High Risk Pregnancy - Phc Level
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HIGH RISK PREGNANCY - PHC LEVEL WHAT IS HIGH RISK PREGNANCY ? WHY IS IT IMPORTANT ? MATERNAL DEATH. PERINATAL MORTALITY. NEONATAL MORTALITY RATE.
SCREENING HISTORY: 1. MATERNAL AGE : SAFE, UNSAFE . REPRODUCTIVE HISTORY: “ HIGH RISK FACTORS ” MEDICAL DISEASES : FAMILY HISTORY:
PHYSICAL EXAMINATION HEIGHT. BMI. ANEAMIA. BLOOD PRESSURE. CARDIAC DISEASE. ORTHOPEDIC PROBLEMS.
PELVIC EXAMINATION UTERINE SIZE. PELVIC INADEQUACY. ASSOCIATED TUMOURS.
SUBSEQUENT VISITS REASSESSMENT DURING SUBSEQUENT VISITS IS A MUST. DETECTS ABNORMALITIES THAT OCCUR LATER. REASSESS DURING LATE PREGNANCY AND LABOUR.
REASONS FOR NONUSE MCH CENTRES ARE SEEN AS PLACES TO WHICH ONE GOES ONLY IF PROBLEM ARISES. LONG DISTANCE. LACK OF COMPANY. WAITING TIME. LOSS OF WAGES.
INADEQUATE SUPPLY / INFERIOR QUALITY OF MEDICINES. DEMANDING MONEY FOR SERVICES. UNCONCERNED / RUDE BEHAVIOUR OF CLINICAL PERSONNES.
MANAGEMENT IDENTIFICATION. PROPER ANTENATAL , INTRANATAL, NEONATAL CARE. FOLATE SUPPLEMENTATION IN THE PREPREGNANT STATE. IRON SUPPLEMENTATION TO BE STARTED AS EARLY AS POSSIBLE. TREATMENT OF STD’S.
ADVICE REGARDING DIET, ACTIVITIES, REST AND MEDICINE. ROUTINE AND SPECIAL LAB INVESTIGATIONS TO BE DONE IF NEEDED. SEXUAL INTERCOURSE DURING LAST MONTH. CERVICAL TEARS AND CERVICAL INCOMPETENCE TO BE DETECTED IN THE PREPREGNANT STATE.
POST DELIVERY PERIOD – CARE OF FUTURE INFANT, BREAST FEEDING, BIRTH SPACING . HEALTH SERVICES TO AIM AT BETTER NUTRITION TO GIRLS. PROPER IMMUNISATION. REPRODUCTIVE HEALTH TOPICS INCLUDING CONTRACEPTION – A PART OF CURRICULUM IN SCHOOLS.
REFERRAL SYSTEM BASED ON RISK FACTORS. HOW STRONG IS THE LINK BETWEEN RISK FACTOR AND BAD OUTCOME. HOW SERIOUS IS THE OUTCOME?
‘ ALL TIME AVAILABLE ’ TRANSPORTATION SYSTEM.
MANAGEMENT DURING LABOUR MAINTANENCEOF PARTOGRAM. PROMPT REFERRAL OF HIGH RISK PREGNANCIES. MONITORING DURING LABOUR.
NEONATAL RESUSCITATION ANTENATAL : FHR, LIQOR COLOUR. (ANTICIPATION) ASSESSMENT BY APGAR SCORE. WIPE THE NEWBORN. REMOVAL OF SECRETIONS. CPR. PROMPT REFERRAL.
HOW ARE WE GOING TO MAKE THIS POSSIBLE ? PROPER TRAINING OF NURSING PERSONNAL , COMMUNITY HEALTH WORKERS. PROPER UTILISATION OF HEALTH CARE, MANPOWER AND FINANCIAL RESOURCES WHERE IT IS MOSTLY NEEDED.
SPECIAL TRAINING PROGRAMMES ON HOW TO IDENTIFY HIGH RISK PREGNANCIES. AVAILABILITY OF PERINATAL LABORATORY FOR NECESSARY INVESTIGATIONS. IMPROVE THE STANDARD OF HEALTH OF OBSTETRIC POPULATION. GOOD PAEDIATRIC SERVICE FOR NEONATES.
