Antenatal Care Part 2 - Ethiopia (Full)
Topic outline
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Providing Focused Antenatal Care (FANC)
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Focused antenatal care: concepts and principles
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Advantages of FANC
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Failings of the traditional approach to antenatal care
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Comparions of traditional and focused antenatal care
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Important elements of FANC
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The basic and specialised components of FANC
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The first FANC visit
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The fourth FANC visit
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Normal birth preparedness
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Birthing supplies the mother should prepare
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Complication readiness and emergency planning
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Causes of delay in getting emergency help
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Making a referral
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Health Promotion Issues During Pregnancy
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Eating well
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Talking to women about food
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Eating well with little money
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Food groups and their nutrients
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The five most important vitamins and minerals
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Hygiene during pregnancy
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Immunization against tetanus
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Benefits of early and exclusive breastfeeding
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Unhealthy beliefs and practices about feeding newborns
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Postpartum family planning
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Benefits of birth spacing
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Counselling on Danger Symptoms
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General principles of counselling the pregnant woman
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What is special about counselling pregnant women?
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What are the common danger symptoms during pregnancy?
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Telling pregnant women about the danger symptoms
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Advantages of husband/partner involvement in antenatal counselling
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Reduce Mother to Child Transmission of HIV
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When does HIV transmission occur from mother to baby?
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Risk factors that increase the risk of HIV transmission during pregnancy
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PMTCT: core interventions
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Antiretroviral prophylaxis (ARP) and antiretroviral therapy (ART)
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Detecting HIV infection using blood tests
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Counselling women who refuse HIV testing
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Infection can cause PROM
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Multiple pregnancy and excess amniotic fluid
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Diagnosis of PROM
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Infection after PROM
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Cord prolapse
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When should you conduct the delivery before referral?
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Common Medical Disorders in Pregnancy
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Malaria in pregnancy
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Anaemia in pregnancy
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Prevention of anaemia in pregnancy
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Urinary tract infections
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Diagnosing UTIs
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Treating a bladder infection
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Hypertensive Disorders of Pregnancy
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Effects on blood vessels and body fluids
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Effects of maternal hypertension on the fetus
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Common complications of severe pre-eclampsia for the mother
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Summarising maternal and fetal complications of severe pre-eclampsia
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Classification of hypertension during pregnancy
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Classification of pre-eclampsia
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Diagnostic signs of eclampsia
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Risk factors for pre-eclampsia/eclampsia
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Clinical features of eclampsia
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Actions if pre-eclampsia is not severe
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Supportive pre-referral treatment for severe pre-eclampsia
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Emergency referral for eclampsia
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Abortion and other Causes of Early Pregnancy Bleeding
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Spontaneous abortion
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Induced abortion
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Clinical classification of abortion
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Legal aspects of abortion in Ethiopia
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Woman-centred comprehensive post-abortion care
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Important messages for women after a spontaneous or induced abortion
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Follow-up care after an abortion
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Pre-referral treatment in an emergency
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Ectopic pregnancy
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Molar pregnancy
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Post-abortion family planning
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Late Pregnancy Bleeding
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Haemorrhagic shock
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Placenta previa
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What to do for a woman with late pregnancy bleeding
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Starting IV Fluid Therapy and Catheterising the Pregnant Woman
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When to start IV fluid therapy
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Setting up the IV fluid therapy equipment
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Sterile techniques for IV fluid therapy
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Selecting the IV cannula
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Selecting the venipuncture site
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Inserting the IV cannula
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Monitoring during IV therapy
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Establishing a monitoring routine
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Bladder catheterisation
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Steps in the catheterisation procedure