Integrated Maternal and Newborn Care Basic Skills Course ...

Reference Manual
List of Figures
Intro. 1 Where do newborns die? p. 1
Intro. 2 What do newborns die of? p. 2
Intro. 3 When do newborns die? p. 3
1.1 Hand washing p. 6
1.2 Hand rubbing p. 8
1.3 Putting gloves on p. 10
1.4 Taking gloves off p. 10
1.5 One-hand technique for needle recapping p. 12
1.6 Sharps containers p. 13
1.7 0.5% chlorine solution p. 17
2.1 Clinical decision making algorithm p. 28
3.1 Signs of iron-deficiency anemia p. 30
5.1 Positions that a woman may adopt during labor p. 51
5.2 The modified WHO partograph p. 52
5.3 Positions that a woman may adopt during childbirth p. 53
5.4 Initial steps in the care of the baby at birth p. 55
5.5 Two measures to prevent thermal loss at the time of birth p. 56
5.6 Use of a pre-sterilized disposable cord clamp p. 57
5.7 Signs of proper attachment at the breast p. 59
5.8 Preparing oxytocin injection p. 66
5.9 Put the baby on the mother’s abdomen p. 66
5.10 Rule out the presence of a second baby p. 67
5.11 Give a uterotonic drug p. 67
5.12 Pulsating and nonpulsating umbilical cord p. 67
5.13 Keep the baby in skin-to-skin contact p. 68
5.14 Clamping the umbilical cord near the perineum p. 69
5.15 Palpate the next contraction p. 69
5.16 Applying CCT with countertraction to support the uterus p. 70
5.17 Supporting the placenta with both hands p. 70
5.18 Delivering the placenta with a turning and up-and-down motion p. 71
5.19 Massaging the uterus immediately after the placenta delivers p. 71
5.20 Teach the woman how to massage her own uterus p. 72
5.21 Examining the maternal side of the placenta p. 72
5.22 Checking the membranes p. 73
5.23 Gently inspect the lower vagina and perineum for lacerations p. 73
5.24 Encourage breastfeeding within the first hour after birth p. 74
7.1 Routine postpartum physical, obstetrical, and gynecological exam p. 84
8.1 A warming table p. 95
8.2 De Lee mucous aspirator p. 96
8.3 Self-inflating bag and mask for ventilation of babies p. 97
8.4 Sample list of equipment for newborn resuscitation p. 98
8.5 Correct positioning p. 100
8.6 Methods for stimulating the baby p. 101
8.7 Correct positioning of the mask and formation of a good seal p. 102
8.8 Giving supplemental oxygen p. 103
8.9 Algorithm for resuscitation for birth asphyxia p. 107
8.10 Algorithm for integration of AMTSL, ENC and resuscitation for birth
asphyxia
p. 108
Integrated maternal and newborn care
Basic skills course
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