Training Manual for Preventive Malaria - Ministry of Health

Signs of Labour
Danger Signs in
pregnancy
Regular, progressively painful contractions
Lower back pain radiating from fundus
Bloody show
Rapture of membranes
-Vaginal bleeding
-Difficulty in breathing
-Fever
-Severe abdominal pain
-Severe headache/blurred vision
-Convulsions/loss of consciousness
-Regular painful contractions before 37 weeks
CASE STUDY – MAKING A BIRTH PREPAREDNESS PLAN
Objective – Describe the need for a birth preparedness plan.
Instructions
Read and analyse this case study individually. When the others in your group have finished
reading it, answer the question below. When all groups have finished, we will discuss the case
study.
Scenario
Amina Yakubu is 28 years old and a tomato seller at Kaneshie market. She has reported at the
antenatal clinic at Kaneshie Polyclinic for the first time. On taking her history, the midwife finds
out that this is Amina’s second pregnancy and that she delivered her first baby with an untrained
TBA in her hometown because she did not have money to pay the charges at the health centre in
her hometown. Unfortunately she lost the baby from umbilical cord infection on the sixth day
after birth. On examination, you confirm she is 14 weeks pregnant.
Question for discussion
1. As a midwife, what advice would you give Amina on birth preparedness?
Answer
1. I would advise Amina on the benefits of delivering in a place of her choice where there is a
skilled provider to attend to her and help her to make arrangements to deliver in such a place.
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