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Sandhya JeganathanGuide:

Dr.Meera, Asst Prof ,Dept of Community Medicine

• recommend the mother to plan her delivery in a health center.

• If this is not possible then with the help of a health care worker ,should prepare for delivery at home such that it poses the least risk for the mother , baby and to those who help in the delivery.

DISPOSABLE DELIVERY KIT

• A Major Strategy Internalising The Principles Of Primary Health Care.

(Equitable Distribution, community Participation,intersectoral Co-ordination And Appropriate Technology)

Aimed at making the home deliveries as clean and safe as possible.

• To prevent / minimize infection to mother

Child health care worker

• To maintain clean perineum ,thereby reducing the incidence of infection in the mother

• To maintain a clean tie to reduce the incidence of sepsis and tetanus in the newborn.

• To maintain clean hands (usage of gloves) as a part of universal precaution

Safe delivery

• Clean surface • Clean hands • Clean blade• Clean cord • Clean tie

Things needed for a safe delivery• Several large and Clean pieces of cloth for

wrapping and wiping the baby.• Two Clean ties or threads for tying the umbilical

cord.• One new Clean razor for cutting the cord.• One container of Clean water(boiled and cooled)

for cleaning the mother, the baby and the assistant,s hand and arms.

• Clean hands-soap for the assistant to wash her hands before and after conducting the delivery

• One container of antiseptic solution (such as iodine or gentian violet)

Contd.

• One container of Clean water(boiled and cooled) for cleaning the mother, the baby and the assistant,s hand and arms.

• Clean hands-soap for the assistant to wash her hands before and after conducting the delivery

• One container of antiseptic solution (such as iodine or gentian violet).

• Listen to fetal heart rate immediately after contractions,if<100 suspect fetal distress.

• If membranes have ruptured ,note the color of draining amniotic fluid-presence of thick meconium indicates the need for close fetal monitoring and possible intervention for management of fetal distress.

• Encourage the woman to have personal support from a person of her choice throughout Labour and delivery.

• Ensure good communication and support by staff

• Maintain cleanliness of the woman and her environment.

• Ensure mobility and encourage the woman to empty her bladder regularly

• Do not routinely give enema to woman in Labour.

Contd.Teach breathing techniques for labour and

delivery(to breathe out more slowly and to relax with each expiration).

Be sensitive to the woman’s feelingIf the woman’s pulse is increasing she may be

dehydrated or in pain-ensure adequate hydration via oral or iv route.

If her BP increases suspect hemorrhage. Allow the baby’s head to turn spontaneouslyOnce out suction the baby’s moth and nose.

• Feel the baby’s neck for cord

• Reduce tears by delivering one shoulder at a time

• Deliver placenta by controlled cord traction(pull) with simultaneous counter traction above the pubic bone(push) with the other hand.