Basic Emergency Obstetric Care

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Methodology Lecture-Discussion 30 min Materials needed LCD/OHP, CD/transparencies of presentation materials, white board marker, board, slides presentation and PCPNC Guide Procedure Present the objectives of the session and link it with Module 4. Proceed with the Lecture-Discussion on the topics “Examine the Woman in Labor or with Ruptured Membranes and Decide the Stage of Labor”. This is an interactive discussion where participants are enjoined to ask questions or clarify gray areas, while randomly asking participants with questions to check their comprehension. The session ends with a summary of the discussions. Refer to pages 105-107 of the Trainer’s Notes Session 2 First Stage of Labor Specific objective At the end of the session, the participants should be able to: identify abnormal findings in a woman while assessing pregnancy and fetal status on admission; manage identified abnormal findings in a woman during labor; provide supportive care for a woman in labor; and review and develop skills needed while attending to a woman in labor. Methodology Pre-Test/Game 15 min Lecture 30 min Case Study 30 min Small Group Discussion 30 min Plenary 10 min/1 hr & 55 min Materials needed QC and RAM Chart, 4 big cards with letters A-D, prize, OHP/LCD, N4-N5 of PCPNC, 2 case studies, Partograph and Labor, record acetate (4 sets), manila paper, pentel pens, masking tape and board Procedure Introduce the new topic with the use of Quick Check and RAM Chart. In the Pre-Test/Game Activity on the topic “First Stage of Labor – Respond to Obstetrical Care and Provide Supportive Care, tell participants that they will be divided into 4 groups. Each group is given 4 big letter cards A-D. Once the groups have been provided their cards, give a situation and mention 4 choices (A-D) wherein one of these is the best course of action to take. The groups will raise the corresponding letter they think is the correct answer. The fastest group with the correct answer wins a point, and the group with the most number of points wins the game. 33
34 Pre-Test Game Topics from: 1st Stage of Labor Respond to OB problems IE, Partograph and Labor Records Q1.Classification of > 4 cm cervical dilatation late active phase a. early active phase* b. early labor c. not yet in labor Q2. If a woman is not in active labor, discharge her and advise her to return if, EXCEPT: a. vaginal bleeding b. discomfort* c. membranes rupture d. uterine contraction Q3. Signs of obstructive labor, EXCEPT: a. horizontal ridge across lower abdomen b. continuous contraction c. moderate abdominal pain* d. labor > 24 hours Q4.Considered as obstetrical complication, EXCEPT: a. abdominal pain* b. FHT = 100x2 determinations c. Pulsation felt during IE d. 2 fetal heart tones Q5.All are correct regarding supportive care throughout labor, EXCEPT: a. tell the woman what position to take to relieve discomfort or pain during labor* b. a birth companion should be around to watch the woman in labor* c. encourage the woman to eat and drink as she wishes throughout the labor e. explain all procedures to be done to the woman Q6.During active labor a. monitor the woman every 30 minutes b. do not do vaginal exam more frequently than every 4 hours unless indicated c. both a and b* d. none of the above Proceed with the topics on “IE, Partograph and Labor Record” employing lecture-discussion, small group discussion and plenary presentations. In the Lecture-Discussion Activity, introduce the procedures and forms. While explaining the procedure on Leopold’s Maneuver, demonstrate it to one of the participants. Questions and clarification are elicited during the demonstration, afterwards, proceed to the discussion of a Partograph and Labor Record. For the Small Group Discussion, divide participants into 4 groups, where 2 groups work separately on one case and the other 2 groups work on the other case. Instruct the groups to analyze the cases relating them with the topics being discussed in 30 minutes. In the Plenary, the leader of each group will present the outputs, while other groups observe and give comments on the presentation. Ask one of the learners to summarize the discussion. End the session by providing additional inputs and synthesizing the different topics covered.
