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v)HYGEXMSRERHGSYRWIPMRKERHEGXYEPWIVZMGIWJSVJEQMP]TPERRMRK
v 78-,-:%-(7TVIZIRXMSRERHQEREKIQIRX
v 8IXERYWXS\SMHMQQYRM^EXMSRFEWIHSRWGLIHYPI
v ,IEPXLIHYGEXMSRERHGSYRWIPMRK
%JXIVHIPMZIV]RI[FSVR
v
6IWYWGMXEXMSRv 4VIZIRXMSRERHQEREKIQIRXSJL]TSXLIVQMEMRGPYHMRKSTXLEPQMERISREXSVYQ
ERHGSVHMRJIGXMSRW
v &VIEWXJIIHMRKMRMXMEXMSR[MXLMRSRILSYVEJXIVFMVXL
v )\GPYWMZIFVIEWXJIIHMRKYTXSQSRXLW
v 4VIZIRXMSRERHQEREKIQIRXSJMRJIGXMSRW
v 2I[FSVRWGVIIRMRK
v ,IEPXLIHYGEXMSRERHGSYRWIPMRK
7/27/2019 Maternal and Newborn Care
28/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
5YMGOGLIGOMWEWIVMIWSJWXITWXSEWWIWWXLIGSRHMXMSRSJXLI[SQER
ERHSVLIVRI[FSVR
%UYMGOGLIGOMWRIGIWWEV]XSIRWYVIXLEX[SQIRERHRI[FSVRW[LS
LEZITVSFPIQWSVGSRHMXMSRWXLEXVIUYMVIMQQIHMEXIEXXIRXMSREVIXEOIR
GEVISJTVSQTXP]8LMW[MPPEZSMH[SVWIRMRKSJGSRHMXMSRERHSVTVIZIRXMSRSJHIEXL
(SXLIUYMGOGLIGOMQQIHMEXIP]YTSREVVMZEPSJXLI[SQERERHSVLIV
RI[FSVRERHVITIEXUYMGOGLIGOMJXLIUYIYIMWPSRK
4XLFN&KHFN
7/27/2019 Maternal and Newborn Care
29/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
6ETMH%WWIWWQIRXERH1EREKIQIRX6%1
v *SVZEKMREPFPIIHMRK EWWIWWTVIKRERG]WXEXYW EWWIWWEQSYRXSJFPIIHMRK WXSTXLIFPIIHMRK
v 7XEFMPM^IXLI[SQERMJWLIMW RSXFVIEXLMRK GSRZYPWMRK MRWLSGO [MXLLMKLJIZIV
v %WWIWWJMVWXIQIVKIRG]WMKRWv (SEPPIQIVKIRG]WXITWFIJSVIVIJIVVEP QEREKIEMV[E]ERHFVIEXLMRK
QIEWYVIFPSSHTVIWWYVIERHGSYRXTYPWI
5YMGOGLIGOJSVXLI[SQER
ERHSVLIVRI[FSVR
7/27/2019 Maternal and Newborn Care
30/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
7XITWXSJSPPS[
+MZIIQIVKIRG]QEREKIQIRX
(MWGYWWHIGMWMSR[MXL[SQERTEVXRIVWTSYWIERHVIPEXMZIW
5YMGOP]SVKERM^IXVERWTSVXERHTSWWMFPIJMRERGMEPEMH
-RJSVQXLIVIJIVVEPGIRXIVF]GIPPTLSRIPERHPMRISVVEHMS
)RWYVIWYTTSVX
v %GGSQTER]XLI[SQERRI[FSVRXSXLIVIJIVVEPGIRXIVMJTSWWMFPI
v ,EZIVIPEXMZIW[LSGERHSREXIFPSSHKS[MXLXLI[SQER
v &VMRKXLIFEF][MXLXLIQSXLIVMJTSWWMFPI
v &VMRKEPSRKXLI1SXLIVERH&EF]FSSOERHJMPPSYXEVIJIVVEPJSVQ
