +3 ) in days
7. 42nd Day - date should be between Delivery + 42 (-3 and +3 ) in days|

   5

   Maternal Death

   Radio Button

   Yes

• No| * Mandatory
• Default value is "No"
• If "Yes" is selected, enable Q.6 to Q.10 and close the case by directly going to the submit option.
• If "No" is selected, disable Q.6 to Q.10 and enable from Q.11 onwards
• If "Yes" is selected, enable below three fields and mark it mandatory

1. 1. Probable Cause of Death
   2. Date of Death
   3. Place of Death

• If "Yes" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with "Death Date", "Place of Death" and "Reason for Death" in Beneficiary table and sync to AMRIT
• If "Yes" is selected, then disable below fields from S. No. 11 to 20 (are Not applicable)|

  6

  Date of Death

  Date Picker

  Choose the date from the calendar

• Format: dd-mm-yyyy| * Mandatory if enabled
• Enable if 'Maternal Death' = "Yes"
• Not greater than Today's Date
• Not less than Delivery Date|

  7

  Cause of maternal death

  Spinner

  Eclampsia

• Hemorrhage (PPH)
• Anaemia
• High fever
• Sepsis
• Accident
• Other| * Mandatory if enabled
• Enable if 'Maternal Death' = "Yes"
• Open "Other Death Cause" Text Box on selection of "Any Other" option and is mandatory.
• If "Accident" is selected mark it as "Non-maternal death"|

  8

  Other

  Text

  Enable only if "cause of maternal death" = "Other"

• Accept alphabets only
• Character limit 50|

  9

  Place of Death

  Spinner

  Home

• Subcenter
• PHC
• CHC
• District Hospital
• Medical College Hospital
• Private Hospital
• In Transit
• Other| * Mandatory if enabled.
• Enable if 'Maternal Death' = "Yes"
• If 'Place of Death' is selected as "Other" then enable next field, otherwise don't.|

  10

  Other Place of Death

  Textbox

  Mandatory if enabled.

• Enable If 'Place of Death' = "Other"
• Accept alphabets only
• Character limit 50|

  11

  Maternal Symptoms

  Dropdown

  Excessive bleeding

• Foul-smelling discharge
• Fever
• Severe abdominal pain
• Breast pain
• Painful urination
• Severe headache
• Dizziness
• Difficulty breathing
• Swelling
• Wound pain
• Mood changes
• None
• Other| * Mandatory.
• Multiple selection
• If 2 or more symptoms selected → show alert for referral to facility
• If "other" is selected enable next field, otherwise don't.|

  12

  Other maternal symptoms

  Text

  * To be enabled if "Maternal Symptoms" = "Other"

• Accept alphabets only
• Character limit 50|

  13

  Pallor (Anemia check)

  Dropdown

  None

• Mild
• Moderate
• Severe|  * If pallor= "Severe" → show alert for referral to facility|

  14

  Vaginal Bleeding

  Dropdown

  Normal

• Heavy bleeding
• Foul-smelling discharge
• Scanty
• Stopped|  * Heavy bleeding or foul smell → show alert for referral to facility|

  15

  Family planning method used by the couple after delivery to avoid pregnancy?

  Spinner

  Choose: * Post partum iucd (PPIUCD)

• Condom
• Male sterilization
• Female sterilization
• Post partum sterilization (PPS)
• Minilap
• None
• Other| * Default value is select
• If "Other" is selected then enable " Other contraception method " Text Box below and is mandatory.
• If 'Method of Contraception' = "MALE STERILIZATION" or "FEMALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap", then from next PNC visits fields 'Any Method of Postpartum Contraception (PPC)', 'Method of Contraception' and 'Date of Sterilisation' should be disables and show last visit details.
• If 'Method of Contraception' is "FEMALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap" is selected, then update 'Status of Women' to "Permanently Sterilized" after submission of 42nd Day PNC visit or after 60 Days from Date of Delivery|

  16

  Other contraception method

  Text Box

  Mandatory if enabled

• Accept alphabets, numeric and special character
• Character limit 50|

  17

  Date of Sterilization

  Calendar

  dd-mm-yyyy

  Enable only If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" or "POST PARTUM STERILIZATION (PPS)"

• Mandatory
• Not greater than Today's Date
• Accept date not less than Date of Delivery|

  18

  No. of IFA Tablets given

  Custom Number Picker

  * Default value 0

• IFA supplementation- 180 days postpartum recommended
• Accept numeric (integer) value only
• Accept value greater than 0
• Accept value up to 400|

  19

  Calcium supplementation

  Custom Number Picker

  * Must accept numeric (integer) value only

• Default Value 0
• Default Value: to be null if no data is entered
• Accept value up to 400|

  20

  Next Button

  Proceed to vital screen and