maternal and newborn care

Upload: musicwizard

Post on 14-Apr-2018

221 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/27/2019 Maternal and Newborn Care

    1/90

    'SQQYRMX]1EREKIH1EXIVREPERH2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

  • 7/27/2019 Maternal and Newborn Care

    2/90

    '31192-8=1%2%+)(

    1%8)62%0%2(2);&362'%6)

    %+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8LMWQERYEPMWETYFPMGEXMSRSJXLI(ITEVXQIRXSJ,IEPXLERHEPPVMKLXW

    EVIXLYWVIWIVZIHF]XLI(3,8LMWQERYEPLS[IZIVQE]FIJVIIP]

    VIZMI[IHEFWXVEGXIHVITVSHYGIHERHXVERWPEXIHMRTEVXSVMRMXW

    IRXMVIX]EWPSRKEWMXMWRSXJSVWEPIRSVYWIMRGSRNYRGXMSR[MXLGSQQIVGMEPTYVTSWIW8LI(ITEVXQIRXSJ,IEPXL[SYPHETTVIGMEXIXLEX

    MXFIEGORS[PIHKIHMRXLIVITVSHYGIHSVXVERWPEXIHZIVWMSRERHEGST]

    SJWYGLZIVWMSRFIWIRXXS(3,

    'ST]VMKLX

    (ITEVXQIRXSJ,IEPXL

    7ER0E^EVS'SQTSYRH7XE'VY^1ERMPE

    XS

    LXXT[[[HSLKSZTL

    %PP6MKLXW6IWIVZIH

    4VSNIGX'SRWYPXERX

    .EMQI>+EPZI^8ER1(14,

    'SRXVMFYXSVW

    0SVIXS+1IRHS^E1(14,

    %RXLSR]+,'SVHIVS1(

    0EVE7'.EZMIV

    -PPYWXVEXMSRW(IWMKRERH0E]SYX

    7IVKMS8&YQEXE]---

    ;MXLXIGLRMGEPERHJMRERGMEPWYTTSVXSJ.-'%

  • 7/27/2019 Maternal and Newborn Care

    3/90

    -RXVSHYGXMSR

    ,S[XS9WIXLMW+YMHIFSSO

    7IGXMSR 9RHIVWXERHMRKXLI-QTPMGEXMSRW

    SJXLI8LVII(IPE]W1SHIP

    7IGXMSR

    *VEQI[SVOSJ'SQQYRMX]1EREKIH

    1EXIVREPERH2I[FSVR'EVI

    7IGXMSR

    4VSZMHMRK&EWMG'PMRMGEP-RXIVZIRXMSRW

    JSV1EXIVREPERH2I[FSVR'SQTPMGEXMSRW

    5YMGO'LIGO

    6IJIVVEP

    4VIREXEP'EVI

    'EVIHYVMRKPEFSVGLMPHFMVXL

    ERHMQQIHMEXITSWXTEVXYQ

    4SWXTEVXYQ'EVI

    -RJSVQEXMSRERH%HZMGIJSV1',

    7IGXMSR

    1EREKMRK1EXIVREPERH2I[FSVR,IEPXL7IVZMGIW

    6IJIVIRGIW

    %RRI\

    7DEOHRI&RQWHQWV

  • 7/27/2019 Maternal and Newborn Care

    4/90

    )RUHZRUG

  • 7/27/2019 Maternal and Newborn Care

    5/90

    $FNQRZOHGJHPHQW

    8LI'SQQYRMX]1EREKIH1EXIVREPERH2I[FSVR'EVIKYMHIFSSO[EWTVITEVIH[MXLXIGLRMGEPEWWMWXERGIJVSQXLIJSPPS[MRK

    (MIKS'(ERMPE1(14, (3,1E)PM EFIXL-'EPYEK1(14, (3,.YERMXE%&EWMPMS1(14, (3,

    *PSVIRGI+%TEPI1(14, (3,-^YQM1YVEOEQM14, .-'%1EVXLE&'E]EHER1(14, 92-')*,IRHV]H64PE^E1(14, 92*4%%RE1EVMEH%0IEP1( 92*4%1E0SMHE=7IZMPPE62 40%2-RXIVREXMSREP1MIP72SVE1( 40%2-RXIVREXMSREP

    :EPYEFPIWYTTSVX[EWTVSZMHIHF]XLIJSPPS[MRKMRXIVREXMSREPHSRSVEKIRGMIWXLI.ETER-RXIVREXMSREP'SSTIVEXMSR%KIRG].-'%9RMXIH2EXMSRW'LMPHVIRW*YRH92-')*9RMXIH2EXMSRW*YRHJSV4STYPEXMSR%GXMZMXMIW92*4%ERH40%2-RXIVREXMSREP

    8SEPPXLI',(6IKMSREP(MVIGXSVWERHXLIMVWXEJJJSVXLIMVEWWMWXERGIMRXLIRSQMREXMSRWSJXLIQMH[MZIWJSVXLITVIXIWX8LIWYTTSVXSJXLI1YRMGMTEPERH'MX],IEPXL3JJMGIVWERH1E]SVWJSVXLIQMH[MZIW[LSEXXIRHIHXLITVIXIWX

    8LIGSQQIRXWERHWYKKIWXMSRWSJQMH[MZIWJVSQXLIJSPPS[MRKGSQQYRMXMIWEPPSZIVXLIGSYRXV][LSTEVXMGMTEXIHMRXLITVIXIWXMRK[IVIEPWSGVYGMEPMRXLIMQTVSZIQIRXSJXLIKYMHIFSSO

    8EFYO/EPMRKE%TE]ES 0E8VMRMHEH&IRKYIX1EFMRM&EXERKEW 7YFMG>EQFEPIW-QYW'EZMXI 7ER*IVRERHS4EQTERKE'EFEVVSKYMW5YMVMRS /EPE]EER0EKYRE

    'EXIIP(EZES3VMIRXEP 1EQFYVES3GGMHIRXEP1MRHSVS4ESE]-PSGSW2SVXI 6SQFPSR6SQFPSR&EREWM4SRPS'EQEVMRIW7YV &SVFSR'IFY-GLEKYI-WEFIPE 1MREPMR4EQTERKE:MKER'MX]-PSGSW7YV 'EPSSGER'MX]6S\EW'MX]-PSMPS &EGSR(MWXVMGX7SVWSKSR'MX]1ERHEPY]SRK'MX] 7YVMKES'MX]

  • 7/27/2019 Maternal and Newborn Care

    6/90

    %-(7 %GUYMVIH-QQYRS(IJMGMIRG]7]RHVSQI

    &&8 &EWEP&SH]8IQTIVEXYVI

    &)Q3' &EWMG)QIVKIRG]3FWXIXVMG'EVI

    &,7 &EVERKE],IEPXL7XEXMSR

    &1- &SH]1EWW-RHI\

    &4 &PSSH4VIWWYVI

    &80 &MPEXIVEP8YFEP0MKEXMSR

    &,; &EVERKE],IEPXL;SVOIV

    ')Q3' 'SQTVILIRWMZI)QIVKIRG]3FWXIXVMG'EVI

    '112' 'SQQYRMX]1EREKIH1EXIVREPERH2I[FSVR'EVI

    (3, (ITEVXQIRXSJ,IEPXL

    )Q3' )QIVKIRG]3FWXIXVMG'EVI

    *4 *EQMP]4PERRMRK

    ,76% ,IEPXL7IGXSV6IJSVQ%KIRHE

    -0,> -RXIV0SGEP,IEPXL>SRIW

    -1 -RXVEQYWGYPEV

    -9( -RXVE9XIVMRI(IZMGI

    -: -RXVEZIRSYW

    0%1 0EGXEXMSREP%QQIRSVLIE1IXLSH

    0') 0SGEP'LMIJ)\IGYXMZI

    2*4 2EXYVEP*EQMP]4PERRMRK1', 1EXIVREPERH'LMPH,IEPXL

    1(+W 1MPPIRRMYQ(IZIPSTQIRX+SEPW

    1) 1SRMXSVMRKERH)ZEPYEXMSR

    2&7 2I[FSVR7GVIIRMRK

    2+3 2SR+SZIVRQIRX3VKERM^EXMSR

    27: 2SR7GEPTIP:EWIGXSQ]

    367 3VEP6IL]HVEXMSR7SPYXMSR

    4,' 4VMQEV],IEPXL'EVI

    4LMP,IEPXL 4LMPMTTMRI,IEPXL-RWYVERGI'SVTSVEXMSR

    43 4ISTPI W3VKERM^EXMSR

    48'% 4EVIRXW8IEGLIVW'SQQYRMX]%WWSGMEXMSR

    6%1 6ETMH%WWIWWQIRXERH1EREKIQIRX6,9 6YVEP,IEPXL9RMX

    7(1 7XERHEVH(E]W1IXLSH

    7/ 7ERKKYRMERK/EFEXEER

    78 7]QTXS8LIVQEP

    78-,-: 7I\YEPP]8VERWQMXXIH-RJIGXMSRW

    ,YQER-QQYRSHIJMGMIRG]7]RHVSQI

    8&% 8VEHMXMSREP&MVXL%XXIRHERX

    88 8IXERYW8S\SMH

    $FURQ\PV

  • 7/27/2019 Maternal and Newborn Care

    7/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    ,QWURGXFWLRQ

    1 EWELYOE]ERKMWERKTEERKMWERKMRERKQERKERKEREO(YVMRKGLMPHFMVXLSRIJSSXSJXLIQSXLIVMWMRXLIKVEZI8LMWMWEGSQQSR

    *MPMTMRSWE]MRKEFSYXTVIKRERG]7EHP]MRWSQIGSQQYRMXMIW[LIR

    QSXLIVWHMIHYIXSGLMPHFMVXLMXMWWIIRQSVISJEJEXIVEXLIVXLERE

    LIEPXLERHLYQERVMKLXWMWWYI[LMGLRIIHWXSFIEHHVIWWIH-XMWEJEGX

    XLEXXLIVIEVIVMWOWMRTVIKRERG],S[IZIVXLIVIEVI[E]WXSQMRMQM^IXLIWIVMWOW%[SQERWHIEXLHYIXSGLMPHFMVXLERHMXWGSQTPMGEXMSRW

    WLSYPHRSXFIWIIREWERSVQEPXLMRK4VIKRERG]MWRSXERMPPRIWWSV

    GSRHMXMSR[LMGL[SQIRWLSYPHFIH]MRKJVSQ

    1SWXQSXLIVWMRXLIGSQQYRMXMIW[LSHMIHKMZMRKFMVXLI\TIVMIRGIH

    [LEXI\TIVXWLEZIGPEWWMJMIHEWXLIXLVIIHIPE]W8LIWIEVI

    HIPE]MRHIGMHMRKXSWIIOQIHMGEPGEVI

    HIPE]MRVIEGLMRKETTVSTVMEXIGEVIERH

    HIPE]MRVIGIMZMRKGEVIEXLIEPXL

    JEGMPMXMIW

    2EXMSREP(IQSKVETLMGERH,IEPXL

    7YVZI]2(,7HEXEWLS[XLEX

    MRXLI4LMPMTTMRIWXLIVIMWER

    IWXMQEXIHQSXLIVW[LSHMIJSV

    IZIV]PMZIFMVXLWSVE

    XSXEPSJQSXLIVWTIV]IEV9RMXIH2EXMSRWEKIRGMIW

    TEVXMGYPEVP];,392*4%ERH

    92-')*IWXMQEXIHXLEXEX]IEV

    QEXIVREPQSVXEPMX]VEXMSMR

    XLIGSYRXV]IZIRMRGVIEWIHXS

    HIEXLWTIVPMZIFMVXLW

  • 7/27/2019 Maternal and Newborn Care

    8/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8LIPEGOSJWOMPPIHLIEPXL[SVOIVWJYVXLIVEKKVEZEXIWXLITVSFPIQ%WSJ

    WM\SYXSJXIRHIPMZIVMIWEXLSQIEVIEXXIRHIHF]XVEHMXMSREPFMVXL

    EXXIRHERXW8&%W[LMPISRP]XLVIISYXSJXIREVIF]QMH[MZIW

    *YVXLIVQSVIEVSYRHSYXSJFEFMIW[MXLMRXLIMVJMVWXHE]WSJ

    PMJIHMIPEVKIP]HYIXSXLIWEQIJEGXSVWXLEXGEYWIXLIHIEXLERHHMWEFMPMX]

    SJXLIMVQSXLIVWERHHYIXSPEGOSJETTVSTVMEXIRI[FSVRGEVI

    8LMWGPIEVP]WLS[WXLIGVYGMEPVSPIXLEXQMH[MZIWERHXLI6YVEP,IEPXL9RMXLIEPXLXIEQTPE]MRWEZMRKXLIPMZIWSJQSXLIVWERHRI[FSVRWMRXLI

    GSQQYRMXMIW+MZIRXLIWMXYEXMSRXLEXGSQTPMGEXIHGEWIWEVIJMVWX

    VIJIVVIHXS&EVERKE],IEPXL7XEXMSRW&,7W6YVEP,IEPXL9RMXW

    6,9WQMH[MZIWRYVWIWERHHSGXSVWWLSYPHFIIUYMTTIH[MXLIWWIRXMEP

    WOMPPWFSXLGPMRMGEPERHRSRGPMRMGEPXSHIPMZIVQEXIVREPERHRI[FSVR

    LIEPXLWIVZMGIWIJJIGXMZIP]8LITVIWIRGI

    SJWOMPPIHQMH[MZIWERHLIEPXL

    TVSJIWWMSREPWMWZIV]MQTSVXERXQSWX

    IWTIGMEPP]HYVMRKSVMQQIHMEXIP]EJXIV

    HIPMZIV]WMRGIXLMWMWYWYEPP]XLIXMQI[LIRGSQTPMGEXMSRWEVMWI

    )QIVKIRG]SFWXIXVMGGEVI

    )Q3'MWEWXVEXIK]XLEXGER

    FIYWIHXSGSQFEXXLIXLVII

    HIPE]W+IRIVEPP]EPPSFWXIXVMG

    GSQTPMGEXMSRWGERFIXVIEXIH

    IWTIGMEPP]MJHERKIVWMKRWEVI

    VIGSKRM^IHIEVPMIVERHTVSQTXXVIEXQIRXMWKMZIR

    7SQIGSYRXVMIWLEZIPS[

    QEXIVREPQSVXEPMX]VEXMSFIGEYWI

    )Q3'MWEZEMPEFPI

  • 7/27/2019 Maternal and Newborn Care

    9/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %XTVIWIRXZIV]JI[6,9WEVIGETEFPISJKMZMRK&EWMG)QIVKIRG]

    3FWXIXVMG'EVI&)Q3'%RHMRXLIWIRSR&)Q3'LIEPXLJEGMPMXMIWMX

    MWIWWIRXMEPXLEXQMH[MZIWRYVWIWERHHSGXSVWEVIIUYMTTIH[MXLXLI

    FEWMGWOMPPWRIIHIHWSXLEXXLI]GERGSRXVMFYXIMRVIHYGMRKMJRSX

    IPMQMREXMRKQEXIVREPERHMRJERXQSVXEPMX]ERHQSVFMHMX]MRXLIMV

    GSQQYRMXMIW

    8LMWKYMHIFSSOMWMRXIRHIHXSTVSZMHIVIEH]MRJSVQEXMSRSRXLITVSTIV

    GEVISJQSXLIVWHYVMRKTVIKRERG]PEFSVHIPMZIV]ERHTSWXHIPMZIV]ERH

    XLIMVRI[FSVRWF]YRHIVWXERHMRKXLI

    8LVIIHIPE]QSHIPWERHXLIMVMQTPMGEXMSRWXSQEXIVREPERHRI[FSVR

    LIEPXL

    'PMRMGEPTVSXSGSPJSVQEREKMRKSFWXIXVMGERHRI[FSVRGEVIERH

    %TTVSEGLIWXSGSQQYRMX]TEVXMGMTEXMSRMRXLIQEREKIQIRXSJ

    SFWXIXVMGERHRI[FSVRGEVI

    )ZIV][SQERLEWXLIVMKLXXSLIEPXL XSLEZIELIEPXL]

    TVIKRERG]ERHWEJIHIPMZIV]XLIVMKLXXSUYEPMX]QEXIVREPLIEPXLGEVIERH

    XLIVMKLXXSQEOIHIGMWMSRWEFSYXXLIMVS[RLIEPXL9RJSVXYREXIP]XLMWVIQEMRWERMHIEPERHRSXEVIEPMX]9REZEMPEFMPMX]SJWIVZMGIWERHTVSTIV

    MRJSVQEXMSRI\MWXIRGISJPE[WXLEXEVIHMWGVMQMREXSV]EKEMRWX[SQIR

    ERHMRIUYEPMXMIWEXLSQIERHMRXLIGSQQYRMX]EVINYWXWSQISJXLI

    JEGXSVW[LMGLTVSLMFMXWXLIQJVSQVIEPM^MRKXLIWIVITVSHYGXMZILIEPXL

    VMKLXW

    8SIRWYVIXLEX[SQIREPPSZIVXLI[SVPH[MPPIRNS]XLMWVMKLX

    KSZIVRQIRXWEVISFPMKIHXSIREGXTSPMGMIWXLEX[MPPMQTVSZIQEXIVREP

    ERHGLMPHLIEPXL1',8LIWITSPMGMIWWLSYPHFIFIRIJMGMEPRSXSRP]XS

    XLIVMGLFYXQSWXIWTIGMEPP]XSXLIQEVKMREPM^IH[SQIRMRXLIGSQQYRMXMIW8LVSYKLXLI4VMQEV],IEPXL'EVIETTVSEGLTVSFPIQWSR

    1',MRXLIGSQQYRMXMIW[MPPFIEHHVIWWIHF]TVSZMHMRKTVSQSXMZI

    TVIZIRXMZIGYVEXMZIERHVILEFMPMXEXMZIWIVZMGIW4ISTPI[MPPEPWSFIEFPI

    XSTEVXMGMTEXIMRHMZMHYEPP]ERHGSPPIGXMZIP]MRXLITPERRMRK

    MQTPIQIRXEXMSRERHIZEPYEXMSRSJXLIMVLIEPXLGEVI

  • 7/27/2019 Maternal and Newborn Care

    10/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8LI4LMPMTTMRIKSZIVRQIRXXLVSYKLXLI7EJI1SXLIVLSSH4VSKVEQ

    MRMXMEXIHF]XLI(ITEVXQIRXSJ,IEPXLLEWMQTPIQIRXIHTVSNIGXWWYGL

    EW0MKXEW&YRXMW?[LMGLQIERWPMKXEWRETEKFYFYRXMWWEJITVIKRERG]ERH

    GLMPHFMVXLERHPMKXEWWETEKFYFYRXMWWEJIX]JVSQXLIVMWOSJYRTPERRIH

    TVIKRERG]A'EQTEMKR1EXIVREP(IEXL6IZMI[IXGXSMQTVSZIXLI

    WXEXYWSJ[SQIRERHGLMPHVIR8LI1MPPIRRMYQ(IZIPSTQIRX+SEPW

    1(+W[LMGLLEZIFIIREKVIIHYTSRF]GSYRXVMIWMRGPYHMRKXLI

    4LMPMTTMRIWXSJMKLXEKEMRWXTSZIVX]XEVKIXXLIVIHYGXMSRSJQEXIVREPHIEXLWF]ERHQSVXEPMX]VEXIEQSRKGLMPHVIRYRHIVJMZIF]X[S

    XLMVHWF]=IEV

    %GLMIZMRKXLIKSEPWSJVIHYGMRKQEXIVREPERHGLMPHQSVXEPMX]ERH

    QSVFMHMX][MPPSRP]FIVIEPMWXMGXLVSYKLXLITSPMXMGEP[MPPSJXLI

    KSZIVRQIRXFSXLREXMSREPERHPSGEPGSQQMXQIRXSJXLILIEPXL[SVOIVW

    ERHGSRGIVXIHEGXMSRSJXLITISTPI3RP]XLIRGER[IFIIRWYVIHSJ

    GSQQYRMXMIW[MXLLIEPXL]QSXLIVWERHGLMPHVIR

  • 7/27/2019 Maternal and Newborn Care

    11/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8LMW'SQQYRMX]1EREKIH1EXIVREPERH2I[FSVR'EVI'112'

    KYMHIFSSO[MPPWIVZIEWEVIJIVIRGIXSSPJSVQMH[MZIWRYVWIWERH

    HSGXSVWMRXLIRSR&)Q3'6YVEP,IEPXL9RMXW6,9WERH&EVERKE]

