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Basic Emergency Obstetric Care

According to the Department of Health (DOH), almost four thousand six hundred (4,600) women die giving birth each
year translating into ten (10) mothers dying and leaving more than thirty children motherless every day.

In the Philippines today, 6 out of 10 births take place at home making it difficult to follow a woman from prenatal to
postnatal stage thus contributing to a high maternal fatality rate. Hemorrhage, hypertensive disorders during
pregnancy and obstructed labor constitute the majority of complications relating to maternal fatalities. All of these
problems can be prevented through proper medical care.

The DOH also mentioned three (3) factors that contribute to the growing maternal fatality rate: (1) the decision when
to seek care, (2) reaching the health facility and, (3) receiving appropriate care in the facility.

Essential Health Service Packages


A. Antenatal Registration
a. Prenatal Visits:
1st visit- As early in pregnancy as possible before four months or during the first trimester
nd
2 visit- During the 2nd trimester
rd
3 visit During the 3rd trimester
Every 2 wks. After 8th month of pregnancy till delivery

B. Tetanus Toxoid Immunization


When given to women of childbearing age, vaccines that contain tetanus toxoid not only protect women against
tetanus, but also prevent neonatal tetanus in their newborn infants

Minimum Percent
Vaccine Duration of Protection
Age/Interval Protected
As early as possible
TT1 -- --
during pregnancy
• infants born to the mother will be protected from neonatal tetanus
TT2 At least 4 weeks later 80%
• gives 3 years protection for the mother
• infants born to the mother will be protected from neonatal tetanus
At least 6 months
TT3 95%
later
• gives 5 years protection for the mother
• infants born to the mother will be protected from neonatal tetanus
TT4 At least 1 year later 99%
• gives 10 years protection for the mother
• gives lifetime protection for the mother
TT5 At least 1 year later 99%
• all infants born to that mother will be protected

In June 2000, the 57 countries that have not yet achieved elimination of neonatal tetanus were ranked and the
Philippines was listed together with 22 other countries in Class A, a classification for countries close to maternal and
neonatal tetanus elimination
C. Micronutrient Supplementation
Vitamin A- 10,000 IU 2x a week starting on the 4th month of pregnancy
Do not give Vitamin A before 4th month of pregnancy. It might
cause congenital problems in the baby
Iron- 60mg/400 ug tablet Daily

D. Treatment of Diseases and Other Conditions


Types:
1. Difficulty of breathing/ obstruction of airway
2. Unconsciousness
3. Post partum bleeding
4. Intestinal parasite infection
5. Malaria
6.
E. Clean and Safe delivery
Presence of skilled birth attendant
Purpose:
A. to ensure hygiene during labor and delivery.
B. Provide non-traumatic delivery
C. recognize complications
D. Referred those complicated deliveries to high level of care

F. Recommended Schedule for Post Partum Care Visits


1st visit-1st week post partum preferably 3-5 days
2nd visit-6 weeks post partum

G. Importance of Breast Feeding


Breast milk is best for babies up to 2 years old. Exclusive breastfeeding is recommended for the first six months of
life. At about six months, give carefully selected nutritious foods as supplements.
Breastfeeding provides physical and psychological benefits for children and mothers as well as
economic benefits for families and societies.
BENEFITS : For infants
a. Provides a nutritional complete food for the young infant.
b. Strengthens the infant’s immune system, preventing many infections.
c. Safely rehydrates and provides essential nutrients to a sick child, especially to those suffering from diarrheal
diseases.
d. Reduces the infant’s exposure to infection.

BREASTFEEDING/ LACTATION MANAGEMENT EDUCATION TRAINING


Breastfeeding practices has been proved to be very beneficial to both mother and baby thus the creation of
the following laws support the full implementation of this program:
A. Executive Order 51
B. Republic Act 7600
C. The Rooming-In and Breastfeeding Act of 1992

A. EO 51 THE MILK CODE


Protection and promotion of breastfeeding to ensure the safe and adequate nutrition of
infants through regulation of marketing of infant foods and related products. (e.g. breast
milk substitutes, infant formulas, feeding bottles, teats etc. )
B. RA 7600 THE ROOMING –IN and BREASTFEEDING ACT of 1992
=An act providing incentives to government and private health institutions promoting
and practicing rooming-in and breast-feeding.
=Provision for human milk bank.
=Information, education and re-education drive
=Sanction and Regulation
For The Baby
-Provides Antibodies
-Contains Lactoferin (binds with Iron)
-Leukocytes
-Contains Bifidus factor-promotes growth of the Lactobacillus-inhibits the growth of
pathogenic bacilli
For the Mother
-Reduces a woman’s risk of excessive blood loss after birth
-Provides a natural method of delaying pregnancies.
-Reduces the risk of ovarian and breast cancers and osteoporosis.
For the Family and Community
-Conserves funds that otherwise would be spent on breast milk substitute, supplies and
fuel to prepare them.
-Saves medical costs to families and governments by preventing illnesses and by
providing immediate postpartum contraception.
POSITIONS IN BF THE BABY:
1. Cradle Hold = head and neck are supported
2. Football Hold
3. Side Lying Position
Bonding
Resistance
Economical
Allergy Free
Safe
Time Saving
Family Planning (LAM)
Energy Giviing
Error Free Formula
Digestible
Inexhaustible Supply
No Vitamins Needed
Guaranteed

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