Course: Labour and Delivery Care - Ethiopia (Full) | OppiaContent

Topic outline

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- About/License Page
- Pre-test Quiz
Topic 1
Recognition of Normal Labour
- Introduction Page
- Learning Outcomes Page
- The indefinite nature of labour Page
- Normal labour Page
- How do you know that true labour has begun? Page
- What is adequate uterine contraction? Page
  
  What is adequate uterine contraction?
- Show and leakage of amniotic fluid Page
  
  Show and leakage of amniotic fluid
- Distinguishing true labour from false labour Page
- Helping the mother recognise a true labour Page
  
  Helping the mother recognise a true labour
- Stages of labour Page
  
  Stages of labour
- First stage of labour Page
  
  First stage of labour
- Second stage of labour Page
  
  Second stage of labour
- Third stage of labour Page
  
  Third stage of labour
- Fourth stage of labour Page
  
  Fourth stage of labour
- Mechanisms of normal labour Page
  
  Mechanisms of normal labour
- Engagement Page
  
  Engagement
- Descent Page
  
  Descent
- Flexion Page
  
  Flexion
- Internal rotation Page
  
  Internal rotation
- Extension Page
  
  Extension
- External rotation (restitution) Page
  
  External rotation (restitution)
- Expulsion Page
  
  Expulsion
- In conclusion Page
  
  In conclusion
- Summary Page
- Quiz
Topic 2
Assessing the Woman in Labour
- Introduction Page
- Learning Outcomes Page
- Rapid evaluation of a woman in labour Page
  
  Rapid evaluation of a woman in labour
- What you must do for a rapid assessment Page
  
  What you must do for a rapid assessment
- History-taking in labour Page
  
  History-taking in labour
- The importance of woman-friendly care Page
  
  The importance of woman-friendly care
- Recording socio-demographic data Page
  
  Recording socio-demographic data
- History of past and present pregnancy Page
  
  History of past and present pregnancy
- Danger signs and symptoms Page
  
  Danger signs and symptoms
- Physical examination in labour Page
- Inspection of the abdomen Page
  
  Inspection of the abdomen
- Palpation of the abdomen Page
  
  Palpation of the abdomen
- Measuring fetal heart rate Page
  
  Measuring fetal heart rate
- Measuring contractions Page
- Vaginal examination Page
  
  Vaginal examination
- Assess the external genitalia and vagina Page
  
  Assess the external genitalia and vagina
- Summary Page
- Quiz
Topic 3
Care of the Woman in Labour
- Introduction Page
- Learning Outcomes Page
- Assessing the needs of the woman in labour Page
  
  Assessing the needs of the woman in labour
- Support the labour Page
  
  Support the labour
- Guard the labour Page
  
  Guard the labour
- Position and mobility Page
  
  Position and mobility
- Helping the mother to manage her contractions Page
- Touch Page
  
  Touch
- Sounds Page
  
  Sounds
- Breathing Page
  
  Breathing
- Drinking fluids during labour Page
  
  Drinking fluids during labour
- Bladder care Page
  
  Bladder care
- Emotional and psychological support for the woman in labour Page
- Maternal and fetal monitoring during labour Page
- Video: 10 Steps to a clean delivery Page
- Assessing the progress of labour Page
  
  Assessing the progress of labour
- Uterine contractions Page
- Dilatation of the cervix Page
- Descent of the presenting part Page
- Discharges from the vagina Page
- Fetal condition Page
  
  Fetal condition
- Maternal condition Page
  
  Maternal condition
- Preparing to conduct a delivery Page
- Signs of second stage labour Page
- Preparing the birthing place Page
  
  Preparing the birthing place
- Equipment and supplies needed to conduct delivery Page
  
  Equipment and supplies needed to conduct delivery
- Preventing infection during delivery Page
- Handwashing Page
  
  Handwashing
- Wear protective clothing Page
  
  Wear protective clothing
- Clean and high-level disinfect your tools Page
- Clean surface for delivery and safe disposal of birth wastes Page
- In conclusion Page
- Summary Page
- Quiz
Topic 4
Using the Partograph
- Introduction Page
- Learning Outcomes Page
- The value of using the partograph Page
- Finding your way around of the partograph Page
  
  Finding your way around of the partograph
- Video: How to use a Partograph Page
- The graph sections of the partograph Page
  
  The graph sections of the partograph
- The Alert and Action lines Page
  
  The Alert and Action lines
- Recording and interpreting the progress of labour Page
  
  Recording and interpreting the progress of labour
- Cervical dilatation Page
  
  Cervical dilatation
- Descent of the fetal head Page
  
  Descent of the fetal head
- Assessing moulding and caput formation Page
  
  Assessing moulding and caput formation
- Uterine contractions Page
  
  Uterine contractions
- Assessment and recording of fetal wellbeing Page
  
  Assessment and recording of fetal wellbeing
- Fetal heart rate as an indicator of fetal distress Page
  