5HIHUUDO
-RXLIIZIRXSJSFWXIXVMGEPERHRI[FSVRGSQTPMGEXMSRWERHSV
IQIVKIRGMIWMXMWMQTSVXERXXLEXXLI[SQERERHLIVRI[FSVREVI
VIJIVVIHXSELIEPXLJEGMPMX]GETEFPISJKMZMRKXLIQXLIRIIHIHGEVIERH
WYTTSVXF]LEZMRKE&)Q3'SV')Q3'GIVXMJMGEXMSRJVSQXLI(3,
4VIZIRXHIPE]ERHIRWYVIXLEXVIJIVVEPMWXMQIP]XSTVIZIRXHIEXLERHHMWEFMPMX]
;MXL]SYVFEVERKE]WHIZIPSTERIQIVKIRG]XVERWTSVXW]WXIQXLEXMWJEWX
IRSYKLERHEZEMPEFPILSYVWIZIV]HE]7II7IGXMSRJSVJYVXLIV
HMWGYWWMSR
+IXXSORS[ERHGSSVHMREXIGEPPERHGSQQYRMGEXI[MXLXLITIVWSRW
VIWTSRWMFPIJSVVIGIMZMRKVIJIVVEPWXSJEGMPMXEXITVSGIHYVIWERHTVIZIRX
YRRIGIWWEV][EMXMRK
7/27/2019 Maternal and Newborn Care
31/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
(YVMRKNSYVRI]
*SVXLI[SQER
v -JNSYVRI]MWPSRKKMZIETTVSTVMEXIXVIEXQIRXSRXLI[E]
v -JXLI[SQERMWFPIIHMRKGSRXMRYIXSQSRMXSVFPSSHPSWWERH
GSRXMRYIQIEWYVIWXSHIGVIEWIFPIIHMRKEGGSVHMRKXSGEYWI
v 1EREKIWLSGO
v -JXLI[SQERLEWER-:PMRI[EXGLXLIMRJYWMSR
v /IITVIGSVHWSJEPP-:JPYMHWQIHMGEXMSRWKMZIRXMQISJ
EHQMRMWXVEXMSRERHXLI[SQER WGSRHMXMSR
*SVXLIFEF]
v /IITXLIFEF][EVQF]WOMRXSWOMRGSRXEGX[MXLQSXLIVSV
WSQISRIIPWI
v 'SZIVXLIFEF][MXLEFPEROIXERH[MXLEGETSRXLILIEH
v 4VSXIGXXLIFEF]JVSQHMVIGXWYRPMKLX
v )RGSYVEKIFVIEWXJIIHMRKHYVMRKXLINSYVRI]
v -JXLIFEF]HSIWRSXFVIEWXJIIHERHXLINSYVRI]MWQSVIXLER
LSYVWGSRWMHIVKMZMRKI\TVIWWIHQMPOF]GYT
7/27/2019 Maternal and Newborn Care
32/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
MVWXEMHJSVXLI[SQER
[MXLHERKIVWMKRW
)RWYVIXLEXJMVWXEMHXVIEXQIRXMWKMZIRXSXLI[SQERFIJSVIXLIVIJIVVEP
XSLIPTTVIZIRXJYVXLIVHIXIVMSVEXMSRSJLIVGSRHMXMSR
-JWIZIVIHMJJMGYPX]SJFVIEXLMRKERHSFWXVYGXMSRMWWYWTIGXIH
v8V]XSGPIEVXLI
EMV[E]ERHHMWPSHKISFWXVYGXMSR
v ,IPTXLI[SQERXS
JMRHXLIFIWX
TSWMXMSRJSV
FVIEXLMRK
v 9VKIRXP]VIJIVXLI
[SQERXSXLI
LSWTMXEP[MXL
)Q3'GETEFMPMXMIW
9RGSRWGMSYW
v /IITLIVSRLIVFEGOEVQWEXXLIWMHI
v 8MPXLIVLIEHFEGO[EVHWYRPIWWXVEYQEMWWYWTIGXIH
v 0MJXLIVGLMRXSSTIREMV[E]
v -RWTIGXLIVQSYXLJSVJSVIMKRFSH]VIQSZIMJJSYRH
v 'PIEVWIGVIXMSRWJVSQXLVSEX
