Basic Emergency Obstetric Care

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BASIC EMERGENCY OBSTETRIC CARE • These facilities can likewise serve as high volume

(BEMOC) providers for IUD (intra-uterine device) and VSC


(voluntary surgical contraception) services. It can also
• Facilities established to provide emergency obstetric be a single or stand alone facility or part of a network
care for every 125,000 population, in coordination of facilities in an inter-local health zone.
with DOH, and which are strategically located.
Comprehensive Emergency Obstetrics and Newborn
• The BEMOC strategy calls for families and Care (CEmONC) Provider
communities to plan for childbirth and upgrade • is a tertiary level regional hospital or medical center,
technical capabilities of local health providers. provincial hospital or an appropriately upgraded
district hospital.
• Recommended Schedule of postpartum Visits: • It can also be a capable privately operated medical
- 1st after 24 hours center. It is capable of performing emergency
- 2nd 1 week after obstetric functions as in:
- 3rd 2 weeks after - BEMONC provider facilities, as well as provides
• Basic emergency obstetric and newborn care - surgical delivery (caesarean section) and
(BEMONC) is a primary health care level initiative - blood bank transfusion services, and
promoted in low- and middle-income countries to - other highly specialized obstetric interventions.
reduce maternal and newborn mortality - it is also able to provide emergency neonatal care,
which include the minimum:
Basic Emergency Obstetrics and Newborn Care > newborn resuscitation;
(BEmONC) Provider > treatment of neonatal sepsis/infection;
• Is a capable private health facility or an appropriately > oxygen support; and,
upgraded public health facility that is either a rural > antenatal administration of (maternal) steroids
health unit (RHU) and/or its satellite barangay health for threatened premature delivery. It can also serve as
station (BHS) or hospital capable of performing the high volume providers for intra-uterine device (IUD)
following emergency obstetric functions: and voluntary surgical contraception (VSC) services.
(1) Parenteral administration of oxytocin in the third
stage of labor;

(2) parenteral administration of loading dose of anti-


convulsants;

(3) parenteral administration of initial dose of


antibiotics;

(4) performance of assisted deliveries in imminent


breech;

(5) removal of retained placental products ; and

(6) manual removal of retained placenta

• It is also capable of providing neonatal emergency


interventions, which include at the minimum,
newborn resuscitation, provision of warmth, and
referral.
• The hospital BEMONC shall also be capable of
providing blood transfusion services.

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