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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Reference Manual<br />
TABLE OF CONTENTS<br />
INTRODUCTION ....................................................................................................................... 1<br />
Four Million Neonatal Deaths: Where do they occur?................................................................. 1<br />
Four Million Neonatal Deaths: What do babies die of?............................................................... 2<br />
Four Million Neonatal Deaths: When do they occur?.................................................................. 2<br />
CHAPTER 1: PREVENTING INFECTION ................................................................................. 4<br />
Principles of Infection Prevention ............................................................................................... 4<br />
Equipment <strong>and</strong> Supplies Related to Resuscitation ....................................................................22<br />
CHAPTER 2: CLINICAL DECISION-MAKING ........................................................................ 23<br />
The Problem-Solving Method....................................................................................................23<br />
Documentation of <strong>Care</strong> .............................................................................................................26<br />
CHAPTER 3: MATERNAL CARE TO IMPROVE MATERNAL AND NEWBORN SURVIVAL..29<br />
Every Pregnancy is “At Risk”.....................................................................................................29<br />
<strong>Maternal</strong> Conditions Affecting Fetal <strong>and</strong> <strong>Newborn</strong> Survival .......................................................30<br />
Antenatal <strong>Care</strong>..........................................................................................................................33<br />
Delays Resulting in <strong>Maternal</strong> <strong>and</strong> <strong>Newborn</strong> Deaths ..................................................................40<br />
Birth-Preparedness Plan ...........................................................................................................40<br />
Complication-Readiness Plan ...................................................................................................42<br />
CHAPTER 4: PREVENTING POSTPARTUM HEMORRHAGE............................................... 44<br />
Causes of Postpartum Hemorrhage..........................................................................................44<br />
PPH Prevention <strong>and</strong> Early Detection.........................................................................................45<br />
CHAPTER 5: ROUTINE CARE DURING THE THIRD STAGE OF LABOR .......................... ..48<br />
Preparation for the Birth............................................................................................................48<br />
Essential <strong>Newborn</strong> <strong>Care</strong> ...........................................................................................................55<br />
<strong>Care</strong> During the Third Stage of Labor .......................................................................................62<br />
CHAPTER 6: MONITORING THE WOMAN AND NEWBORN DURING THE FIRST SIX<br />
HOURS POSTPARTUM ……………………………………………………………………………….77<br />
Monitoring the Woman..............................................................................................................77<br />
Monitoring the <strong>Newborn</strong> ............................................................................................................80<br />
CHAPTER 7: ROUTINE POSTPARTUM CARE FOR THE WOMAN ...................................... 83<br />
Male Involvement......................................................................................................................83<br />
Postpartum <strong>Care</strong>.......................................................................................................................84<br />
CHAPTER 8: RESUSCITATION FOR BIRTH ASPHYXIA ...................................................... 93<br />
Causes of Birth Asphyxia ..........................................................................................................94<br />
Preparation for Resuscitation....................................................................................................94<br />
Steps in <strong>Newborn</strong> Resuscitation ...............................................................................................99<br />
Post-Resuscitation <strong>Care</strong> .........................................................................................................104<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course<br />
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