-RWIVXMRKMRXVEZIRSYW-:PMRIERHKMZMRKJPYMHWXSTVIZIRX
SVGSVVIGXWLSGO
v ;EWLLERHW[MXLWSETERH[EXIV
v 'PIER[SQER WWOMR[MXLEPGSLSPEXWMXIJSV-:PMRIYWMRKE
KEYKIRIIHPI
v %XXEGL6MRKIVWPEGXEXISVRSVQEPWEPMRIIRWYVIMRJYWMSRMWVYRRMRK
[IPP
7/27/2019 Maternal and Newborn Care
33/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
v +MZIJPYMHWEXVETMHVEXIMJMRWLSGOW]WXSPMG&4MWPIWWXLERQQ
,KTYPWIVEXIMWQSVIXLERQMRYXISVLIEZ]ZEKMREPFPIIHMRK
-RJYWIPMXIVMRQMRYXIWEWVETMHEWTSWWMFPI
*SPPS[[MXLPMXIVMRQMRYXIWEXQPQMRYXIVITIEXMJ
RIGIWWEV]
1SRMXSVIZIV]QMRYXIWJSV&4TYPWIERHWLSVXRIWWSJ
FVIEXL
6IHYGIMRJYWMSRVEXIXSQPQMRYXIPMXIVMR
LVW[LIRTYPWIWPS[WXSPIWWXLERQMRYXIW]WXSPMG
&4MRGVIEWIWXSQQ,KSVLMKLIV
7XSTMRJYWMSRVEXIMJ[MXLFVIEXLMRKHMJJMGYPX]SVMJTYJJMRIWWHIZIPSTW
1SRMXSVYVMRISYXTYX
6IGSVHXMQIERHEQSYRXSJJPYMHWKMZIR
v +MZIJPYMHWEXQSHIVEXIVEXIPMXIVMRLSYVWMJ[MXLWIZIVI
EFHSQMREPTEMRSFWXVYGXIHPEFSVIGXSTMGTVIKRERG]HERKIVSYW
JIZIVSVHIL]HVEXMSR
v -J-:EGGIWWMWRSXTSWWMFPIKMZISVEPVIL]HVEXMSRWSPYXMSR367
F]QSYXLMJEFPIXSHVMROSVF]REWSKEWXVMGXYFIEXQP
MRSRILSYV
(S238KMZI367XSE[SQER[LSMWYRGSRWGMSYWSV
LEWGSRZYPWMSRW-JWLIMWYREFPIXSW[EPPS[367QE]
KSXSLIVPYRKW
(S238EHQMRMWXIVMRXVEZIRSYWJPYMHWMJ]SYEVI238
XVEMRIHXSHSWS
4SWXTEVXYQFPIIHMRK
v ;LIRE[SQERMWFPIIHMRKQEWWEKIYXIVYWERHI\TIPGPSXW
v -JTSWXTEVXYQFPIIHMRKTIVWMWXWEJXIVTPEGIRXEMWHIPMZIVIHSVYXIVYWMWRSX[IPPGSRXVEGXIH
4PEGIGYTTIHTEPQSRYXIVMRIJYRHYWERHJIIPJSVWXEXISJ
GSRXVEGXMSR
1EWWEKIJYRHYWMREGMVGYPEVQSXMSR[MXLGYTTIHTEPQYRXMPYXIVYW
MW[IPPGSRXVEGXIH
RIGIWWEV]
7/27/2019 Maternal and Newborn Care
34/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
;LIR[IPPGSRXVEGXIHTPEGIJMRKIVWFILMRHJYRHYWERHTYWLHS[R
MRSRIW[MJXEGXMSRXSI\TIPGPSXW
'SPPIGXFPSSHMREGSRXEMRIVTPEGIHGPSWIHXSZYPZE1IEWYVI
SVIWXMQEXIFPSSHPSWWERHVIGSVH
+MZIIVKSQIXVMRIQK-1ERHERSXLIVHSWIEJXIVQMRYXIW
(S238KMZIIVKSQIXVMRIMJ[SQERLEWIGPEQTWME
TVIIGPEQTWMESVL]TIVXIRWMSR
v -JTSWXTEVXYQFPIIHMRKTIVWMWXWHIWTMXIVIQSZEPSJTPEGIRXEYXIVMRI