  Fetal heart rate as an indicator of fetal distress
- Causes of fetal distress Page
  
  Causes of fetal distress
- Recording fetal heart rate on the partograph Page
  
  Recording fetal heart rate on the partograph
- Amniotic fluid as an indicator of fetal distress Page
  
  Amniotic fluid as an indicator of fetal distress
- Assessment of maternal wellbeing Page
  
  Assessment of maternal wellbeing
- Summary Page
- Quiz
Topic 5
Conducting a Normal Delivery
- Introduction Page
- Learning Outcomes Page
- Recognising the signs of second stage labour Page
- What happens during second stage of labour? Page
  
  What happens during second stage of labour?
- How does the baby move through the birth canal? Page
  
  How does the baby move through the birth canal?
- Help the mother and baby have a safe birth Page
  
  Help the mother and baby have a safe birth
- Check the baby's heart beat Page
  
  Check the baby’s heart beat
- Support the mother's pushing Page
  
  Support the mother’s pushing
- Watch for warning signs Page
- Video: 10 Steps to a Clean Delivery Page
- Conducting delivery of the baby Page
  
  Conducting delivery of the baby
- Prevent tears in the vaginal opening Page
  
  Prevent tears in the vaginal opening
- Delivery of the head Page
  
  Delivery of the head
- Check if the cord is around the baby's neck Page
  
  Check if the cord is around the baby’s neck
- Delivery of the shoulders Page
  
  Delivery of the shoulders
- Delivery of the baby's body Page
  
  Delivery of the baby’s body
- Cutting the cord Page
  
  Cutting the cord
- Immediate care of the newborn baby Page
  
  Immediate care of the newborn baby
- Clean childbirth and cord care Page
  
  Clean childbirth and cord care
- Check the newborn Page
  
  Check the newborn
- Warmth and bonding Page
  
  Warmth and bonding
- Early breastfeeding Page
  
  Early breastfeeding
- Summary Page
- Quiz
Topic 6
Active Management of the Third Stage of Labour
- Introduction Page
- Learning Outcomes Page
- The third stage of labour Page
- Natural processes during the third stage Page
  
  Natural processes during the third stage
- Complications occurring during the third stage of labour Page
  
  Complications occurring during the third stage of labour
- Active management of third stage of labour (AMTSL) Page
  
  Active management of third stage of labour (AMTSL)
- Excessive bleeding (postpartum haemorrhage or PPH) Page
  
  Excessive bleeding (postpartum haemorrhage or PPH)
- Retained placenta Page
- Summary Page
- Quiz
Topic 7
Neonatal Resuscitation
- Introduction Page
- Learning Outcomes Page
- Newborn respiration and resuscitation Page
- Breathing in a healthy newborn Page
  
  Breathing in a healthy newborn
- Newborn asphyxia Page
  
  Newborn asphyxia
- Types of neonatal resuscitation Page
  
  Types of neonatal resuscitation
- Basic equipment needed for newborn resuscitation Page
- Before you start resuscitation Page
  
  Before you start resuscitation
- Video: Neonatal Resuscitation for Skilled Health Workers Page
- Assessing the degree of asphyxia Page
  
  Assessing the degree of asphyxia
- Neonatal resuscitation procedures Page
- The first five seconds Page
  
  The first five seconds
- Checking the newborn's heart rate Page
  
  Checking the newborn's heart rate
- The initial actions Page
- Dry the baby quickly and keep it warm Page
  
  Dry the baby quickly and keep it warm
- Clearing the mouth and nose Page
  
  Clearing the mouth and nose
- Apply gentle tactile stimulation to initiate or enhance breathing Page
  
  Apply gentle tactile stimulation to initiate or enhance breathing
- If you diagnose asphyxia, start resuscitation! Page
  
  If you diagnose asphyxia, start resuscitation!
- Ventilate at 40 breaths per minute Page
  
  Ventilate at 40 breaths per minute
- Evaluate the baby during ventilation Page
  
  Evaluate the baby during ventilation
- Immediate essential newborn care Page
- Summary Page
- Quiz
Topic 8
Abnormal Presentations and Multiple Pregnancies
- Introduction Page
- Learning Outcomes Page
- Management of women with malpresentation or multiple pregnancy Page
  
  Management of women with malpresentation or multiple pregnancy
- Vertex presentation Page
  
  Vertex presentation
- Malpresentations Page
  
  Malpresentations
- Malposition Page
  
  Malposition
- Causes and consequences of malpresentations and malpositions Page
  
  Causes and consequences of malpresentations and malpositions
- Breech presentation Page
  
