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    BEmONC CEmONC

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    Overview of BEmONC and CEmONC

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    BEmONC CEmONC

    Uploaded by

    sarahmontecinoo8904
    1 views13 pages
    Overview of BEmONC and CEmONC

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    BEmONC CEmONC

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    Overview of BEmONC and CEmONC

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1 views13 pages

    BEmONC CEmONC

    Uploaded by

    sarahmontecinoo8904
    Overview of BEmONC and CEmONC

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 13

    Prepared by Sarah Montecino

    BEmONC
    Basic Emergency Obstetric and Newborn Care

    and
    CEmONC
    Comprehensive Emergency Obstetric and Newborn Care
    DOH ADMINISTRATIVE ORDER NO. 2011-0011, July 25, 2011
    With the goal of accrediting training facilities and providers,
    this Administrative Order is being issued to create regulations
    for the establishment of a consortium of training centers to
    increase the capacity of Emergency Obstetrics and Newborn
    Care (EmONC).
    BEmONC Basic Emergency Obstetric and Newborn Care
    and is an essential health care program intended
    to lower the mortality rate for mothers and
    CEmONC newborns. It is an essential intervention that
    qualified personnel at health centers may
    offer.

    Comprehensive Emergency Obstetric


    and Newborn Care
    are interventions given to expectant mothers
    and babies who are suffering from life-
    threatening issues such as as severe
    hemorrhage, infection, obstructed or
    prolonged labor, eclampsia, and newborn
    asphyxia.

    Difference between BEmONC and CEmONC


    The main difference between BEmONC and
    CEmONC is the level of care they provide for
    mothers and newborns. CEmONC includes all
    BEmONC services and adds surgical capacity
    and blood transfusion.
    Aims of BEmONC and CEmONC

    Help reduce infant mortality


    DOH came up with strategies
    rate (MDG4: Reduce child
    to help quality emergency
    mortality by two-thirds)
    accessible to ordinary people
    and improve maternal health
    and make pregnancy and
    (MDG5: Improve maternal
    childbirth safer
    health)
    BEmONC

    Capable BEmONC provider/facility BEmONC Team

    - Hospitals
    - Skilled health professionals such as
    - RHUs doctors, nurses, midwives, and medical
    technologists
    - BHS
    - Can be operated by a midwife who is
    - Lying-in clinics or birthing homes either under supervision by rural health
    physician
    - District or Community hospitals
    BEmONC
    Signal obstetric functions:
    1. Parenteral
    administration of 4. Performance
    oxytocin in third stage assisted delivery Emergency newborn
    of labor (imminent breech
    interventions:
    delivery)
    1. Newborn resuscitation
    2. Parenteral
    administration of 5. Removal of retained
    2. Treatment of neonatal
    loading dose of anti- products of conception
    sepsis/infection
    convulsants
    6. Manual removal of
    3. Oxygen support
    3. Parenteral retained placenta
    administration of initial
    dose of antibiotics
    BEmONC
    Pre-pregnancy package:
    f. STI screening using syndromic
    a. Micronutrient supplementation
    approach

    b. TT immunization
    g. Adolescent and youth health
    services
    c. Family planning: IEC and FP
    counseling
    h. Promotion of healthy lifestyle

    d. Provision of oral health services


    i. Management of lifestyle-related
    disease
    e. Counseling on STI/HIV/AIDS,
    nutrition, personal hygiene,
    j. Prevention and management of
    consequences of abortion
    other diseases
    BEmONC
    Complete pre-natal package:
    a. Provision of eight essential antenatal
    care services g. Administration of antenatal loading
    dose of steroids
    b. Promotion of exclusive breastfeeding,
    newborn screening, BCG, and Hepatitis B h. Early detection and management of
    birth dose immunization signs of complications of pregnancy

    c. Counseling i. Measurement of fundic height against


    the age of gestation, FHB, and fetal
    d. Laboratory screening and medical movement count
    management of STI-HIV
    j. Prevention and management of other
    e. Counseling on healthy lifestyle conditions

    f. Prevention and management of early k. Provision of other support services


    bleeding in pregnancy
    BEmONC
    Complete childbirth package:
    For mother: For newborn:
    a. Monitoring vital signs and the progress
    of labor using the partograph
    a. Drying to keep the baby warm
    b. Identification of early s/sx and
    administration of appropriate b. Provision of appropriate thermal care
    management
    c. Immediate latching on and initiation of
    c. Active management of the third stage breastfeeding
    of labor
    d. Non-immediate cord clamping
    d. Provision of immediate post-partum
    nursing care
    Complete post-partum and BEmONC
    post-natal package:
    For mother: For newborn:
    a. Post-partum check up including identification
    a. Post-natal care required within 24
    of early s/sx of postpartum complications
    hours after birth
    b. Micronutrient supplementation
    b. Counseling on post-partum/post-
    natal check up, home care, and
    c. Counseling
    immunization
    d. Laboratory screening and medical
    management of STI-HIV Provision of other support
    services:
    e. Provision of FP services and contraception a. Birth registration
    b. Safe blood
    f. Prevention and management of other c. Transportation and
    diseases for newborn communication
    cemonc

    Capable CEmONC provider/facility CEmONC Team


    - 3 doctors preferably
    obstetrician/surgeon/general practitioner
    - Tertiary level hospital or medical center (GP) trained in CEmONC (1 per shift)

    - Provincial hospital - At least 1 anesthesiologist or GP trained


    in CEmONC (on call)
    - Upgraded district hospital
    - At least 1 pediatrician (on call)
    - Capable privately operated medical
    center considered as an end-referral - 3 OR nurses (1 per shift)
    facilities
    - Maternity ward nurses (2 per shift)

    - 1 medtech per shift


    cemonc
    Services include:
    1. BEmONC’s signal obstetric functions Neonatal emergency
    2. Pre-pregnancy package
    interventions:
    1. Newborn resuscitation
    3. Complete pre-natal package
    2. Treatment of neonatal
    4. Complete childbirth package sepsis/infection
    5. Complete post-partum and post-natal package 3. Oxygen support for neonates
    AND 4. Management of LBW or preterm
    newborn
    1. Management of complicated deliveries (cesarean
    operations) and other highly specialized obstetric 5. Other specialized newborn
    interventions services
    Blood Bank Transfusion services
    Thank you

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