Page 2 and 3: Basic Emergency Obstetric Care A Tr
Page 4 and 5: Contents Foreword Acknowledgment Ac
Page 6 and 7: Monitoring and evaluation processes
Page 8 and 9: In response to the global call of e
Page 10 and 11: Acronyms BEmOC — Basic Emergency
Page 12 and 13: 2 and midwife who act as a team at
Page 14 and 15: 4 Newborn screening for 8 congenit
Page 16 and 17: 6 How to Use the Trainer’s Guide
Page 18 and 19: Pre- Training Preparation 9
Page 20 and 21: Organization of the Training Team A
Page 22 and 23: participants” (WHO, 1997:40). In
Page 24 and 25: Conduct of the Training Course
Page 26: Didactic Objectives By the end of t
Page 29 and 30: 20 Proceed with the Drill on the P
Page 31 and 32: 22 Procedure Explain the objective
Page 33 and 34: 24 sponding heading in the manila p
Page 35 and 36: 26 Procedure Start the session by
Page 37 and 38: 28 After 15 minutes, ask them to p
Page 39 and 40: 30 Quick Check and RAM. After this,
Page 41: 32 Session 1 Stages of Labor Module
Page 45 and 46: 36 At the end of the session, the p
Page 47 and 48: 38 Case Case Study Study Study 9 9
Page 49 and 50: 40 mother after discharge from a fa
Page 51 and 52: 42 Session 1 Care of the Newborn at
Page 53 and 54: 44 For the Lecture-Demonstration o
Page 55 and 56: 46 Case Case Study Study 11 11 Joe
Page 57 and 58: 48 Module 8 Counseling Objective To
Page 59 and 60: 50 comments for 10 minutes while yo
Page 61 and 62: 52 The Interactive Discussion star
Page 64 and 65: Session 1 Pre-Practicum Orientation
Page 66 and 67: Skills Requirements per Category of
Page 68 and 69: The head of the hospital/facility o
Page 70 and 71: Monitoring, Evaluation and Action P
Page 72 and 73: The BEmOC Team is composed of a phy
Page 74 and 75: Monitoring and Evaluation Processes
Page 76 and 77: 4. Which of the following is NOT a
Page 78: Monitoring Practicum Activities Dur
Page 83: 74 Process and Output Evaluation Th
Page 88 and 89: Post- Training Activities 79
Page 90 and 91: After three (3) months, the followi
Page 92 and 93:
Monitoring and Evaluating Training
Page 94 and 95:
Documentation of Experiences It is
Page 96:
Glossary Anaemia — low hemoglobin
Page 100 and 101:
Module 1: Overview of BEmOC and PCP
Page 102 and 103:
Maternal Mortality by Main Cause CA
Page 104 and 105:
HKI IMCI; Training on Advocacy Skil
Page 106 and 107:
Home-Based Maternal Record (HBMR) i
Page 108 and 109:
Module 2: Principles of Good Care P
Page 110 and 111:
Labia Minora two flat reddish fold
Page 112 and 113:
Module 4: Antenatal Care Session 1&
Page 114 and 115:
Module 5: Labor, Delivery, Immediat
Page 116 and 117:
Signs — Classify — Manage Immi
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Supportive Care throughout Labor T
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Exclude 2 nd baby. Palpate mother
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Repair: Interrupted, continuous or
Page 124 and 125:
115
Page 126 and 127:
Care of the Mother and NB within 1
Page 128 and 129:
If problem was: Return in: Severe
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ASSESS AND EXAMINE THE MOTHER’S C
Page 132 and 133:
Module 7: Newborn Care Session 1:Ca
Page 134 and 135:
Module 7: Newborn Care Session 1: C
Page 136 and 137:
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Module 7: Newborn Care Session 1: N
Page 142 and 143:
Provider Responses: Resuscitation F
Page 144 and 145:
Evaluation, Decision and Action Cyc
Page 146 and 147:
Suctioning Meconium Stimulate to Br
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General Characteristics of Neonatal
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Testing a Self-inflating Bag Press
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Signs of Improvement Increasing he
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Comparison of Chest Compression Tec
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Suctioning Meconium Via Endotrachea
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Special Considerations Special pro
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Baby Remains Cyanotic or Bradycardi
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If umbilicus is red or draining pus
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If alternative feeding method is us
Page 170 and 171:
Module 8: Counseling Session 2: App
Page 172 and 173:
Module 9: Mobilizing Community Supp
Page 174 and 175:
Practicum Phase 165
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Monitoring, Evaluation and Action P
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169
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Guide to PowerPoint Presentations B
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Sample Training Schedule 179
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Basic Emergency Obstetric Care

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