reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 12 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) • Provide mouth care—encourage the adolescent to brush her teeth; offer mouthwash, if available; apply ointment to the lips; offer sips of cool water or ice chips; and offer or ask the support person/family to bring hard candies or a wet cloth for the adolescent to suck on. • Since labor generates heat, fan the adolescent using a washcloth, a glove package, or by raising and lowering the hem of her gown/wrapper. Cool compresses to the back of neck, axilla, or groin bring relief and calm. • Rub her back if she is experiencing pain in her back. Applications of heat or cold can also help give comfort. • Encourage the adolescent to empty her bladder frequently. • Remember that medication is a relief measure and offer it wisely. False Labor • Facilitate relaxation and/or sleep. • Provide diversions to help pass the time, e.g. light sedation, warm bath, warm shower, hot drinks (such as tea with sugar, milk, or chocolate), or have a family member or support person give the adolescent a back rub. • Encourage walking to stimulate true labor or relieve false labor. Early Labor • Provide comfortable chairs for the adolescent and her support Pathfinder International 166 Adolescent Curriculum
Module 16/Unit 12 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) person(s), and provide diversions to help pass the time, such as playing cards, games, books, magazines, radio, or television. • Encourage the adolescent to walk around. • Offer light meals (fruits, porridge) and liquids (water, juices, tea). • If the adolescent lives close to the facility, encourage her to remain at home during the early stages of labor. • Review with her and her support person when to return. Active Labor • Do not leave the adolescent alone. Strong, rapid contractions can make her feel frightened. • Help her cope with her fears and discomfort. Take your cues from her—ask her what she wants that would make her feel better. • When touching her, touch her gently. Position the adolescent comfortably using pillows or rolls of linen. Encourage her to lie on her side. • Guide her with breathing techniques as her labor progresses if she did not attend preparation classes. If she and her support person attended preparation classes, remind them at the critical point which breathing technique to use. Observe whether the adolescent is holding her breath when she should be breathing, and guide her in breathing. Pathfinder International 167 Adolescent Curriculum
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Comprehensive Reproductive Health a
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ACKNOWLEDGEMENTS The development of
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Table of Contents Notes to the Trai
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• 12.1: Percentage of Adolescents
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Module 16 desirable. All clinic sta
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Module 16 • Clients make their ow
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INTRODUCTION Module 16/Introduction
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