    ,IEPXL7XEXMSRW&,7WEPPSZIVXLIGSYRXV]-XMWHMZMHIHMRXSJSYV

    WIGXMSRW

    7IGXMSR9RHIVWXERHMRKXLI-QTPMGEXMSRWSJXLI8LVII(IPE]W

    v %FVMIJHMWGYWWMSRSRXLIXLVIIHIPE]WQSHIPERHLS[MX

    GSRXVMFYXIWXSQEXIVREPERHGLMPHHIEXLWMRXLIGSQQYRMXMIW

    7IGXMSR*VEQI[SVOSJXLI'SQQYRMX]1EREKIH1EXIVREPERH

    2I[FSVR'EVI'112'

    v (MWGYWWIWXLIJIEXYVIWSJ'112'VSPIWSJQSXLIVWJEQMPMIW

    ERHGSQQYRMX]QIQFIVWQMH[MZIWERHSXLIVLIEPXLTVSZMHIVW

    LIEPXLJEGMPMXMIW&EVERKE]'ETXEMRWERHSJJMGMEPW1E]SVW+SZIVRSVW

    ERH0SGEP+SZIVRQIRX9RMXW0+9W

    v 8EGOPIWFVMIJP]XLIGSRGITXSJ-RXIVPSGEP,IEPXL>SRIW-0,>

    XLI,IEPXL7IGXSV6IJSVQ%KIRHE,76%*SYVQYPE3RIJSV

    ,IEPXLERHLS[XLI]MRXIRHXSEHHVIWWXLIXLVIIHIPE]WQSHIP

    7IGXMSR4VSZMHMRK&EWMG'PMRMGEP-RXIVZIRXMSRWJSV1EXIVREPERH

    2I[FSVR'SQTPMGEXMSRW

    v -RGPYHIWWYFWIGXMSRWSRTVIREXEPGEVIGEVIHYVMRKPEFSVGLMPHFMVXL

    ERHMQQIHMEXITSWXTEVXYQERHRI[FSVRGEVI

    v 'SPSVMWYWIHMRWSQIXEFPIWXSMRHMGEXIXLIWIVMSYWRIWWSJXLI

    GSRHMXMSRERHXLIRIGIWWEV]GEVIXLEXLEWXSFIQEHI

    +VIIRMRHMGEXIWVSYXMRIGEVI

    =IPPS[MRHMGEXIWQEREKIQIRXGEVI[MXLSYXVIJIVVEP

    4MROMRHMGEXIWIQIVKIRG]GEVISVERYVKIRG]JSVVIJIVVEP

    XSELMKLIVPIZIPSJLIEPXLJEGMPMX][MXL)Q3'GETEFMPMXMIW

    v -RGPYHIWEHIHMGEXIHWYFWIGXMSRSRMRJSVQEXMSRIHYGEXMSRERH

    EHZMGISR1',

    +RZ7R8VHWKLV*XLGHERRN

    +VIIR

    =IPPS[

    4MRO

  • 7/27/2019 Maternal and Newborn Care

    12/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

  • 7/27/2019 Maternal and Newborn Care

    13/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8QGHUVWDQGLQJWKH,PSOLFDWLRQVRIWKH7KUHH'HOD\V0RGHO

  • 7/27/2019 Maternal and Newborn Care

    14/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8LI7XSV]SJ2IRE

    2IREMWE]IEVSPHQSXLIVJVSQ7EQEV[LSKEZIFMVXLXSLIVJMVWXFEF]

    EXLSQI[MXLXLIEWWMWXERGISJE

    XVEHMXMSREPFMVXLEXXIRHERX8&%

    8LI8&%MRWXVYGXIHLIVXSTYX

    WERMXEV]RETOMRWEWWLIQE]

    WXMPPFPIIH7LIXLSYKLXXLEX

    LIEZ]FPIIHMRK[EWRSVQEPIWTIGMEPP]JSVJMVWXXMQI

    QSXLIVWPMOILIV,S[IZIV

    EHE]LEHTEWWIHERHWLI

    [EWWXMPPFPIIHMRKTVSJYWIP]

    ,IVLYWFERH[IRXXSWIIXLI

    SRP]QMH[MJIMRXLIMVGSQQYRMX]

    FYXWLI[EWEXXIRHMRKXSERSXLIV

    HIPMZIV]XLIR,I[ERXIHXS

    FVMRKLIVXSXLITVSZMRGMEP

    LSWTMXEPFYXXLI]LEHRSQIERWSJXVERWTSVXEXMSREXXLEXXMQI*MREPP]LI[EWEFPIXSFVMRKLIVXSXLILSWTMXEP

    FYXMX[EWEPVIEH]XSSPEXI7LIHMIHSJLIEZ]FPIIHMRK

    2IREMWNYWXSRISYXSJXLI*MPMTMRSQSXLIVW[LSHMIIZIV]HE]JVSQ

    GSQTPMGEXMSRWVIPEXIHXSTVIKRERG]ERHGLMPHFMVXL8VEKMGEPP]TIVGIRX

    SJEPPHIEXLWEQSRK*MPMTMRS[SQIR]IEVWSPHEVIHYIXSQEXIVREP

    HIEXLW7SGMEP;EXGL4LMPMTTMRIW6ITSVX

    1ENSVGEYWIWQEXIVREPHIEXLEVI

    v TSWXTEVXYQLIQSVVLEKI

    v IGPEQTWMEv SFWXVYGXIHPEFSVERH

    v GSQTPMGEXMSRWJVSQEFSVXMSRW

    &YXMJXLI8&%ERHMJ2IREERHLIVLYWFERHORI[EFSYXXLIHERKIV

    WMKREPWEJXIVFMVXLERHMJXLIVILEHFIIRIQIVKIRG]SFWXIXVMGGEVIJSV

    2IREWLI[SYPHRSXLEZIFIIRTEVXSJXLIWXEXMWXMGW

    -RHMVIGXGEYWIWSJQEXIVREPHIEXLW

    EVI

    v ERIQMEv QEPEVME

    v HMEFIXIW

    v WITWMW

  • 7/27/2019 Maternal and Newborn Care

    15/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v 2SEZEMPEFPITIVWSRXSXEOIGEVISJXLIGLMPHVIRXLILSQIERH

    PMZIWXSGO

    v 0EGOSJGSQTERMSRMRKSMRKXSXLILIEPXLJEGMPMX]

    8LIHIPE]MRHIGMHMRKXSWIIOGEVIYWYEPP]WXIQWJVSQJEMPYVIXSVIGSKRM^IXLIHERKIVWMKRWF]FSXLQMH[MJIERHQSXLIV3RXLIEZIVEKIEPQSWX

    TIVGIRXSJXLITVIKRERX[SQIREPPSZIVXLIGSYRXV]EVIRSXMRJSVQIH

    SJER]TVIKRERG]GSQTPMGEXMSRW2(,71SXLIVW[MPPFIWEZIH

    JVSQJYVXLIVLEVQMJXLI]ORS[XLIHERKIVWMKRWMRTVIKRERG]ERH

    QMH[MZIWEVIORS[PIHKIEFPIMRQEREKMRKXLIQ

    8LIXLVIIHIPE]WQSHIP

    ;L]EVIQSXLIVWH]MRK#8LIVIEVIXLVIIHMWXMRGXTLEWIWSJHIPE]XLEX

    GSRXVMFYXIXSQEXIVREPHIEXLW

    (IPE]MRHIGMHMRKXSWIIOQIHMGEP

    GEVI

    8LIJSPPS[MRKEVIXLIGSQQSRVIEWSRWGMXIHF]QSXLIVWQMH[MZIW

    RYVWIWHSGXSVW8&%WERHGSQQYRMX]QIQFIVWJSVHIPE]MRHIGMHMRKXS

    WIIOGEVI

    v *EMPYVIXSVIGSKRM^IHERKIVWMKRW

    v %FWIRGISJWOMPPIHEXXIRHERXW

    v 0EGOSJQSRI]XSTE]JSVQIHMGEPI\TIRWIW

    ERHGSWXSJXVERWTSVXEXMSR

    v 4VIKRERG]MWYRTPERRIHSVYR[ERXIH

    v 4SSVUYEPMX]SJSFWXIXVMGEPGEVI

    v *IEVSJFIMRKMPPXVIEXIHMRXLILIEPXLJEGMPMX]

    v 6IPYGXERGIJVSQXLIQSXLIVSVXLIJEQMP]HYIXSGYPXYVEPGSRWXVEMRXW

    v 8LI[SQERSVJEQMP]QIQFIVTVIWIRXEX

    GLMPHFMVXLPEGOTS[IVXSQEOIEHIGMWMSR

    v 0EGOSJIRGSYVEKIQIRXJVSQVIPEXMZIWERHGSQQYRMX]QIQFIVW

    XSWIIOGEVI

  • 7/27/2019 Maternal and Newborn Care

    16/90

    8LIJSPPS[MRKEVIMHIEPUYEPMXMIWXLEXIZIV]QMH[MJIRYVWISVHSGXSVMR

    EGSQQYRMX]WLSYPHFI

    v ETTVSEGLEFPI

    v TEXMIRX

    v GSQTEWWMSREXI

    v WOMPPJYP

    v JPI\MFPI

    v VIWSYVGIJYP

    v GYPXYVEPP]WIRWMXMZIERH

    v EP[E]W[MPPMRKXSIHYGEXI

    (IPE]MRMHIRXMJ]MRKERHVIEGLMRK

    XLIETTVSTVMEXIJEGMPMX]

    8LIWIGSRHHIPE]QE]FIEXXVMFYXIHXS

    v (MWXERGIJVSQE[SQER WLSQIXSEJEGMPMX]SVTVSZMHIV

    v 0EGOSJVSEHWSVTSSVGSRHMXMSRSJVSEHW

    v 0EGOSJIQIVKIRG]XVERWTSVXEXMSR[LIXLIVF]PERHSV[EXIV

    v 0EGOSJE[EVIRIWWSJI\MWXMRKWIVZMGIW

    v 0EGOSJEVIJIVVEPW]WXIQv 0EGOSJGSQQYRMGEXMSR[MXLVIJIVVEPJEGMPMX]

    v 0EGOSJQSVEPJMRERGMEPERHPSKMWXMGEPWYTTSVXJVSQ RIMKLFSVWXLI

    FEVERKE]GETXEMRERHFEVERKE]SJJMGMEPWSVXLIQE]SV

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %QMH[MJIWEXXMXYHIXS[EVHWQSXLIVWMWEJEGXSV[L]

    [SQIRGLSSWIXSSVGLSSWIRSXXSWIIOQIHMGEPEXXIRXMSR

    -JXLI]EVIXVIEXIH[MXLVIWTIGXERHGSQTEWWMSRXLI][MPP

    RSXFIEJVEMHXSETTVSEGLXLIQMH[MJIQSWXIWTIGMEPP]MR

    XMQIWSJRIIH

  • 7/27/2019 Maternal and Newborn Care

    17/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8LIHIPE]MRVIGIMZMRKGEVIMWKIRIVEPP]GEYWIHF]TVSFPIQWMRXLIVIJIVVEP

    JEGMPMX]8LIWIQE]FI

    v 0EGOSJLIEPXLGEVITIVWSRRIPv 9RTVSJIWWMSREPEXXMXYHIWSJLIEPXLGEVITVSZMHIVW

    v 7LSVXEKIWSJWYTTPMIWMIIQIVKIRG]QIHMGMRIWSVFPSSH

    v 0EGOSJFEWMGIUYMTQIRXIKJSVGEIWEVMERWIGXMSRFPSSHXVERWJYWMSR

    v 4SSVWOMPPWSJLIEPXLGEVITVSZMHIVW

    v ,IEPXLMWRSXTVMSVMXM^IHF]XLIFEVERKE]ERHQYRMGMTEPSJJMGMEPW

    v 0EGOSJFYHKIXJVSQXLI0+9

    8LMWHIPE]VIPEXIWXSXLI

    MWWYISJEGGIWWXSGEVI-X

    MWMRI\GYWEFPIXLEXQSXLIVW

    EVIH]MRKFIGEYWISJXLI

    HIPE]MRVIEGLMRKGEVI7EHP]

    MRVIQSXIEVIEWXLMWMW

    YWYEPP]XLIGEWI,S[IZIV

    MJQSXLIVWORS[XLEXXLIVI

    EVIWOMPPIHQMH[MZIWMRXLI

    GSQQYRMX][LSGEREXXIRHXSXLIMVHIPMZIV]XLI]RIIH

    RSXKSXSLSWTMXEPWYRPIWW

    GSQTPMGEXMSRWEVMWI-RGEWIW

    XLEXXLI]LEZIXSFI

    FVSYKLXXSLSWTMXEPW

    IRWYVMRKXLIVETMH

    XVERWTSVXSJXLIQSXLIVXS

    XLIRIEVIWXQIHMGEPJEGMPMX]

    F]XLIVIPEXMZIWRIMKLFSVW

    SV FEVERKE]SJJMGMEPWMW

    GVYGMEPMRWEZMRKLIVPMJI

    (IPE]MRVIGIMZMRKETTVSTVMEXIERH

    EHIUYEXIGEVIEXXLIJEGMPMX]

  • 7/27/2019 Maternal and Newborn Care

    18/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    1SVISJXIRHMWXVMGXERHTVSZMRGMEPLSWTMXEPWEVITSSVP]IUYMTTIH[MXL

    XLIVMKLXTIVWSRRIPWYTTPMIWERHPSKMWXMGWHYIXS0+9RIKPIGX-JXLI

    LIEPXLSJXLITISTPI[MPPFIXLITVMSVMX]SJXLIPSGEPKSZIVRQIRXERHMJ

    GSQQYRMXMIWEGXMZIP]TEVXMGMTEXIMRLIEPXLTVSKVEQWQSXLIVW[MPPFI

    WIGYVIHSJFIXXIVLIEPXLGEVIXLVSYKLXLIWIVZMGIWERHJEGMPMXMIWEZEMPEFPI

    JSVLIVYWI

  • 7/27/2019 Maternal and Newborn Care

    19/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    )UDPHZRUNRI&RPPXQLW\0DQDJHG0DWHUQDODQG1HZERUQ&DUH

    6HFWLRQ

  • 7/27/2019 Maternal and Newborn Care

    20/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    $ GSQQYRMX]QEREKIHETTVSEGLMWEHMVIGXMRXIVZIRXMSRXSTVIZIRXQEXIVREPERHTIVMREXEPRISREXEPHIEXLWMPPRIWWIWERHHMWEFMPMXMIW8LIJSPPS[MRKJIEXYVIWEVITVIWIRXMRE'SQQYRMX]1EREKIH1EXIVREPERH2I[FSVR'EVI'112'

    %ZEMPEFMPMX]SJQEXIVREPERHGLMPHLIEPXLWIVZMGIWMRXLIGSRXI\XSJTVMQEV]LIEPXLGEVIFVMRKMRKMXGPSWIVXSXLILSQISJXLIQSXLIVW

    v 1MH[MZIWRYVWIWERHHSGXSVW EVIEFPIXSVIEGLQSXLIVWERHFEFMIWERHXLIMVJEQMPMIWEXLSQI EVIXVEMRIH[MXLRIGIWWEV]WOMPPW

    v *EGMPMXMIWLEZIWYTTPMIWERHIUYMTQIRXWv 4SPMGMIWEVIMRTPEGIXSWXEXI[LMGLSFWXIXVMGTVSGIHYVIWGERFI

    GEVVMIHSYXF]I\MWXMRKTIVWSRRIP

    )WXEFPMWLIHSVWXVIRKXLIRIHVIJIVVEPW]WXIQWv 7YTTSVXIHF]VIPMEFPI

    XVERWTSVXERHGSQQYRMGEXMSR YWISJXIPITLSRIQSFMPI

    SVPERHPMRISVX[S[E]VEHMSWJSVGSRWYPXEXMSRSVVIJIVVEPW

    XVERWTSVXEXMSRMWEZEMPEFPIER]XMQISJXLIHE]

    8[S[E]VIJIVVEPQIGLERMWQWPMROMRKLSQIXS&,7XS

    6,9WP]MRKMRFMVXLMRKLSQIXSHMWXVMGXLSWTMXEPWXSTVSZMRGMEPLSWTMXEPWXSVIKMSREPLSWTMXEPWERHFEGOSVXVEHMXMSREPFMVXLEXXIRHERXXSQMH[MJIXSHSGXSVXSLSWTMXEPERHFEGO

  • 7/27/2019 Maternal and Newborn Care

    21/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    *SVQEPM^IHERHGSRXMRYMRKMRXIVEGXMSRFIX[IIRQMH[MZIWERHXLIVIJIVVEPJEGMPMXMIW

    4SSPMRKSJVIWSYVGIW[MXLHMJJIVIRXFEVERKE]WQYRMGMTEPMXMIWSVHMWXVMGXW

    )WXEFPMWLMRKQEWXIVPMWXSJTSXIRXMEPGSQQYRMX]FPSSHHSRSVW

    'SQQYRMX]IHYGEXMSRERHQSFMPM^EXMSRJSVEGSQQSRYRHIVWXERHMRKSJXLIMWWYIWSRQEXIVREPERHGLMPHLIEPXL

    v

    'SRHYGXMRKKIRHIVERHGYPXYVEPP]WIRWMXMZIMRJSVQEXMSRERHIHYGEXMSRGEQTEMKRWSRWEJIQSXLIVLSSHERHLIEPXL]RI[FSVRXSVIGSKRM^IXLIMQTSVXERGIERHEZEMPEFMPMX]SJWOMPPIHGEVIHYVMRKGLMPHFMVXLIXG

    v (MEPSKYIEQSRKGSQQYRMX]QIQFIVW FEVERKE]SJJMGMEPW0+9WRSRKSZIVRQIRXSVKERM^EXMSRW2+3WTISTPIWSVKERM^EXMSRW43WERHLIEPXL[SVOIVWXSMHIRXMJ][E]WSJEHHVIWWMRKMWWYIWSRQEXIVREPERHGLMPHLIEPXL

    v 3VKERM^EXMSRF]TYVSOGEVIKMZIVWGPYFW&,;ERH]SYXLSVKERM^EXMSRWJSVWYTTSVX

    8LIFEWMGTVIQMWISJGSQQYRMX]QEREKIHQEXIVREPERHRI[FSVRGEVI

    MWXLEXXLIXLVIIHIPE]WMRWIIOMRKVIEGLMRKERHVIGIMZMRKKSSHGEVI[MPPFIEHHVIWWIHMJXLIVIMWEGGIWWXSIUYMXEFPIERHUYEPMX]LIEPXLGEVI8LMWGERFIVIEPM^IHF]IRWYVMRKXLEXXLI

    4VIKRERX[SQERLEWv%&MVXL4PER[MXLXLIVIEHMRIWWXSVIWTSRHXSER]GSQTPMGEXMSRWv 4LMP,IEPXLQIQFIVWLMTERHMWEFPIXSEZEMPSJXLIFIRIJMXWEGGSVHMRKP]

    7II%RRI\JSV4LMP,IEPXLHMWGYWWMSRv 7EZIHEPPSXXIHQSRI]XSTVITEVIJSVLIVGLMPHFMVXLERHWIVZMGIW

    XLEXXLIRI[FSVR[MPPFIEZEMPMRKv 4PERWJSVHIWMVIH*EQMP]4PERRMRK*4WIVZMGIWWTEGMRKSVPMQMXMRK

    QIXLSHW

    4EVXRIV7TSYWIERHJEQMP]QIQFIVWv 4VSZMHIGEVIERHWYTTSVXF] EGGSQTER]MRKXLIQSXLIVMRTVIREXEPERHTSWXREXEPGLIGOYTW FIMRKTVIWIRXSVRIEVF]HYVMRKFMVXL EXXIRHMRKXSXLIRIIHWSJXLIFEF]

  • 7/27/2019 Maternal and Newborn Care

    22/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    VIRHIVMRKLSYWILSPHLIPTHYVMRKERHEJXIVTVIKRERG] QEOMRKTPERWMRZSPZMRKXVERWTSVXEXMSRERHTSWWMFPIFPSSHHSRSVW

    v -WE4LMP,IEPXLQIQFIVERHORS[WLS[XSEZEMPSJXLIFIRIJMXWEGGSVHMRKP]7IIERRI\JSV4LMP,IEPXLHMWGYWWMSR

    v 7EZIHEPPSXXIHQSRI]XSTVITEVIJSVGLMPHFMVXLERHWIVZMGIWXLEXXLIRI[FSVR[MPPFIEZEMPMRK

    ,IEPXL4VSZMHIVW1MH[MZIW2YVWIWERH(SGXSVWEVIv 'PMRMGEPP]WOMPPIHGSQTIXIRXERHGSQTEWWMSREXIMRTVSZMHMRKKSSH

    GEVIJSVXLI[SQERERHLIVFEF]TEVXMGYPEVP]VIGSKRM^MRKERH

    VIWTSRHMRKXSSFWXIXVMGERHRI[FSVRIQIVKIRGMIWWYGLEW TIVJSVQMRK5YMGO'LIGO7II7IGXMSR 6ETMH%WWIWWQIRXERH1EREKIQIRX6%1ERH IWXEFPMWLMRKEW]WXIQEXMGVIJIVVEPW]WXIQIKJVSQETVMQEV]

    LIEPXLGIRXIVXSEJEGMPMX]TVSZMHMRK&)Q3'ERH')Q3'7II7IGXMSR

    v 7OMPPIHMRTVSZMHMRKUYEPMX]LIEPXLIHYGEXMSRERHGSYRWIPMRKXSXLIMVGPMIRXWXSTVITEVIXLI[SQERERHLIVJEQMP]JSVWEJIVTVIKRERG]GLMPHFMVXLTSWXTEVXYQERHRI[FSVRGEVI

    v %FPIXSQEREKIXLIMVVIWSYVGIWEXXLI6,9&,7IJJMGMIRXP]ERHIJJIGXMZIP]JSVWYWXEMREFMPMX]SJ'112'WIVZMGIW

    ,IEPXLJEGMPMXMIW&,76,97IGSRHEV]ERHXIVXMEV]PIZIPWSJGEVIEWWYVITVIKRERX[SQIRSJUYEPMX]ERHWYWXEMREFPIWIVZMGIW[LIRXLI]EVI

    v 1EREKIHF]GSQTIXIRXERHGSQTEWWMSREXILIEPXLGEVITVSZMHIVWv 7IRXVSRK7MKPE'IVXMJMIHv 4LMP,IEPXL%GGVIHMXIHv 0MGIRWIHEGGSVHMRKXSVIUYMVIHVIKYPEXSV]TSPMGMIWv 'IVXMJMIH&)Q3'JEGMPMX]ERHVEXMSREPM^IHXLVSYKLJEGMPMX]QETTMRK

