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MATERNAL AND NEONATAL HEALTH

MATERNAL AND NEONATAL HEALTH. By J. MTENGEZO VICTORIA HOTEL 17 TH JUNE, 2009. OUTLINE. MDGs - MNH Core Competencies- MNH Content outline Learning guides and checklists Exercises. Goal 4: Reduce Child Mortality Rate.

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MATERNAL AND NEONATAL HEALTH

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  1. MATERNAL AND NEONATAL HEALTH By J. MTENGEZO VICTORIA HOTEL 17TH JUNE, 2009

  2. OUTLINE • MDGs - MNH • Core Competencies- MNH • Content outline • Learning guides and checklists • Exercises

  3. Goal 4: Reduce Child Mortality Rate • Target 5: reduce by two thirds, between 1990 and 2015, the under five mortality rate • Indicators traced: • under five mortality rate • Infant Mortality Rate • Proportion of 1 year old children immunized against measles

  4. Under-Five Mortality Rate

  5. Infant Mortality Rate

  6. Proportion of 1-Year Old Children Immunized Against Measles

  7. Goal 5: Improving Maternal Health • Target 6: reduce by three quarters,the maternal mortality ratio • Indicators traced: • Maternal Mortality ratio • Proportion of births attended by skilled Health Personnel

  8. Maternal Mortality Rate

  9. Proportion of Births Attended by Skilled Health personnel

  10. CC.1. The student will be able to provide individualised focused antenatal care. • Brief review of: • Focused Antenatal care • Services offered at the antenatal clinic

  11. Key Focused Antenatal care messages • Importance of focused antenatal care • Basic information on focused antenatal care services • Birth preparedness • Early Detection and treatment of complications • History taking • Physical Examination (refer to checklist for information) -General examination -Obstetrical

  12. Key Focused Antenatal care messages • Investigations • Hb, • Grouping • urinalysis • VDRL or PRP • HIV

  13. Management • Identification and treatment of existing problems • Health education • nutrition • Personal hygiene • Rest/exercises • PMTCT • Birth plan • Prevention of conditions or diseases • Danger signs and complications of pregnancy • Refer where necessary

  14. CLINICAL • Health Education on RH topics for individuals and groups

  15. CC2. The student will be able to assess and manage a woman in labour and delivery. • ADMISSION PROCEDURE • History taking • Physical examination (head to toe) • Laboratory investigations

  16. CC. 2 • MATERNAL CONDITION • Psychological care • Physical care • FETAL CONDITION • Fetal heart rate • Moulding • Colour of liquor • Caput succedaneum

  17. CC. 2 • PROGRESS OF LABOUR • Uterine contraction • Cervical dilatation • Descent of presenting part

  18. CC. 2 • SECOND STAGE MANAGEMENT • Definition • Preparation for the delivery • Actual delivery • Documentation • ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR • Definition • Controlled cord traction • Immediate care

  19. CLINICAL • Conduct admission procedure, delivery of baby and placenta

  20. CC. 3. The student will be able to prevent and manage obstructed labour. • Definition • Diagnosis • Causes • Signs and symptoms • Early signs • Late signs

  21. CC. 3 • MANAGEMENT • Health centre level • Hospital level

  22. CLINICAL • Manage woman with obstructed labour

  23. CC. 4 The student should be able to perform Vacuum Extraction • Definition • Indication • Contra indication • Criteria for performing vacuum extraction • Complication of vacuum extraction • Care of vacuum extractor set • Demonstration of actual procedure

  24. CLINICAL • Conduct vacuum extraction

  25. CC. 5 The student will be able to conduct breech delivery. • Types of breech presentation • Diagnosis of breech presentation • Preparation for breech delivery • Actual Breech delivery : • Burns marshal • Lovset manoeuvre • Maurice smellie manoeuvre • Complication of breech

  26. CLINICAL • Conduct breech delivery

  27. CC. 6 The student will be able to perform manual removal of retained placenta. • Definition • Predisposing factors • Demonstration of actual procedure

  28. CLINICAL • Conduct manual removal of retained placenta

  29. CC. 7 The student will be able to prevent and manage Primary post partum Haemorhage • Definition • Causes • Risk factors • Strategies for prevention • Antenatally • During labour and delivery • During 3rd stage and immediately after placenta delivery

  30. CC. 7 • Strategies for management • Inspection of the perineum, vaginal and cervical tears • Repair of tears • Manual removal of placenta • Bimanual compression • Aortic compression • Demonstration of actual procedures

  31. CC. 7 • Prevent and manage Primary post partum Haemorhage

  32. CC. 8 The students will be able to manage a client with severe pre-eclampsia and eclampsia. • Definition • Signs and symptoms • Prevention of eclampsia • Management

  33. CLINICAL • Manage woman with severe pre-eclampsia and eclampsia

  34. CC.9A The student will be able to assess and manage a woman during post partum period • Management of a postnatal mother • History taking • Physical examination • Laboratory investigations • Counselling of the post partum mother • Complications

  35. CC.9 B. The students will be able to manage a newborn baby • Management of the newborn • Immediate care • Subsequent care • Danger signs

  36. CLINICAL • Manage the woman and baby during post partum period

  37. cc.10. The student will be able to provide post abortion care • Provision of PAC Services • PAC services • Rapid assessment of the patient • Pelvic examination • MVA procedure

  38. CLINICAL • Manage a woman with an abortion

  39. Excercises • Assignments, case studies, role play, and knowledge assessment- Refer page 115

  40. ?/COMMENTS • Thank you

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