QEWWEKIERHIVKSQIXVMRIXVIEXQIRXETTP]FMQERYEPYXIVMRIGSQTVIWWMSR
;IEVWXIVMPISVGPIERKPSZIW
-RXVSHYGIXLIVMKLXLERHMRXSXLIZEKMREGPIRGLIHJMWX[MXL
XLIFEGOSJXLILERHHMVIGXIHTSWXIVMSVP]ERHXLIORYGOPIW
MRXLIERXIVMSVJSVRM\
4PEGIXLISXLIVLERHSRXLIEFHSQIRFILMRHXLIYXIVYW
ERHWUYII^IXLIYXIVYWJMVQP]FIX[IIRXLIX[SLERHW
'SRXMRYIGSQTVIWWMSRYRXMPFPIIHMRKWXSTWRSFPIIHMRK
MJXLIGSQTVIWWMSRMWVIPIEWIH
7/27/2019 Maternal and Newborn Care
35/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
6IJIVVEPPIZIPW
7/27/2019 Maternal and Newborn Care
36/90
7XITWXSJSPPS[
(SEUYMGOGLIGOJSVIQIVKIRG]WMKRW
)QIVKIRG]WMKRW
v 9RGSRWGMSYW'SRZYPWMRKv :EKMREPFPIIHMRKv 7IZIVIEFHSQMREPTEMRv 0SSOWZIV]MPPv 7IZIVILIEHEGLI[MXLZMWYEPHMWXYVFERGIv 7IZIVIFVIEXLMRKHMJJMGYPX]v *IZIVv 7IZIVIZSQMXMRK
(S238QEOIEZIV]WMGO[SQER[EMX
EXXIRHXSLIVUYMGOP]
1EOIXLI[SQERGSQJSVXEFPI
v +VIIXLIVQEOIWYVIWLIMWGSQJSVXEFPIERHEWOLS[WLIMWJIIPMRK
v -JJMVWXZMWMXVIKMWXIVXLI[SQERERHMWWYIE1SXLIVERH'LMPH&SSO
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
3UHQDWDO&DUH
-RVYVEPEVIEWTIVGIRXSJQSXLIVWERHMRYVFEREVIEWTIVGIRX
KSXSQMH[MZIWERHRYVWIWJSVTVIREXEPGEVI2(,78LVSYKL
TVIREXEPGEVIHMWIEWIW[LMGLQE]PIEHXSGSQTPMGEXMSRWGERFIHIXIGXIH
ERHQEREKIHIEVP];SQIREVIEPWSMRJSVQIHERHIHYGEXIHSRHERKIV
ERHIQIVKIRG]WMKRWERHW]QTXSQW7LIERHLIVJEQMP]EVIEPWSFIMRK
TVITEVIHJSVGLMPHFMVXLERHEXXLIWEQIXMQIVIGIMZIVIGSQQIRHEXMSRW[LIVIXSWIIOXVIEXQIRXMJGSQTPMGEXMSRWEVMWI
7/27/2019 Maternal and Newborn Care
37/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
%WWIWWXLITVIKRERX[SQER
v 9WIXLIGLEVX%WWIWWXLI4VIKRERX;SQERHYVMRKTVIREXEPZMWMXW
v (YVMRKXLIJMVWXTVIREXEPZMWMXHMWGYWWERHTVITEVIEFMVXLTPER[MXLIQIVKIRG]TVITEVIHRIWWQIEWYVIWERHVIZMI[SRWYGGIIHMRKZMWMXW )RGSYVEKIEPPTVIKRERX[SQIRXSHIPMZIVMRXLILIEPXL
JEGMPMX] (MWGYWW[MXLXLI[SQEREWXS[LS[MPPFILIVGSQTERMSR
HYVMRKPEFSVHIPMZIV]ERHLSYVWEJXIVFMVXLERH[LS[MPPGEVIJSVLIVLSQIERHGLMPHVIR
-JQSXLIVWXMPPTVIJIVWXSHIPMZIVEXLSQI[MXLSYXEWOMPPIHFMVXLEXXIRHERXVIWTIGXLIVHIGMWMSR7TIRHQSVIXMQIKMZMRKMRJSVQEXMSRSRGPIERERHWEJIHIPMZIV]EXLSQI
