Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Reference Manual<br />
Table 17: Summary of Treatment of Minor Infections<br />
PROBLEM IDENTIFICATION TREATMENT<br />
Conjunctivitis Pus discharge from<br />
the eyes with or<br />
without redness<br />
Treat as gonococcal infection in endemic<br />
areas: (ceftrioxone 50 mg/kgIM) plus<br />
eye toilet <strong>and</strong> tetracycline drops or<br />
Minor umbilical<br />
infection<br />
Thrush<br />
Pus discharge from<br />
umbilicus or base of<br />
cord<br />
Dirty white patches<br />
on the tongue, inner<br />
cheeks, <strong>and</strong> palate<br />
Pustules or peeling<br />
of skin<br />
ointment. Treat parents.<br />
Clean the cord base/depth of the umbilicus<br />
well with alcohol <strong>and</strong> apply antiseptic (such<br />
as chlorhexidine, Betadine, triple dye, or<br />
gentian violet).<br />
Local application of nystatin or gentian<br />
violet: a drop or two in the mouth 4 times a<br />
day.<br />
Pustules, boils,<br />
Clean the skin with an antiseptic solution. If<br />
impetigo<br />
not available, use soap <strong>and</strong> water. If less<br />
than 10 pustules, apply gentian violet paint<br />
twice a day. If more than 10, give oral<br />
antibiotics amoxicillin or erythromycin. If no<br />
improvement in 2 days change to oral<br />
cloxacillin for 7-10 days.<br />
Source: WHO. 2003. Managing <strong>Newborn</strong> Problems: A Guide for Doctors, Nurses <strong>and</strong> Midwives.<br />
PREVENTING INFECTIONS<br />
During the prenatal period:<br />
• Give tetanus immunization.<br />
• Follow guidelines for preventing <strong>and</strong> treating sexually transmitted diseases, HIV/AIDS,<br />
<strong>and</strong> malaria.<br />
During delivery:<br />
• Follow clean delivery practices; at the facility, as many of the items as possible coming<br />
in contact with the baby <strong>and</strong> for the delivery should be sterile.<br />
• Provide basic care of the newborn, including temperature maintenance, early <strong>and</strong><br />
exclusive breastfeeding, eye care, cord <strong>and</strong> skin care, general hygiene, including h<strong>and</strong><br />
washing.<br />
During the postnatal period give preventive care for the mother <strong>and</strong> the newborn, including<br />
general hygiene, h<strong>and</strong> washing, <strong>and</strong> the other components noted above.<br />
Follow-up care:<br />
• Ask the mother to bring back the baby after two days for follow-up.<br />
• Counsel the mother on identification of danger signs <strong>and</strong> to return immediately should<br />
even one danger sign be present.<br />
• Counsel the mother on basic preventive essential newborn care, including<br />
breastfeeding, cord care, <strong>and</strong> temperature maintenance.<br />
• Make an appointment for when the next immunizations are due.<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course<br />
157