FAMILY PLANNING POLICY. HEALTH EDUCATION TO THE COMMUNITY. POLITICAL SUPPORT AND PUBLIC COMMITMENT.
SCREENING HISTORY: 1. MATERNAL AGE : SAFE, UNSAFE . REPRODUCTIVE HISTORY: “ HIGH RISK FACTORS ” MEDICAL DISEASES : FAMILY HISTORY:
PHYSICAL EXAMINATION HEIGHT. BMI. ANEAMIA. BLOOD PRESSURE. CARDIAC DISEASE. ORTHOPEDIC PROBLEMS.
PELVIC EXAMINATION UTERINE SIZE. PELVIC INADEQUACY. ASSOCIATED TUMOURS.
SUBSEQUENT VISITS REASSESSMENT DURING SUBSEQUENT VISITS IS A MUST. DETECTS ABNORMALITIES THAT OCCUR LATER. REASSESS DURING LATE PREGNANCY AND LABOUR.
REASONS FOR NONUSE MCH CENTRES ARE SEEN AS PLACES TO WHICH ONE GOES ONLY IF PROBLEM ARISES. LONG DISTANCE. LACK OF COMPANY. WAITING TIME. LOSS OF WAGES.
INADEQUATE SUPPLY / INFERIOR QUALITY OF MEDICINES. DEMANDING MONEY FOR SERVICES. UNCONCERNED / RUDE BEHAVIOUR OF CLINICAL PERSONNES.
MANAGEMENT IDENTIFICATION. PROPER ANTENATAL , INTRANATAL, NEONATAL CARE. FOLATE SUPPLEMENTATION IN THE PREPREGNANT STATE. IRON SUPPLEMENTATION TO BE STARTED AS EARLY AS POSSIBLE. TREATMENT OF STD’S.
ADVICE REGARDING DIET, ACTIVITIES, REST AND MEDICINE. ROUTINE AND SPECIAL LAB INVESTIGATIONS TO BE DONE IF NEEDED. SEXUAL INTERCOURSE DURING LAST MONTH. CERVICAL TEARS AND CERVICAL INCOMPETENCE TO BE DETECTED IN THE PREPREGNANT STATE.
POST DELIVERY PERIOD – CARE OF FUTURE INFANT, BREAST FEEDING, BIRTH SPACING . HEALTH SERVICES TO AIM AT BETTER NUTRITION TO GIRLS. PROPER IMMUNISATION. REPRODUCTIVE HEALTH TOPICS INCLUDING CONTRACEPTION – A PART OF CURRICULUM IN SCHOOLS.
REFERRAL SYSTEM BASED ON RISK FACTORS. HOW STRONG IS THE LINK BETWEEN RISK FACTOR AND BAD OUTCOME. HOW SERIOUS IS THE OUTCOME?
‘ ALL TIME AVAILABLE ’ TRANSPORTATION SYSTEM.
MANAGEMENT DURING LABOUR MAINTANENCEOF PARTOGRAM. PROMPT REFERRAL OF HIGH RISK PREGNANCIES. MONITORING DURING LABOUR.
NEONATAL RESUSCITATION ANTENATAL : FHR, LIQOR COLOUR. (ANTICIPATION) ASSESSMENT BY APGAR SCORE. WIPE THE NEWBORN. REMOVAL OF SECRETIONS. CPR. PROMPT REFERRAL.
HOW ARE WE GOING TO MAKE THIS POSSIBLE ? PROPER TRAINING OF NURSING PERSONNAL , COMMUNITY HEALTH WORKERS. PROPER UTILISATION OF HEALTH CARE, MANPOWER AND FINANCIAL RESOURCES WHERE IT IS MOSTLY NEEDED.
SPECIAL TRAINING PROGRAMMES ON HOW TO IDENTIFY HIGH RISK PREGNANCIES. AVAILABILITY OF PERINATAL LABORATORY FOR NECESSARY INVESTIGATIONS. IMPROVE THE STANDARD OF HEALTH OF OBSTETRIC POPULATION. GOOD PAEDIATRIC SERVICE FOR NEONATES.
FAMILY PLANNING POLICY. HEALTH EDUCATION TO THE COMMUNITY. POLITICAL SUPPORT AND PUBLIC COMMITMENT.
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