  Breech presentation
- Causes of breech presentation Page
  
  Causes of breech presentation
- Diagnosis of breech presentation Page
  
  Diagnosis of breech presentation
- Types of breech presentation Page
  
  Types of breech presentation
- Risks of breech presentation Page
  
  Risks of breech presentation
- Face presentation Page
  
  Face presentation
- Causes of face presentation Page
- Diagnosis of face presentation Page
- Complications of face presentation Page
- Brow presentation Page
  
  Brow presentation
- Possible causes of brow presentation Page
- Diagnosis of brow presentation Page
  
  Diagnosis of brow presentation
- Complications of brow presentation Page
  
  Complications of brow presentation
- Shoulder presentation Page
  
  Shoulder presentation
- Causes of shoulder presentation Page
  
  Causes of shoulder presentation
- Diagnosis of shoulder presentation Page
- Complications of shoulder presentation Page
  
  Complications of shoulder presentation
- Multiple pregnancy Page
- Types of twin pregnancy Page
  
  Types of twin pregnancy
- Diagnosis of twin pregnancy Page
  
  Diagnosis of twin pregnancy
- Consequences of twin pregnancy Page
  
  Consequences of twin pregnancy
- Summary Page
- Quiz
Topic 9
Obstructed Labour
- Introduction Page
- Learning Outcomes Page
- Defining obstructed labour Page
  
  Defining obstructed labour
- Causes of obstructed labour Page
- Cephalopelvic disproportion (CPD) Page
- Abnormal presentations and multiple pregnancies Page
  
  Abnormal presentations and multiple pregnancies
- Fetal abnormalities Page
- Abnormalities of the reproductive tract Page
  
  Abnormalities of the reproductive tract
- Clinical signs of obstructed labour Page
- Assessment of clinical signs of obstruction Page
- Bandl's ring Page
  
  Bandl's ring
- Evidence from the partograph Page
  
  Evidence from the partograph
- Management of obstructed labour Page
  
  Management of obstructed labour
- Complications resulting from obstructed labour Page
- Fistula Page
  
  Fistula
- Other common complications of obstructed labour Page
  
  Other common complications of obstructed labour
- Prevention of obstructed labour Page
- Skilled birth attendance Page
- Using the partograph Page
  
  Using the partograph
- Birth preparedeness and complication readiness Page
- Nutritional education Page
- Delaying early marriage Page
  
  Delaying early marriage
- Summary Page
- Quiz
Topic 10
Ruptured Uterus
- Introduction Page
- Learning Outcomes Page
- Predisposing factors for a ruptured uterus Page
  
  Predisposing factors for a ruptured uterus
- Uterine scarring Page
- Scarred cervix Page
  
  Scarred cervix
- Previously repaired fistula Page
  
  Previously repaired fistula
- Why are multiparous women more at risk of uterine rupture? Page
- Uterine inertia Page
- Traditional abdominal massage Page
- Inappropriate use of uterotonic agents Page
  
  Inappropriate use of uterotonic agents
- Clinical features and consequences of ruptured uterus Page
- Warning signs of imminent uterine rupture Page
  
  Warning signs of imminent uterine rupture
- Signs that the uterus has ruptured Page
- Consequences for the mother Page
  
  Consequences for the mother
- Interventions in ruptured uterus Page
- Referral criteria for prolonged labour Page
  
  Referral criteria for prolonged labour
- Primary prevention: getting to a health facility for emergency care before uterine rupture Page
  
  Primary prevention: getting to a health facility for emergency care before uterine rupture
- Secondary prevention: emergency care for a woman in shock Page
  
  Secondary prevention: emergency care for a woman in shock
- Summary Page
- Quiz
Topic 11
Postpartum Haemorrhage
- Introduction Page
- Learning Outcomes Page
- Video: Prevention and Management of Primary Postpartum Haemorrhage (PPH) Page
- What is postpartum haemorrhage? Page
  
  What is postpartum haemorrhage?
- How much bleeding is 'excessive'? Page
  
  How much bleeding is 'excessive'?
- Classification of postpartum haemorrhage Page
- Atonic postpartum haemorrhage Page
- Causes of atonic PPH Page
  
  Causes of atonic PPH
- Traumatic postpartum haemorrhage Page
- Reducing the risk of postpartum haemorrhage Page
- Interventions during antenatal care Page
  
  Interventions during antenatal care
- Interventions during the second stage of labour Page
- Interventions during and after the third stage of labour Page
  
  Interventions during and after the third stage of labour
- Emergency management of postpartum haemorrhage Page
  
  Emergency management of postpartum haemorrhage
- Uterotonic drugs and IV fluids to manage atonic PPH Page
  
  Uterotonic drugs and IV fluids to manage atonic PPH
- Use two-handed pressure on the uterus Page
  
  Use two-handed pressure on the uterus
- Emergency management for traumatic PPH Page
- A checklist for emergency referral Page
  
  A checklist for emergency referral
- Summary Page
- Quiz