    &EVERKE]'ETXEMRERH'SYRGMPQIQFIVWERHSXLIV0SGEP

    +SZIVRQIRX3JJMGMEPWv )QTS[IVIHGSQQMXXIHERHEGXMZIP]MRZSPZIHMRTVSQSXMRKWEJI

    QSXLIVLSSHERHLIEPXL]RI[FSVRWv )JJIGXMZIPIEHIVWLMTSJXLI+SZIVRSVW1E]SVWERH&EVERKE]'ETXEMRW

    XSTVSXIGXQSXLIVWERHGLMPHVIRv 8LI0SGEP'LMIJ)\IGYXMZIW0')WXEOIEGXMSRJSVYRMZIVWEPIRVSPQIRX

    SJEPPMRHMKIRXWXSXLI7TSRWSVIH 4VSKVEQSJ4LMP,IEPXLERHXLIYTKVEHMRKSJLIEPXLJEGMPMXMIWJSVEGGVIHMXEXMSR

  • 7/27/2019 Maternal and Newborn Care

    23/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    -RXIV0SGEP,IEPXL>SRIW-0,>

    -RXIV0SGEP,IEPXL>SRIW-0,>EVIQIGLERMWQWXSSVKERM^IERHQSFMPM^IMRHMZMHYEPWGSQQYRMXMIWLIEPXLTVSZMHIVWERHLIEPXLJEGMPMXMIWMR[IPPHIJMRIHKISKVETLMGEPEVIEWXSTVSZMHIUYEPMX]IUYMXEFPIERHEGGIWWMFPILIEPXLGEVI[MXLMRXIV0+9TEVXRIVWLMTWEWEFEWMGJVEQI[SVO

    (IPE]IHVIJIVVEPWVIWYPXMRKXSTSSVQEXIVREPGEVIMWEQENSVTVSFPIQXLEX-0,>[MPPEHHVIWW-RXLI-0,>QYRMGMTEPMXMIWEVIGPYWXIVIHMRXSGSRZIVKIRGIWMXIW[LIVIXLIVIMWGSSVHMREXMSRERHRIX[SVOMRKFIX[IIR

    XLIHMWXVMGXLSWTMXEPERHXLI6,9WERH&,7

    8LIVIMWGSSTIVEXMSRERHTSSPMRKSJVIWSYVGIWFYHKIXIUYMTQIRXLIEPXLLYQERVIWSYVGIWWYTTPMIWXVERWTSVXEXMSRERHIJJIGXMZIGSQQYRMGEXMSREQSRKHMJJIVIRXQYRMGMTEPMXMIW

    8LIVIJSVIMRWMXYEXMSRWSJSFWXIXVMGIQIVKIRGMIWEQMH[MJI[MPPFIEFPIXSIJJIGXMZIP]VIJIVXLI[SQERXSERETTVSTVMEXIJEGMPMX]TVSZMHMRK&)Q3'SV')Q3'

    %WJVSRXPMRILIEPXLTVSZMHIVWMRXLILIEPXLGEVIW]WXIQQMH[MZIWWLSYPH

    FIVITVIWIRXIHMR-0,>QIIXMRKWXSKIXLIV[MXLXLI1E]SVWHMWXVMGXLSWTMXEPGLMIJERHQYRMGMTEPLIEPXLSJJMGIVWXSFIEFPIXSEVXMGYPEXILIVRIIHWERHGSRGIVRWJSVWEJIQSXLIVLSSHERHUYEPMX]RI[FSVRGEVI

  • 7/27/2019 Maternal and Newborn Care

    24/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    ,IEPXL7IGXSV6IJSVQ%KIRHE,76%

    6IEPM^MRKXLIRIIHXSMQTVSZIXLILIEPXLWXEXYWSJ*MPMTMRSWIWTIGMEPP][SQIRERHGLMPHVIRXLIKSZIVRQIRXLEWMQTPIQIRXIHXLI,IEPXL7IGXSV6IJSVQ%KIRHE,76%WMRGIMRXLIGSRXI\XSJXLI0SGEP+SZIVRQIRX'SHI3RISJXLISFNIGXMZIWSJXLI,76%MWXSVIZMXEPM^IXLIHIGIRXVEPM^IHLIEPXLGEVIW]WXIQMREGSQTVILIRWMZIERHWYWXEMREFPIQERRIV

    8LI,76%EMQWXSMQTVSZILIEPXLJMRERGMRKLIEPXLVIKYPEXMSRLSWTMXEPW]WXIQWPSGEPLIEPXLW]WXIQWERHTYFPMGLIEPXLTVSKVEQW7TIGMJMGEPP]MX

    MRXIRHWXSEHHVIWWXLIFEVVMIVWXSYXMPM^EXMSRSJLIEPXLWIVZMGIWIWTIGMEPP]XLIXLVIIHIPE]WMREGGIWWMRKQEXIVREPERHRI[FSVRGEVI8LIWIFEVVMIVWEVI

    v 0MQMXIHEGGIWWXSLIEPXLWIVZMGIWv 4SSVUYEPMX]SJLIEPXLWIVZMGIWv -REHIUYEXILIEPXLGEVIJMRERGMRKv -RIJJMGMIRXLIEPXLW]WXIQWv -RIJJIGXMZIQIGLERMWQWJSVTYFPMGLIEPXLTVSKVEQWv 9RIZIRHMWXVMFYXMSRSJLIEPXLTVSJIWWMSREPWv ;IEOIRJSVGIQIRXSJLIEPXLWXERHEVHWERHVIKYPEXMSRWv

    0EGOSJGSQQYRMX]TEVXMGMTEXMSREXXLIFEVERKE]PIZIP

    'YVVIRXP]XLIKSZIVRQIRXLEWGSQIYT[MXL*SYVQYPE3RIJSV,IEPXLEJVEQI[SVOJSVFIXXIVLIEPXLSYXGSQIWQSVIVIWTSRWMZILIEPXLW]WXIQERHIUYMXEFPILIEPXLGEVIJMRERGMRKIWTIGMEPP]JSVXLITSSV8LIWI[MPPFIEGLMIZIHXLVSYKLXLIJSPPS[MRKGSQTSRIRXW

    ,IEPXL'EVI*MRERGMRKXSWIGYVIFIXXIVERHWYWXEMRIHMRZIWXQIRXWMRLIEPXL

    ,IEPXL6IKYPEXMSRXSEWWYVIEGGIWWXSUYEPMX]ERHEJJSVHEFPIIWWIRXMEPHVYKWLIEPXLTVSHYGXWHIZMGIWJEGMPMXMIWERHWIVZMGIW

    ,IEPXL7IVZMGI(IPMZIV]XSMQTVSZIEGGIWWMFMPMX]EZEMPEFMPMX]ERHIUYMX]SJFEWMGERHIWWIRXMEPLIEPXLGEVIJSVEPPERH,IEPXL+SZIVRERGIXSMQTVSZIPSGEPERHGIRXVEPLIEPXLW]WXIQ

    QEREKIQIRXERHGSSVHMREXMSRIRLERGITYFPMGTVMZEXITEVXRIVWLMTERHFYMPHGETEGMXMIWJSVLIEPXLPIEHIVWLMT

  • 7/27/2019 Maternal and Newborn Care

    25/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    3URYLGLQJ%DVLF&OLQLFDO,QWHUYHQWLRQVIRU0DWHUQDODQG1HZERUQ

    &RPSOLFDWLRQV

  • 7/27/2019 Maternal and Newborn Care

    26/90

    LIPTMQTVSZIEGGIWWSJ[SQIRXSRIIHIHGEVI

    8LI;SVPH,IEPXL3VKERM^EXMSR

    ;,3VIGSQQIRHWXLI

    QSXLIVFEF]TEGOEKI

    MRXIVZIRXMSRW8LMWMWEPMWXSJ

    IWWIRXMEPWIVZMGIWXLEXWLSYPH

    FIQEHIEZEMPEFPIXS[SQIR

    ERHRI[FSVRWXSEXXEMR

    VIHYGXMSRMRQEXIVREPERH

    TIVMREXEPRISREXEPHIEXLW

    QSVFMHMXMIWERHHMWEFMPMXMIW8LMWWIGXMSRVIJPIGXWXLI

    MQTPIQIRXEXMSRSJXLIWI

    TEGOEKIMRXIVZIRXMSRW

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    VIKRERG]TSWIWEVMWOXSXLIPMJISJIZIV][SQER%R]TVIKRERX[SQER

    GERWYJJIVGSQTPMGEXMSRWERHHMI7SQITVIKRERGMIWEVIVMWOMIVXLER

    SXLIVW;SQIR[LSLEZIGSI\MWXMRKLIEPXLTVSFPIQWWYGLEWERIQME

    QEPEVMESVHMEFIXIWEVIQSVIPMOIP]XSLEZIGSQTPMGEXMSRW,IEPXL][SQIR

    GEREPWSWYJJIVGSQTPMGEXMSRW8LIEGGYVEG]SJTVIHMGXMRK[LS[MPPHIZIPST

    GSQTPMGEXMSRWMWRSXTSWWMFPI

    &MVXLEPWSTSWIWEVMWOXSFEFMIW'SQTPMGEXMSRWERHSXLIVLIEPXLTVSFPIQW

    SJXLI[SQERLEVQXLIFEF]XSS4IVMREXEPERHRISREXEPHIEXLWEVIPEVKIP]HYIXSXLIWEQIJEGXSVWXLEXGEYWIQEXIVREPQSVXEPMX]ERHHMWEFMPMX]

    (IEXLERHHMWEFMPMXMIWJVSQTVIKRERG]GSQTPMGEXMSRWGERFITVIZIRXIH

    SVXVIEXIH8LMWGERFIEGLMIZIHF]EGSQFMREXMSRSJMRXIVZIRXMSRW*EQMP]

    TPERRMRK[MPPLIPTEZSMHTVIZIRXYRTPERRIHXSSIEVP]XSSGPSWIXSSQER]

    ERHXSSPEXITVIKRERGMIWTEVXMGYPEVP]EQSRKZIV]LMKLVMWO[SQIR5YEPMX]

    TVIREXEPHIPMZIV]ERHTSWXTEVXYQWIVZMGIWGERTVIZIRXGSQTPMGEXMSRW

    HIXIGXTVSFPIQWIEVP]ERHEPPS[TVSQTXXVIEXQIRXERHQEREKIQIRX

    1SFMPM^MRKGSQQYRMXMIWERHPSGEPKSZIVRQIRXW[MPP

    3

  • 7/27/2019 Maternal and Newborn Care

    27/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    1SXLIVERH&EF]4EGOEKI-RXIVZIRXMSRW

    &IJSVIERHHYVMRKTVIKRERG]

    v )HYGEXMSRERHGSYRWIPMRKERHEGXYEPWIVZMGIWJSVJEQMP]TPERRMRK

    v 78-,-:%-(7TVIZIRXMSRERHQEREKIQIRX

    v 8IXERYWXS\SMHMQQYRM^EXMSR

    v %RXIREXEPVIKMWXVEXMSRERHGEVI

    v 8VIEXQIRXSJI\MWXMRKGSRHMXMSRWJSVI\EQTPIQEPEVMEERHLSSO[SVQ

    v -VSRJSPEXIWYTTPIQIRXEXMSR

    v 6IGSKRMXMSRIEVP]HIXIGXMSRERHQEREKIQIRXSJGSQTPMGEXMSRWIGPEQTWMETVI

    IGPEQTWME FPIIHMRKEFSVXMSRERIQME

    v ,IEPXLIHYGEXMSRERHGSYRWIPMRK[MXLIQTLEWMWSRRYXVMXMSR

    (YVMRKHIPMZIV]

    v 'PIERERHWEJIEXVEYQEXMGHIPMZIV]

    v 6IGSKRMXMSRIEVP]HIXIGXMSRERHQEREKIQIRXSJGSQTPMGEXMSRWEXLIEPXLGIRXVI

    SVLSWTMXEP[MXL)Q3'GETEFMPMXMIWJSVI\EQTPILIQSVVLEKIWITWMW

    TVSPSRKIHSFWXVYGXIHPEFSV

    %JXIVHIPMZIV]QSXLIV

    v 6IGSKRMXMSRIEVP]HIXIGXMSRERHQEREKIQIRXSJGSQTPMGEXMSRWEXLIEPXLGIRXVI

    SVLSWTMXEP[MXL)Q3'GETEFMPMXMIWJSVI\EQTPILIQSVVLEKIWITWMWIGPEQTWME

    v 4SWXTEVXYQGEVITVSQSXMSRERHWYTTSVXXSFVIEWXJIIHMRKERHQEREKIQIRXSJ

    FVIEWXGSQTPMGEXMSRW

    v)HYGEXMSRERHGSYRWIPMRKERHEGXYEPWIVZMGIWJSVJEQMP]TPERRMRK

    v 78-,-:%-(7TVIZIRXMSRERHQEREKIQIRX

    v 8IXERYWXS\SMHMQQYRM^EXMSRFEWIHSRWGLIHYPI

    v ,IEPXLIHYGEXMSRERHGSYRWIPMRK

    %JXIVHIPMZIV]RI[FSVR

    v

    6IWYWGMXEXMSRv 4VIZIRXMSRERHQEREKIQIRXSJL]TSXLIVQMEMRGPYHMRKSTXLEPQMERISREXSVYQ

    ERHGSVHMRJIGXMSRW

    v &VIEWXJIIHMRKMRMXMEXMSR[MXLMRSRILSYVEJXIVFMVXL

    v )\GPYWMZIFVIEWXJIIHMRKYTXSQSRXLW

    v 4VIZIRXMSRERHQEREKIQIRXSJMRJIGXMSRW

    v 2I[FSVRWGVIIRMRK

    v ,IEPXLIHYGEXMSRERHGSYRWIPMRK

  • 7/27/2019 Maternal and Newborn Care

    28/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    5YMGOGLIGOMWEWIVMIWSJWXITWXSEWWIWWXLIGSRHMXMSRSJXLI[SQER

    ERHSVLIVRI[FSVR

    %UYMGOGLIGOMWRIGIWWEV]XSIRWYVIXLEX[SQIRERHRI[FSVRW[LS

    LEZITVSFPIQWSVGSRHMXMSRWXLEXVIUYMVIMQQIHMEXIEXXIRXMSREVIXEOIR

    GEVISJTVSQTXP]8LMW[MPPEZSMH[SVWIRMRKSJGSRHMXMSRERHSVTVIZIRXMSRSJHIEXL

    (SXLIUYMGOGLIGOMQQIHMEXIP]YTSREVVMZEPSJXLI[SQERERHSVLIV

    RI[FSVRERHVITIEXUYMGOGLIGOMJXLIUYIYIMWPSRK

    4XLFN&KHFN

  • 7/27/2019 Maternal and Newborn Care

    29/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    6ETMH%WWIWWQIRXERH1EREKIQIRX6%1

    v *SVZEKMREPFPIIHMRK EWWIWWTVIKRERG]WXEXYW EWWIWWEQSYRXSJFPIIHMRK WXSTXLIFPIIHMRK

    v 7XEFMPM^IXLI[SQERMJWLIMW RSXFVIEXLMRK GSRZYPWMRK MRWLSGO [MXLLMKLJIZIV

    v %WWIWWJMVWXIQIVKIRG]WMKRWv (SEPPIQIVKIRG]WXITWFIJSVIVIJIVVEP QEREKIEMV[E]ERHFVIEXLMRK

    QIEWYVIFPSSHTVIWWYVIERHGSYRXTYPWI

    5YMGOGLIGOJSVXLI[SQER

    ERHSVLIVRI[FSVR

  • 7/27/2019 Maternal and Newborn Care

    30/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    7XITWXSJSPPS[

    +MZIIQIVKIRG]QEREKIQIRX

    (MWGYWWHIGMWMSR[MXL[SQERTEVXRIVWTSYWIERHVIPEXMZIW

    5YMGOP]SVKERM^IXVERWTSVXERHTSWWMFPIJMRERGMEPEMH

    -RJSVQXLIVIJIVVEPGIRXIVF]GIPPTLSRIPERHPMRISVVEHMS

    )RWYVIWYTTSVX

    v %GGSQTER]XLI[SQERRI[FSVRXSXLIVIJIVVEPGIRXIVMJTSWWMFPI

    v ,EZIVIPEXMZIW[LSGERHSREXIFPSSHKS[MXLXLI[SQER

    v &VMRKXLIFEF][MXLXLIQSXLIVMJTSWWMFPI

    v &VMRKEPSRKXLI1SXLIVERH&EF]FSSOERHJMPPSYXEVIJIVVEPJSVQ

    5HIHUUDO

    -RXLIIZIRXSJSFWXIXVMGEPERHRI[FSVRGSQTPMGEXMSRWERHSV

    IQIVKIRGMIWMXMWMQTSVXERXXLEXXLI[SQERERHLIVRI[FSVREVI

    VIJIVVIHXSELIEPXLJEGMPMX]GETEFPISJKMZMRKXLIQXLIRIIHIHGEVIERH

    WYTTSVXF]LEZMRKE&)Q3'SV')Q3'GIVXMJMGEXMSRJVSQXLI(3,

    4VIZIRXHIPE]ERHIRWYVIXLEXVIJIVVEPMWXMQIP]XSTVIZIRXHIEXLERHHMWEFMPMX]

    ;MXL]SYVFEVERKE]WHIZIPSTERIQIVKIRG]XVERWTSVXW]WXIQXLEXMWJEWX

    IRSYKLERHEZEMPEFPILSYVWIZIV]HE]7II7IGXMSRJSVJYVXLIV

    HMWGYWWMSR

    +IXXSORS[ERHGSSVHMREXIGEPPERHGSQQYRMGEXI[MXLXLITIVWSRW

    VIWTSRWMFPIJSVVIGIMZMRKVIJIVVEPWXSJEGMPMXEXITVSGIHYVIWERHTVIZIRX

    YRRIGIWWEV][EMXMRK

  • 7/27/2019 Maternal and Newborn Care

    31/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    (YVMRKNSYVRI]

    *SVXLI[SQER

    v -JNSYVRI]MWPSRKKMZIETTVSTVMEXIXVIEXQIRXSRXLI[E]

    v -JXLI[SQERMWFPIIHMRKGSRXMRYIXSQSRMXSVFPSSHPSWWERH

    GSRXMRYIQIEWYVIWXSHIGVIEWIFPIIHMRKEGGSVHMRKXSGEYWI

    v 1EREKIWLSGO

    v -JXLI[SQERLEWER-:PMRI[EXGLXLIMRJYWMSR

    v /IITVIGSVHWSJEPP-:JPYMHWQIHMGEXMSRWKMZIRXMQISJ

    EHQMRMWXVEXMSRERHXLI[SQER WGSRHMXMSR

    *SVXLIFEF]

    v /IITXLIFEF][EVQF]WOMRXSWOMRGSRXEGX[MXLQSXLIVSV

    WSQISRIIPWI

    v 'SZIVXLIFEF][MXLEFPEROIXERH[MXLEGETSRXLILIEH

    v 4VSXIGXXLIFEF]JVSQHMVIGXWYRPMKLX

    v )RGSYVEKIFVIEWXJIIHMRKHYVMRKXLINSYVRI]

    v -JXLIFEF]HSIWRSXFVIEWXJIIHERHXLINSYVRI]MWQSVIXLER

    LSYVWGSRWMHIVKMZMRKI\TVIWWIHQMPOF]GYT

  • 7/27/2019 Maternal and Newborn Care

    32/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    MVWXEMHJSVXLI[SQER

    [MXLHERKIVWMKRW

    )RWYVIXLEXJMVWXEMHXVIEXQIRXMWKMZIRXSXLI[SQERFIJSVIXLIVIJIVVEP

    XSLIPTTVIZIRXJYVXLIVHIXIVMSVEXMSRSJLIVGSRHMXMSR

    -JWIZIVIHMJJMGYPX]SJFVIEXLMRKERHSFWXVYGXMSRMWWYWTIGXIH

    v8V]XSGPIEVXLI

    EMV[E]ERHHMWPSHKISFWXVYGXMSR

    v ,IPTXLI[SQERXS

    JMRHXLIFIWX

    TSWMXMSRJSV

    FVIEXLMRK

    v 9VKIRXP]VIJIVXLI

    [SQERXSXLI

    LSWTMXEP[MXL

    )Q3'GETEFMPMXMIW

    9RGSRWGMSYW

    v /IITLIVSRLIVFEGOEVQWEXXLIWMHI

    v 8MPXLIVLIEHFEGO[EVHWYRPIWWXVEYQEMWWYWTIGXIH

    v 0MJXLIVGLMRXSSTIREMV[E]

    v -RWTIGXLIVQSYXLJSVJSVIMKRFSH]VIQSZIMJJSYRH

    v 'PIEVWIGVIXMSRWJVSQXLVSEX

    -RWIVXMRKMRXVEZIRSYW-:PMRIERHKMZMRKJPYMHWXSTVIZIRX

    SVGSVVIGXWLSGO

    v ;EWLLERHW[MXLWSETERH[EXIV

    v 'PIER[SQER WWOMR[MXLEPGSLSPEXWMXIJSV-:PMRIYWMRKE

    KEYKIRIIHPI

    v %XXEGL6MRKIVWPEGXEXISVRSVQEPWEPMRIIRWYVIMRJYWMSRMWVYRRMRK

    [IPP

  • 7/27/2019 Maternal and Newborn Care

    33/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v +MZIJPYMHWEXVETMHVEXIMJMRWLSGOW]WXSPMG&4MWPIWWXLERQQ

    ,KTYPWIVEXIMWQSVIXLERQMRYXISVLIEZ]ZEKMREPFPIIHMRK

    -RJYWIPMXIVMRQMRYXIWEWVETMHEWTSWWMFPI

    *SPPS[[MXLPMXIVMRQMRYXIWEXQPQMRYXIVITIEXMJ

    RIGIWWEV]

