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Governmentof West Bengal I /t

t2-15 ,,*
Directorateof HealthServices
Statefamily WelfareBureau
SwasthyaBhavan,A- wing, 3'dfloor
GN- 29, Sector-V, SaltLakeCity
Kolkata-700091

303 (1s) Date: p4,0t. ll.

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----l.E

lv" ChiefMedicalOfficerof Health(Ail districts)

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Sub:QualityIntranatalCare

Thisis not beyondyour knowledgethat qualityIntranatal carecouldpreventmortalityand

morbidityof motherand newbornso that MMRand IMRcouldbe broughtdownto <100and<30
respectively
by March2012"Qualityintranatalcaremeans
L. Maintenance of asepsis.
2. Timelyintervention
3. Drugs& its availability
4. Freeandensuredtransport

!t4=intenanceof .Asepsls
L. Changing of foot wearinganduseof dedicated foot wearingfor labourroomandOT
2. Properhandwashing by usingliquidsoapin placeof barsoap
3. useof sterilized gloves,dressings,Umbiricalcordclamp,instruments etc
4. Propersegregation of biomedicalwaste
5. At leastthreeLabourconduction set haveto madeavailable perlabourtable.
6. SterilizedSanitarynapkinhasto be providedto the postpartummotheras per requirement
till shestaysin the institutionand thereaftersheshouldbe advisedto usesanitarynapkin
till lochialdischargeceases. +

Timelyintervention
Deathdue to birth asphyxiacontributes
about 4O%of total neonataldeathwithin24 hours
of birth and aboutt5% of total Maternaldeathtook placeduringintra natalperiod. Timely
interventionandreferralcouldsavethoselives.Timelyinterventions will preventthoselives"
L. Maintenance of Partogram-This cioesnot meanonlyattachingthe partogramsheetto the
bed headticket'lt actuallymeansthe fillingup of the sheetas per norm so that timely
interventionand referralmay be ensuredso that the life of newborn& mothercouldbe
saved.
2" To providetimelycareto the complicated postpartummother at least4g hoursstayhasto
be ensuredat leastfrom PHCto RHwherethe caseloadis not so high"In other institutions
thishasto be ensuredalsoconsideringthe caseload

Contd to Page-2
 Drugs and its availability
7. The Medicine like- Inj. Oxytocin, Inj. Mag Sulph, Inj. Prevetive antibiotic ( Gentamycin /
A m p i c i l l i n ) , P l a s m a E x p a n d e re t c s h o u l d a l w a y s b e m a d e a v a i l a b l ea t t h e l a b o u r r o o m a n d
Particularly lnj. Oxytocin has to be preserved in refrigerator maintaining temperature
between 2-8 degree Celsius.
2. Every pregnant woman approaching a pubJ-ic health institution must be
entitled to a cashless and free delivery and that no charges of any
kind should be l-evied on her. No Pregnant women delivering in
government institution need to make any kind of p a l . m e n t towards
service fee, drug, diet, consumabies. and other mi-sceiianeous
expenses.
3. A simj-lar guarantee of free treatment of newborn up to the age of 28
days has to be ensured.
Freeand ensuredtransport
Freeandensuredtransportby minimizing
the time lag(Delay-2)
couldsavemanymaternal
& newbornlives.
t. Pregnant woman desires to deliver in pubJ-ic heal-th institutions would
be g u a r a n t e e d free and assured referral transport from home to
facility, between facilities in case of referral- and drop back from
facility to residence.
2. Free transport for all- sick newborns from home to faciJ-ity, between
facilities in case of referral and drop back from facility to
residence in al-l- public health j-nstituti-ons for the first 28 days of
their Iife.
,: -,'..'. .-.*.. *+;:;==_:._+_:*1ry#@>s

You are requested to percolate this message to al-l concerned and to

take proactive actions to bring into force the aforesaid val-uable
measures so that many of the lives of mother and newborn could be
saved.

ti ':
f r .i,li'l,a,/
l,'/ 7'' ,--4
Jt. Director ot ueattyil'etrffc
t{) &
\rara k tml I
uqLs ! qrrrrry vrgrrq!9 v!

West BengaI
MemoNo. H/sFWB/lNc/3ol $q/L$) D a t e : O 9 . C I S ^ "t l .
Copyfor information
to:
1. PAto Addl.ChiefSecretary,Dept.Of H&FW
: 2. Directorof HealthServices
& e.oSecretary
(FW)& Secretary
- - 3. Commissioner
n. rt.seiretirvtiwtaAddt.-Mi*i;n
Direaoi,
NRHM
5. Dy. ChiefMedicalOfficerof Health-lll (All districts)
6. All the Officersof SFWB

Jt. Director of Heal-th Se' vl_ EJ rw) &

State Family Welfare r ff