Protocol Posters SC to Community Health Centre - NRHM Tripura

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Active Management of Third Stage of Labour (AMTSL) After the birth of the baby, exclude the presence of another baby and give Injection Oxytocin 10 units I.M. Once the uterus is contracted, apply cord traction (pull) downwards and give counter-traction with the other hand by pushing uterus up towards the umbilicus. Uterine massage to prevent atonic PPH Ministry of Health & Family Welfare Government of India
NEWBORN RESUSCITATION Birth No meconium - dry the baby Meconium present - suction mouth and nose (if baby is not crying) and dry the baby Not breathing well Assess breathing Breathing well / crying Initial steps Cut the cord immediately Place on firm, flat surface Provide warmth Position baby with neck slightly extended Suction mouth and then nose Stimulate, reposition Routine care Place the baby on mother’s abdomen Wipe mouth and nose Clamp & cut the cord (after 1 - 3 min. of birth) Keep baby with mother Initiate breastfeeding Watch colour and breathing Assess breathing Breathing well Not breathing well Provide bag and mask ventilation for 30 sec., ensure chest rise. Make arrangements for referral Assess breathing Breathing well Not breathing well Call for help and make arrangements for referral Continue bag and mask ventilation Add oxygen, if available Assess Heart Rate (Umblical pulsation: check for 6 sec. and multiply by 10) heart rate < 100 heart rate ≥ 100 Continue bag and mask ventilation If breathing well, slowly discontinue ventilation and provide observational care Continue ventilation with oxygen Provide advanced care (chest compression, medication and intubation, if M.O. / trained personnel are available) Observation / Care Provide warmth Observe colour, breathing and temperature Initiate breastfeeding Watch for complications (convulsions, coma, feeding problems ) Refer when complications develop Ministry of Health & Family Welfare Government of India
Page 1 and 2: HAND WASHING TECHNIQUE MAIN PURPOSE
Page 3 and 4: PREPARATION OF 1 LITRE BLEACHING SO
Page 5 and 6: ANTENATAL EXAMINATION FUNDAL HEIGHT
Page 7 and 8: KANGAROO CARE Place baby prone on m
Page 9 and 10: ANTEPARTUM HEMORRHAGE VAGINAL BLEED
Page 11: Management of PPH Shout for Help: M
Page 15 and 16: ANTENATAL CHECKUP Registration and

Protocol Posters SC to Community Health Centre - NRHM Tripura

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