Patient Education Material

Prenatal GENERAL GUIDELINES

  • Identify the patient & check for ID band
  • Orient the mother/ patient to health care unit
  • Check for high risk consent
  • Provide comfortable position as per the advice (left lateral/check for order)
  • Initial assessment regular assessment includes, vital sign, electronic fetal
  • heart rate, and pain
  • Monitor FHS & vital signs of mother
Intra natal

  • Refer the prenatal guidelines.
  • Keep ready for oxygenation, suction, emergency equipment and LSCS
  • Administer tocolytics and analgesics, oxytocin and prostaglandins as per the order
  • Monitor & document the cervical dilation.
  • Close monitor FHS, vital signs and contractions
  • Assist the patient for psychological, physical support whenever required.
  • Assist the obstetrician for labor as per the instruction
  • Encourage for bearing down efforts during 2nd stage of labor
Postnatal

  • Refer the prenatal Intra natal guidelines.
  • After the delivery identify the baby with ID band with UHID no of mother and take foot print.
  • Initiate breast feeding within half an hour (for natural delivery), one hour (For LSCS).
  • Watch for post partal bleeding and arrange necessarily as per the Instruction by the doctor
  • Assess for bleeding or clots
  • Monitor vitals- hypovolemia (administer IV fluid as per order)
  • Administer Inj. Oxytocin as per the order
  • Inform the doctor and check for NPO order for the preparation for surgical intervention
  • Prepare for blood transfusion and monitor hemodynamic stability.
  • Educate about self-episiotomy care, Breast feeding techniques, positions
  • Provide emotional & psychological support to patient & family with information about symptoms of psychosis and special care of baby and mother by the family.
The participates in prenatal advices as

  • Health education regarding: Diet rich in Iron, proteins, calcium & fiber;
  • Personal hygiene, Oral hygiene, care of bowels,
  • Rest, Exercise.
  • No smoking and alcohol.
  • Abstinence from sex – I & III trimester.
  • Drugs – Only with Doctor’s prescription.
  • Watch for warning signs: swelling of feet, head ache, blurring of vision, fits, bleeding or discharge per vagina.
  • Child care – Exclusive breast feeding for 6 months, Immunization as per schedule, nutrition, child rearing.
  • Family planning
Participates in education and counselling of mothers in collaboration with doctors on the following specific health protection aspectsas

  • Anemia – Fe, Folic acid, protein.
  • Other nutritional deficiency – Protein, Vit-A, D, Iodine
  • Toxemia of pregnancy – Check BP, Weight, Urine Albumin regularly, Antioxidants.
  • Tetanus – Two doses of TT Vaccine
  • Syphilis – VDRL test at early and late pregnancy (congenital syphilis is preventable).
  • German measles – congenital malformation – prevention by administering Rubella vaccine. Before vaccination it is advisable to rule out pregnancy and effective contraception be maintained for 8 weeks.
Rh Status

  • If women are Rh –ve and husband Rh +ve, she is kept under surveillance.
  • If baby is Rh +ve the Rh anti D immunoglobulin is again given within 72 hours of delivery.
  • Same should be done after abortion.
  • The blood is examined again at 28 weeks and 34 to 36 weeks for Antibodies. Rh anti D
  • immunoglobulin should be given at 28 weeks of gestation to prevent sensitization in first pregnancy
  • HIV infection – prenatal screening. Infected women may choose abortion, informed decision on breast feeding.
  • Genetic counseling.
  • Mental preparation to undergo labour process and motherhood, breastfeeding, child care.
  • Family planning sensitization, education.