Ob Clinic Proposal.docx

Republic of the Philippines

Laguna State Polytechnic University Province of Laguna

College of Nursing & Allied Health

OB Clinic & Lying-In Proposal

Submitted by: Gutierrez, Abigael Patricia M. Group 1 Submitted to: Ma’am Conchita Villamin, M.A.N. INP – Clinical Instructor

Baby Steps Children’s Clinic & Lying-In

Maternity Clinic (Outside View)

Reception Area

Waiting Area

Ob-gyn’s Office Location: Brgy. Patimbao (Along the Highway), Santa Cruz, Laguna Capacity: (1) Delivery Room with 2 delivery table (2) Rooms with 2 beds each room = total of 4 beds

Delivery Room:

Uniform:

Charting: Admitted a case of name, age, sex, GP from address due to labor pains/premature rupture

of

membranes/pre-eclampsia/eclampsia/severe

bleeding/IUFD/placenta

previa/transit delivery. F: Labor pains/Altered comfort D: grimaced face noted, kept on massaging her back, strong regular contractions observed, profuse perspiration noted, full cervical dilatation and effacement noted, increased respirations noted. A: ushered to delivey room, mounted on the delivery table, positioned in lithotomy position, perineal preparation done, aseptically placed leggings and baby's receiver on mother's abdomen, coached on how to bear down properly, assisted resident on duty

during episiotomy, supported perineum properly, delivered an alive baby gender at time, delivered the placenta in Duncan/Schultz mechanism at time, assisted resident on duty on the manual exploration of the uterus, postpartum BP taken:reading (admistered Methergine 1 amp IM as ordered), put on a diaper and clean duster, encourage to breastfeed baby, placed ice pack over hypogastrium, monitor vital signs. R: with well contracted uterus and slight vaginal bleeding, still for continuous postpartum care

One of the strategic thrusts of the Maternal Health Program in the Philippines includes the launch and implementation of the Basic Emergency Obstetric care or BEMOC in coordination with the DOH. The BEMOC strategy entails the establishment of facilities that provide emergency obstetric care for every 125,000 population and which are located strategically. The strategy calls for families and communities to plan for families and communities to plan for childbirth and the upgrading of technical capabilities of local health providers.

4 Essential Newborn Care 1. Immediate and thorough drying to stimulate breathing after delivery of the baby 2. Provision of appropriate thermal care through mother and newborn skin-to skin contact maintaining a delivery room temperature of 25-28 degrees centigrade and wrapping the newborn with clean, dry cloth. 3. Properly timed clamping and cutting of the umbilical cord, (1-3 minutes or until cord pulsation stops) 4. Non-separation of the newborn and mother for early breast-feeding. Immediate latching on and initiation of breastfeeding within first hour after birth.

Organizational Chart

Nursery Room

Dietary