haemorrhagelnmp
lnmp 时间:2021-01-03 阅读:()
S1Table.
SupportingData:RiskassessmentforpregnantwomenSource:MOH(2010)Perinatalcaremanual:Section2antenatalcare(2ndedition).
CHECKLISTFORMANAGEMENTOFPREGNANTWOMENRISKFACTORSMarked(√)ifhaveriskfactorTRIMESTER123TermFrequencyofriskassessment1-1213-2223-2728-3132-3536-40>40CODERED-IMMEDIATEADMISSIONTOHOSPITALDATEPeriodofamenorrhea(POA)1Eclampsia2Preeclampsia(highbloodpressurewithurinealbumin)orthepresenceofsymptomsorBP>160/110mmHg3Heartdiseaseduringpregnancywithsignsandsymptoms(shortnessofbreath,palpitations)4Shortnessofbreathwhendoinglightactivity(suchassweepingfloor,washingdishes)5Uncontrolleddiabeticmotherwithpresenceofurineketone(≥1+)6Antepartumhaemorrhage(includingmiscarriage)7AbnormalfetalheartrateFHR≤110/minonandafter26/52FHR>160/minafter34/52(heartratemaybehighifpremature)8Anemiawithsymptomsatanygestation9Prematureuterinecontractions10Liquorwithoutcontraction11SevereasthmaticattackCODEYELLOW-REFERTOFAMILYMEDICINESPECIALIST/O&GCLINICORNEARESTHOSPITAL(within48hours)DATEPOA1HIVpositivemother2Hepatitis-Bpositivemother3Highbloodpressure>140/90-LNMPuncertain7*3consecutivemiscarriages8Pastobstetrichistory:i)Caesareansectionii)pasthistoryofpregnancyinducedhypertension/Eclampsia/Diabetesiii)PerinatalMortalityiv)Historyofinfantsweighinglessthan2.
5kgormorethan4kgv)3rddegreeperineumtearvi)Retainedplacentavii)Bleedingafterchildbirthviii)Instrumentalbirthix)longlabourpain9Multiplepregnancy10Highbloodpressure(140/90mmHg)withouturinaryalbumin11Hamoglobinlessthan11g%12Glucosedetectedinurine2times13Urinealbumin≥1+14Suddenweightgainofmorethan2kginaweek15Weighmorethan80kgat"booking"16Uterineheight(SFH)smallerorlargerfromtheestimatedperiodofgestation17Oblique/transversewithnosignoflaborat36weeksofpregnancy18(Headnotengaged)atterm(37weeks)forprimigravida*One-timeassessmentonlyNote:ThemothermustbeexaminedbytheMedicalOfficerwithin2weeksfromthedateofbookingCODEWHITE(HOSPITALDELIVERY)RISKFACTORSRISKDATEPOA1Primigravida2Motheryoungerthan18orolderthan40years3Gravida6andabove4Spacingoflessthan2yearsormorethan5years5Motherwithspecificproblems:i)heightoflessthan145cmCODEWHITE(ALLOWEDTODELIVERYATHOME/ALTERNATIVEBIRTHINGCENTER)IffulfillsthefollowingconditionsRISKFACTORSRISKDATEPOA1Gravida2-52Nopreviousobstetricsproblem3Nopreviousmedicalproblem4Nocomplicationsduringpregnancy5Appropriatehomeenvironment6Heightmorethan145cm7Mothermorethan18yearsoldandlessthan40years8Marriedandhavefamilysupport9POA>37weeksor2kgand<3.
5kg
SupportingData:RiskassessmentforpregnantwomenSource:MOH(2010)Perinatalcaremanual:Section2antenatalcare(2ndedition).
CHECKLISTFORMANAGEMENTOFPREGNANTWOMENRISKFACTORSMarked(√)ifhaveriskfactorTRIMESTER123TermFrequencyofriskassessment1-1213-2223-2728-3132-3536-40>40CODERED-IMMEDIATEADMISSIONTOHOSPITALDATEPeriodofamenorrhea(POA)1Eclampsia2Preeclampsia(highbloodpressurewithurinealbumin)orthepresenceofsymptomsorBP>160/110mmHg3Heartdiseaseduringpregnancywithsignsandsymptoms(shortnessofbreath,palpitations)4Shortnessofbreathwhendoinglightactivity(suchassweepingfloor,washingdishes)5Uncontrolleddiabeticmotherwithpresenceofurineketone(≥1+)6Antepartumhaemorrhage(includingmiscarriage)7AbnormalfetalheartrateFHR≤110/minonandafter26/52FHR>160/minafter34/52(heartratemaybehighifpremature)8Anemiawithsymptomsatanygestation9Prematureuterinecontractions10Liquorwithoutcontraction11SevereasthmaticattackCODEYELLOW-REFERTOFAMILYMEDICINESPECIALIST/O&GCLINICORNEARESTHOSPITAL(within48hours)DATEPOA1HIVpositivemother2Hepatitis-Bpositivemother3Highbloodpressure>140/90-LNMPuncertain7*3consecutivemiscarriages8Pastobstetrichistory:i)Caesareansectionii)pasthistoryofpregnancyinducedhypertension/Eclampsia/Diabetesiii)PerinatalMortalityiv)Historyofinfantsweighinglessthan2.
5kgormorethan4kgv)3rddegreeperineumtearvi)Retainedplacentavii)Bleedingafterchildbirthviii)Instrumentalbirthix)longlabourpain9Multiplepregnancy10Highbloodpressure(140/90mmHg)withouturinaryalbumin11Hamoglobinlessthan11g%12Glucosedetectedinurine2times13Urinealbumin≥1+14Suddenweightgainofmorethan2kginaweek15Weighmorethan80kgat"booking"16Uterineheight(SFH)smallerorlargerfromtheestimatedperiodofgestation17Oblique/transversewithnosignoflaborat36weeksofpregnancy18(Headnotengaged)atterm(37weeks)forprimigravida*One-timeassessmentonlyNote:ThemothermustbeexaminedbytheMedicalOfficerwithin2weeksfromthedateofbookingCODEWHITE(HOSPITALDELIVERY)RISKFACTORSRISKDATEPOA1Primigravida2Motheryoungerthan18orolderthan40years3Gravida6andabove4Spacingoflessthan2yearsormorethan5years5Motherwithspecificproblems:i)heightoflessthan145cmCODEWHITE(ALLOWEDTODELIVERYATHOME/ALTERNATIVEBIRTHINGCENTER)IffulfillsthefollowingconditionsRISKFACTORSRISKDATEPOA1Gravida2-52Nopreviousobstetricsproblem3Nopreviousmedicalproblem4Nocomplicationsduringpregnancy5Appropriatehomeenvironment6Heightmorethan145cm7Mothermorethan18yearsoldandlessthan40years8Marriedandhavefamilysupport9POA>37weeksor2kgand<3.
5kg
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