IMPAC Guide Overview

The aim of Pregnancy, childbirth, postpartum and newborn care guide for essential practice (PCPNC) is to provide evidence-based recommendations to guide health care professionals in the management of women during pregnancy, childbirth and postpartum, and post abortion, and newborns during their first week of life, including management of endemic diseases like malaria, HIV/AIDS, TB and anaemia.

Table of contents

Obstetric triage aims at rapidly assessing and prioritizing pregnant individuals when they present for care, based on the urgency or acuity of their medical needs. It is a critical component of maternal health care.

1.1 General care principles

Obstetric triage aims at rapidly assessing and prioritizing pregnant individuals when they present for care, based on the urgency or acuity of their medical needs. It is a critical component of maternal health care.

1.1.1 Basic Principles When Providing Care

1.1.2 Infection Prevention and Control

1.1.3 Starting an IV Infusion

1.1.4 Basic Principles for Procedures

1.1.5 Clinical Use of Blood, Blood Products, and Replacement Fluids

1.1.6 Replacement Fluids: Simple Substitutes for Transfusion

1.1.7 Antibiotic Therapy

1.1.8 Anaesthesia and Analgesia

1.1.9 Lidocaine

1.5 Woman with additional needs

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1.2 Operative care principles

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1.4 Talking with women and their families

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1.3 Respectful maternal and newborn care

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1.6 Workplace and administrative procedures

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Obstetric triage aims at rapidly assessing and prioritizing pregnant individuals when they present for care, based on the urgency or acuity of their medical needs. It is a critical component of maternal health care.

2.1 Antenatal care

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2.3 Postpartum care

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2.2 Normal labour and childbirth

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2.4 Essential newborn care including immediate postnatal care

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Obstetric triage aims at rapidly assessing and prioritizing pregnant individuals when they present for care, based on the urgency or acuity of their medical needs. It is a critical component of maternal health care.

3.1 Obstetric Triage and rapid initial assessment

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3.3 Referrals and transfer

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3.2 Management of obstetric emergencies

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Obstetric triage aims at rapidly assessing and prioritizing pregnant individuals when they present for care, based on the urgency or acuity of their medical needs. It is a critical component of maternal health care.

4.01 Vaginal bleeding in early pregnancy

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4.02 Vaginal bleeding in later pregnancy and labour

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4.03 Vaginal bleeding after childbirth

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4.04 Hypertension, convulsions or loss of consciousness

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4.05 Maternal infections and sepsis

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4.07 Tuberculosis

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4.09 Mental health conditions

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4.10 Respiratory and cardiac problems

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4.12 Hyperglycemia

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4.13 Abdominal pain

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4.14 Fetal compromise

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4.15 Prolapsed cord

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4.16 Pregnancy and labour in a scarred uterus

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4.17 Pregnancy and labour with an overdistended uterus

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4.18 Prelabour rupture of membranes

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4.19 Preterm labour and birth

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4.20 Pregnancy beyond 40 weeks

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4.21 Induction of labour

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4.22 Prolonged labour and obstructed labour

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4.23 Malpositions and malpresentations

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4.24 Breech presentation

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4.25 Caesarean section

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4.26 Assisted vaginal birth

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4.27 Shoulder dystocia (stuck shoulders)

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4.28 Immediate newborn conditions or problems

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Obstetric triage aims at rapidly assessing and prioritizing pregnant individuals when they present for care, based on the urgency or acuity of their medical needs. It is a critical component of maternal health care.

5.1 Pain management during labour and childbirth

Introductory sentence and topics TBA.

5.2 Pain management for procedures

Introductory sentence and topics TBA.