How many days

before the board

exams???
39 Days to go!
 Really?!

Honestly!,38 days and

23 hours
Sigurado ba
kayo class?
Sa totoo lang….
 20 days
preparation!
Tips before board exams:
1. Assess your strength and
weakness subjects
2. Make sure that you answer
more than 2000 exams!
3. Faith, trust and emotional
preparation
What is your
goal?!
IMPAC
 8 Millenium
Developmental
Goals
1. Erradicate
extreme poverty
and hunger
2. Achieve universal
primary education
3. Promote gender
equality
4. Reduce child
mortality
(IMCI)
5. Improve maternal
health
(IMPAC)
6. Combat HIV and
other dses.
7. Ensure enviromental
sustainability
8. Develop global
development
 Objective:
To reduce maternal
death by ¾ in 2015
MMR=TOTAL DEATH DUE TO P,D,P
___________________X 100,000
Total Live Births
 3 Delays model
1. Delay in deciding to
seek medical care
2. Delay in identifying and
reaching facility
3. Delay in receiving
medical care
DOH
-Safe motherhood program
-Women’s health safe
motherhood project 2
Integrated Management of
Pregnancy and childbirth
 EMONC
Emergency Obstetric and New
Born care

BEMONC CEMONC
 BEMONC
Basic emergency
obstetric new born care
=Primary level facility
 Signal function:

AMORMESA
A-ANTIBIOTIC
M-MgSO4
O-Oxytocin
R-Retained removal of
placental products
M-Manual removal of
placenta
E-Essential New Born
Care
S-Steroid Administration
A-Assisted vaginal
delivery
 CEMONC
Comprehensive
emergency obstetric
new born care
=Referral level facility
Signal function:

AMORMESA
+BT+CS
Look, listen and feel!
 General
Danger Sign:
VLUD+4S
V-Vaginal bleeding
L-Looks very ill
U-Unconscious/convulsive
D-Dangerous fever
4’S
S-Severe headache
S-Severe difficulty in breathing
S-Severe vomiting
S-severe abdominal pain
 VLUD+4S
=EMERGENCY FOR
WOMAN
Treatment/Management
4R
RAM
REQUEST/CALL FOR HELP
REASSURE THE MOTHER
REFER
 In labor
Imminent delivery
Classification:
LABOR
General Danger Sign:
(Baby)
J-Just born
A-Ang liit <1500g
B-Breathing difficulty
A-Any maternal concern
C-Convulsive
 JABAC
=EMERGENCY
FOR BABY
 Treatment/Management
REFER
ENC-Essential new born care
Mother-After delivery no danger
signs
Baby-Newborn with no maternal
complaints,no danger signs
=ROUTINE CARE
CLASSIFICATION:
“E”FOR WOMAN
LABOR
“E”FOR BABY
ROUTINE CARE
After delivery of placenta:
C-Complete placenta
U-Uterus firm
T-Tears/lacerarion
E-Estimate blood loss
April 2010-Unang
yakap
ESSENTIAL NEW
BORN CARE
1.Breathing through
immediate drying
2. Cord clamping
3. Skin to skin contact
4. Non-separation of
mother and baby for
early breast feeding
Postpartum
signs:
P-Pallor none
L-Little bleeding
U-Uterus firm
T-tears/laceration none
O-Ok V/S
=MOTHERWELL