    1SRMXSVIZIV]QMRYXIWJSV&4TYPWIERHWLSVXRIWWSJ

    FVIEXL

    6IHYGIMRJYWMSRVEXIXSQPQMRYXIPMXIVMR

    LVW[LIRTYPWIWPS[WXSPIWWXLERQMRYXIW]WXSPMG

    &4MRGVIEWIWXSQQ,KSVLMKLIV

    7XSTMRJYWMSRVEXIMJ[MXLFVIEXLMRKHMJJMGYPX]SVMJTYJJMRIWWHIZIPSTW

    1SRMXSVYVMRISYXTYX

    6IGSVHXMQIERHEQSYRXSJJPYMHWKMZIR

    v +MZIJPYMHWEXQSHIVEXIVEXIPMXIVMRLSYVWMJ[MXLWIZIVI

    EFHSQMREPTEMRSFWXVYGXIHPEFSVIGXSTMGTVIKRERG]HERKIVSYW

    JIZIVSVHIL]HVEXMSR

    v -J-:EGGIWWMWRSXTSWWMFPIKMZISVEPVIL]HVEXMSRWSPYXMSR367

    F]QSYXLMJEFPIXSHVMROSVF]REWSKEWXVMGXYFIEXQP

    MRSRILSYV

    (S238KMZI367XSE[SQER[LSMWYRGSRWGMSYWSV

    LEWGSRZYPWMSRW-JWLIMWYREFPIXSW[EPPS[367QE]

    KSXSLIVPYRKW

    (S238EHQMRMWXIVMRXVEZIRSYWJPYMHWMJ]SYEVI238

    XVEMRIHXSHSWS

    4SWXTEVXYQFPIIHMRK

    v ;LIRE[SQERMWFPIIHMRKQEWWEKIYXIVYWERHI\TIPGPSXW

    v -JTSWXTEVXYQFPIIHMRKTIVWMWXWEJXIVTPEGIRXEMWHIPMZIVIHSVYXIVYWMWRSX[IPPGSRXVEGXIH

    4PEGIGYTTIHTEPQSRYXIVMRIJYRHYWERHJIIPJSVWXEXISJ

    GSRXVEGXMSR

    1EWWEKIJYRHYWMREGMVGYPEVQSXMSR[MXLGYTTIHTEPQYRXMPYXIVYW

    MW[IPPGSRXVEGXIH

    RIGIWWEV]

  • 7/27/2019 Maternal and Newborn Care

    34/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    ;LIR[IPPGSRXVEGXIHTPEGIJMRKIVWFILMRHJYRHYWERHTYWLHS[R

    MRSRIW[MJXEGXMSRXSI\TIPGPSXW

    'SPPIGXFPSSHMREGSRXEMRIVTPEGIHGPSWIHXSZYPZE1IEWYVI

    SVIWXMQEXIFPSSHPSWWERHVIGSVH

    +MZIIVKSQIXVMRIQK-1ERHERSXLIVHSWIEJXIVQMRYXIW

    (S238KMZIIVKSQIXVMRIMJ[SQERLEWIGPEQTWME

    TVIIGPEQTWMESVL]TIVXIRWMSR

    v -JTSWXTEVXYQFPIIHMRKTIVWMWXWHIWTMXIVIQSZEPSJTPEGIRXEYXIVMRI

    QEWWEKIERHIVKSQIXVMRIXVIEXQIRXETTP]FMQERYEPYXIVMRIGSQTVIWWMSR

    ;IEVWXIVMPISVGPIERKPSZIW

    -RXVSHYGIXLIVMKLXLERHMRXSXLIZEKMREGPIRGLIHJMWX[MXL

    XLIFEGOSJXLILERHHMVIGXIHTSWXIVMSVP]ERHXLIORYGOPIW

    MRXLIERXIVMSVJSVRM\

    4PEGIXLISXLIVLERHSRXLIEFHSQIRFILMRHXLIYXIVYW

    ERHWUYII^IXLIYXIVYWJMVQP]FIX[IIRXLIX[SLERHW

    'SRXMRYIGSQTVIWWMSRYRXMPFPIIHMRKWXSTWRSFPIIHMRK

    MJXLIGSQTVIWWMSRMWVIPIEWIH

  • 7/27/2019 Maternal and Newborn Care

    35/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    6IJIVVEPPIZIPW

  • 7/27/2019 Maternal and Newborn Care

    36/90

    7XITWXSJSPPS[

    (SEUYMGOGLIGOJSVIQIVKIRG]WMKRW

    )QIVKIRG]WMKRW

    v 9RGSRWGMSYW'SRZYPWMRKv :EKMREPFPIIHMRKv 7IZIVIEFHSQMREPTEMRv 0SSOWZIV]MPPv 7IZIVILIEHEGLI[MXLZMWYEPHMWXYVFERGIv 7IZIVIFVIEXLMRKHMJJMGYPX]v *IZIVv 7IZIVIZSQMXMRK

    (S238QEOIEZIV]WMGO[SQER[EMX

    EXXIRHXSLIVUYMGOP]

    1EOIXLI[SQERGSQJSVXEFPI

    v +VIIXLIVQEOIWYVIWLIMWGSQJSVXEFPIERHEWOLS[WLIMWJIIPMRK

    v -JJMVWXZMWMXVIKMWXIVXLI[SQERERHMWWYIE1SXLIVERH'LMPH&SSO

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    3UHQDWDO&DUH

    -RVYVEPEVIEWTIVGIRXSJQSXLIVWERHMRYVFEREVIEWTIVGIRX

    KSXSQMH[MZIWERHRYVWIWJSVTVIREXEPGEVI2(,78LVSYKL

    TVIREXEPGEVIHMWIEWIW[LMGLQE]PIEHXSGSQTPMGEXMSRWGERFIHIXIGXIH

    ERHQEREKIHIEVP];SQIREVIEPWSMRJSVQIHERHIHYGEXIHSRHERKIV

    ERHIQIVKIRG]WMKRWERHW]QTXSQW7LIERHLIVJEQMP]EVIEPWSFIMRK

    TVITEVIHJSVGLMPHFMVXLERHEXXLIWEQIXMQIVIGIMZIVIGSQQIRHEXMSRW[LIVIXSWIIOXVIEXQIRXMJGSQTPMGEXMSRWEVMWI

  • 7/27/2019 Maternal and Newborn Care

    37/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %WWIWWXLITVIKRERX[SQER

    v 9WIXLIGLEVX%WWIWWXLI4VIKRERX;SQERHYVMRKTVIREXEPZMWMXW

    v (YVMRKXLIJMVWXTVIREXEPZMWMXHMWGYWWERHTVITEVIEFMVXLTPER[MXLIQIVKIRG]TVITEVIHRIWWQIEWYVIWERHVIZMI[SRWYGGIIHMRKZMWMXW )RGSYVEKIEPPTVIKRERX[SQIRXSHIPMZIVMRXLILIEPXL

    JEGMPMX] (MWGYWW[MXLXLI[SQEREWXS[LS[MPPFILIVGSQTERMSR

    HYVMRKPEFSVHIPMZIV]ERHLSYVWEJXIVFMVXLERH[LS[MPPGEVIJSVLIVLSQIERHGLMPHVIR

    -JQSXLIVWXMPPTVIJIVWXSHIPMZIVEXLSQI[MXLSYXEWOMPPIHFMVXLEXXIRHERXVIWTIGXLIVHIGMWMSR7TIRHQSVIXMQIKMZMRKMRJSVQEXMSRSRGPIERERHWEJIHIPMZIV]EXLSQI

    v 1SHMJ]XLIFMVXLTPERMJER]GSQTPMGEXMSRWEVMWI

    %PPTVIKRERGMIWEVIEXVMWO)RGSYVEKIEPPTVIKRERX

    [SQIRXSHIPMZIVMRXLILIEPXLJEGMPMX]

    %P[E]WVIGSVHJMRHMRKW-XGERLIPT]SYQEOIXLIVMKLXERHXMQIP]HIGMWMSRWSRXLIGEVISJXLI[SQERERHLIV

    FEF]

  • 7/27/2019 Maternal and Newborn Care

    38/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %WWIWWXLI4VIKRERX;SQER4VIKRERG]7XEXYW

    &MVXLERH)QIVKIRG]4PER

    (S238TIVJSVQEZEKMREPI\EQMREXMSREWE

    VSYXMRITVIREXEPGEVITVSGIHYVI

  • 7/27/2019 Maternal and Newborn Care

    39/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    +IXFEWIPMRIPEFSVEXSV]MRJSVQEXMSRSJXLI[SQERSR

    XLIJMVWXSVJSPPS[MRKXLIJMVWXZMWMX

    v (IXIVQMRILIQSKPSFMRERHFPSSHX]TIERHTIVJSVQEYVMREP]WMWv -JRSXEZEMPEFPIVIJIVXSXLIRIEVIWX6,9SVLSWTMXEPJSVXLIXIWXW

    'LIGOJSVKIWXEXMSREPHMEFIXIW

    v %WOEFSYXJEQMP]LMWXSV]JMVWXHIKVIISJHMEFIXIWERHLMWXSV]SJSFIWMX]

    v %WOEFSYXTEWXTVIKRERG]JSVHMJJMGYPXPEFSVPEVKIFEFMIWGSRKIRMXEPQEPJSVQEXMSRWERHTVIZMSYWYRI\TPEMRIHJIXEPHIEXL

    v 0SSOJSVWMKRWSJQEXIVREPSZIV[IMKLXSVSFIWMX]TSP]L]HVEQMSWWMKRWSJPEVKIFEF]JIXEPEFRSVQEPMX]ERHZEKMREPMRJIGXMSR

    -JTSWMXMZIJSV

    v JEQMP]LMWXSV]SJHMEFIXIWERHv [SQERMW]IEVWERHSPHIVERHv MWSFIWI

    7LIMWEXPS[VMWOJSVHMEFIXIWVIJIVJSVKPYGSWIWGVIIRMRKFIX[IIRXLIXLERHXLQSRXLSJTVIKRERG]

    -JTSWMXMZIJSV

    v JEQMP]LMWXSV]SJHMEFIXIWERHv LMWXSV]SJSZIV[IMKLXSFIWMX]ERHv WLIMWSFIWIERHv WLILEWTSP]L]HVEQMSWSVLEWE

    PEVKIJIXYWSVXLIVIMWJIXEPEFRSVQEPMX]SVLEWVIGYVVIRXZEKMREPMRJIGXMSRWSVLMWXSV]SJ

    YRI\TPEMRIHJIXEPHIEXL

    7LIMWEXLMKLVMWOJSVHMEFIXIWVIJIVJSVKPYGSWIWGVIIRMRKEW

    WSSREWTSWWMFPI

  • 7/27/2019 Maternal and Newborn Care

    40/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    'LIGOJSVTEPPSVSVERIQME

    v %WOEFSYXKIXXMRKXMVIHIEWMP]SVWLSVXRIWWSJFVIEXLHYVMRKVSYXMRI[SVO

    v 3RJMVWXZMWMXHIXIVQMRILIQSKPSFMRERHFPSSHX]TI8LIRSVQEPLIQSKPSFMRGYXSJJPIZIPJSVETVIKRERX[SQERMWKHP

    v 3RWYFWIUYIRXZMWMXW PSSOJSVGSRNYRGXMZEPTEPPSV PSSOJSVTEPQEVTEPPSV-JTEPPSV-WMXWIZIVITEPPSV#7SQITEPPSV#

    ERHGSYRXRYQFIVSJFVIEXLWMRSRIQMRYXI

    'LIGOJSVL]TIVXIRWMSRTVIIGPEQTWME

    v1IEWYVI&4MRWMXXMRKTSWMXMSRv-JHMEWXSPMG&4MWQQ,KSVLMKLIVVITIEXQIEWYVIQIRXEJXIV

    LSYVVIWXv-JHMEWXSPMG&4MWWXMPPQQ,KSVLMKLIVEWOXLI[SQER

    MJWLILEW 7IZIVILIEHEGLI&PYVVIHZMWSR

    )TMKEWXVMGTEMR

    v %RHGLIGOYVMRIJSVTVSXIMR

    'LIGOJSVJIZIVFYVRMRKWIRWEXMSRSRYVMREXMSRERH

    EFRSVQEPZEKMREPHMWGLEVKI

    v %WOEFSYXITMWSHIWSJJIZIVSVGLMPPWERHXEOIXIQTIVEXYVIv %WOEFSYXTEMRSVFYVRMRKWIRWEXMSRSRYVMREXMSRv %WOEFSYXTVIWIRGISJEFRSVQEPZEKMREPHMWGLEVKIMXGLMRKEXXLI

    ZYPZESVMJTEVXRIVLEWEYVMREV]TVSFPIQ

    -QQYRM^IEKEMRWXXIXERYW

    v 'LIGOXIXERYWMQQYRM^EXMSRWXEXYWv -J&,7MWEJM\IHGIRXIVKMZIXIXERYWXS\SMHQPEGGSVHMRKXS

    WGLIHYPI-JRSXMRJSVQXLI[SQERXSVIXYVRSRXLIRI\XMQQYRM^EXMSRVSYRH

    v %HZMWI[SQER[LIRXLIRI\XHSWIMWHYIERHXSGSQTPIXIXLIHSWIW

  • 7/27/2019 Maternal and Newborn Care

    41/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    8VIEXJSVMRXIWXMREPTEVEWMXIW

    v +MZIQIFIRHE^SPIQKXEFPIXXEFPIXWMRKPIHSWIER]XMQIJVSQQSRXLWSJTVIKRERG]ERHMJRSRI[EWKMZIRMRXLITEWXQSRXLW

    (S238KMZIQIFIRHE^SPIMRXLIJMVWXQSRXLW

    SJTVIKRERG]MXQMKLXGEYWIGSRKIRMXEPTVSFPIQWMR

    XLIFEF]

    4VIZIRXERIQMEERHRIYVEPXYFIHIJIGXW[MXLMVSR

    ERHJSPEXIWYTTPIQIRXEXMSR

    v +MZIMVSRJSPEXIQKYKXEFPIXXEFPIXHEMP]XSPEWXYRXMPWGLIHYPIHVIXYVRZMWMX

    v *SVFIWXTVIZIRXMSRMXMWFIWXXSKMZIMVSRERHJSPEXIWYTTPIQIRXEXMSRFIJSVITVIKRERG]

    8IXERYW8S\SMH-QQYRM^EXMSR7GLIHYPI

    :EGGMRI

    88

    88

    88

    88

    88

    1MRMQYQ-RXIVZEP

    EXJMVWXGSRXEGX[MXL[SQER]VWSVEXJMVWX%2'ZMWMX

    EXPIEWX[IIOWEJXIV88

    EXPIEWXQSRXLWEJXIV88

    EXPIEWX]IEVEJXIV88

    EXPIEWX]IEVEJXIV88

    (YVEXMSRSJ4VSXIGXMSR

    v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW

    v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV

    v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW

    v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV

    v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW

    v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV

    v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW

    v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV

    v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW

    v 0MJIXMQITVSXIGXMSRJSVXLIQSXLIV

  • 7/27/2019 Maternal and Newborn Care

    42/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    +MZITVIZIRXMZIMRXIVQMXXIRXXVIEXQIRXJSVJEPGMJEVYQ

    QEPEVME

    v +MZIWYPJEHS\MRIT]VMQIXLEQMRIXS[SQIRJVSQQEPEVMEIRHIQMGEVIEW[LSEVIMRXLIMVJMVWXSVWIGSRHTVIKRERG]QKQKXEFPIXXEFPIXWEXXLIFIKMRRMRKSJXLIRHERHVHXVMQIWXIVWRSXPIWWXLERSRIQSRXLMRXIVZEP

    v )RGSYVEKIWPIITMRKYRHIVEFIHRIXTVIJIVEFP]MRWIGXMGMHIXVIEXIH

    +MZITVIZIRXMZIMRXIVQMXXIRXXVIEXQIRXJSV

    QEPEVMESRP]XS[SQIRMRIRHIQMGEVIEW

    +MZI:MXEQMR%

    v +MZI:MXEQMR%-9X[MGIE[IIOWXEVXMRKSRXLIXLQSRXLSJTVIKRERG]

    v -J[SQERMWEPVIEH]XEOMRKQYPXMZMXEQMRWJSVKSZMXEQMR%WYTTPIQIRXEXMSR

    (S238KMZIZMXEQMR%WYTTPIQIRXEXMSRFIJSVI

    XLIXLQSRXLSJTVIKRERG]-XQMKLXGEYWI

    GSRKIRMXEPTVSFPIQWMRXLIFEF]

    4VSZMHILIEPXLMRJSVQEXMSREHZMGIERHGSYRWIPSR

    HERKIVWMKREPWERHXLVIIHIPE]W

    v (MWGYWWJMVWXXLIXSTMGWXLEXEVIQSWXMQTSVXERXXSXLI[SQERHYVMRKXLIZMWMX'SZIVSXLIVWYKKIWXIHXSTMGWSRGIQEMRGSRGIVRSJXLI[SQERLEWEPVIEH]FIIREHHVIWWIH

    v

    7TIRHQSVIXMQIKMZMRKRYXVMXMSRIHYGEXMSRERHGSYRWIPMRKXSZIV]XLMR[SQIRERHEHSPIWGIRXW

    *EQMP]TPERRMRKIHYGEXMSRERHGSYRWIPMRKEVI

    ZIV]MQTSVXERXHYVMRKXLI[LSPIGSYVWISJ

    TVIKRERG]YTXSTSWXTEVXYQTEVXMGYPEVP]FIJSVI

    HIPMZIV]FIGEYWIJIQEPIWXIVMPM^EXMSRERHMRWIVXMSR

    SJ-9(GERFIHSRIMQQIHMEXIP]TSWXTEVXYQ

  • 7/27/2019 Maternal and Newborn Care

    43/90

    )RGSYVEKIXLI[SQERXSGSQIFEGOJSVVIXYVRZMWMXW

    -RJSVQEXMSRERHEHZMGIHYVMRKERXIREXEPGEVI

    %XJMVWXZMWMX

    v2YXVMXMSRERHTVIZIRXMRK

    ERIQME

    v4VIZIRXMRKXIXERYW

    v4VIZIRXMRKQEPEVME

    v(MWGSQJSVXWSJTVIKRERG]

    v)QIVKIRG]WMKRWSJTVIKRERG]

    v*SPPS[YTZMWMXWERH[LIRERH[LIVIXSKSHYVMRKIQIVKIRGMIW

    v2I[FSVRWGVIIRMRK

    v)HYGEXMSRERHGSYRWIPMRKSR*4

    %XWIGSRHZMWMX

    v7IPJGEVIHYVMRKTVIKRERG]

    v%HZERXEKIWSJLIEPXLJEGMPMX]

    HIPMZIV]

    v4VITEVEXMSRJSVSFWXIXVMGIZIRXW

    -RXLIXLMVHXVMQIWXIV

    v&VIEWXQMPOERHFVIEWXJIIHMRK

    v*EQMP]4PERRMRK

    v'PIERERHWEJIHIPMZIV]F]EWOMPPIH

    TVSJIWWMSREP

    v

    2I[FSVRWGVIIRMRKv)HYGEXMSRERHGSYRWIPMRKSR*4

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v 7GLIHYPIXLIHEXIERHRSXIMXHS[RSRXLI1SXLIVERH'LMPH

    &SSO

    v )RGSYVEKIXLI[SQERXSFVMRKLIVTEVXRIVSVEJEQMP]QIQFIV

    XSEXPIEWXSRIZMWMX

    v %JXIVXLIXLQSRXLWII[SQERIZIV][IIOWYRXMPWLI

    HIPMZIVWv %PPTVIKRERX[SQIRWLSYPHLEZIEXPIEWXVSYXMRI

    ERXIREXEPZMWMXW

    v )RGSYVEKI[SQIRXSGSQIJSVXLIJMVWXTVIREXEP

    ZMWMXEWIEVP]MRTVIKRERG]EWTSWWMFPIFIJSVIQSRXLW

    v 4VIKRERX[SQIR[LSHSRSXGSQIJSVTVIREXEPGEVI

    WLSYPHFIZMWMXIHEXLSQI

  • 7/27/2019 Maternal and Newborn Care

    44/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    &DUHGXULQJODERU

    FKLOGELUWKDQGLPPHGLDWH

    SRVWSDUWXP

    -RTVIZIRXMRKQEXIVREPERHRI[FSVRQSVXEPMX]KSSHUYEPMX]LIEPXLGEVI

    MWMQTSVXERXHYVMRKXLIGVMXMGEPTIVMSHSJPEFSVERHHIPMZIV]8LITVIWIRGISJEWOMPPIHFMVXLEXXIRHERXQE]MXFIEQMH[MJIRYVWISV

    HSGXSVHSIWRSXSRP]IRWYVIL]KMIRIHYVMRKPEFSVERHHIPMZIV]FYXQE]

