BEMONC-PRESENTATION-1.pdf - BASIC EMERGENCY OBSTERICS AND...

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Unformatted text preview: BASIC EMERGENCY OBSTERICS AND NEWBORN CARE (BEmONC) BY: MOHAMMED M. MENDOZA BSN 2-A Learning Agenda What we'll discuss about BEmONC INTRODUCTION BEMONC The MNCHN Core Service Package BEMONC CAPABILITES BEMONC Facility Infrastructure Requirements BEMONC STRUCTURAL DESIGN BEMONC EQUIPMENT REQUIREMENTS MNCHN Staffing Requirement BEMONC competencies WHAT IS BEMONC/ BASIC EMERGENCY OBSTERICS NNEWBORN CARE? Basic emergency obstetric and newborn care (BEmONC) is a primary health care level initiative promoted in low- and middleincome countries to reduce maternal and newborn mortality. BEmONC Core Service Package 3. Childbirth 2. Pre-Natal 1. Pre-pregnancy 4. Post-Partum and Post-Natal 5. Provision of other support services Pre-pregnancy Pre-Natal Childbirth Post-Partum and Post-Natal Provision of other support services BEMONC CAPABILITES a. Parenteral administration of oxytocin in the third stage of labor. b. Parenteral administration of initial dose of antibiotics. c. Assisted vaginal delivery during imminent breech delivery. d. Manual removal of placenta. e. Removal of retained placental products. f. Administration of loading dose of steroids for premature labor. g. Intravenous fluid administration, blood volume expander and/or blood transfusion. h. Newborn resuscitation. i. Treatment of neonatal sepsis. j. Oxygen support for the newborn. BEMONC Facility Infrastructure Requirements BEMONC Facility Infrastructure Requirements A BEmONC provider facility is a primary level health facility tasked to provide the integrated MNCHN service package that include basic emergency obstetric and a. newborn care (BEmONC) and is either a – Barangay health station (BHS), b. Rural health unit (RHU), c. Lying-in clinic, d. Birthing home, e. District hospital, or f. Any other similar structure. BEMONC STRUCTURAL DESIGN BEMONC STRUCTURAL DESIGN BHS and RHU BEmONCs Geographic access are facilities that are nearest to homes and are therefore significant structure in the MNCHN network. Gender and culture sensitivity BEMONC STRUCTURAL DESIGN: Lying-In a. Delivery room b. At least a 2-bed capacity Ward: 1 bed for the mother and newborn and another bed with a “pull-a-bed” feature for the birth companion and small children. The ward also doubles as a labor room. c. A small kitchen appropriately furnished. d. A toilet and bath with appropriate fixtures. e. A sleeping quarter for health staff. f. A waste management facility that includes a placenta pit. Basic Emergency Obstetric and Newborn Care Equipment A. Vital Equipment 1) Vaginal speculum set of 6 2) NSD Kit (that contains: artery forceps or clamp, dissecting forceps, needle holder, scissors, sterile disposable gloves, urinary catheter, sponge forceps, vaginal speculum, sterile blade, absorbable sutures, sterile cord clamp, plastic sterile disposable sheet for the mother) 3) Adult ambubag 4) Pediatric ambubag + mask 5) Simpson’s forceps (optional) 6) Suction machine portable 2 L capacity 7) Oxygen tank with regulator/gauge 8) Spare oxygen gauge 9) Kelly pad 10) Bassinet 11) Cervical inspection set Basic Emergency Obstetric and Newborn Care Equipment 12) NSV (no scalpel vasectomy) set 13) IUD (intra-uterine device) kit 14) Cut down or minor surgical set 15) Microscope 16) Nebulizer 17) Pediatric stethoscope 18) Doppler 19) Baby weighing scale 26 2 0) Non-mercury pediatric sphygmomanometer 21) Non- mercury body thermometer 22) Mucus extractor (bulb suction apparatus) Basic Emergency Obstetric and Newborn Care Equipment B. Furniture and Fixtures 1) Delivery bed with stirrups 2) Bassinet 3) Revolving stool 4) Droplight 5) Emergency light 6) Ward beds with side railings 7) IV stand Basic Emergency Obstetric and Newborn Care STAFFING REQUIREMENT: Community Level: BHS and RHU 1 Midwife per Barangay Health Station (BHS) 1 Community/Women’s Health Team (WHT) per barangay. Composition of the C/WHT: • Midwife • Barangay Health Workers (BHWs) • Traditional Birth Attendants (TBAs) BEmONC Provider Facility 3 BEmONC Teams per hospital BEmONC provider (1 Team per 8-hour shift) 1 BEmONC Team per RHU/BHS: Composition of the BEmONC Team: Hospital: • 3 doctors (1 per shift) • 3 nurses (1 per shift) • 3 midwives (C/WHT) (1 per shift) • 1 medical technologist on call per ILHZ or CEmONC-BEmONC Cluster For RHU: 1 doctor, 1 nurse, 3 midwives (1 per 8-hour shift). For BHS: 1 RHU doctor and 1 PHN “on call,” 1 midwife with WHT members as assistants (TBAs and BHWs) Basic Emergency Obstetric and Newborn Care COMPETENCIES a) Basic maternal care to include prenatal and postnatal care b) Basic emergency obstetric and newborn care services as defined to include newborn resuscitation c) Newborn screening d) Family planning services e) Breast and cervical cancer screening f) Risk assessment and clinical screening and diagnosis of STI and HIV g) Laboratory screening h) Syndromic case management of STIs i) Counseling j) Monitoring, evaluation, research and dissemination k) Referral l) Recording and reporting m) Maternal death reporting using the recommended facility reporting form n) Civil registration of births and deaths REFERENCES: al.compressed.pdf Thank you! ...
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