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ByJ. MTENGEZO
VICTORIA HOTEL17TH JUNE, 2009
OUTLINEMDGs - MNH Core Competencies- MNHContent outlineLearning guides and checklistsExercises
Goal 4: Reduce Child Mortality RateTarget 5: reduce by two thirds, between 1990
and 2015, the under five mortality rate
Indicators traced:- under five mortality rate- Infant Mortality Rate- Proportion of 1 year old children immunized
against measles
Under-Five Mortality Rate
Infant Mortality Rate
Proportion of 1-Year Old Children Immunized Against Measles
Goal 5: Improving Maternal HealthTarget 6: reduce by three quarters,the
maternal mortality ratio
Indicators traced:- Maternal Mortality ratio- Proportion of births attended by skilled Health
Personnel
Maternal Mortality Rate
Proportion of Births Attended by Skilled Health personnel
C
C.1.The student will be able to provide individualised focused antenatal care.
Brief review of:Focused Antenatal care Services offered at the antenatal clinic
Key Focused Antenatal care messages
Importance of focused antenatal careBasic information on focused antenatal care
services Birth preparedness Early Detection and treatment of complications
History takingPhysical Examination (refer to checklist for
information)-General examination-Obstetrical
Key Focused Antenatal care messagesInvestigations
Hb,Grouping urinalysisVDRL or PRPHIV
ManagementIdentification and treatment of existing
problemsHealth education
nutritionPersonal hygieneRest/exercisesPMTCTBirth planPrevention of conditions or diseases Danger signs and complications of pregnancy
Refer where necessary
CLINICALHealth Education on RH topics for individuals
and groups
CC2. The student will be able to assess and manage a woman in labour and delivery.ADMISSION PROCEDURE
History takingPhysical examination (head to toe)Laboratory investigations
CC. 2MATERNAL CONDITION
Psychological carePhysical care
FETAL CONDITION
Fetal heart rateMouldingColour of liquorCaput succedaneum
CC. 2PROGRESS OF LABOUR
Uterine contraction Cervical dilatationDescent of presenting part
CC. 2SECOND STAGE MANAGEMENT
DefinitionPreparation for the deliveryActual deliveryDocumentation
ACTIVE MANAGEMENT OF THIRD STAGE OF LABOURDefinitionControlled cord traction Immediate care
CLINICAL Conduct admission procedure, delivery of
baby and placenta
CC. 3. The student will be able to prevent and manage obstructed labour. Definition DiagnosisCausesSigns and symptoms
Early signsLate signs
CC. 3MANAGEMENT
Health centre levelHospital level
CLINICALManage woman with obstructed labour
CC. 4 The student should be able to perform Vacuum ExtractionDefinitionIndicationContra indicationCriteria for performing vacuum extractionComplication of vacuum extractionCare of vacuum extractor setDemonstration of actual procedure
CLINICALConduct vacuum extraction
CC. 5 The student will be able to conduct breech delivery.Types of breech presentationDiagnosis of breech presentationPreparation for breech deliveryActual Breech delivery :
Burns marshalLovset manoeuvreMaurice smellie manoeuvre
Complication of breech
CLINICALConduct breech delivery
CC. 6 The student will be able to perform manual removal of retained placenta.DefinitionPredisposing factorsDemonstration of actual procedure
CLINICALConduct manual removal of retained placenta
CC. 7 The student will be able to prevent and manage Primary post partum HaemorhageDefinitionCausesRisk factorsStrategies for prevention
AntenatallyDuring labour and deliveryDuring 3rd stage and immediately after
placenta delivery
CC. 7Strategies for management
Inspection of the perineum, vaginal and cervical tears
Repair of tearsManual removal of placentaBimanual compressionAortic compression
Demonstration of actual procedures
CC. 7Prevent and manage Primary post partum
Haemorhage
CC. 8 The students will be able to manage a client with severe pre-eclampsia and eclampsia.Definition Signs and symptomsPrevention of eclampsiaManagement
CLINICALManage woman with severe pre-eclampsia
and eclampsia
CC.9A The student will be able to assess and manage a woman during post partum periodManagement of a postnatal mother
History takingPhysical examination Laboratory investigationsCounselling of the post partum motherComplications
CC.9 B. The students will be able to manage a newborn baby Management of the newborn
Immediate careSubsequent careDanger signs
CLINICALManage the woman and baby during post
partum period
cc.10. The student will be able to provide post abortion careProvision of PAC Services
PAC servicesRapid assessment of the patientPelvic examinationMVA procedure
CLINICALManage a woman with an abortion
ExcercisesAssignments, case studies, role play, and
knowledge assessment- Refer page 115
?/COMMENTS
Thank you