Maternal friendly servicesDr. Soon RueySabah Women and Childrens HospitalKota KinabaluSabahThis template can be used as a starter file for presenting training materials in a group setting.

SectionsRight-click on a slide to add sections. Sections can help to organize your slides or facilitate collaboration between multiple authors.

NotesUse the Notes section for delivery notes or to provide additional details for the audience. View these notes in Presentation View during your presentation. Keep in mind the font size (important for accessibility, visibility, videotaping, and online production)

Coordinated colors Pay particular attention to the graphs, charts, and text boxes. Consider that attendees will print in black and white or grayscale. Run a test print to make sure your colors work when printed in pure black and white and grayscale.

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1Maternal Friendly ServicesNew criteria for BFHI hospitalsTowards ensuring evidence based practices used for supporting mothers and towards ensuring initiation and continuation of breast feeding practiceGive a brief overview of the presentation. Describe the major focus of the presentation and why it is important.Introduce each of the major topics.To provide a road map for the audience, you can repeat this Overview slide throughout the presentation, highlighting the particular topic you will discuss next.23

Evidence Based4

Allowing mothers to have support and evidence based care and adequate SOP5

Avoiding Overcrowding and lack of Privacy6

Avoid Dangerous Practices7

Remove Barriers to Information and AccessTo Care8

Ensuring Continuity of Care and Adequacies Supplies and Medication

Maternal Friendly Services - PrinciplesBirth is a normal, natural healthy processEmpowerment of the womenConfidence and improvement of birth outcomeAutonomyInvolvement in decision making Birth plans?Ensure a satisfactory birthing experienceIn an environment that she choosesTo be educated / be aware of full range of servicesTypes of pain relief, mode of deliveries.Receive support for informed choices that she makes.

This is another option for an Overview slides using transitions.

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Do no harmInterventions should not be applied routinely (eg episiotomies for all primigravidas, barium enemas etc)Excessive investigations, setting up of unnecessary lines / branulasPractice evidence based medicineResponsible caregiverProvide quality carePractices should not be based on the needs of the provider/caregiver but on the needs of the motherPeriodic auditEnsuring adequate and equitable accessProviding informed choices10Maternal friendly childbirth initiativeMFCI

Ten Steps of Mother Friendly Childbirth InitiativeOffers all birthing mothers unrestricted access to a birth companion of her choice unrestricted access to continuous emotional and physical support from a skilled women (doula)Professional midwifery careProvides accurate descriptive and statistical information to the public about its practices and birth careProvides culturally competent careProvides the birthing women freedom to move about in labour and to assume her position of choice during birth (unless medically contraindicated)

125. Has clearly defines policies and procedures for antenatal care, delivery and postnatal care6. Does not routinely employ practices and procedures that are unsupported by scientific evidenceShavingEnemasUnnecessary infusions / branulasEarly rupture of membranesUnnecessary fetal monitoringInduction rate of less than 10% / episiotomy rate of 20% or less / LSCS rate of less than 10% in community hospitals and less than 15% in referral hospitals / VBAC rates in excess of 60%7. Educate staff on non-drug methods of pain relief music, self hypnosis, TENS (trans cutaneous nerve stimulation), warm baths, back massage etc8. Encourage all mothers and families including those with sick and premature babies or those with congenital abnormalities to touch, hold, breastfeed and care for their babies where possible.9. Discourages non-religious circumcision of the newborn10. Strives to achieve the WHO-UNICEF Ten Steps of the Baby Friendly Hospital Initiative to promote successful breastfeeding. Bfhi assessment & mother friendly servicesReview of Written Materials1C Question 5 & 6Q5 : Looking at protocols and standards related to breastfeeding, infant feeding and other maternity services in line with BFHI standards and current evidence based guidelinesQ6 : Written Hospital Policies on mother/ baby friendly labour and birthing practicesCompanion of choiceAllowing light foods and drinks if desiredEncouraging women to consider non drug methods of pain reliefEncourage women to walk / move about during labour and assume position of choice for delivery unless contraindicatedCare that does not involve invasive procedures such as early ARM, routine episiotomies, unwarranted acceleration or induction of labour/ instrumental deliveries or Caesarean sections

WHO requirements 4 out of 5 policies are covered adequatelyKKM : may be more lenient between 2 or 3 of the 5 policiesThank you