MATERNAL & CHILD

BEMONC & CEMONC - primary facilities in the delivery of the baby

BEMONC (Basic Emergency Obstetrics and NewBorn Care) - no complications

• 1st Facility/Primary Facility

• Parenteral Meds: (Loading dose)

  • Oxytocin

  • Anticoagulants

  • Antibiotic

• Blood transfusion

• Manual extraction of placenta:

  • Brandt - Andrews Manuever

  • Credes Manuever

• Removal of retain products of conceptus - EVACUATION

• Voluntary surgical contraception:

  • Vasectomy

  • Bilateral Tubal Ligation

• IUD insertion

CEMONC (Comprehensive Emergency Obstetrics and NewBorn Care)

• 3rd Facility

• Parenteral Meds: (Routine dose)

• Blood transfusion and blood banking

• Functions of BEMONC

• Management of pre-term and low-birth weight

• Emergency neonatal services:

  • Sepsis

  • O2 support and suctioning

  • Resuscitation

  • Administration of cortocosteroids Complication of Baby; PRE-TERM (premature lungs - lung surfactant)

    • AMNIOCENTESIS - test for L;S ratio (Lecithin and Sphingomyelin) 2;1

    • Corticosteroid/Dexamethasone/Betamethasone - immunosuppressant, primary Doc for any auto-immune disease, induced the production of lung surfactant

Aura - signs of seizure