Maternal Mortality
Lack of Education
Lack of Transport
Social Injustice
Inadequate medical services
Lack of Resources
Poverty
Pregnancy increases the need for which nutrients in the diet?
1. Protein
2. Calcium
3. Iodine, Vit A, Vit C, Vit D & Folic Acid
4. Calories
5. Iron
What is anaemia?
A reduction in the oxygen carrying capacity in the blood
What is the best position for a baby to be in at birth?
Cephalic (head down)
What does Hb mean?
Haemoglobin
List 3 reasons that could have prevented the death of Mrs. X?
Education
Gender Equality
Transport
Resources/ Medical Facilities
Enough blood in the hospital
No delay in getting help
What are the 10 danger signs in pregnancy?
Severe Pain, High Fever, Baby Moves very little or not at all, Convulsions, a lot of vomiting, water breaks early, small weight gain, unusual swelling, Anaemia, Spotting or bleeding
Show me a clinical check for anaemia
eye mucosa, lower lip, tongue, palms, venous return on fingers
What is the part of the woman that the baby needs to pass through in labour and at birth?
The Pelvis
What does LMP mean?
Last Menstral Period
What was the main reason for the death of Mrs. X?
Haemorrhage, lack of blood at medical facility, Anaemia
It is recommended to have a minimum of how many visits in pregnancy?
A minimum of 4 visits
What is the normal Hb for males and females?
Male : 13-18 g/ml
Female: 11.5-16.5 g/ml
What are 3 questions you can ask a woman about her birth plan?
Any of the following
The woman’s preference for plave of birth
Does she know when her baby is due?
Does she have a skilled birth attendant confirmed?
Family and social support - a mother should feel comfortable with her support person at the delivery. Does she have a birth partner?
Being aware of the danger signs. Ask her to tell you what she knows.
Does she have arrangements for transportation in case of emergency referral?
Does she know the distance and tiem to a referral facility in case of emergency. Does she know where it is?
Does she have money? She may need to be saving each week for the birth.
Does she know how to get money in case of an emergency? Does she have the basic supplies for the birth?
What does EDD mean?
Estimated Delivery Date
Where in the world do the Majority of Maternal Deaths Occur?
87% of Maternal deaths happen in Sub-saharan Africa and Southern Asia
7th Feb 2027
List 3 signs of anaemia
Pallor of mucosa membranes
Difficulty breathing
Dizziness, especially when getting up - fainiting
Tiredness, Fatigue
Tachycardia - fast pulse
What are the 8 Essential Birth Kit items?
1.Small piece of soap
2.Nail pick or brush (silver of wood or bamboo) 3.New unused razor (one sided if possible)
4. Three cotton ties or short strings about 8-10 inches long - BOILED
5.Plasic sheet/ lining
6.Two or three clean towels - washed and dried in the sun
7.Clean pieces of cloth ( 3 or 4 for wiping the mum)
8.Clean gloves
Fetal Heart Rate
What are the top 5 reasons for Maternal Mortality worldwide?
Haemorrhage, Infection, Obstructed Labour, Eclampsia, Unsafe Abortion
What are 3 things that you check for a pregnant women on her first Antenatal Care visit?
Any of the following
Take History, Do a physical exam, Check for anaemia, screen & treat STI's, Give malaria prevention, tell about danger signs, give tetanus shot, counsel, educate, talk about birth plan, pray
What do they usually give in pregnancy to help prevent or treat anaemia?
Iron or Ferrous Sulphate tablets
What is a normal newborn Fetal Heart Rate (FHR)?
120-160 bpm
What is the equation to figure out the LMP with Nagele's Rule?
EDD= LMP + 7 days + 9 months