First do Rapid assessment and management B3-B7. Then use this chart to assess the woman's and fetal status and decide stage of labour. View in own window
Next: Perform vaginal examination and decide stage of labour View in own window
Next: Respond to obstetrical problems on admission. Use this chart if abnormal findings on assessing pregnancy and fetal status D2-D3. View in own window
Next: Give supportive care throughout labour Use this chart to provide a supportive, encouraging atmosphere for birth, respectful of the woman's wishes. Communication
Cleanliness
Mobility
Urination
Eating, drinking
Breathing technique
Pain and discomfort relief
Birth companion
Use this chart for care of the woman when NOT IN ACTIVE LABOUR, when cervix dilated 0-3 cm and contractions are weak, less than 2 in 10 minutes. View in own window
View in own window
Use this chart when the woman is IN ACTIVE LABOUR, when cervix dilated 4 cm or more. View in own window
View in own window
Use this chart when cervix dilated 10 cm or bulging thin perineum and head visible. View in own window
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Use this chart for care of the woman between birth of the baby and delivery of placenta. View in own window
View in own window
View in own window
Next: If prolapsed cord The cord is visible outside the vagina or can be felt in the vagina below the presenting part. View in own window
Next: If breech presentation View in own window
Next: If stuck shoulders View in own window
Next: If multiple births View in own window
Next: Care of the mother and newborn within first hour of delivery of placenta Use this chart for woman and newborn during the first hour after complete delivery of placenta. View in own window
View in own window
Use this chart for continuous care of the mother until discharge. See J10 for care of the baby. View in own window
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After an uncomplicated vaginal birth in a health facility, healthy mothers and newborns should receive care in the facility for at least 24 hours after birth. Use this chart to examine the mother the first time after delivery (at 1 hour after delivery or later) and for discharge. For examining the newborn use the chart on J2-J8. View in own window
Next: Respond to problems immediately postpartum If no problems, go to page D25. View in own window
Next: If elevated diastolic blood pressure IF ELEVATED DIASTOLIC BLOOD PRESSURE View in own window
Next: If pallor on screening, check for anaemia View in own window
Next: Give preventive measures Ensure that all are given before discharge. View in own window
Advise on postpartum care and hygiene
Counsel on nutrition
Counsel on Substance Abuse
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View in own window
Use this chart for advising on postnatal care after delivery in health facility on D21 or E2. For newborn babies see the schedule on K14. Encourage woman to bring her partner or family member to at least one visit. Advise to go to a hospital or health centre immediately, day or night, WITHOUT WAITING, if any of the following signs:
Go to health centre as soon as possible if any of the following signs:
Discuss how to prepare for an emergency in postpartum
Use these instructions if you are attending delivery at home. Preparation for home delivery
Delivery care
Immediate postpartum care of mother
Postnatal care of newborn
For both
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