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1. Diagnosing labour (4)
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1. Diagnosing Birth Asphyxia (4)
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Dilation of the cervix
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Depressed breathing
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Regular uterine contractions
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Floppiness
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Discharge of blood and mucus
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Heart rate < 100 beats per minute
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Breaking of the waters/ruptured membranes
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Central cyanosis
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2. Monitoring a woman is in labour (9)
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2. Preliminary steps of neonatal resuscitation (6)
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Foetal heart beat
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Place new born face up
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Dialation of the cervix
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Wrap baby, except for face and upper chest
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Maternal blood pressure
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Position baby’s head so neck is extended
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Uterine contractions
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Aspirate mouth and then nose
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Maternal pulse
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Stimulate by rubbing back
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Maternal temperature
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Explain process to mother
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Descent of the head
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3. Steps of bag and mask resuscitation
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Colour of amniotic fluid
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Cover baby’s chin, mouth and nose with mask
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Degree of moulding
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Ensure seal
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3. Steps of AMTSL
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Ventilate 40 times per min
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Immediate oxytocin (1 to 2 min)
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Pause to determine breathing
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Controlled cord traction
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4. Care for baby who failed to breathe (3)
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Uterine massage
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Continue ventilation with bag and mask
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4. Observation for PPH (6)
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Assess need for special care
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Sign of shock
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Explain to mother what is happening
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Signs of anaemia
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5. Immediate new born care provided (10)
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Retained products or retained placenta
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Clean the mouth, face and nose
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Amount of external blood
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Ensure the baby is breathing
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Damage to the genital tract
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Ensure the baby is dry
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Whether uterus is contracted
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Observe for colour
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5. Care for a woman with PPH (6)
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Care for the umbilical cord
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Begin intravenous fluids
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Provide prophylaxis for eyes
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Give ergometrine or oxytocin (IV or IM)
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Weigh the baby
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Manually remove retained products
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Thermal protection (skin to skin)
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Examine woman for lacerations
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Begin breastfeeding within first hour
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Massage the fundus
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Evaluate/examine baby within first hour
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Refer
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