Professional Documents
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1990 1991 1992 1993 1994 1995 1998 2006 2010 2015
ADMINISTRATIVE ORDER 2008-0029
Considers all
pregnant
EmONC Approach at risk of
complications at
Childbirth.
Emergency Obstetric and Newborn
Care(EmONC)
… the elements of obstetrics & newborn care that
relates to the management of pregnancy, child birth
(delivery), the postpartum and the newborn period:
Infection
Asphyxia FOR THE
hypothermia
NEWBORN
Two Types of EmONC Services
Basic Emergency Obstetric and Newborn Care (BEmONC)
provided at: RHU BHS
DH
19
Essential Elements of Antenatal Care
Check Immunization
Status
24
Essential Elements of Antenatal Care
4. Develop a Birth Plan
• the woman’s condition during pregnancy
• preferences for her place of delivery and
choice of birth attendant
• preparations needed should an emergency
situation arise during pregnancy, childbirth and
postpartum.
• Where to go? How to go? With whom?
• How much will it cost? Who will pay? How will
you pay?
• Who will care for your home and other children
when you are away?
Essential Elements of Antenatal Care
5. Health education and promotion for the woman and
her family
Nutrition
Self-care during pregnancy
Adherence to advice on prophylactic treatments
Danger signs, signs of labor
Family planning, Breastfeeding and newborn screening
Routine and follow-up visits
Labor, Delivery and Postpartum Care
Labor, Delivery and Postpartum Care
Ensure controlled
delivery of the head
No significant impact on incidence of PPH (post-
partum
Laborhemorrhage)
and Delivery
Important neonatal outcomes:
Term babies: Uterine
less anemia massage:
in newborn
rd 24-48 hrs
Active
after birthManagement
The Evidence of 3 stage of labor
Preterms:
• less loss
Less blood infant
at 30anemia
minutes and
• intraventricular
less Less blood loss at 60hemorrhage
minutes
Oxytocin after delivery of the baby
• Reduction in the use of additional uterotonics
• The number of women losing >500 ml of
Delayed cord clamping
blood approximately
Reduction in blood loss of 1 Liter or more
halved.
• Two
Reduction women
in use ofinblood
the uterine
the control
massage
group and none in
Controlled cord traction with counter
transfusion
group needed blood
Reduction in the use of additional uterotonics
traction on the uterus
transfusions
Oxytocin alone preferred over other uterotonic drugs
Ergometrine associated with more adverse side effects
Massage uterine fundus
compared to oxytocin alone
No maternal deaths reported
Controlled cord traction with
countertraction