Integrated Maternal and Newborn Care Basic Skills Course ...

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