    EPWSTVSZMHIWEJIERHRSRXVEYQEXMGGEVIVIGSKRM^IGSQTPMGEXMSRWERH

    EPWSQEREKIXLIQIJJIGXMZIP]SVVIJIVGSQTIXIRXP]XLI[SQERXSE

    LMKLIVPIZIPSJGEVI

    8LIJSPPS[MRKEVIWXITWXSJSPPS[[LIRHSMRKGEVIHYVMRKPEFSV

    GLMPHFMVXLERHMQQIHMEXITSWXTEVXYQ

    7XITWXSJSPPS[

    (SEUYMGOGLIGOJSVIQIVKIRG]WMKRW

    )QIVKIRG]WMKRW

    v 9RGSRWGMSYW'SRZYPWMRK

    v :EKMREPFPIIHMRK

    v 7IZIVIEFHSQMREPTEMR

    v 0SSOWZIV]MPP

    v 7IZIVILIEHEGLI[MXLZMWYEPHMWXYVFERGI

    v 7IZIVIFVIEXLMRKHMJJMGYPX]

    v *IZIV

    v 7IZIVIZSQMXMRK

    (S238QEOIEZIV]WMGO[SQER[EMX

    EXXIRHXSLIVUYMGOP]

  • 7/27/2019 Maternal and Newborn Care

    45/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    1EOIXLI[SQERGSQJSVXEFPI

    v +VIIXLIVQEOIWYVIWLIMWGSQJSVXEFPIERHEWOLS[WLIMWJIIPMRK

    v -J[SQERLEWLEHRSTVIREXEPZMWMXWVIKMWXIVXLI[SQERERHMWWYI

    E 1SXLIVERH'LMPH&SSO

    %WWIWWXLI[SQERMRPEFSV

    v 8EOIXLILMWXSV]SJPEFSVERHVIGSVHSRXLIPEFSVJSVQ

    7XEVXSJPEFSVTEMRWJVIUYIRG]ERHMRXIRWMX]SJGSRXVEGXMSRW

    :EKMREPHMWGLEVKIWLS[FPIIHMRK

    ;EXIV[LIRXLIFEKSJ[EXIVWFVSOIGSPSVSJ[EXIV

    -WXLIFEF]QSZMRK#

    v 6IZMI[1SXLIVERH&EF]&SSOSVJEGMPMX]TVIREXEPVIGSVH

    -JRSVIGSVHEWO[LIRXLIHIPMZIV]MWI\TIGXIH

    (IXIVQMRIMJTVIXIVQPIWWXLERQSRXLWTVIKRERX

    6IZMI[XLIFMVXLTPER

    -J[MXLTVMSVTVIKRERGMIW

    2YQFIVSJTVMSVTVIKRERGMIWHIPMZIVMIW

    %R]TVMSVGEIWEVIERWIGXMSRJSVGITWHIPMZIV]SVSXLIVGSQTPMGEXMSRWWYGLEWTSWXTEVXYQLIQSVVLEKI

    %R]TVMSVXLMVHHIKVIIXIEV

    v 3FWIVZIXLI[SQERWVIWTSRWIXSGSRXVEGXMSRW-WWLI

    'STMRK[IPP#

    (MWXVIWWIH#

    4YWLMRKSVKVYRXMRK#

    'LIGOEFHSQIRJSV

    9 'EIWEVIERWIGXMSRWGEV

    9 ,SVM^SRXEPVMHKIEGVSWWPS[IVEFHSQIRMJTVIWIRXIQTX]

    FPEHHIVERHSFWIVZIEKEMR *IIPEFHSQIRJSV

    9'SRXVEGXMSRWJVIUYIRG]HYVEXMSRER]GSRXMRYSYWGSRXVEGXMSRW

    9*IXEPPMIPSRKMXYHMREPSVXVERWZIVWI

    9*IXEPTVIWIRXEXMSRLIEHFVIIGLSXLIV

    91SVIXLERSRIJIXYW

    9*IXEPQSZIQIRX

  • 7/27/2019 Maternal and Newborn Care

    46/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    0MWXIRXSXLIJIXEPLIEVXFIEX'SYRXRYQFIVSJFIEXWMRSRIQMRYXI

    -JPIWWXLERSVQSVIXLERFIEXWTIVQMRYXIXYVR[SQER

    SRLIVPIJXWMHIERHGSYRXEKEMR

    1IEWYVI&4ERHXIQTIVEXYVI

    0SSOJSVTEPPSV

    0SSOJSVWYROIRI]IWHV]QSYXL4MRGLXLIWOMRSJXLIJSVIEVQ

    HSIWMXGSQIFEGOUYMGOP]#

    (IXIVQMRIXLIWXEKISJPEFSV

    v )\TPEMRXSXLI[SQERXLEX]SY[MPPTIVJSVQEZEKMREPI\EQMREXMSR

    ERHEWOJSVLIVGSRWIRX

    v -RWTIGXXLIZYPZEJSV

    &YPKMRKTIVMRIYQ

    %R]ZMWMFPIJIXEPTEVXW

    :EKMREPFPIIHMRK

    0IEOMRKEQRMSXMGJPYMHMJ]IWMWMXQIGSRMYQWXEMRIHJSYPWQIPPMRK#

    ;EVXWOIPSMHXMWWYISVWGEVWXLEXQE]MRXIVJIVI[MXLHIPMZIV]#

  • 7/27/2019 Maternal and Newborn Care

    47/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    )\EQMREXMSRSJXLIZYPZEERHZEKMRE

    v %P[E]WI\TPEMRERHEWOJSVXLI[SQERWGSRWIRX

    v ;EWL]SYVLERHW[MXLFYFFPMRKWSETERH[EXIVFIJSVIERHEJXIV

    IEGL I\EQMREXMSR

    v 9WIGPIERKPSZIWJSVZEKMREPI\EQMREXMSR

    v ;EWLXLIZYPZEERHTIVMRIEPEVIEWFIJSVIIEGLI\EQMREXMSR

    v 4IVJSVQKIRXPIZEKMREPI\EQMREXMSRHSRSXWXEVXHYVMRKGSRXVEGXMSR

    (IXIVQMRIGIVZMGEPHMPEXEXMSRMRGIRXMQIXIVWGQ

    *IIPJSVTVIWIRXMRKTEVXMWMXLEVHVSYRHERHWQSSXLLIEH#-JRSXMHIRXMJ]XLITVIWIRXMRKTEVX

    *IIPJSVXLIQIQFVERIWMWMXMRXEGX#

    *IIPJSVXLIGSVHMWMXJIPX#4YPWEXMRK#

    (S238TIVJSVQZEKMREPI\EQMJFPIIHMRKRS[SV

    IEVPMIVMRXLIXLMVHXVMQIWXIV

    (IXIVQMRMRK7XEKISJ0EFSV

  • 7/27/2019 Maternal and Newborn Care

    48/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    (IGMHIMJXLI[SQERGERWEJIP]HIPMZIV

    v -JXLIVIMWRSMRHMGEXMSRJSVVIJIVVEPGSRXMRYIXSXEOIGEVISJLIV

    v -JXLIVIMWER]MRHMGEXMSRJSVVIJIVVEPFYX[SQERMWMRPEXIEGXMZIPEFSV

    HIPMZIVXLIFEF]FYXTVITEVIJSVMQQIHMEXIVIJIVVEPMJWXMPPRIGIWWEV]

    v -JXLIVIMWER]MRHMGEXMSRJSVVIJIVVEPERHWLIMWMRIEVP]PEFSVERHXLI

    VIJIVVEPLSWTMXEPGERFIXMQIP]VIEGLIHVIJIVYVKIRXP]

    v

    -JXLI[SQERSVLIVJEQMP]VIJYWIWVIJIVVEPGSRXMRYIXSXEOIGEVISJLIVFYXI\TPEMRXLITSWWMFPIGSRWIUYIRGIW

    +MZIWYTTSVXMZIGEVIXLVSYKLSYXPEFSV

    v )\TPEMRTVSGIHYVIWWIIO

    TIVQMWWMSRERHHMWGYWW

    JMRHMRKW[MXLXLI

    [SQERERHLIVJEQMP]

    v )\EQMRIXLI[SQERMRE

    TPEGI[LIVIWLIMWRSXI\TSWIHXSTISTPI

    SXLIVXLERXLII\EQMRMRK

    TIVWSRERHLIVGLSMGISJ

    GSQTERMSR

    v )RGSYVEKILIVXS[EWL

    JVSQLIV[EMWXHS[RSV

    XEOIEFEXLEXXLISRWIXSJ

    PEFSV

    v )RGSYVEKILIVXSQSZI

    JVIIP]WYTTSVXLIVGLSMGISJEFMVXLMRKTSWMXMSR

    v )RGSYVEKILIVXSHVMROFYXRSXIEXEWWLIQE]ZSQMXSVMRGEWIWLI

    RIIHWWYVKIV]XLIHMKIWXMSRQE]MRXIVJIVI

    v )RGSYVEKILIVXSIQTX]LIVFPEHHIVERHFS[IPW6IQMRHLIVXSIQTX]

    LIVFPEHHIVIZIV]LSYVW

  • 7/27/2019 Maternal and Newborn Care

    49/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    (S238WLEZITIVMRIYQ-XGEYWIWHMWGSQJSVX[LIRLEMV

    KVS[WFEGOERHMXHSIWRSXVIHYGIXLIVMWOSJMRJIGXMSREW

    TVIZMSYWP]XLSYKLXSJ

    (S238KMZIIRIQE-XGEYWIWHMWGSQJSVXERHGEVVMIWE

    GIVXEMRHIKVIISJVMWOXSXLIFS[IP;MXLSYXERIRIQE

    WSMPMRKMWQEMRP]PMKLXERHIEWMIVXSVIQSZIXLERWSMPMRK

    EJXIVERIRIQE

    2):)6PIEZIE[SQERMRPEFSVEPSRI

    &VIEXLMRKXIGLRMUYI

    v 8IEGL[SQERXSRSXMGIRSVQEPFVIEXLMRK

    v )RGSYVEKILIVXSFVIEXLIQSVIWPS[P]QEOMRKEWMKLMRKRSMWIERH

    XSVIPE\[MXLIEGLFVIEXL

    v -JWLIJIIPWHM^^]SVJIIPMRKTMRWERHRIIHPIWMRLIVJEGILERHWSV

    JIIXIRGSYVEKILIVXSFVIEXLIQSVIWPS[P]

    v 8STVIZIRXTYWLMRKEXXLIIRHSJ

    XLIJMVWXWXEKIXIEGLLIVTERXMRK

    XSFVIEXLI[MXLSTIRQSYXLQEOI

    WLSVXFVIEXLWJSPPS[IHF]E

    PSRKFVIEXLSYXv (YVMRKHIPMZIV]SJXLILIEHEWO

    LIVRSXXSTYWLFYXXSFVIEXLI

    WXIEHMP]SVXSTERX

    v 8EPOXSLIVERHLIVGSQTERMSREFSYXXLITVSGIWWERHTVSKVIWWSJ

    PEFSV

    v 'SEGLLIVSRFVIEXLMRKXIGLRMUYI

    v 1EMRXEMRGPIERPMRIWWSJPEFSVERHFMVXLMRKEVIEWERHGPIERYTWTMPPW

    MQQIHMEXIP]

    v )RGSYVEKIWYTTSVXJVSQXLIGLSWIRFMVXLGSQTERMSR

  • 7/27/2019 Maternal and Newborn Care

    50/90

    1SRMXSVERHQEREKIPEFSV

    *MVWXWXEKIRSX]IXMREGXMZIPEFSVGIVZM\MWHMPEXIHGQERHGSRXVEGXMSRWEVI[IEOPIWWXLERMRQMRYXIW

    v 'LIGOIZIV]LSYVJSVIQIVKIRG]WMKRWJVIUYIRG]ERHHYVEXMSRSJGSRXVEGXMSRWJIXEPLIEVXVEXIQSSHERHFILEZMSV

    v 'LIGOIZIV]LSYVWJSVJIZIVTYPWIFPSSHTVIWWYVIERHGIVZMGEPHMPEXEXMSR

    v

    6IGSVHJMRHMRKWMRPEFSVVIGSVHv 6IGSVHXMQISJVYTXYVISJQIQFVERIWERHGSPSVSJXLIEQRMSXMG

    JPYMH

    v %WWIWWTVSKVIWWSJPEFSV%JXIVLSYVWMJGSRXVEGXMSRWEVIWXVSRKIVERHQSVIJVIUYIRX

    FYXRSTVSKVIWWMRGIVZMGEPHMPEXEXMSR[MXLSV[MXLSYXQIQFVERIWVYTXYVIHVIJIVXLI[SQERYVKIRXP]XSXLILSWTMXEP[MXL')Q3'GETEFMPMXMIW

    4EMRERHHMWGSQJSVX

    VIPMIJ

    v 7YKKIWXGLERKISJTSWMXMSR

    v )RGSYVEKIQSFMPMX]EW

    GSQJSVXEFPIJSVLIV

    v )RGSYVEKIGSQTERMSRXS

    1EWWEKILIVPS[IVFEGO

    MJWLIJMRHWMXLIPTJYP

    ,SPHLIVLERHERH

    WTSRKILIVJEGIERHRIGO

    FIX[IIRGSRXVEGXMSRW

    v )RGSYVEKILIVFVIEXLMRK

    XIGLRMUYI

    v )RGSYVEKI[EVQFEXLMJ

    EZEMPEFPIERHHIWMVIH

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

  • 7/27/2019 Maternal and Newborn Care

    51/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %JXIVLSYVWMJXLIVIMWRSMRGVIEWIMRGSRXVEGXMSRWERHQIQFVERIWEVIRSXVYTXYVIHERHRSTVSKVIWWMRGIVZMGEPHMPEXEXMSREHZMWIXLI[SQERXLEXWLILEHEJEPWIPEFSVERHXS[EMXJSVMRGVIEWMRKTEMRHMWGSQJSVXERHJSVVYTXYVISJXLIQIQFVERIW

    (S238HSZEKMREPI\EQMREXMSRQSVIJVIUYIRXP]XLER

    IZIV]LSYVW

    *MVWXWXEKIMREGXMZIPEFSVGIVZMGIMWHMPEXIHGQSVQSVI

    v 'LIGOIZIV]QMRYXIWJSVIQIVKIRG]WMKRWJVIUYIRG]ERHHYVEXMSRSJGSRXVEGXMSRWJIXEPLIEVXVEXIQSSHERHFILEZMSV

    v 'LIGOIZIV]LSYVWJSVJIZIVTYPWIFPSSHTVIWWYVIERHGIVZMGEPHMPEXEXMSR

    v 6IGSVHXMQISJVYTXYVISJQIQFVERIWERHGSPSVSJXLIEQRMSXMGJPYMH

    v 6IGSVHJMRHMRKWMRPEFSVVIGSVHERHTEVXSKVETL

    (S238EPPS[XLI[SQERXSTYWLYRPIWWHIPMZIV]MW

    MQQMRIRX-XHSIWRSXLIPTXSWTIIHYTPEFSVERH[MPP

    NYWXI\LE YWXXLI[SQER

    (S238KMZIQIHMGEXMSRWXSWTIIHYTPEFSV8LMWMW

    HERKIVSYWERHQE]GEYWIXVEYQEXSXLIQSXLIVERH

    XLIFEF]

    -JTEVXSKVETLTEWWIWEPIVXPMRI

    v 6IEWWIWW[SQERERHGSRWMHIVGVMXIVMEJSVVIJIVVEPv

    %PIVXXVERWTSVXWIVZMGIWv )QTX]FPEHHIVv )RWYVIEHIUYEXIL]HVEXMSRFYXSQMXWSPMHJSSHWv )RGSYVEKIYTVMKLXTSWMXMSRERH[EPOMRKMJ[SQER[MWLIWv 1SRMXSVMRXIRWMZIP]-JVIJIVVEPPSRKVIEWWIWWMRLSYVW

    ERHVIJIVMJRSTVSKVIWW

  • 7/27/2019 Maternal and Newborn Care

    52/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    7IGSRHWXEKIGIVZM\HMPEXIHGQSVFYPKMRKXLMRTIVMRIYQERHLIEHMWZMWMFPI

    v 'LIGOIZIV]QMRYXIWJSVTIVMRIYQXLMRRMRKERHFYPKMRKZMWMFPIHIWGIRHSJXLILIEHHYVMRKGSRXVEGXMSRIQIVKIRG]WMKRWJIXEPLIEVXVEXIERHQSSHERHFILEZMSV

    v 'SRXMRYIVIGSVHMRKMRXLITEVXSKVETL

    -JTEVXSKVETLTEWWIW%'8-32PMRIVIJIVYVKIRXP]XS

    ER)Q3'JEGMPMX]YRPIWWMQQMRIRXHIPMZIV]

    v %WWMWXXLIHIPMZIV] )RWYVIEPPHIPMZIV]IUYMTQIRXERHWYTTPMIWEVIEZEMPEFPIERHTPEGI

    SJHIPMZIV]MWGPIERERH[EVQ )RWYVIFPEHHIVMWIQTX] 4SWMXMSRXLI[SQERGSQJSVXEFP][LIVIWLI[MPPHIPMZIV ;LIRHIPMZIV]MWMQQMRIRX[EWLLERHWSTIRHIPMZIV]OMXVIEH]

    S\]XSGMR-9ERHTYXSRKPSZIWNYWXFIJSVIHIPMZIV] 7XE][MXLXLI[SQERERHIRGSYVEKILIV1EMRXEMRGSRWXERXZIVFEP

    ERHI]IGSRXEGX %[EMXJSVWTSRXERISYWTYWLMRKIJJSVXWF]XLI[SQER(SRSX

    VYWLLIV (IPMZIVXLIFEF] +MZIS\]XSGMR-9-1 ;EXGLJSVZEKMREPFPIIHMRK

    /IITLERHWSJJXLITIVMRIYQYRXMPLIEHSJFEF]

    EHZERGIW1EWWEKMRKERHSVWXVIXGLMRKXLITIVMRIYQ

    LEZIRSXFIIRWLS[RXSFIFIRIJMGMEP

    (S238ETTP]JYRHEPTVIWWYVIXSLIPTHIPMZIVXLIFEF]-XQE]LEVQXLIQSXLIVERHLIVFEF]

    8LIVIMWEGYVVIRXIJJSVXXSEQIRHXLI1MH[MJIV]PE[XSEPPS[QMH[MZIWXSEHQMRMWXIVS\]XSGMR

  • 7/27/2019 Maternal and Newborn Care

    53/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    (IPMZIVMRKXLIFEF]

    v )RWYVIGSRXVSPPIHHIPMZIV]SJXLILIEH/IITSRILERHSRXLILIEHEWMXEHZERGIW[MXLGSRXVEGXMSRW 7YTTSVXTIVMRIYQ[MXLSXLIVLERHERHGSZIVERYW[MXLTEHLIPH

    MRTSWMXMSRF]LIIPSJLERHHYVMRKHIPMZIV](MWGEVHTEHERHVITPEGI[LIRWSMPIHXSTVIZIRXMRJIGXMSR0IEZIXLITIVMRIYQZMWMFPIFIX[IIRXLYQFERHMRHI\JMRKIV%WOXLI[SQERXSFVIEXLIWXIEHMP]ERHRSXXSTYWLHYVMRKHIPMZIV]

    SJXLILIEH)RGSYVEKIVETMHFVIEXLMRK[MXLQSYXLSTIR

    v *IIPKIRXP]VSYRHXLIRIGOJSVXLIGSVH-JGSVHTVIWIRXERHPSSWIHIPMZIVXLIFEF]XLVSYKLXLIPSSTSJGSVHSVWPMTMXSZIVXLIFEF] WLIEH-JGSVHMWXMKLXGPEQTERHGYXXLIGSVHERHYR[MRHMXJVSQEVSYRHXLIRIGO

    v +IRXP][MTIXLIFEF]WJEGI[MXLEGPIERKEY^ISVGPSXLv %[EMXWTSRXERISYWVSXEXMSRSJXLIWLSYPHIVWXSXLIERXIVSTSWXIVMSV

    TSWMXMSR[MXLMRQMRYXIWv %TTP]KIRXPIHS[R[EVHTVIWWYVIXSHIPMZIVXSTWLSYPHIVXLIRPMJX

    FEF]YTXSHIPMZIVPS[IVWLSYPHIVv 'EXGLXLIFEF][MXLEXS[IPERHHV]FEF][MXLMXv

    4PEGIXLIFEF]SRQSXLIVWEFHSQIRSVEVQWv 2SXIXLIXMQISJHIPMZIV]v ;LMPIFEF]MWSRQSXLIVWEFHSQIRSVGLIWXHV]FEF][MTII]IW

    ERHEWWIWWFVIEXLMRKv 4EPTEXIXLIQSXLIVWEFHSQIRXSI\GPYHIWIGSRHFEF]

  • 7/27/2019 Maternal and Newborn Care

    54/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v'PEQTERHGYXXLIGSVH 'LERKIKPSZIW-JRSXTSWWMFPI[EWLKPSZIHLERHW[MXLFYFFPMRK

