Bemonc And Cemon Flashcards
defined as a set of life-saving interventions that treat the major obstetric and newborn causes of morbidity and mortality.
Emergency obstetric and newborn care (EmONC)
These facilities are upgraded or enhanced Barangay Health Station (BHS), Rural Health Unit (RHU), District and Community Hospitals
Basic Emergency Obstetric and Newborn Care (BEmONC)
A tertiary level regional hospital or medical center, provincial hospital or an appropriately upgraded district hospital.
Comprehensive Emergency Obstetric and Newborn Care CEmONC)
Services defined by Basic Emergency Obstetric and Newborn Care (BEmONC):
Administer parenteral antibiotics (Infection)
Administer parenteral uterotonics
Administer parenteral anticonvulsants for pre‐eclampsia and eclampsia
Manually removal of the placenta
Remove retained products of conception (e.g., manual vacuum aspiration; dilatation and curettage)
Perform assisted vaginal delivery (e.g., vacuum extraction; forceps delivery)
Perform basic neonatal resuscitation (e.g., with bag and mask)
Services defined by Comprehensive Emergency Obstetric and Newborn Care (CEmONC):
Surgery, including cesarean section
Blood transfusion
How do we reduce the risk of infection during and after childbirth? What are standard precautions?
Frequent hand washing
Wearing appropriate gloves: sterile single-use gloves for internal examinations, non-sterile single-use gloves for handling contaminated materials
Wearing protective clothing/PPE
Safe handling of sharp objects
Proper waste disposal
Instrument sterilization
Postpartum Infection, Contributing Factors
Prolonged labor
Multiple vaginal exams during labor
Prolonged rupture of membranes
Unhygienic labor practices
Assessment For Postpartum Infection
Assess danger signs
Health History
Physical Examination
Inflammation of the uterine endometrium. Purulent or foul-smelling lochia supports the diagnosis.
Endometritis
A C-section incision infection is when the incision, or cut along the belly during a C-section surgery, becomes infected.
C-section Infection
an inflammation of breast tissue that sometimes involves an infection. The inflammation results in breast pain, swelling, warmth, and redness.
Mastitis
to prevent PPH is the main intervention within this package and can prevent two-thirds of PPH.
Uterotonic drugs
most widely used uterotonic drug.
Oxytocin
ergot alkaloids that increase the uterine muscle tone by causing continuous tetanic contractions.
Ergometrine
a prostaglandin E1 analogue that is licensed for the prevention and treatment of gastric ulcers.
Misoprostol