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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In areas endemic for hookworm (prevalence of 20 percent or more), give one of the<br />
following treatments starting after 16 weeks gestation <strong>and</strong> repeating every 6 months:<br />
• albendazole 400 mg by mouth once; or<br />
• mebendazole 500 mg by mouth once or 100 mg twice a day for 3 days<br />
In highly endemic areas (prevalence of 50 percent or more), repeat the antihelminthic<br />
treatment 12 weeks after the first dose.<br />
Prevent newborn tetanus with tetanus toxoid<br />
Tetanus continues to kill many newborns <strong>and</strong> women in countries all<br />
over the world, in spite of the fact that neonatal tetanus can be<br />
prevented by immunizing women of childbearing age with tetanus toxoid<br />
(TT), either during pregnancy or outside of pregnancy. All women need<br />
to be informed about the series of five tetanus shots <strong>and</strong> should have a<br />
permanent card. A woman also needs to know that the risk of tetanus<br />
infection is much decreased if she is assisted by a skilled attendant at<br />
birth.<br />
Guidelines for giving tetanus toxoid:<br />
TT 1<br />
Table 4. Schedule for giving tetanus toxoid<br />
Dose<br />
Schedule<br />
0.5 mL<br />
At first contact with woman of childbearing age or<br />
at first antenatal care visit, as early as possible.<br />
TT 2 0.5 mL At least 4 weeks after TT1.<br />
TT 3 0.5 mL At least 6 months after TT2.<br />
TT 4 0.5 mL At least 1 year after TT3.<br />
TT 5 0.5 mL At least 1 year after TT4.<br />
Note: A woman has lifetime protection against tetanus after she has<br />
received five doses of TT.<br />
Health Education During Pregnancy<br />
Birth spacing<br />
Healthy timing <strong>and</strong> spacing of pregnancy through family planning is one of the most critical <strong>and</strong><br />
essential preventive ways of improving the health of women <strong>and</strong> children, with additional<br />
benefits to the family <strong>and</strong> community. It is a key intervention associated with reduced risk of low<br />
birth weight, prematurity, <strong>and</strong> deaths in newborns <strong>and</strong> infants, as well as decreased health risks<br />
to mothers after abortions <strong>and</strong> births. Parents should use their family planning method of choice<br />
<strong>and</strong> wait before conceiving again for a period of two years following a birth <strong>and</strong> for at least six<br />
months after an abortion.<br />
36<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course
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