    WSETERH[EXIV 4YXXMIWXMKLXP]EVSYRHXLIGSVHEXGQERHGQJVSQXLIFEF]W

    EFHSQIR 'YXFIX[IIRXMIW[MXLEWXIVMPIMRWXVYQIRX 3FWIVZIWXYQTJSVFPSSHSS^MRK (SRSXFERHEKISVFMRHXLIWXYQT0IEZIMXSTIR

    v /IITXLIFEF][EVQ

    8LSVSYKLP]HV]XLIFEF] 0IEZIFEF]SRXLIQSXLIVWGLIWXMRWOMRXSWOMRGSRXEGX 'SZIVXLIFEF]GSZIVXLILIEH[MXLEGET 4YXFEF]XSQSXLIVWFVIEWXW

    (S238YWILSX[EXIVFSXXPIWXS[EVQXLIFEF]

    &EF]WWOMRQMKLXKIXFYVRIH7OMRXSWOMRGSRXEGX

    [MXLXLIQSXLIVMWXLIFIWX[E]XSOIITXLIFEF]

    [EVQ

    (S238PIEZIXLIFEF][IXWLILI[MPPFIGSQIGSPH

  • 7/27/2019 Maternal and Newborn Care

    55/90

    8LMVHWXEKIFIX[IIRFMVXLSJXLIFEF]ERHHIPMZIV]SJXLITPEGIRXE

    v (IPMZIVXLITPEGIRXEF]GSRXVSPPIHGSVHXVEGXMSRv 'LIGOXLEXXLITPEGIRXEERHQIQFVERIWEVIGSQTPIXI -RKSSHPMKLXLSPHTPEGIRXEERHQIQFVERIYTF]XLIGSVH )\TSWIQEXIVREPWYVJEGISJXLITPEGIRXEERHGLIGOJSV

    GSQTPIXIRIWWv 4YXXLITPEGIRXEMRXSEGSRXEMRIVERHLERHSZIVXSEJEQMP]QIQFIV

    JSVHMWTSWEP

    (IPMZIVMRKXLITPEGIRXEF]GSRXVSPPIHGSVHXVEGXMSR

    v 'PEQTXLIGSVHGPSWIXSXLITIVMRIYQERHLSPHMX[MXLSRILERHv 4PEGIWMHISJXLISXLIVLERHEFSZIW]QTL]WMWTYFMW[MXLTEPQJEGMRK

    XS[EVHWXLIQSXLIVWYQFMPMGYWv %[EMXJSVEWXVSRKYXIVMRIGSRXVEGXMSR;LIRYXIVYWMW[IPP

    GSRXVEGXIHWXEVXWYWXEMRIHKIRXPIGSVHXVEGXMSR[MXLSRILERH;MXLXLISXLIVLERHI\IVXGSYRXIVXVEGXMSRSRXLIEFHSQIR

    v -JXLITPEGIRXEHSIWRSXHIWGIRHHYVMRKWIGSRHWSJGSRXVSPPIHGSVHXVEGXMSRVIPIEWIFSXLGSVHXVEGXMSRERHGSYRXIVXVEGXMSRERHVITIEX[MXLXLIRI\XGSRXVEGXMSR

    v %WXLITPEGIRXEMWGSQMRKSYXGEXGLMRFSXLLERHWXSTVIZIRXXIEVMRKSJXLIQIQFVERIW -JXLIQIQFVERIWHSRSXWPMTSYXWTSRXERISYWP]KIRXP]X[MWXMX

    MRXSEVSTIERHQSZIMXYTERHHS[RXSLIPTWITEVEXMSR[MXLSYXXIEVMRKMX

    -JXLIQIQFVERIWXIEVKIRXP]I\EQMRIXLIYTTIVZEKMREERHGIVZM\ERHYWIEWTSRKIJSVGITWXSVIQSZIER]TMIGIWSJQIQFVERIWXLEXEVITVIWIRX

    v 2IZIVETTP]GSVHXVEGXMSR[MXLSYXETTP]MRKGSYRXIV

    XVEGXMSREFSZIXLITYFMGFSRI[MXLXLISXLIVLERHv %P[E]WYWIKIRXPIXVEGXMSRXSTYPPXLITPEGIRXE

    v (S238WUYII^ISVQEWWEKIXLIEFHSQIRXSHIPMZIV

    XLITPEGIRXE

    v (S238TYXJMRKIVWSVLERHMRXLIZEKMREXSPSGEXI

    TPEGIRXE

    v (S238HSQERYEPI\TPSVEXMSRSJXLIYXIVYWEJXIV

    XLIHIPMZIV]SJXLITPEGIRXEEWEVSYXMRITVSGIHYVI

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

  • 7/27/2019 Maternal and Newborn Care

    56/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    1SRMXSVGPSWIP][MXLMRSRILSYVEJXIVHIPMZIV]ERHKMZI

    WYTTSVXMZIGEVI

    *SVXLIQSXLIV

    v 'LIGOJSVZEKMREPXIEVWERHFPIIHMRK -QQIHMEXIP]QEWWEKIXLIJYRHYWSJXLIYXIVYWYRXMPXLIYXIVYWMW

    [IPPGSRXVEGXIH ;MTISJJFPSSHJVSQTIVMRIYQ -RWTIGXXLITIVMRIYQERHPS[IVZEKMREJSVXIEVWERHSFWIVZIJSV

    LIEZ]FPIIHMRKv 'PIERXLI[SQERERHQEOILIVGSQJSVXEFPI 9WIEGPIER[EWLGPSXLERH[EVQ[EXIVXSGPIERLIVTIVMRIYQ )RGSYVEKILIVXSTEWWYVMRI ;MTILIVFYXXSGOWERHXLMKLW-JWLITVIJIVW]SYQE][MTILIV

    EPPSZIV4YXGPIERTEHWGPSXLYRHIVLIVFYXXSGOWXSGSPPIGXFPSSH 'LERKILIVGPSXLIWERHGSQFLIVLEMV %JXIVXLI[SQERLEWFIIRGPIERIHLIPTLIVXSEGSQJSVXEFPI

    TSWMXMSR

    v -RMXMEXIFVIEWXJIIHMRK[MXLMRSRILSYV[LIRXLIFEF]MWVIEH],IPT

    LIVXSTYXXLIFEF]XSLIVFVIEWXWv )RGSYVEKILIVXSIEXERHHVMROLMKLIRIVK]JSSHWXLEXEVIIEWMP]

    HMKIWXMFPI

    v 'LIGOIZIV]QMRYXIWJSVIQIVKIRG]WMKRWERHYXIVMRIGSRXVEGXMSR -JXLIVIMWER]GSQTPMGEXMSREPWSQIEWYVIXIQTIVEXYVI&4ERH

    TYPWI %PWSGLIGOJSVW[IPPMRKSJTIVMRIYQERHLIQEXSQE

    (3238YWIEHYPXHMETIVWMRWXIEHSJWERMXEV]TEHWSV

    GPSXLXSGEXGLTSWXTEVXYQFPSSH8LMWQE]QEWO

    FPIIHMRKERHQMWPIEHTSWXTEVXYQEWWIWWQIRX6IWIEVGL

    MWGYVVIRXP]SRKSMRKXSHIXIVQMRIXLIEQSYRXSJFPSSHEREHYPXHMETIVEFWSVFW;EMXJSVSJJMGMEPVIWIEVGLVIWYPXW

    ERHTVSRSYRGIQIRXWFIJSVIYWMRKEHYPXHMETIVW

  • 7/27/2019 Maternal and Newborn Care

    57/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    *SVXLIRI[FSVR

    v +IRXP]GPIERXLIFEF]WI]IW[MXLGPIER[EXIVERH[MTIHV][MXLGPIERGPSXL%TTP]EWQEPPEQSYRXSJXIXVEG]GPMRISMRXQIRXSRXLIMRWMHIPS[IVPMHW

    v )\EQMRIXLIFEF]XLSVSYKLP] %WWIWWFVIEWXJIIHMRK 3FWIVZIQSZIQIRXWEVIXLIPMQFWQSZMRKW]QQIXVMGEPP]# 0SSOJSVW[IPPMRKERHFVYMWIWSJXLITVIWIRXMRKTEVX *IIPJIIXEVIXLI]GSPH# 0SSOEXTEPQWERHWSPIWEVIXLIVIFPMWXIVW#

    0SSOEXXLIYQFMPMGYWJSVFPIIHMRK 0SSOEXXLIXSRKYIJSVTEPPSV 0SSOJSVQEPJSVQEXMSRW ;IMKLXXLIFEF]MWXLI[IMKLXPIWWXLERK#

    v +MZI:MXEQMR/QK-1

    v /IITXLIFEF]MRWOMRXSWOMRGSRXEGX[MXLXLIQSXLIV

    +MZISRP]FVIEWXQMPOXSXLIRI[FSVR(S238KMZI

    [EXIVWYKEV[EXIVGLI[IHVMGISVLIVFEPHIGSGXMSRW

    8LMW[MPPMRXIVJIVI[MXLFVIEWXJIIHMRKMRMXMEXMSRERH

    FVIEWXQMPOTVSHYGXMSRERHQE]FVMRKHMEVVLIEPHMWIEWI

    %P[E]WOIITXLIQSXLIVERHRI[FSVRXSKIXLIV

    'SRXMRYIGEVIEJXIVSRILSYVTSWXTEVXYQ/IIT[EXGL

    GPSWIP]JSVEXPIEWXLSYVW

    *SVXLIQSXLIV

    v )RGSYVEKILIVXSIEXERHHVMROLMKLIRIVK]JSSHXLEXEVIIEWMP]HMKIWXMFPI

    v )RGSYVEKILIVXSTEWWYVMRI'LIGOJSVFPEHHIVHMWXIRWMSRMJYREFPI

    XSZSMHv )RWYVIXLEXWLILEWGPIERGPSXLRETOMRXSGSPPIGXZEKMREPFPSSH

    v %HZMWITSWXTEVXYQGEVIERHL]KMIRI

    v +MZIZMXEQMR%-9SRIGETWYPISRGI[MXLMRQSRXLWTSWXTEVXYQ

    v +MZIMVSRJSPEXIQKYKXEFPIXXEFPIXHEMP]

  • 7/27/2019 Maternal and Newborn Care

    58/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v %WOLIVGSQTERMSRXS[EXGLLIVERHXSGEPP]SYJSVFPIIHMRKSVTEMRMJQSXLIVJIIPWHM^^]SVJSVER]SXLIVTVSFPIQ

    v 'LIGOEXERHLSYVWXLIRIZIV]LSYVWJSVIQIVKIRG]WMKRWERHYXIVMRIGSRXVEGXMSR-JXLIVIMWER]GSQTPMGEXMSREPWSQIEWYVIXIQTIVEXYVI&4ERHTYPWIIZIV]QMRYXIW

    v )RGSYVEKIXLIQSXLIVXS[EWLJVSQ[EMWXHS[RSVLEZIEWTSRKIFEXLSVEWLS[IV[MXL[EVQ[EXIVIEGLQSVRMRKSV[LIRWLIJIIPWPMOIMX

    v 9WIKYEZEPIEZIWHIGSGXMSR4WMHMYQKYENEZE0MJ[SQERTVIJIVWJSVLIV[EWLSVFEXL

    *SVXLIRI[FSVR

    v /IITXLIFEF]MRXLIVSSQ[MXLXLIQSXLIVMRLIVFIHSV[MXLMRIEW]VIEGL

    v 7YTTSVXI\GPYWMZIFVIEWXJIIHMRKSRHIQERHHE]ERHRMKLXEWSJXIRERHEWPSRKEWXLIFEF][ERXW

    v -QQYRM^IEGGSVHMRKXSXLI)4-WGLIHYPI

    v %WOXLIQSXLIVERHLIVGSQTERMSRXS[EXGLXLIFEF]ERHEPIVX]SYMJXLIVIMWFVIEWXJIIHMRKHMJJMGYPX]HMJJMGYPX]SJFVIEXLMRKGSPHJIIXERHFPIIHMRKJVSQXLIGSVH

    v

    'LIGOEXEVSYRHERHLSYVWERHXLIRHEMP]JSVGSPHJIIXFVIEWXJIIHMRKERHFVIEXLMRKHMJJMGYPX]

    v (S238FEXLIXLIFEF]YRXMPEXPIEWXLSYVWEJXIV

    FMVXLXSTVIZIRXFEF]JVSQKIXXMRKGSPH

    v (S238VIQSZIZIVRM\-XTVSXIGXWXLIFEF]WWOMR

    )HYGEXIERHGSYRWIPSRJEQMP]TPERRMRKERHTVSZMHI

    XLIJEQMP]TPERRMRKQIXLSHMJEZEMPEFPI

    v %WO[LEXEVIXLIGSYTPIWTPERWVIKEVHMRKHIWMVIHRYQFIVSJGLMPHVIR

    v +MZIVIPIZERXMRJSVQEXMSRERHEHZMGI

    v %HZMGIXLEXI\GPYWMZIFVIEWXJIIHMRKMWXLIFIWXGSRXVEGITXMZIMRXLIJMVWXWM\QSRXLW

    v ,IPTLIVXSGLSSWIXLIQSWXETTVSTVMEXIQIXLSHJSVLIVERHLIVTEVXRIVXLVSYKLTVSTIVGSYRWIPMRK

  • 7/27/2019 Maternal and Newborn Care

    59/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    -RJSVQXIEGLERHGSYRWIPXLI[SQERSRMQTSVXERX

    1',QIWWEKIW

    v 8EPOXSXLI[SQER[LIRWLIMWVIWXIHERHGSQJSVXEFPIv %PWSKMZIMQTSVXERXMRJSVQEXMSRERHEHZMGIXSLIVGSQTERMSR

    v 8EOIXMQIXSI\TPEMRYWIZMWYEPEMHWERHHIQSRWXVEXIMQTSVXERXPIWWSRW

    v )RGSYVEKIXLIQXSTEVXMGMTEXIEGXMZIP]MRHMWGYWWMSRWERHXSEWOUYIWXMSRW

    v -JQIXLSHSJGLSMGIMWRSXEZEMPEFPIMRXLIGPMRMGMRJSVQERHKMZILIVEX[S[E]VIJIVVEPWPMT[MXLTVSTIVMRWXVYGXMSRSR[LIVIWLIGERKIXMXERH[LIRXSKSXLIVI

    &,7

    v 2EXYVEPJEQMP]TPERRMRK2*4&EWEP&SH]8IQTIVEXYVI&&8'IVZMGEP1YGYW&MPPMRKW7]QTXS8LIVQEP78

    v 'SRHSQv

    4VSKIWXMRSVEPTMPPWv 'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv0EGXEXMSREP%QIRSVVLIE

    1IXLSH0%1v7XERHEVH(E]W1IXLSH7(1

    6,9

    v 2EXYVEPJEQMP]TPERRMRK&&8&MPPMRKW78

    v 'SRHSQv 4VSKIWXMRSVEPTMPPWv

    'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv -RXVE9XIVMRI(IZMGI-9(v 2SR7GEPTIP:EWIGXSQ]

    27:JSVQIRv0%1v7(1

    ,SWTMXEP

    v 2EXYVEPJEQMP]TPERRMRK&&8&MPPMRKW78

    v 'SRHSQv 4VSKIWXMRSVEPTMPPWv

    'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv -9(v 7YVKMGEPWXIVMPM^EXMSRJSV[SQIRERHQIRv0%1

    v7(1

  • 7/27/2019 Maternal and Newborn Care

    60/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    -QTSVXERXMRJSVQEXMSRERHEHZMGITSWXTEVXYQ

    v ,]KMIRIJSVXLIQSXLIVv ,]KMIRIJSVXLIFEF]v /IITMRKXLIFEF][EVQv 'EVISJXLIFEF]WGSVHv 7IPJGEVIHYVMRKTSWXTEVXYQv 2YXVMXMSRv 4VIZIRXMRKERIQMEv

    ;LIRERH[LIVIXSWIIOJSVGEVIv &VIEWXQMPOERHFVIEWXJIIHMRKv *EQMP]4PERRMRKv -QQYRM^EXMSRv 2I[FSVRWGVIIRMRK

    -JXLI[SQERHIPMZIVIHMRXLI&,7HMWGLEVKIXLI

    [SQERERHLIVFEF]

    v 8LI[SQERERHLIVFEF]QE]FIHMWGLEVKIHLSYVWEJXIVHIPMZIV]

    v )RWYVIXLEXXLI[SQERMWEFPIXSFVIEWXJIIHWYGGIWWJYPP]FIJSVIHMWGLEVKI

    v 6ITIEXMQTSVXERXLIEPXLMRJSVQEXMSR (MWGYWWSRP]XLIXSTMGWXLEXEVIQSWXMQTSVXERXXSXLI[SQER 7TIRHQSVIXMQISRRYXVMXMSRIHYGEXMSRERHGSYRWIPMRKJSVZIV]

    XLMR[SQIRERHEHSPIWGIRXW +MZIEHZMGISRHERKIVWMKRWHYVMRKTSWXTEVXYQTIVMSH

    v +MZIMVSRJSPEXIQKYKXEFPIXXEFPIXHEMP]JSVQSRXLW

    v +MZIQIFIRHE^SPIQKXEFPIXXEFPIXWMRKPIHSWIMJRSRI[EWKMZIRMRXLITEWXQSRXLW

    v +MZI:MX%-9WMRKPIHSWIv (SETVIHMWGLEVKII\EQMREXMSR

    *SVXLIQSXLIV %WOEFSYXKIRIVEPJIIPMRKTEMRYVMREXMSRERHMJXLIVIEVIER]

    TVSFPIQW 'LIGOJSVTEPQEVERHGSRNYRGXMZEPTEPPSV 1IEWYVIFPSSHTVIWWYVIXIQTIVEXYVIERHTYPWI

  • 7/27/2019 Maternal and Newborn Care

    61/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %WWIWWQSXLIVWFVIEWXWMJXLIVIEVIGVEGOWJMWWYVIWSVW[IPPMRK 'LIGOEFHSQIRJSVYXIVMRIGSRXVEGXMSRERHFPEHHIVHMWXIRWMSR 'LIGOTIVMRIYQJSVW[IPPMRKJSYPWQIPPMRKHMWGLEVKISVTYWERH

    TVSJYWIPSGLME

    *SVXLIRI[FSVR %WWIWWFVIEWXJIIHMRK 0SSOEXXLIQSYXLJSVXLVYWLYPGIVWERH[LMXITEXGLIW *IIPJIIXMJGSPH

    %WWIWWMRKFVIEWXJIIHMRK

    v %WOXLIQSXLIV -WXLIVIER]HMJJMGYPX]FVIEWXJIIHMRK# -WFEF]WEXMWJMIH[MXLJIIHW#,S[QER]XMQIWFEF]FVIEWXJIIHWMRLSYVW#,EWWLIKMZIRXLIFEF]ER]XLMRKSXLIVXLERFVIEWXQMPO,EWFEF]FVIEWXJIHMRXLITVIZMSYWLSYV#

    v 3FWIVZIEFVIEWXJIIHJSVEXPIEWXQMRYXIW-JFEF]LEWRSXJIHMRXLITVIZMSYWLSYVEWOXLIQSXLIVXSTYXXLIFEF]SRLIVFVIEWX-JFEF]LEWEPVIEH]JIHEWO

    XLIQSXLIVXSXIPP]SY[LIRLIVFEF]MW[MPPMRKXSJIIHEKEMR -WFEF]EFPIXSEXXEGLXSXLI

    RMTTPIW[IPP# -WFEF]WYGOPMRKIJJIGXMZIP]# -WFEF]TSWMXMSRIH[IPP#

    v (VMROJMVWXFIJSVIERHEJXIVFVIEWXJIIHMRK

    v 7IIOIRGSYVEKIQIRXJVSQLYWFERHERHJEQMP]QIQFIVW

  • 7/27/2019 Maternal and Newborn Care

    62/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v 6IJIVXLIRI[FSVRXSXLIRIEVIWXJEGMPMX]SJJIVMRKRI[FSVRWGVIIRMRK %WOXLIQSXLIVXSFVMRKXLIRI[FSVRXSXLIJEGMPMX][MXLMR

    LSYVWYTXS[IIOWEJXIVFMVXL

    v )RGSYVEKIXLIQSXLIVXSVIXYVR[MXLLIVFEF]JSVTSWXTEVXYQZMWMXW 7GLIHYPIEGSRZIRMIRXHEXIERHXMQIEKVIISRXLIHEXI ;VMXIHS[RXLIHEXISRXLI1SXLIVERH&EF]&SSO )RGSYVEKIXLI[SQERXSFVMRKLIVTEVXRIVSVEJEQMP]QIQFIV