v 1SHMJ]XLIFMVXLTPERMJER]GSQTPMGEXMSRWEVMWI
%PPTVIKRERGMIWEVIEXVMWO)RGSYVEKIEPPTVIKRERX
[SQIRXSHIPMZIVMRXLILIEPXLJEGMPMX]
%P[E]WVIGSVHJMRHMRKW-XGERLIPT]SYQEOIXLIVMKLXERHXMQIP]HIGMWMSRWSRXLIGEVISJXLI[SQERERHLIV
FEF]
7/27/2019 Maternal and Newborn Care
38/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
%WWIWWXLI4VIKRERX;SQER4VIKRERG]7XEXYW
&MVXLERH)QIVKIRG]4PER
(S238TIVJSVQEZEKMREPI\EQMREXMSREWE
VSYXMRITVIREXEPGEVITVSGIHYVI
7/27/2019 Maternal and Newborn Care
39/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
+IXFEWIPMRIPEFSVEXSV]MRJSVQEXMSRSJXLI[SQERSR
XLIJMVWXSVJSPPS[MRKXLIJMVWXZMWMX
v (IXIVQMRILIQSKPSFMRERHFPSSHX]TIERHTIVJSVQEYVMREP]WMWv -JRSXEZEMPEFPIVIJIVXSXLIRIEVIWX6,9SVLSWTMXEPJSVXLIXIWXW
'LIGOJSVKIWXEXMSREPHMEFIXIW
v %WOEFSYXJEQMP]LMWXSV]JMVWXHIKVIISJHMEFIXIWERHLMWXSV]SJSFIWMX]
v %WOEFSYXTEWXTVIKRERG]JSVHMJJMGYPXPEFSVPEVKIFEFMIWGSRKIRMXEPQEPJSVQEXMSRWERHTVIZMSYWYRI\TPEMRIHJIXEPHIEXL
v 0SSOJSVWMKRWSJQEXIVREPSZIV[IMKLXSVSFIWMX]TSP]L]HVEQMSWWMKRWSJPEVKIFEF]JIXEPEFRSVQEPMX]ERHZEKMREPMRJIGXMSR
-JTSWMXMZIJSV
v JEQMP]LMWXSV]SJHMEFIXIWERHv [SQERMW]IEVWERHSPHIVERHv MWSFIWI
7LIMWEXPS[VMWOJSVHMEFIXIWVIJIVJSVKPYGSWIWGVIIRMRKFIX[IIRXLIXLERHXLQSRXLSJTVIKRERG]
-JTSWMXMZIJSV
v JEQMP]LMWXSV]SJHMEFIXIWERHv LMWXSV]SJSZIV[IMKLXSFIWMX]ERHv WLIMWSFIWIERHv WLILEWTSP]L]HVEQMSWSVLEWE
PEVKIJIXYWSVXLIVIMWJIXEPEFRSVQEPMX]SVLEWVIGYVVIRXZEKMREPMRJIGXMSRWSVLMWXSV]SJ
YRI\TPEMRIHJIXEPHIEXL
7LIMWEXLMKLVMWOJSVHMEFIXIWVIJIVJSVKPYGSWIWGVIIRMRKEW
WSSREWTSWWMFPI
7/27/2019 Maternal and Newborn Care
40/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
'LIGOJSVTEPPSVSVERIQME
v %WOEFSYXKIXXMRKXMVIHIEWMP]SVWLSVXRIWWSJFVIEXLHYVMRKVSYXMRI[SVO
v 3RJMVWXZMWMXHIXIVQMRILIQSKPSFMRERHFPSSHX]TI8LIRSVQEPLIQSKPSFMRGYXSJJPIZIPJSVETVIKRERX[SQERMWKHP
v 3RWYFWIUYIRXZMWMXW PSSOJSVGSRNYRGXMZEPTEPPSV PSSOJSVTEPQEVTEPPSV-JTEPPSV-WMXWIZIVITEPPSV#7SQITEPPSV#
