Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
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• basic, systematic examination <strong>and</strong> care at appropriate times<br />
• provision of essential newborn care (ENC) through health workers, mothers <strong>and</strong> families,<br />
including:<br />
o cleanliness for prevention of infection<br />
o maintaining body temperature<br />
o continued cord care<br />
o exclusive breastfeeding on dem<strong>and</strong><br />
o additional care such as vaccines<br />
o identification <strong>and</strong> treatment of problems <strong>and</strong> referral<br />
• recording key information<br />
• treatment of any problems detected, locally or through referral<br />
• counseling the mother/family on ENC <strong>and</strong> follow-up<br />
Management Issues<br />
Proper management is required to ensure that postnatal care at the facility is implemented<br />
effectively. Key tasks include the following.<br />
• Develop supportive strategies to implement basic postnatal care during a facility stay<br />
<strong>and</strong> at postnatal visits.<br />
• Prepare the site (space, basic furniture, equipment, supplies <strong>and</strong> drugs).<br />
• Develop a user-friendly follow-up clinic.<br />
• Provide a client flow that aids the mother <strong>and</strong> baby to receive evaluation <strong>and</strong> care<br />
(routine MNH care, HIV/AIDS, PMTCT, family planning, <strong>and</strong> counseling) in a reasonable<br />
amount of time.<br />
• Ensure recording of information, maintenance, local review, <strong>and</strong> central transmission of<br />
data.<br />
Equipment <strong>and</strong> Supplies for Postnatal Visits<br />
• a clean, draft-free, <strong>and</strong> well-lit environment<br />
• water, soap, or alcohol-based h<strong>and</strong> scrub <strong>and</strong> clean towel/paper towel<br />
• a clean examining table with a mattress with a surface that can be cleaned (during the<br />
hospital stay the baby may be examined on the mother’s bed)<br />
• a thermometer for recording axillary temperature<br />
• a stethoscope<br />
• a baby weighing scale<br />
• a measuring tape<br />
• sterile syringes, cotton swabs, <strong>and</strong> alcohol<br />
• vitamin K1<br />
• antiseptic solutions<br />
• vaccines (BCG, oral polio vaccine <strong>and</strong> hepatitis B, as recommended by the Ministry of<br />
Health)<br />
• medication for the baby as recommended by the Ministry of Health, such as oral<br />
amoxicillin, cloxacillin, injectable ampicillin <strong>and</strong> gentamycin, tetracycline eye drops /<br />
ointment, mycostatin, gentian violet solution, Betadine solution<br />
118<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course
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