Emergency Obstetric Care Flashcards Preview

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Flashcards in Emergency Obstetric Care Deck (31):
1

Why aren’t preventive services enough to reduce maternal mortality?

Because upto 15% of pregnant women and newborns have complications which cannot be predicted

2

What are the major causes of maternal mortality

80% of maternal deaths are due to direct obstetric causes which include:
Hemorrhagic
Eclampsia
Abortion complications
obstructed Labour
Sepsis
(m- HEALS)

3

What are the major causes of neonatal mortality

Prematurity
Infection ( pneumonia, diarrhoea, sepsis, tetanus)
Asphyxia
(m- PIA)

4

What proportion of neonatal deaths occur in the first week?

3/4th

5

Components of BEmONC?

Admin of parenteral antibiotic
Admin of parenteral uteroronic
Admin of parenteral anticonvulsant
Manual removal of placenta
Assisted vaginal birth ( vacuum or forceps)
Newborn resuscitation
Care of lbw newborn
Admin of parenteral antibiotic to newborn

6

Components of CEmONC

All BEmONC functions plus
C-section
Blood transfusion

7

Who needs to have BEmONC skills?

Everybody who attends a birth

8

When do you suspect sepsis?

Temperature of 100 F ( 38 degrees or more)

9

Signs of sepsis

Foul smelling discharge
Tender uterus

10

Antibiotic treatment of metritis

Ampicillin- every 6 hrs
Gentamicin- every 24 hrs
Metronidazole/ Clindamycin-every 8 hrs
(m- MAG)

In uncomplicated endometritis continued oral antibiotics are not required

11

80 % of PPH is caused by_______

Uterine atony

12

Name 3 uteroronics with their routes of administration

Oxytocin - Iv infusion or im
Ergometrin - im
Misoprostol- oral

13

Can ergometrin be given in a woman with high bp?

Never. It can precipitate eclampsia

14

Why is diazepam not the DOC In rx of eclampsia

High risk of neonatal respiratory depression

15

What is severe pre eclampsia

Dbp> 110 mm Hg

16

What is retained placenta?

Failure of expulsion of placenta within 30 minutes of delivery

17

Treatment of retained placenta?

Administer oxytocin and apply controlled cord traction

If this doesn’t work then remove manually. Infection prevention practices must be observed

Administer oxytocin after removal

18

An incomplete spontaneous abortion can lead to what complication?
What oral drug can be used to treat this?

Fatal haemorrhage

Misoprostol

19

What methods are used for removal of retained products of conception ?

- manual vacuum aspiration ( less traumatic, less painful, less uterine perforation)
- D& C

20

Can a vacuum extractor be used in breech presentation?

No, only in cephalic presentation

21

What is the advantage of using forceps for delivery?

Less cephalhematoma

Less retinal hemorrhage

22

What % of babies need resuscitation at birth

Upto 10 %

23

Is oxygen necessary for resuscitation of asphyxiated newborns?

No, Ambu bag and room air are enough

24

For whom is kangaroo mother care recommended?

Stable LBW and premature newborn

25

Pneumonia accounts for what proportion of newborn mortality

Upto 30%

26

What is CEmONC?

BEmONC + C- section and safe blood transfusion

27

what are the UN recommendations for BEmONC and CEmONC in terms of population norms?

For every 500,000 population

1 facility providing CEmONC
4facilities providing BEmONC

28

How will you assess quantity of EmONC services?

C- section rate
Should be between 5-15% of all births in the population

29

How will you assess quality of
EmONC services?

Case fatality rate
Should not be >1%

30

UN process indicators for EmONC

A) Number of facilities
B)Geographical distribution
c)Utilization of services ( 15% of all births in EmONC facilities )
d)Met need for EmONC (All women with complications ( estimated at 15% of births) are treated at EmONC facilities
e) Quantity of services ( C-secn rate)
f) Quaity of services ( Case Fatality Rate)

31

What is the duration of BEmONC and CEmONC course provided by FOGSI?

BEmONC- 3 weeks
CEmONC- 16 weeks