    XSXLIVIXYVRZMWMXW

    v 6IKMWXIVXLIFEF]EXXLIQYRMGMTEPGMZMPVIKMWXV]SJJMGIEWWSSREWTSWWMFPI )RWYVIXLEXXLIQSXLIVKIXWEGST]SJXLIVIKMWXIVIHFMVXL

    GIVXMJMGEXI

    6IGSQQIRHIH7GLIHYPISJ4SWXTEVXYQ'EVI:MWMXW

    v *MVWXZMWMXWLSYPHFI[MXLMRLSYVWWMRGIMXMW

    XLIQSWXGVMXMGEPTIVMSH

    v %PPTSWXTEVXYQ[SQIRWLSYPHLEZIEXPIEWX

    VSYXMRITSWXTEVXYQZMWMXW

    v ;SQIR[LSHSRSXVIXYVRJSVTSWXTEVXYQZMWMXW

    WLSYPHFIZMWMXIHEXLSQI

    WXZMWMX

    RHZMWMX

    WX[IIOTSWXTEVXYQTVIJIVEFP][MXLMRLSYVW

    [IIOWTSWXTEVXYQ

  • 7/27/2019 Maternal and Newborn Care

    63/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    3RVWSDUWXP&DUH

    7XITWXSJSPPS[

    (SEUYMGOGLIGOJSV

    IQIVKIRG]WMKRW

    )QIVKIRG]WMKRW

    v 9RGSRWGMSYW'SRZYPWMRKv :EKMREPFPIIHMRKv 7IZIVIEFHSQMREPTEMRv 0SSOWZIV]MPPv 7IZIVILIEHEGLI[MXLZMWYEP

    HMWXYVFERGIv 7IZIVIFVIEXLMRKHMJJMGYPX]v *IZIVv 7IZIVIZSQMXMRK

    (S238QEOIEZIV]WMGO[SQER[EMXEXXIRHXSLIV

    UYMGOP]

    1EOIXLI[SQERGSQJSVXEFPI

    v +VIIXLIVQEOIWYVIWLIMWGSQJSVXEFPIERHEWOLS[WLIMWJIIPMRK

    v -JJMVWXZMWMXVIKMWXIVXLI[SQERERHMWWYIE1SXLIVERH'LMPH&SSO

    4SWXTEVXYQGEVIIREFPIWLIEPXLTVSJIWWMSREPWXSGLIGOMJXLIQSXLIV

    ERHFEF]EVIHSMRK[IPPERHHIXIGXERHQEREKIER]TVSFPIQWIEVP]8LMW

    MWEPWSXLIFIWXXMQIXSSJJIVXLISTTSVXYRMX]XSWYTTSVXFVIEWXJIIHMRK

    ERHTVSZMHIJEQMP]TPERRMRKERHWIVZMGIW8LIJMVWXLSYVWMWQSWX

    GVMXMGEPERHTIVMSH[LIVIQSWXTSWXTEVXYQHIEXLWSGGYV

    8LIJSPPS[MRKEVIWXITWXSJSPPS[MRTSWXTEVXYQGEVI

  • 7/27/2019 Maternal and Newborn Care

    64/90

    v )\EQMRIXLI[SQER 1IEWYVI&4XIQTIVEXYVIERHTYPWI

    'LIGOEFHSQIRJSVYXIVMRIGSRXVEGXMSRERHFPEHHIVHMWXIRWMSR

    'LIGOXLIZYPZEJSVXIEVW[IPPMRKERHTYW 'LIGOTEHJSVFPIIHMRKERHPSGLMERSXIWQIPPERHEQSYRX %WWIWWQSXLIVWFVIEWXWMJXLIVIEVIER]GVEGOWSVW[IPPMRK

    *SVXLIFEF]HYVMRKXLIJMVWX[IIOSJPMJI

    v %WOERHVIZMI[VIGSVH ,S[SPHMWXLIFEF]# 4VIXIVQPIWWXLER[IIOWSVQSRXLSVQSVIIEVP]

    &VIIGLHIPMZIV]# (MJJMGYPXHIPMZIV]# ,EWFEF]LEHGSRZYPWMSRW# ,S[MWXLIFEF]JIIHMRK# (S]SYLEZISXLIVGSRGIVRWVIKEVHMRKFEF]#

    v %WWIWWXLIRI[FSVR %WWIWWFVIEXLMRKFEF]QYWXFIGEPQ9 0MWXIRJSVKVYRXMRK

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %WWIWWXLITSWXTEVXYQ[SQERERHLIVFEF]

    *SVXLIQSXLIVYTXS[IIOWTSWXTEVXYQ

    v %WOERHVIZMI[VIGSVH ;LIRERH[LIVIHMH]SYHIPMZIV# ,S[EVI]SYJIIPMRK# ,EZI]SYLEHER]TEMRSVJIZIVSVFPIIHMRKWMRGIHIPMZIV]# (S]SYLEZIER]TVSFPIQYVMREXMRK# ,EZI]SYHIGMHIHSRER]GSRXVEGITXMSR#

    ,S[HS]SYVFVIEWXWJIIP# %R]GSQTPMGEXMSRWHYVMRKHIPMZIV]# 6IGIMZMRKER]XVIEXQIRXW# (S]SYLEZIER]SXLIVGSRGIVRW#

    -JRSXGSYRWIPGPMIRXERHTVSZMHIMJ*4WIVZMGIWEVIEZEMPEFPIMJRSXVIJIVXSLIEPXLJEGMPMX]SJJIVMRK*4WIVZMGIW-JYWMRK*4EWOEFSYXER]TVSFPIQWVIPEXIHXSQIXLSHMJ[MXLTVSFPIQTVSZMHIRIGIWWEV]EHZMGIQEREKIQIRX

    v%WOEFSYXXLIYWISJER]QSHIVR*4QIXLSH

  • 7/27/2019 Maternal and Newborn Care

    65/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    9 'SYRXFVIEXLWEVIXLI]TIVQMRYXI#6ITIEXMJXLIGSYRXMWRSX

    9 0SSOEXXLIGLIWXJSVMRHVE[MRK 0SSOEXXLIQSZIQIRXWEVIXLI]RSVQEPERHW]QQIXVMGEP# 0SSOEXXLITVIWIRXMRKTEVXMWXLIVIW[IPPMRKERHFVYMWIW# 0SSOEXXLIEFHSQIRJSVTEPPSV 0SSOJSVQEPJSVQEXMSRW *IIPXLIXSRIMWMXRSVQEP# *IIPJSV[EVQXL-JGSPHSVZIV][EVQQIEWYVIXIQTIVEXYVI ;IMKLXLIFEF]

    v %WWIWWFVIEWXJIIHMRK %WOXLIQSXLIV9 -WXLIVIER]HMJJMGYPX]FVIEWXJIIHMRK#9 -WFEF]WEXMWJMIH[MXLJIIHW#9 ,S[QER]XMQIWFEF]FVIEWXJIIHWMRLSYVW#9 ,EWWLIKMZIRXLIFEF]ER]XLMRKSXLIVXLERFVIEWXQMPO9 ,EWFEF]FVIEWXJIHMRXLITVIZMSYWLSYV#

    3FWIVZIEFVIEWXJIIHJSVEXPIEWXQMRYXIW-JFEF]LEWRSXJIHMRXLITVIZMSYWLSYVEWOXLIQSXLIVXSTYXXLIFEF]SRLIVFVIEWX-JFEF]LEWEPVIEH]JIHEWOXLIQSXLIVXSXIPP]SY[LIRLIVFEF]MW[MPPMRKXSJIIHEKEMR

    9 -WFEF]EFPIXSEXXEGLXSXLIRMTTPIW[IPP#9 -WFEF]WYGOPMRKIJJIGXMZIP]#9 -WFEF]TSWMXMSRIH[IPP#

    -WLYWFERHEVITEVIRXWWYTTSVXMZISJFVIEWXJIIHMRK# -WWLI[MPPMRKXSNSMRSVSVKERM^IFVIEWXJIIHMRKWYTTSVXKVSYT

    LIVIMRXLIGSQQYRMX]# ,EWWLIFIIRKMZIRWEQTPIWSJQMPOJSVQYPE#-J]IWHMWGSYVEKI

    LIVJVSQYWMRKJSVQYPE

    v %WOEFSYXRI[FSVRWGVIIRMRK-JRSX]IXHSRIVIJIVXLIRI[FSVRXSXLIRIEVIWXJEGMPMX]SJJIVMRKRI[FSVRWGVIIRMRK

    %WOXLIQSXLIVXSFVMRKXLIRI[FSVRXSXLIJEGMPMX][MXLMRLSYVWYTXS[IIOWEJXIVFMVXL

    v %WOEFSYXFMVXLVIKMWXVEXMSRSJXLIFEF]-JRSVIKMWXVEXMSR]IXVIKMWXIVXLIFEF]EXXLIQYRMGMTEPGMZMPVIKMWXV]SJJMGIEWWSSREWTSWWMFPI )RWYVIXLEXXLIQSXLIVKIXWEGST]SJXLIVIKMWXIVIHFMVXL

    GIVXMJMGEXI

  • 7/27/2019 Maternal and Newborn Care

    66/90

    +MZI:MXEQMR%MJRSRI[EWKMZIRTSWXTEVXYQ

    v 'LIGOMJQSXLIVLEWEPVIEH]VIGIMZIH:MXEQMR%TSWXTEVXYQ-JRSRI[EWXEOIRKMZI:MXEQMR%-9SRGI[MXLMR[IIOWEJXIVHIPMZIV]

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    'LIGOJSVTEPPSVSVERIQME

    v %WOEFSYXKIXXMRKXMVIHIEWMP]SVWLSVXRIWWSJFVIEXLHYVMRKVSYXMRI[SVO 0SSOJSVGSRNYRGXMZEPTEPPSV 0SSOJSVTEPQEVTEPPSV-JTEPPSV-WMXWIZIVITEPPSV#7SQITEPPSV# 'SYRXRYQFIVSJFVIEXLWMRSRIQMRYXI

    8VIEXJSVMRXIWXMREPTEVEWMXIW

    v +MZIQIFIRHE^SPIQKXEFPIXXEFPIXWMRKPIHSWIMJRSRILEWFIIRKMZIRHYVMRKTVIKRERG]

    4VIZIRXERIQME[MXLMVSRJSPEXIWYTTPIQIRXEXMSR

    v +MZIMVSRJSPEXIQKYKXEFPIXXEFPIXHEMP]XSPEWXYRXMPWGLIHYPIHVIXYVRZMWMX 8IPPLIVXSGSRXMRYIXEOMRKXLIXEFPIXWYRXMPWLIGSQTPIXIW

    QSRXLWTSWXTEVXYQWYTTPIQIRXEXMSR

  • 7/27/2019 Maternal and Newborn Care

    67/90

    'SYRWIPSRJEQMP]TPERRMRKERHTVSZMHIXLIETTVSTVMEXI

    JEQMP]TPERRMRKQIXLSHMJEZEMPEFPI

    v %WO[LEXEVILIVTPERWVIKEVHMRKLEZMRKQSVIGLMPHVIRSVHIWMVIHRYQFIVSJGLMPHVIR

    v +MZIVIPIZERXMRJSVQEXMSRERHEHZMGI,IPTLIVXSGLSSWIXLIQSWXETTVSTVMEXIQIXLSHJSVLIVERHLIVTEVXRIV

    v -JQIXLSHSJGLSMGIMWRSXEZEMPEFPIMRXLIGPMRMGVIJIVLIVXSXLIETTVSTVMEXITPEGI

    &,7

    v 2EXYVEPJEQMP]TPERRMRK2*4&EWEP&SH]8IQTIVEXYVI&&8'IVZMGEP1YGYW&MPPMRKW7]QTXS8LIVQEP78

    v 'SRHSQv 4VSKIWXMRSVEPTMPPWv 'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv0EGXEXMSREP%QIRSVVLIE

    1IXLSH0%1v7XERHEVH(E]W1IXLSH7(1

    6,9

    v 2EXYVEPJEQMP]TPERRMRK&&8&MPPMRKW78

    v 'SRHSQv 4VSKIWXMRSVEPTMPPWv 'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv -RXVE9XIVMRI(IZMGI-9(v 2SR7GEPTIP:EWIGXSQ]

    27:JSVQIRv0%1v7(1

    ,SWTMXEP

    v 2EXYVEPJEQMP]TPERRMRK&&8&MPPMRKW78

    v 'SRHSQv 4VSKIWXMRSVEPTMPPWv 'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv -9(v 7YVKMGEPWXIVMPM^EXMSRJSV[SQIRERHQIRv0%1

    v

    7(1

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    4VSZMHILIEPXLMRJSVQEXMSREHZMGIERHGSYRWIPMRK

    v (MWGYWWJMVWXXLIXSTMGWXLEXEVIQSWXMQTSVXERXXSXLI[SQERHYVMRKXLIZMWMX'SZIVSXLIVWYKKIWXIHXSTMGWSRGIQEMRGSRGIVRSJXLI[SQERLEWEPVIEH]FIIREHHVIWWIH

    v 7TIRHQSVIXMQISRRYXVMXMSRIHYGEXMSRERHGSYRWIPMRKSRZIV]XLMR[SQIRERHEHSPIWGIRXW

    -QTSVXERXMRJSVQEXMSRERHEHZMGITSWXTEVXYQ

    v

    ,]KMIRIJSVXLIQSXLIVv ,]KMIRIJSVXLIFEF]v /IITMRKXLIFEF][EVQv 'EVISJXLIFEF]WGSVHv 7IPJGEVIHYVMRKTSWXTEVXYQv 2YXVMXMSRv 4VIZIRXMRKERIQME

    v

    ;LIRERH[LIVIXSWIIOJSVGEVIv &VIEWXQMPOERHFVIEWXJIIHMRKv *EQMP]4PERRMRKv 2I[FSVRWGVIIRMRKv 6SPISJJEXLIVMRTSWXTEVXYQERH

    RI[FSVRGEVI

  • 7/27/2019 Maternal and Newborn Care

    68/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    WXZMWMX

    RHZMWMX

    WX[IIOTSWXTEVXYQTVIJIVEFP][MXLMRLSYVW

    [IIOWTSWXTEVXYQ

    )RGSYVEKIXLI[SQERXSGSQIFEGO[MXLLIVFEF]

    JSVVIXYVRZMWMXW

    v 7GLIHYPIXLIRI\XZMWMXERHRSXIMXHS[RSRXLI1SXLIVERH&EF]&SSO

    v 6IQMRHLIVXSVIXYVRJSVXLI[IPPFEF]GPMRMGERHMQQYRM^EXMSR

    6IGSQQIRHIH7GLIHYPISJ4SWXTEVXYQ'EVI:MWMXW

    v *MVWXZMWMXWLSYPHFI[MXLMRLSYVWWMRGIMXMW

    XLIQSWXGVMXMGEPTIVMSH

    v %PPTSWXTEVXYQ[SQIRWLSYPHLEZIEXPIEWX

    VSYXMRITSWXTEVXYQZMWMXW

    v ;SQIR[LSHSRSXVIXYVRJSVTSWXTEVXYQZMWMXW

    WLSYPHFIZMWMXIHEXLSQI

  • 7/27/2019 Maternal and Newborn Care

    69/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    ,QIRUPDWLRQ

    DQG$GYLFHIRU0&+

    ,IEPXLIHYGEXMSRMWZIV]GVMXMGEPMRTVIZIRXMRKQEXIVREPERHGLMPH

    QSVXEPMX]ERHQSVFMHMX],S[IZIVXLMWMWRSXSRP]HSRIMRWMHIXLILIEPXL

    WXEXMSR)ZIRSXLIVRSRLIEPXLGSRZIVKMRKEVIEWMRXLIGSQQYRMX]PMOI

    XLIWEVMWEVMWXSVIQEVOIXSVXS[RTPE^EQE]FIYWIHEWEZIRYIWMR

    TVSQSXMRKQEXIVREPERHGLMPHLIEPXL-RJSVQEXMSRERHIHYGEXMSR

    QEXIVMEPWWYGLEWFVSGLYVIWTSWXIVWJPMTGLEVXWIXG[VMXXIRMRXLI

    ZIVREGYPEVPERKYEKIEPWSLIPT[SQIRMRYRHIVWXERHMRKMRJSVQEXMSRERH

    EHZMGISRQEXIVREPERHGLMPHLIEPXL

    8LIJSPPS[MRKEVIWSQISJXLIMRJSVQEXMSRERHEHZMGI[LMGLQMH[MZIW

    GERKMZIXSQSXLIVWJEQMP]QIQFIVWERHXLIGSQQYRMX]MRKIRIVEP

    2YXVMXMSRJSVTVIKRERXTSWXTEVXYQ

    ERHFVIEWXJIIHMRK[SQIR

    v )EXEZEVMIX]SJJSSHIZIV]HE] )EXMRKHMJJIVIRXOMRHWSJJSSH[MPPLIPT]SYJIIP[IPPERHWXVSRK

    -X[MPPEPWSTVIZIRX]SYJVSQFIGSQMRK[IEOERHKIXXMRKTVSRIXSMRJIGXMSRERHFPIIHMRK

    (YVMRKTVIKRERG]MX[MPPEPWSIRWYVIXLEX]SYVFEF]KIXWXLIHMJJIVIRXOMRHWSJRYXVMIRXWRIIHIHJSVKVS[XLERHHIZIPSTQIRX

    v )EXQSVIJSSHHYVMRKQIEPWERHLEZIERI\XVEQIEPIZIV]HE] )EXMRKQSVIJSSH[MPPLIPTWEXMWJ]XLIVIUYMVIHRYXVMIRXWXLEX]SY

    RIIHXSWXE][IPPERHWXVSRK 8EOIGEVIXSMRGVIEWI]SYVMRXEOISJZIKIXEFPIWJVYMXWFIERWJMWL

    TSYPXV]ERHQIEX )EXMRKQSVIHYVMRKTVIKRERG][MPPLIPTTVIZIRXPS[FMVXL[IMKLX

    ERH[MPPLIPTTVIZIRX]SYVFEF]JVSQFIGSQMRKWMGOP] )EXMRKQSVIHYVMRKTVIKRERG]MW238XLIGEYWISJHMJJMGYPXPEFSV

  • 7/27/2019 Maternal and Newborn Care

    70/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v *SSHVIWXVMGXMSRTEVXMGYPEVP]HYVMRKTSWXTEVXYQMWLEVQJYP -XQE]GEYWI[IEORIWW -X[MPPTVIZIRX]SYJVSQVIGSZIVMRKJEWXJVSQXLIWXVEMRSJTVIKRERG]

    ERHGLMPHFMVXL

    v %P[E]WYWIMSHM^IHWEPXEWXEFPIWEPXERHWIEWSRMRK -SHMRIHIJMGMIRG]QE]GEYWIEFSVXMSRERHQIRXEPVIXEVHEXMSRSJ

    XLIFEF] -SHMRIMWMQTSVXERXMRXLITL]WMGEPERHQIRXEPHIZIPSTQIRXSJ

    XLIFEF]

    v 'SSOZIKIXEFPIW[MXLSMPJEXRYXWSVGSGSRYXQMPO 3MPWJEXRYXWEHHIRIVK]XSJSSHERHIRLERGIWXLIEFWSVTXMSR

    SJ:MXEQMRW%ERH)JVSQZIKIXEFPIW

  • 7/27/2019 Maternal and Newborn Care

    71/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    4VIZIRXMRKERIQME

    v -VSRHIJMGMIRG]MWGSQQSREQSRKTVIKRERXTSWXTEVXYQERHFVIEWXJIIHMRK[SQIR -VSRMWMQTSVXERXJSVRSVQEPFPSSHJSVQEXMSR -VSRERHJSPEXIVIUYMVIQIRXMWMRGVIEWIHHYVMRKTVIKRERG]ERH

    TSWXTEVXYQMJ[SQERMWFVIEWXJIIHMRK 8LIMVSRWXSVIWMRXLIQSXLIV WFSH]EVIYWIHYTMRXLIJSVQEXMSR

    SJXLIFPSSHSJXLIFEF]ERHXLITPEGIRXEERHMRXLITVSHYGXMSRSJQMPO

    v -VSRERHJSPEXIHIJMGMIRG]PIEHWXSERIQME*SPEXIHIJMGMIRG]HYVMRKTVIKRERG]EPWSGEYWIWRIYVEPXYFIHIJIGXWMRXLIFEF] %RIQMEMWHERKIVSYW %RIQMEQEOIWXLITVIKRERXERHTSWXTEVXYQ[SQER[IEOERH

    TVSRIXSMRJIGXMSRW %[SQER[MXLERIQMEMWQSVIPMOIP]XSWYJJIVJVSQFPIIHMRKHYVMRK

    HIPMZIV]ERHTSWXTEVXYQERHKMZIFMVXLXSEWQEPPERH[IEOFEF] *SPEXIHIJMGMIRG]GEYWIWQEPJSVQEXMSRMRXLIFVEMRERHSVWTMREP

    GSPYQRRIYVEPXYFIHIJIGXW8LIWIHIJIGXWQE]GEYWIHIEXLSVHMWEFMPMX]

    2IYVEPXYFIHIJIGXWGERFITVIZIRXIHF]HEMP]WYTTPIQIRXEXMSRSJYKJSPEXIEQSRXLFIJSVIXLITVIKRERG]YTXSXLIXLMVHXVMQIWXIV

    v 8EOIMVSRJSPEXIXEFPIXVIKYPEVP]XSTVIZIRXERIQME -VSRJSPEXIXEFPIXQKYKXEOIRVIKYPEVP]JSVWM\QSRXLW

    HYVMRKTVIKRERG]ERHERHEXPIEWXXLVIIQSRXLWTSWXTEVXYQMWIJJIGXMZIMRTVIZIRXMRKERIQME,S[IZIVTVIZIRXMSRMWEGLMIZIHFIXXIVMJMVSRERHJSPEXIWYTTPIQIRXEXMSRMWXEOIRFIJSVITVIKRERG]

    -XGERFIXEOIRER]XMQISJXLIHE]FYXFIWXMRXLIIZIRMRK[MXLQIEPWXSEZSMHREYWIE

    -VSRXEFPIXWQE]QEOI]SYJIIPPIWWXMVIH(3238WXST

    WYTTPIQIRXEXMSRMJXLMWSGGYVW 7MHIIJJIGXWWYGLEWREYWIEGSRWXMTEXMSRERHITMKEWXVMGTEMRQE]

