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maternal and child health > Emergency Obstetric Care > Flashcards

Emergency Obstetric Care Flashcards

1
Q

Why aren’t preventive services enough to reduce maternal mortality?

A

Because upto 15% of pregnant women and newborns have complications which cannot be predicted

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2
Q

What are the major causes of maternal mortality

A 
80% of maternal deaths are due to direct obstetric causes which include:
Hemorrhagic
Eclampsia
Abortion complications
obstructed Labour
Sepsis
(m- HEALS)
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3
Q

What are the major causes of neonatal mortality

A

Prematurity
Infection ( pneumonia, diarrhoea, sepsis, tetanus)
Asphyxia
(m- PIA)

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4
Q

What proportion of neonatal deaths occur in the first week?

A

3/4th

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5
Q

Components of BEmONC?

A 
Admin of parenteral antibiotic 
Admin of parenteral uteroronic
Admin of parenteral anticonvulsant
Manual removal of placenta
Assisted vaginal birth ( vacuum or forceps)
Newborn resuscitation 
Care of lbw newborn
Admin of parenteral antibiotic to newborn
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6
Q

Components of CEmONC

A

All BEmONC functions plus
C-section
Blood transfusion

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7
Q

Who needs to have BEmONC skills?

A

Everybody who attends a birth

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8
Q

When do you suspect sepsis?

A

Temperature of 100 F ( 38 degrees or more)

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9
Q

Signs of sepsis

A

Foul smelling discharge

Tender uterus

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10
Q

Antibiotic treatment of metritis

A

Ampicillin- every 6 hrs
Gentamicin- every 24 hrs
Metronidazole/ Clindamycin-every 8 hrs
(m- MAG)

In uncomplicated endometritis continued oral antibiotics are not required

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11
Q

80 % of PPH is caused by_______

A

Uterine atony

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12
Q

Name 3 uteroronics with their routes of administration

A

Oxytocin - Iv infusion or im
Ergometrin - im
Misoprostol- oral

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13
Q

Can ergometrin be given in a woman with high bp?

A

Never. It can precipitate eclampsia

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14
Q

Why is diazepam not the DOC In rx of eclampsia

A

High risk of neonatal respiratory depression

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15
Q

What is severe pre eclampsia

A

Dbp> 110 mm Hg

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16
Q

What is retained placenta?

A

Failure of expulsion of placenta within 30 minutes of delivery

17
Q

Treatment of retained placenta?

A

Administer oxytocin and apply controlled cord traction

If this doesn’t work then remove manually. Infection prevention practices must be observed

Administer oxytocin after removal

18
Q

An incomplete spontaneous abortion can lead to what complication?
What oral drug can be used to treat this?

A

Fatal haemorrhage

Misoprostol

19
Q

What methods are used for removal of retained products of conception ?

A
  • manual vacuum aspiration ( less traumatic, less painful, less uterine perforation)
  • D& C
20
Q

Can a vacuum extractor be used in breech presentation?

A

No, only in cephalic presentation

21
Q

What is the advantage of using forceps for delivery?

A

Less cephalhematoma

Less retinal hemorrhage

22
Q

What % of babies need resuscitation at birth

A

Upto 10 %

23
Q

Is oxygen necessary for resuscitation of asphyxiated newborns?

A

No, Ambu bag and room air are enough

24
Q

For whom is kangaroo mother care recommended?

A

Stable LBW and premature newborn

25
Q

Pneumonia accounts for what proportion of newborn mortality

A

Upto 30%

26
Q

What is CEmONC?

A

BEmONC + C- section and safe blood transfusion

27
Q

what are the UN recommendations for BEmONC and CEmONC in terms of population norms?

A

For every 500,000 population

1 facility providing CEmONC
4facilities providing BEmONC

28
Q

How will you assess quantity of EmONC services?

A

C- section rate

Should be between 5-15% of all births in the population

29
Q

How will you assess quality of

EmONC services?

A

Case fatality rate

Should not be >1%

30
Q

UN process indicators for EmONC

A

A) Number of facilities
B)Geographical distribution
c)Utilization of services ( 15% of all births in EmONC facilities )
d)Met need for EmONC (All women with complications ( estimated at 15% of births) are treated at EmONC facilities
e) Quantity of services ( C-secn rate)
f) Quaity of services ( Case Fatality Rate)

31
Q

What is the duration of BEmONC and CEmONC course provided by FOGSI?

A

BEmONC- 3 weeks

CEmONC- 16 weeks

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