Antenatal and Postnatal Care - Romanian Family Health Initiative ...

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HandoutWORKSHOP GOALTo orient Family Doctors to Ministry of Health protocols governing the delivery ofprenatal consultations.WORKSHOP OBJECTIVESBy the end of the workshop, participants will be able to:1. Describe normal and abnormal anatomical and physiological changes duringpregnancy.2. Describe essential content of clients’ social and health histories in the context ofthe first antenatal consultation.3. Describe essential components of antenatal physical examinations, to include:• General examination• OB examination• Laboratory/paraclinic examinations4. Explain how to make a diagnosis/case classification of maternal-fetal healthstatus.5. Explain common care, information, education and counseling for pregnant clients6. Record client data and follow-up plansWORKSHOP SCHEDULE8:30-9:00 Session 1: Welcome & Introductions9:00-9:30 Session 2: Anatomical & Physiological Changes During Pregnancy9:30-10:15 Session 3: Client History10:15-10:30 Break10:30- 11:30 Session 4: Physical Examination11:30-12:15 Session 5: Laboratory/Paraclinical examinations12:15-1:15 Lunch1:15-2:00 Session 6: Diagnosis/Case Classification2:00-2:45 Session 7: Client Education & Follow-up2:45-3:00 Session 8: Record Management3:00-3:15 Break3:15-5:00 Case studiesAntenatal Care – Session 1: Introduction 4
FlipchartNORMS THAT FACILITATE A PRODUCTIVE WORKSHOP• Respect the workshop schedule• Respect and encourage everyone’s participation• Listen to others; do not interrupt• Respect confidentiality of what others share• Everyone is responsible for their own learning• No smoking in the training room• No mobile phone conversations in training room• Everyone stick to the subjectAntenatal Care – Session 1: Introduction 5
Page 1 and 2: Romanian Family Health InitiativeA
Page 3 and 4: CONTENTIntroductionAbout JSI Resear
Page 5 and 6: INTRODUCTIONJSI Research and Traini
Page 7 and 8: AcknowledgementsThis manual has bee
Page 9 and 10: Each session contains:I. An overvie
Page 11 and 12: Session 1: IntroductionObjectives:
Page 13: IV.Group Norms & Logistics (5 minut
Page 17 and 18: HandoutANATOMICAL AND PHYSIOLOGICAL
Page 19 and 20: Suggest to the group that quality h
Page 21 and 22: HandoutSTANDARDS FOR ANTENATAL CARE
Page 23 and 24: HandoutCLIENT HISTORYObtain followi
Page 25 and 26: Session 4: Physical examinationObje
Page 27 and 28: Session 5: Laboratory/Paraclinical
Page 29 and 30: IV-V. Evaluation of Maternal & Feta
Page 31 and 32: II.Special Counseling (5 min)Using
Page 33 and 34: Session 9: Case StudiesObjectives:
Page 35 and 36: Antenatal CarePhysiologic data- Fir
Page 37 and 38: Antenatal Care• With client’s a
Page 39 and 40: Antenatal CareBlood type and Rh fac
Page 41 and 42: Antenatal CareCoping with common di
Page 43 and 44: Antenatal Care Annex 1Antenatal Car
Page 45 and 46: Antenatal Care Annex 3Obstetrical E
Page 47 and 48: Antenatal Care Annex 3Note that the
Page 49 and 50: Antenatal Care Annex 5Leopold’s M
Page 51 and 52: Antenatal Care Annex 6Factors Contr
Page 53 and 54: Annex 7COOPLAND SCORE FOR HIGH RISK
Page 55 and 56: Antenatal Care Annex 8• Demonstra
Page 57 and 58: Antenatal CareAnnex 8aneed to addre
Page 59 and 60: Antenatal CareAnnex 8ashould be inf
Page 61 and 62: Antenatal CareAnnex 8aPregnant wome
Page 63 and 64: Antenatal CareAnnex 8aPregnant wome
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Antenatal CareAnnex 8b• Inform he
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Antenatal CareAnnex 8b• Who will
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Antenatal CareAnnex 8cDietary Needs
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Antenatal CareAnnex 8dCounseling fo
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Antenatal CareAnnex 8dPhysiology of
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Antenatal CareAnnex 8eCounseling on
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Antenatal Care Annex 8eFAMILY PLANN
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Antenatal Care Annex 8eMETHOD ADVAN
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Antenatal Care Annex 8eMETHOD ADVAN
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Antenatal CareAnnex 8fCounseling on
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Antenatal CareAnnex 8f- explain to
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Antenatal Care Annex 9Preventive Me
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Antenatal CareChecklist for Family
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POSTNATAL CAREA ONE-DAY TRAINING CU
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[Note to trainer: This introductory
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HandoutWORKSHOP GOALTo orient Famil
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Session 2: Normal Changes in the Po
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Session 4: Postpartum Physical Exam
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Session 5: Diagnosis/Case Classific
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Time: 60 minutesMaterials:Documents
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Session 8: Physical Examination (In
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Session 10: Information & Education
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Session 11: Record managementObject
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Postnatal Care: MothersProtocol for
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Postnatal Care: InfantsProtocol for
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sinuses, milk will not flow well, a
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BREASTFEEDING WILL BE SUCCESSFUL IN
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Attachment of the Baby during Breas
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METHOD ADVANTAGES DISADVAN-TAGESCON
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METHOD ADVANTAGES DISADVAN-TAGESpre
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Postnatal StandardsPOSTNATAL CONSUL
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Postnatal CareFIRST POSTPARTUM CONS
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Postnatal Careo Sexuality, resumpti
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Postnatal Care• Breastfeeding (if
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Postnatal Careo Lubricate speculum
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Postnatal Careo Teach client to tak
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Newborn care - Protocol• Other co
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Newborn care - Protocol• If any a
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Newborn care - ProtocolPROTOCOLWEEK
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Newborn care - Protocol• Inspect
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COUNSELING SESSIONSFOR ANTENATAL &
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everyone and that they will be lear
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Flip chartGROUP NORMS• Respect th
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FlipchartFEEDBACKFeedback is more e
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9. It concerns what was said or don
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• “Should I go to the doctor? H
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In order to introduce the process o
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Distribute the handout Basic Counse
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information (what the client needs
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HandoutFACTORS THAT INFLUENCE HUMAN
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HandoutBASIC COUNSELING CONCEPTSDif
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Trainer documentFACTORS INFLUENCING
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Clarifying questions posed by the h
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1st role play. In each group, the c
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HandoutACTIVE LISTENINGSelf-evaluat
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‣ How did paraphrasing contribute
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SUMMARY (10 min)Ask the group:‣ W
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‣ What kinds of responses can one
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3rd role play. In each group, parti
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• The message was too complicated
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Distribute the handout Principles o
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Flip chart/HandoutROLE PLAY DISCUSS
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• verify that you have responded
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