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Modifications in the updated Sub Divisional Hospital (SDH) 31 ... - IIMB

Modifications in the updated Sub Divisional Hospital (SDH) 31 ... - IIMB

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RECOMMENDED SERVICE MIX (SUGGESTED ACTIONS) FOR DIFFERENT<br />

ILLNESSES CONCERNING DIFFERENT SPECIALITIES:<br />

Obstetric & Gynecology<br />

S. NAME OF THE ILLNESS RECOMMENDED SERVICE MIX<br />

No<br />

(SUGGESTED ACTIONS)<br />

1 Bleed<strong>in</strong>g dur<strong>in</strong>g first trimester Diagnose ,Treat<br />

2 Bleed<strong>in</strong>g dur<strong>in</strong>g second trimester Diagnose ,Treat<br />

3 Bleed<strong>in</strong>g dur<strong>in</strong>g third trimester Diagnose ,Treat & refer<br />

4 Normal Delivery Yes<br />

5 Abnormal labour ( Mal presentation<br />

,prolonged labour, PROM, Obstructed<br />

labour)<br />

Refer<br />

6 PPH Obstetric fisrt aid –IV l<strong>in</strong>e /oxytonic<br />

Drip<br />

SOS / Inj. Ergometr<strong>in</strong>e<br />

IV /Inj. Prostagland<strong>in</strong> IM and refer<br />

Mesopros<br />

7 Puerperal Sepsis First Aid ,IV parentral antibiotics and<br />

refer<br />

8 Ectopic Pregnancy May refer<br />

9 Hypertensive disorders Diagnose, treatment and refer if<br />

necessary<br />

10 Septic abortion Diagnose and IV parentral antibiotics<br />

11 Medical disorders complicat<strong>in</strong>g<br />

pregnancy ( heart disease ,diabetes<br />

,hepatitis )<br />

and refer<br />

Diagnose and refer<br />

12 Bronchial asthma Diagnose , first aid and refer<br />

Gynaecology<br />

1 RTI / STI Treat and refer if necessary<br />

2 DUB Refer D & C medical management<br />

3 Benign disorders ( fibroid,prolapse<br />

,ovarian masses)<br />

Initial <strong>in</strong>vestigation at PHC / Gr III<br />

level<br />

Initial Investigations and refer<br />

15

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