ERHGSYRXRYQFIVSJFVIEXLWMRSRIQMRYXI
'LIGOJSVL]TIVXIRWMSRTVIIGPEQTWME
v1IEWYVI&4MRWMXXMRKTSWMXMSRv-JHMEWXSPMG&4MWQQ,KSVLMKLIVVITIEXQIEWYVIQIRXEJXIV
LSYVVIWXv-JHMEWXSPMG&4MWWXMPPQQ,KSVLMKLIVEWOXLI[SQER
MJWLILEW 7IZIVILIEHEGLI&PYVVIHZMWSR
)TMKEWXVMGTEMR
v %RHGLIGOYVMRIJSVTVSXIMR
'LIGOJSVJIZIVFYVRMRKWIRWEXMSRSRYVMREXMSRERH
EFRSVQEPZEKMREPHMWGLEVKI
v %WOEFSYXITMWSHIWSJJIZIVSVGLMPPWERHXEOIXIQTIVEXYVIv %WOEFSYXTEMRSVFYVRMRKWIRWEXMSRSRYVMREXMSRv %WOEFSYXTVIWIRGISJEFRSVQEPZEKMREPHMWGLEVKIMXGLMRKEXXLI
ZYPZESVMJTEVXRIVLEWEYVMREV]TVSFPIQ
-QQYRM^IEKEMRWXXIXERYW
v 'LIGOXIXERYWMQQYRM^EXMSRWXEXYWv -J&,7MWEJM\IHGIRXIVKMZIXIXERYWXS\SMHQPEGGSVHMRKXS
WGLIHYPI-JRSXMRJSVQXLI[SQERXSVIXYVRSRXLIRI\XMQQYRM^EXMSRVSYRH
v %HZMWI[SQER[LIRXLIRI\XHSWIMWHYIERHXSGSQTPIXIXLIHSWIW
7/27/2019 Maternal and Newborn Care
41/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
8VIEXJSVMRXIWXMREPTEVEWMXIW
v +MZIQIFIRHE^SPIQKXEFPIXXEFPIXWMRKPIHSWIER]XMQIJVSQQSRXLWSJTVIKRERG]ERHMJRSRI[EWKMZIRMRXLITEWXQSRXLW
(S238KMZIQIFIRHE^SPIMRXLIJMVWXQSRXLW
SJTVIKRERG]MXQMKLXGEYWIGSRKIRMXEPTVSFPIQWMR
XLIFEF]
4VIZIRXERIQMEERHRIYVEPXYFIHIJIGXW[MXLMVSR
ERHJSPEXIWYTTPIQIRXEXMSR
v +MZIMVSRJSPEXIQKYKXEFPIXXEFPIXHEMP]XSPEWXYRXMPWGLIHYPIHVIXYVRZMWMX
v *SVFIWXTVIZIRXMSRMXMWFIWXXSKMZIMVSRERHJSPEXIWYTTPIQIRXEXMSRFIJSVITVIKRERG]
8IXERYW8S\SMH-QQYRM^EXMSR7GLIHYPI
:EGGMRI
88
88
88
88
88
1MRMQYQ-RXIVZEP
EXJMVWXGSRXEGX[MXL[SQER]VWSVEXJMVWX%2'ZMWMX
EXPIEWX[IIOWEJXIV88
EXPIEWXQSRXLWEJXIV88
EXPIEWX]IEVEJXIV88
EXPIEWX]IEVEJXIV88
(YVEXMSRSJ4VSXIGXMSR
v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW
v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV
v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW
v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV
v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW
v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV
v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW
