Module 3

Module 3• Enhance Clinical Skills

– Low Birthweight Babies• Prematurity• Growth Restriction

– Surgical Skills• Pelvic Anatomy• Surgical Complications

• Evidence Based Practice– Cause & Effect

Methods

• Participation– Concepts

– Clinical Problems

– Your circumstances & Experience

• Practical Sessions– Ultrasound

Low Birth Weight

• What do we mean?

• Why should a baby be born with a low birth weight?

5 min group work5 min group work10 min discussion10 min discussion

Low Birth Weight

• Why are we concerned?– Prematurity

– Growth Restriction

– Combination of both

5 min group work5 min group work10 min discussion10 min discussion

Threshold of Viability

• What is this?

• What is it in your health facility

• What determines this threshold?

• Could it change?

10 min group work10 min group work20 min discussion20 min discussion

Premature Delivery

• Definition

• ‘Aetiology’

10 minute presentation10 minute presentation

Premature Delivery

• The Malawi Experience

15 min presentation15 min presentation10 min discussion10 min discussionChisale MhangoChisale Mhango

Evidence Based Practice

• Levels of Evidence

• Association

• Cause & Effect

• Effective Interventions20 min20 minInteractive presentationInteractive presentationWith refernce, specifically, With refernce, specifically, To pre-term delivery.To pre-term delivery.

Premature Delivery

• Effective Interventions– Antibiotics for pre-term rupture of membranes– Steroids

– Kangaroo Care

Premature Delivery

• Ineffective Interventions– Tocolytics (except to permit use of

steroids)

– Antibiotic Prophylaxis

Premature Delivery

• Things we should do anyway– Family Planning– Pre-Pregnancy Care– Antenatal Care

10 minute presentation10 minute presentation15 minute discussion 15 minute discussion of practicalitiesof practicalities

Group Work

What Can Be Done In Your Practice?

15 min group work15 min group work20 minute presentations20 minute presentations

Growth Restriction

• What do we mean?• What are the implications?• What are the Causes?• How can it be avoided?• How do we detect it? • How do we treat it?