Goals are different depending on the timing of the visit. Minimum 8 contacts are aimed for in an Uncomplicated pregnancy. If a woman books later than in first trimester, preceding goals should be combined and attended to. At all visits address any identified problems, check the BP and measure the Symphysio-Fundal Height (SFH)
This book, which has been appropriately titled Essential Maternal & Neonatal Care Clinical Guidelines for Uganda, is expected to be a reinforcement of the Safe Motherhood Life Saving Skills (LSS) program, the Pregnancy, Childbirth and Postnatal Care (PCPNC), Sexually Transmitted Infections (STIs) Training Curriculum, the National Adolescent Health Policy, The Reproductive Health Service Guidelines for Family Planning and Maternal Health Services Delivery, the Midwives Handbook, the Guide to Practice and several others.
Child survival, which refers to the survival of children aged 0 to 5 years, is a major public health concern in Uganda. Though the past 20 years have witnessed improvements in child survival in Uganda, about 200,000 children under the age of 5 years still die annually, mainly during the first year (55%).
The majority of deaths in children under the age of 5 years are due to a small number of common, preventable and treatable conditions including malaria, pneumonia, diarrhoea, vaccine-preventable diseases (e.g. measles), HIV/AIDS, malnutrition and neonatal conditions, occurring singly or in combination.
Health worker to discuss with mother preferably in presence of spouse or person she lives with
Antenatal cards are issued to women who come for antenatal visits when they are pregnant.
Be prepared for postpartum haemorrhage – whole blood must be available
For Pregnant women with foul smelling sero-sanguinious (mixture of blood and puss) discharge, suspect cancer of the cervix and perform vaginal speculum examination The couple should use a condom or abstain from sexual intercourse during the course of treatment.
Government of Uganda (GoU) with financing support from of World Bank (The Bank) plans to improve reproductive, maternal, neonatal and child health from implementation of the Uganda Reproductive, Maternal, Neonatal and Child Health Improvement Project (RMNCAH Project).
The Project Development Objectives (PDOs) are to: (a) improve utilization of essential health services with a focus on reproductive, maternal, newborn, child and adolescent health services in target districts; and (b) scale up birth and death registration services.
This executive summary of the International Symposium on Gender-Sensitive Medicine, organized by the WHO Centre for Health Development (WHO Kobe Centre – WKC) in Chiba Prefecture, Japan, on 1 March 2003, is based on material derived from the preparation, documentation, programme of work, deliberations and conclusions of the Symposium
Bleeding after childbirth (postpartum haemorrhage) is an important cause of maternal mortality, accounting for nearly one quarter of all maternal deaths worldwide. Common causes for postpartum haemorrhage (PPH) include failure of the uterus to contract adequately after birth leading to atonic PPH, tears of the genital tract leading to traumatic PPH and bleeding due to retention of placental tissue. Atonic PPH is the most common cause of PPH and the leading cause of maternal death.
One of the Millennium Development Goals set by the United Nations in 2000 is to reduce maternal mortality by three-quarters by 2015. If this is to be achieved, maternal deaths related to postpartum haemorrhage (PPH) must be significantly reduced. In support of this, health workers in developing countries need to have access to appropriate medications and to be trained in relevant procedures. But beyond this, countries need evidence-based guidelines on the safety, quality, and usefulness of the various interventions
This document has two sets of guidelines: service policy guidelines and service standards that aim at making explicit the direction of reproductive health within the context of primary health care. The service policy guidelines spell out the general rules and regulations governing reproductive health services and training, components of reproductive health services, target and priority groups for services and basic information education and communication (IEC) for the target and priority groups. It also identifies those eligible for services, who will provide what services, and how training, logistics, supervision and evaluation activities will be planned and implemented.
The service standards set out the minimum acceptable level of performance and expectations for each component of reproductive health services, expected functions of service providers, and the various levels of service delivery and basic training content required for the performance of these functions.