    FII\TIVMIRGIHFYXXLMWYWYEPP]HMWETTIEVWEJXIVWSQIXMQISJXEOMRKXLIXEFPIXW

    -VSRXEFPIXWHMWGSPSVXLIWXSSPWFYXXLMWWLSYPHRSXFIEGEYWIJSV[SVV]

  • 7/27/2019 Maternal and Newborn Care

    72/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v %PWSMRGVIEWI]SYVMRXEOISJKVIIRPIEJ]ZIKIXEFPIWJVYMXWJMWLERHQIEXXSTVIZIRXERIQME 1IEXTEVXMGYPEVP]PMZIVERHFPSSHJMWLERHKVIIRPIEJ]ZIKIXEFPIW

    EVIZIV]KSSHWSYVGIWSJMVSRERHJSPEXI %P[E]WGSSOQIEXQIEXTVSHYGXWERHJMWLXLSVSYKLP]FIJSVI

    IEXMRK=SYQE]KIXTEVEWMXIWJVSQYRGSSOIHQIEXERHJMWL (SRSXQEOIMVSRXEFPIXWEWYFWXMXYXIJSVIEXMRKMVSRJSPEXIVMGL

    JSSHW

    4VIZIRXMRKXIXERYW

    v 8IXERYWMWEWIVMSYWMRJIGXMSR -XGEYWIWHIEXLWMRRI[FSVRW -XEPWSIRHERKIVWXLIPMZIWSJQSXLIVW

    v &IMQQYRM^IHEKEMRWXXIXERYW 8IXERYWMQQYRM^EXMSRMWTVSZMHIHJSVJVIIMRJM\IHLIEPXLJEGMPMXMIW

    ERHF]QSFMPIMQQYRM^EXMSRXIEQWMRTPEGIW[LIVIMQQYRM^EXMSR

    GERRSXFIKMZIRVIKYPEVP] *MZIMRNIGXMSRWEGGSVHMRKXSWGLIHYPI[MPPKMZIPMJIPSRKTVSXIGXMSR

    EKEMRWXXIXERYW

    v 8IXERYWMQQYRM^EXMSRMWWEJI -XHSIWRSXGEYWIQMWGEVVMEKISVQEPJSVQEXMSRW -XGERFIKMZIRER]XMQIHYVMRKTVIKRERG]

    v %TEVXJVSQMQQYRM^EXMSR]SYGEREPWSTVSXIGX]SYVWIPJERH]SYVFEF]JVSQXIXERYWERHSXLIVMRJIGXMSRWF] ,EZMRKEGPIERHIPMZIV] 238TYXXMRKHYWXTS[HIVSVER]XLMRKSRXLIFEF]WGSVHERH

    OIITMRKMXJVSQKIXXMRKWSMPIH

  • 7/27/2019 Maternal and Newborn Care

    73/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    4VIZIRXMRKQEPEVME

    v 1EPEVMEMWEWIVMSYWHMWIEWI 1EPEVMEGERGEYWIQMWGEVVMEKIWXMPPFMVXLSVTVIQEXYVIFMVXL 4VIKRERX[SQIRTEVXMGYPEVP]XLSWIMRXLIMVJMVWXSVWIGSRH

    TVIKRERG]EVITVSRIXSKIXXMRKQEPEVME

    1EPEVMEMWXVERWQMXXIHF]QSWUYMXSFMXIWEXRMKLXv 1EPEVMEGEREPWSGEYWIWIZIVIERIQME %RIQMEMWHERKIVSYW %RIQMEQEOIWTVIKRERX[SQIR[IEOERHTVSRIXSMRJIGXMSRW %[SQER[MXLERIQMEMWQSVIPMOIP]XSWYJJIVJVSQFPIIHMRKHYVMRKHIPMZIV]ERHTSWXTEVXYQERHKMZIFMVXLXSEWQEPPERH[IEOFEF]

    v -J]SYEVIVIWMHMRKMREQEPEVMEIRHIQMGEVIEERHMR]SYVJMVWXSVWIGSRHTVIKRERG]XEOITVIZIRXMZIMRXIVQMXXIRXXVIEXQIRXJSVQEPEVME 8[SHSWIWSJWYPJEHS\MRIT]VMQIXLEQMRIQKQKXEFPIX

    XEFPIXWXEOIREXXLIFIKMRRMRKSJXLIRHERHVHXVMQIWXIVWRSXPIWWXLERSRIQSRXLMRXIVZEP[MPPTVIZIRXQEPEVME

    v 4VSXIGX]SYVWIPJERH]SYVFEF]JVSQQSWUYMXSFMXIWEXRMKLX )RGSYVEKIWPIITMRKYRHIVEFIHRIXTVIJIVEFP]MRWIGXMGMHIXVIEXIH -JTSWWMFPIWGVIIRLSQIWERHFIHVSSQW ;IEVPSRKWPIIZIWLMVXWERHPSRKTERXWSVWOMVXWMRXLIIZIRMRK

    IWTIGMEPP][LIRKSMRKSYXHSSVW

    (MWGSQJSVXWSJTVIKRERG]

    v 7SQI[SQIRQE]I\TIVMIRGIHMWGSQJSVXWHYVMRKTVIKRERG] 8LMWQE]QERMJIWXEWQSVRMRKWMGORIWWREYWIEZSQMXMRK

    GSRWXMTEXMSRLIQSVVLSMHWLIEVXFYVRSVPIKGVEQTW 8LIWIEVIYWYEPP]GEYWIHF]GLERKIWMRXLI[SQERWFSH] 8LIWIEVIYWYEPP]XIQTSVEV]ERHWLSYPHRSXFIEGEYWIJSV[SVV]

  • 7/27/2019 Maternal and Newborn Care

    74/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    4VEGXMGEP[E]WXSIEWIXLIHMWGSQJSVXWSJTVIKRERG]

    v 1SVRMRKWMGORIWWREYWIEERHZSQMXMRK )EXWQEPPJVIUYIRXQIEPW )EXEWQEPPWIVZMRKSJFVIEHFMWGYMXSVVMGIMQQIHMEXIP]EJXIV

    [EOMRKYT 8EOIWQEPPWMTWSJ[EXIV

    v 'SRWXMTEXMSR -RGVIEWIYWYEPJPYMHMRXEOIJVSQXSKPEWWIWXSXSKPEWWIW

    TIVHE] )EXPSXWSJZIKIXEFPIWJVYMXWERHRYXW (SVIKYPEVI\IVGMWIWYGLEW[EPOMRK

    v ,IQSVVLSMHW%ZSMHPSRKTIVMSHWSJWMXXMRK%ZSMHGSRWXMTEXMSR%ZSMHWXVEMRMRKHYVMRKFS[IPQSZIQIRXW&EXLXLITIVMRIYQ[MXL[EVQ[EXIVX[MGIEHE]

    6ITPEGIXLILIQSVVLSMH[MXLEJMRKIVEJXIVTEWWMRKWXSSP[SQERWLSYPH[EWLLERHWXLSVSYKLP][MXLFYFFPMRKWSETERH[EXIVEJXIVVITPEGMRKLIQSVVLSMH

    v *SVLIEVXFYVRSVMRHMKIWXMSR)EXWQEPPJVIUYIRXQIEPW%ZSMHWTMG]SVKVIEW]JSSHW%ZSMHP]MRKHS[RVMKLXEJXIVIEXMRK

    v *SVPIKGVEQTW/IITPIKWTVSTTIHYT[LIRWMXXMRK -JPIKGVEQTWSGGYVWXVEMKLXIR

    ORIIERHFIRHJSSXFEGOXS[EVHW

    XLIPIKSVWXERHYTSRXLIGVEQTMRKPIK

    1EWWEKIPIKWPMKLXP]

  • 7/27/2019 Maternal and Newborn Care

    75/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    ;LIRERH[LIVIXSWIIOJSVGEVI

    (YVMRKTVIKRERG]v *SVVSYXMRIERXIREXEPZMWMXKSXSXLITVIJIVVIHLIEPXLJEGMPMX]SRXLI

    WYKKIWXIHWGLIHYPIFIPS[

    v*SVIQIVKIRG]WMKRWKSXSXLILSWTMXEP[MXL)Q3'GETEFMPMXMIWMQQIHMEXIP]HE]SVRMKLX(3238;%-8

    v*SVSXLIVTVSFPIQWKSXSXLILIEPXLGIRXIVLSWTMXEP[MXL)Q3'

    GETEFMPMXMIWEWWSSREWTSWWMFPI

    3XLIVTSWWMFPITVSFPIQWHYVMRKTVIKRERG]

    v %FHSQMREPTEMRv *IIPWMPPv 7[IPPMRKSJJEGIERHJMRKIVWv 4EMRMRYVMREXMSRv *SYPWQIPPMRKZEKMREPHMWGLEVKI

    6IGSQQIRHIHWGLIHYPISJERXIREXEPGEVIZMWMXW

    WXZMWMX FIJSVIQSRXLW

    RHZMWMX QSRXLW

    VHZMWMX QSRXLW

    XLZMWMX QSRXLW

    )QIVKIRG]7MKRW

    v

    9RGSRWGMSYW'SRZYPWMRKv :EKMREPFPIIHMRKv 7IZIVIEFHSQMREPTEMRv 0SSOWZIV]MPP

    v

    7IZIVILIEHEGLI[MXLZMWYEPHMWXYVFERGIv 7IZIVIFVIEXLMRKHMJJMGYPX]v *IZIVv 7IZIVIZSQMXMRK

  • 7/27/2019 Maternal and Newborn Care

    76/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    (YVMRKPEFSVv *SVWMKRWSJPEFSVKSXSXLIJEGMPMX]SVMJXLI[SQERTVIJIVWLSQI

    HIPMZIV]ELIEPXLTVSJIWWMSREPWLSYPHFIGEPPIHEXXLIJMVWXWMKRWSJPEFSV

    *MVWXWMKRWSJPEFSV

    v &PSSH]WXMGO]HMWGLEVKIWLS[v 4EMRJYPGSRXVEGXMSRWIZIV]QMRYXIWSVPIWW

    v &EKSJ[EXIVFVIEOW

    (YVMRKTSWXTEVXYQJSVXLIQSXLIVv *SVVSYXMRITSWXTEVXYQZMWMXKSXSXLITVIJIVVIHLIEPXLJEGMPMX]SRXLI

    WYKKIWXIHWGLIHYPIFIPS[

    6IGSQQIRHIH7GLIHYPISJ4SWXTEVXYQ'EVI:MWMXW

    WXZMWMX WX[IIOTSWXTEVXYQTVIJIVEFP]HE]WRHZMWMX [IIOWTSWXTEVXYQ

    v *SVIQIVKIRG]WMKRWKSXSXLILSWTMXEP[MXL)Q3'GETEFMPMXMIWMQQIHMEXIP]HE]SVRMKLX(3238;%-8

    )QIVKIRG]WMKRW

    v 9RGSRWGMSYW'SRZYPWMRKv :EKMREPFPIIHMRKv 7IZIVIEFHSQMREPTEMRv 0SSOWZIV]MPPv

    7IZIVILIEHEGLI[MXLZMWYEPHMWXYVFERGIv 7IZIVIFVIEXLMRKHMJJMGYPX]v ,MKL*IZIVv 7IZIVIZSQMXMRK

  • 7/27/2019 Maternal and Newborn Care

    77/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    v *SVSXLIVTVSFPIQWKSXSXLILIEPXLGIRXIVLSWTMXEP[MXL)Q3'GETEFMPMXMIWEWWSSREWTSWWMFPI

    3XLIVTSWWMFPITVSFPIQWTSWXTEVXYQ

    v*IZIVv%FHSQMREPTEMRv*IIPWMPP

    v&VIEWXWW[SPPIRVIHSVXIRHIVFVIEWXWSVWSVIRMTTPIv9VMRIHVMFFPMRKSVTEMRMRYVMREXMSRv4EMRMRXLITIVMRIYQSVHVEMRMRKTYWv*SYPWQIPPMRKZEKMREPHMWGLEVKI

    (YVMRKTSWXTEVXYQJSVXLIRI[FSVR

    v *SVHERKIVWMKRWKSXSXLILSWTMXEPLIEPXLGIRXIV[MXL)Q3'

    GETEFMPMXMIWMQQIHMEXIP]HE]SVRMKLX(3238;%-8

    (ERKIVWMKRWMRXLIRI[FSVR

    v *EWXFVIEXLMRKQSVIXLERFVIEXLWTIVQMRYXIv 7PS[FVIEXLMRKPIWWXLERFVIEXLWTIVQMRYXIv 7IZIVIGLIWXMRHVE[MRKv +VYRXMRKv 'SRZYPWMSRWv *PSTT]SVWXMJJv *IZIV"'v 8IQTIVEXYVI'SVRSXVMWMRKEJXIVVI[EVQMRKv 9QFMPMGYWHVEMRMRKTYWSVYQFMPMGEPVIHRIWWI\XIRHMRKXSWOMR

    v 1SVIXLERWOMRTYWXYPIWSVFYPPEISVW[IPPMRKVIHRIWWSVLEVHRIWWSJWOMR

    v &PIIHMRKJVSQWXYQTSVGYXv 4EPPSVv ']ERSWMWSJPMTWERHQYGYWQIQFVERIWv %TRIERSXFVIEXLMRK

  • 7/27/2019 Maternal and Newborn Care

    78/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    7IPJGEVIHYVMRKTVIKRERG]

    v (S238WQSOIERHEZSMHWIGSRHLERHWQSOI %GXMZISVTEWWMZIWQSOMRKGEYWIWPS[FMVXL[IMKLX 7QSOMRKMWLEVQJYPXSXLIPYRKWERHMWEJEGXSVMRGEYWMRKL]TIVXIRWMSR

    ERHGERGIVv (S238HVMROEPGSLSPMGFIZIVEKIW(S238XEOIHVYKWXLEXEVIRSX

    TVIWGVMFIHF]XLILIEPXL[SVOIVERH(S238I\TSWYVI]SYVWIPJXSLEVQJYPGLIQMGEPWPMOITIWXMGMHIWERHJIVXMPM^IVW %PGSLSPWSQIHVYKWERHLEVQJYPGLIQMGEPWWYGLEWTIWXMGMHIWGER

    VIWYPXMREFSVXMSRGSRKIRMXEPQEPJSVQEXMSRWWXMPPFMVXLSVERYRLIEPXL]FEF]

    %PGSLSPMGFIZIVEKIWLEVQJYPGLIQMGEPWERHTSPPYXERXWMILIEZ]QIXEPWPMOIPIEHQIVGYV]GEHQMYQERHEVWIRMGERHZILMGPIWERHJEGXSV]IQMWWMSRWQMRMRKEVIEEVIJEGXSVWMRGEYWMRKPMZIVHMWIEWIERHGERGIV

    v %ZSMHWXVIRYSYWEGXMZMXMIWERHXEOIERETMRXLIQMHHPISJXLIHE] 6IWXEPPS[WWQSSXLERHEFYRHERXFPSSHJPS[XSXLIFEF]LIPTMRK

    XLIFEF]XSKVS[ 7XVIRYSYWTL]WMGEPEGXMZMXMIWWYGLEWTPSYKLMRKXLIJMIPHSVPMJXMRK

    LIEZ]SFNIGXWQE]VIXEVHXLIFEF]WKVS[XL =SYQE]HS]SYVYWYEPEGXMZMXMIWEWPSRKEW]SYRSXI\LEYWX]SYVWIPJ

    ERHWXST[SVOMRKXLIQSQIRX]SYJIIPXMVIHv 8LIGSYTPIQE]LEZIWI\YEPVIPEXMSRWHYVMRKTVIKRERG]YRPIWWXLIVI

    MWELMWXSV]SJTVIXIVQPEFSVERHMJWI\YEPMRXIVGSYVWIGEYWIWTEMR

    v*SVSXLIVTVSFPIQWKSXSXLIRIEVIWXLSWTMXEPLIEPXLGIRXIV[MXL)Q3'GETEFMPMXMIWEWWSSREWTSWWMFPI

    3XLIVTVSFPIQWMRXLIRI[FSVR

    v (MJJMGYPX]JIIHMRKv *IIHWPIWWXLERXMQIWMRLSYVWv 4YWJVSQI]IWGSVHSVWOMRTYWXYPIWv =IPPS[WOMRERHI]IWv 7[SPPIRPMQFSVNSMRXv 'SRKIRMXEPQEPJSVQEXMSRW

  • 7/27/2019 Maternal and Newborn Care

    79/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    %[SQER[MXLELMWXSV]SJTVIXIVQPEFSVWLSYPHWIIELIEPXLTVSJIWWMSREPJSVEHZMGISRWI\YEPEGXMZMX]

    8SIEWIHMWGSQJSVXEZSMHTSWMXMSRWXLEX[MPPTYXTVIWWYVISRXLI[SQERWEFHSQIR

    %HZERXEKIWSJELIEPXLJEGMPMX]HIPMZIV]

    v =SY[MPPKIXKSSHGEVIMJ]SYHIPMZIVMRXLILIEPXLJEGMPMX] 8LIVIMWEXVEMRIHLIEPXLTVSJIWWMSREP[LSGEREWWMWX]SY -XLEWXLIRIIHIHIUYMTQIRXWYTTPMIWERHHVYKWJSVXLIHIPMZIV]

    v 4VIKRERG]TYXWXLIPMZIWSJXLI[SQERERHLIVFEF]EXVMWO 'SQTPMGEXMSRWYGLEWLIQSVVLEKIMRJIGXMSRWERHGSRZYPWMSRWGER

    HIZIPSTHYVMRKHIPMZIV]ERHTSWXTEVXYQ 'SQTPMGEXMSRWGERFIQEREKIHJEWXMJXLI[SQERMWEPVIEH]MRXLI

    JEGMPMX]8LMWMWPMJIWEZMRKv -XMWWEJIVJSVXLIFEF]XSFIFSVRMRXLIJEGMPMX] -RJIGXMSRSJXLIGSVHMWPIWWPMOIP] )EVP]ERHI\GPYWMZIFVIEWXJIIHMRKMWJEGMPMXEXIH 4VSFPIQWEVITVSQTXP]EXXIRHIH

    4VITEVEXMSRJSVSFWXIXVMGEPIZIRXW

    v *SVSFWXIXVMGIQIVKIRG] XVERWTSVXXSVIEGLXLILSWTMXEPXLEXGERFIEZEMPIHSJER]XMQISJ

    XLIHE] JSSHERHQSRI]JSVQIHMGMRIWERHWYTTPMIW EGSQTERMSR[LSGERLIPTXEOIGEVISJXLI[SQERERHLIVFEF] VIPEXMZIW[LSEVIEFPIXSHSREXIFPSSH[LIRRIIHIH 1SXLIVERH&EF]&SSOXLEX[EWMWWYIHHYVMRKERXIREXEPGEVI

    v *SVLIEPXLJEGMPMX]HIPMZIV] XVERWTSVXXSVIEGLXLILIEPXLJEGMPMX]

    JSSHERHQSRI]JSVQIHMGMRIWWYTTPMIWERHRI[FSVRWGVIIRMRK EGSQTERMSR[LSGERLIPTXEOIGEVISJXLI[SQERERHLIVFEF] QSXLIVERHFEF]FSSOXLEX[EWMWWYIHHYVMRKERXIREXEPGEVI GPIERTMIGIWSJGPSXLJSV[EWLMRKHV]MRKERH[VETTMRKXLIFEF] WERMXEV]TEHWSVEHHMXMSREPGPIERWXVMTWSJGPSXLWXSYWIEJXIVFMVXL GPSXLIWJSVQSXLIVERHFEF]

  • 7/27/2019 Maternal and Newborn Care

    80/90

    'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW

    &VIEWXQMPOERHFVIEWXJIIHMRK

    v &VIEWXQMPOMWXLIFIWXJSSHJSV]SYVFEF]JVSQFMVXLYTXSQSRXLW -XQIIXWEPPXLIJSSHERHJPYMHRIIHWSJ]SYVFEF]JVSQFMVXLYTXS

    QSRXLW -XTVSXIGXW]SYVFEF]JVSQHMWIEWIERHQEPRYXVMXMSR

    v +MZIGSPSWXVYQXS]SYVFEF] -XTVITEVIW]SYVFEF]WWXSQEGLXSHMKIWXQMPO -XGSRXEMRWQER]TVSXIGXMZIWYFWXERGIWEKEMRWXMRJIGXMSR -XHSIWRSXGEYWIXYQQ]EGLISVHMEVVLIE

    v (S238KMZITPEMR[EXIVWYKEVIH[EXIVGLI[IHWXMGO]VMGILIVFEPTVITEVEXMSRWSVWXEVZI]SYVFEF][LMPI[EMXMRKJSVXLIQMPOXSGSQIMR +MZMRKJIIHWSXLIVXLERFVIEWXQMPO[MPPHITVMZI]SYVFEF]SJRIIHIH

    RYXVMIRXWERHSXLIVTVSXIGXMZIWYFWXERGIWJVSQGSPSWXVYQ ;EXIVGLI[IHWXMGO]VMGISVLIVFEPTVITEVEXMSRWQE]FI

    GSRXEQMREXIH[MXLKIVQWXLEXQE]GEYWIHMEVVLIE +MZMRKJIIHWSXLIVXLERFVIEWXQMPOEJXIVFMVXL[MPPHITVMZI]SYSJ