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BEMONC CEMONC
BEMONC
Basic emergency
obstetric new born care
=Primary level facility
Signal function:
AMORMESA
A-ANTIBIOTIC
M-MgSO4
O-Oxytocin
R-Retained removal of
placental products
M-Manual removal of
placenta
E-Essential New Born
Care
S-Steroid Administration
A-Assisted vaginal
delivery
CEMONC
Comprehensive
emergency obstetric
new born care
=Referral level facility
Signal function:
AMORMESA
+BT+CS
Look, listen and feel!
General
Danger Sign:
VLUD+4S
V-Vaginal bleeding
L-Looks very ill
U-Unconscious/convulsive
D-Dangerous fever
4’S
S-Severe headache
S-Severe difficulty in breathing
S-Severe vomiting
S-severe abdominal pain
VLUD+4S
=EMERGENCY FOR
WOMAN
Treatment/Management
4R
RAM
REQUEST/CALL FOR HELP
REASSURE THE MOTHER
REFER
In labor
Imminent delivery
Classification:
LABOR
General Danger Sign:
(Baby)
J-Just born
A-Ang liit <1500g
B-Breathing difficulty
A-Any maternal concern
C-Convulsive
JABAC
=EMERGENCY
FOR BABY
Treatment/Management
REFER
ENC-Essential new born care
Mother-After delivery no danger
signs
Baby-Newborn with no maternal
complaints,no danger signs
=ROUTINE CARE
CLASSIFICATION:
“E”FOR WOMAN
LABOR
“E”FOR BABY
ROUTINE CARE
After delivery of placenta:
C-Complete placenta
U-Uterus firm
T-Tears/lacerarion
E-Estimate blood loss
April 2010-Unang
yakap
ESSENTIAL NEW
BORN CARE
1.Breathing through
immediate drying
2. Cord clamping
3. Skin to skin contact
4. Non-separation of
mother and baby for
early breast feeding
Postpartum
signs:
P-Pallor none
L-Little bleeding
U-Uterus firm
T-tears/laceration none
O-Ok V/S
=MOTHERWELL