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Basic Childbirth, Postpartum, and Newborn Care

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Basic Childbirth, Postpartum, and Newborn Care Basic Maternal and Newborn Care: Basic Childbirth, Postpartum, and Newborn Care Course Handbook for Participants The Maternal and Neonatal Health (MNH) Program is committed to saving mothers’ lives by increasing the timely use of key maternal and neonatal health and nutrition practices. The MNH Program is jointly implemented by JHPIEGO, the Johns Hopkins University Center for Communication Programs, the Centre for Development and Population Activities, and the Program for Appropriate Technology in Health. www.mnh.jhpiego.org JHPIEGO, an affiliate of Johns Hopkins University, builds global and local partnerships to enhance the quality of health care services for women and families around the world. JHPIEGO is a global leader in the creation of innovative and effective approaches to developing human resources for health. www.jhpiego.org TRADEMARKS: All brand names and product names are trademarks or registered trademarks of their respective companies. This publication was made possible through support provided by the Maternal and Child Health Division, Office of Health, Infectious Diseases and Nutrition, Bureau for Global Health, U.S. Agency for International Development, under the terms of Award No. HRN-00-98-00043-00. The opinions expressed herein are those of the authors and do not necessarily reflect the views of the U.S. Agency for International Development. September 2004 BASIC CHILDBIRTH, POSTPARTUM, AND NEWBORN CARE COURSE HANDBOOK FOR PARTICIPANTS OVERVIEW Competency-Based Training .....................................................................................................1 Assessment of Knowledge and Skills........................................................................................2 The Use of Simulations and Anatomic Models .........................................................................4 A Supportive Environment for Learning ...................................................................................4 Transfer of Learning ..................................................................................................................4 Example of a Completed Action Plan........................................................................................8 Example of a Blank Action Plan................................................................................................9 INTRODUCTION Training in Childbirth, Postpartum, and Newborn Care..........................................................11 Using the Childbirth, Postpartum, and Newborn Care Package..............................................11 Course Design..........................................................................................................................12 Evaluation ................................................................................................................................13 Course Syllabus .......................................................................................................................15 Model Basic Childbirth, Postpartum, and Newborn Care Course Schedule ...........................19 INSTRUCTIONS FOR USING ANATOMICAL MODELS Childbirth Simulator ................................................................................................................21 Pelvic Model, Fetal Model, Placenta/Cord/Amnion Model ....................................................25 Newborn Resuscitation Model.................................................................................................29 PRECOURSE QUESTIONNAIRE How the Results Will Be Used ................................................................................................31 Precourse Questionnaire and Answer Sheet ............................................................................33 Individual and Group Assessment Matrix ...............................................................................38 USING THE ROLE PLAYS AND EXERCISE Role Play 1: Reassuring the Women in Labor.........................................................................42 Role Play 2: Parent Education and Support for Care of the Newborn.....................................43 Exercise 1: Using the Partograph.............................................................................................44 CASE STUDIES Case Study 1: Childbirth Assessment and Care.......................................................................53 Case Study 2: Childbirth Assessment and Care.......................................................................55 Case Study 3: Postpartum Assessment and Care.....................................................................57 Case Study 4: Postpartum Assessment and Care.....................................................................59 Case Study 5: Newborn Assessment and Care ........................................................................61 Case Study 6: Newborn Assessment and Care ........................................................................63 SKILLS PRACTICE SESSIONS Skills Practice Session 1: Assessment of the Woman in Labor...............................................65 Skills Practice Session 2: Assisting in Normal Birth...............................................................67 Skills Practice Session 3: Episiotomy and Repair ...................................................................69 Skills Practice Session 4: Repair of 1st and 2nd Degree Vaginal and Perineal Tears...............70 Skills Practice Session 5: Assessment of the Newborn ...........................................................71 Skills Practice Session 6: Postpartum Assessment and Care...................................................73 Skills Practice Session 7: Newborn Resuscitation...................................................................75 Skills Practice Session 8: Manual Removal of Placenta..........................................................76 Skills Practice Session 9: Bimanual Compression of the Uterus.............................................77 Skills Practice Session 10: Compression of the Abdominal Aorta..........................................78 Skills Practice Session 11: Repair of Cervical Tears...............................................................79 LEARNING GUIDES AND PRACTICE CHECKLISTS Using the Learning Guides and Practice Checklists................................................................80 Learning Guide and Checklist 1: Assessment of the Woman in Labor...................................83 Learning Guide and Checklist 2: Assisting Normal Birth.......................................................93 Learning Guide and Checklist 3: Episiotomy and Repair .......................................................98 Learning Guide and Checklist 4: Repair of 1st and 2nd Degree Vaginal and Perineal Tears.............................................................................................................102 Learning Guide and Checklist 5: Assessment of the Newborn .............................................106 Learning Guide and Checklist 6: Postpartum Assessment and Care.....................................113 Learning Guide and Checklist 7: Newborn Resuscitation.....................................................124 Learning Guide and Checklist 8: Manual Removal of Placenta............................................128 Learning Guide and Checklist 9: Bimanual Compression of the Uterus...............................132 Learning Guide and Checklist 10: Compression of the Abdominal Aorta............................134 Learning Guide and Checklist 11: Repair of Cervical Tears.................................................136 ILLUSTRATED LECTURE HANDOUTS Using Illustrated Lectures......................................................................................................141 Presentation 1A: Fundamentals of Basic Care.......................................................................143 Presentation 1B: Key Tools in Basic Care I: Clinical Decision-Making, Interpersonal Skills, Record Keeping ..............................................................................................152 Presentation 1C: Key Tools in Basic Care II: Infection Prevention Practices.......................160 Presentation 2A: Introduction to Childbirth, Postpartum, and Newborn Care......................169 Presentation 2B: Basic Assessment during Labor .................................................................181 Presentation 2C: Basic Care during the First Stage of Labor ................................................193 Presentation 2D: Basic Care during the Second and Third Stages of Labor .........................200 Presentation 3A: Basic Care during the Fourth Stage of Labor.............................................207 Presentation 4A: Additional Care I: Common Discomforts of Labor/Childbirth and the Postpartum/Newborn Period................................................................................217 Presentation 4B: Additional Care II: Special Needs of Labor/Childbirth and the Postpartum/Newborn Period......................................................................................231 Presentation 4C: Basic Postpartum Assessment....................................................................257 Presentation 4D: Basic Postpartum Care ...............................................................................270 Presentation 5A: Continuing Care of the Newborn ...............................................................284 Presentation 5B: Additional Care
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