v ]IEVWSJTVSXIGXMSRJSVXLIQSXLIV
v -RJERXWFSVRXSXLIQSXLIV[MPPFITVSXIGXIHJVSQRISREXEPXIXERYW
v 0MJIXMQITVSXIGXMSRJSVXLIQSXLIV
7/27/2019 Maternal and Newborn Care
42/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
+MZITVIZIRXMZIMRXIVQMXXIRXXVIEXQIRXJSVJEPGMJEVYQ
QEPEVME
v +MZIWYPJEHS\MRIT]VMQIXLEQMRIXS[SQIRJVSQQEPEVMEIRHIQMGEVIEW[LSEVIMRXLIMVJMVWXSVWIGSRHTVIKRERG]QKQKXEFPIXXEFPIXWEXXLIFIKMRRMRKSJXLIRHERHVHXVMQIWXIVWRSXPIWWXLERSRIQSRXLMRXIVZEP
v )RGSYVEKIWPIITMRKYRHIVEFIHRIXTVIJIVEFP]MRWIGXMGMHIXVIEXIH
+MZITVIZIRXMZIMRXIVQMXXIRXXVIEXQIRXJSV
QEPEVMESRP]XS[SQIRMRIRHIQMGEVIEW
+MZI:MXEQMR%
v +MZI:MXEQMR%-9X[MGIE[IIOWXEVXMRKSRXLIXLQSRXLSJTVIKRERG]
v -J[SQERMWEPVIEH]XEOMRKQYPXMZMXEQMRWJSVKSZMXEQMR%WYTTPIQIRXEXMSR
(S238KMZIZMXEQMR%WYTTPIQIRXEXMSRFIJSVI
XLIXLQSRXLSJTVIKRERG]-XQMKLXGEYWI
GSRKIRMXEPTVSFPIQWMRXLIFEF]
4VSZMHILIEPXLMRJSVQEXMSREHZMGIERHGSYRWIPSR
HERKIVWMKREPWERHXLVIIHIPE]W
v (MWGYWWJMVWXXLIXSTMGWXLEXEVIQSWXMQTSVXERXXSXLI[SQERHYVMRKXLIZMWMX'SZIVSXLIVWYKKIWXIHXSTMGWSRGIQEMRGSRGIVRSJXLI[SQERLEWEPVIEH]FIIREHHVIWWIH
v
7TIRHQSVIXMQIKMZMRKRYXVMXMSRIHYGEXMSRERHGSYRWIPMRKXSZIV]XLMR[SQIRERHEHSPIWGIRXW
*EQMP]TPERRMRKIHYGEXMSRERHGSYRWIPMRKEVI
ZIV]MQTSVXERXHYVMRKXLI[LSPIGSYVWISJ
TVIKRERG]YTXSTSWXTEVXYQTEVXMGYPEVP]FIJSVI
HIPMZIV]FIGEYWIJIQEPIWXIVMPM^EXMSRERHMRWIVXMSR
SJ-9(GERFIHSRIMQQIHMEXIP]TSWXTEVXYQ
7/27/2019 Maternal and Newborn Care
43/90
)RGSYVEKIXLI[SQERXSGSQIFEGOJSVVIXYVRZMWMXW
-RJSVQEXMSRERHEHZMGIHYVMRKERXIREXEPGEVI
%XJMVWXZMWMX
v2YXVMXMSRERHTVIZIRXMRK
ERIQME
v4VIZIRXMRKXIXERYW
v4VIZIRXMRKQEPEVME
v(MWGSQJSVXWSJTVIKRERG]
v)QIVKIRG]WMKRWSJTVIKRERG]
v*SPPS[YTZMWMXWERH[LIRERH[LIVIXSKSHYVMRKIQIVKIRGMIW
v2I[FSVRWGVIIRMRK
v)HYGEXMSRERHGSYRWIPMRKSR*4
%XWIGSRHZMWMX
v7IPJGEVIHYVMRKTVIKRERG]
v%HZERXEKIWSJLIEPXLJEGMPMX]
HIPMZIV]
v4VITEVEXMSRJSVSFWXIXVMGIZIRXW
-RXLIXLMVHXVMQIWXIV
v&VIEWXQMPOERHFVIEWXJIIHMRK
v*EQMP]4PERRMRK
v'PIERERHWEJIHIPMZIV]F]EWOMPPIH
TVSJIWWMSREP
v
2I[FSVRWGVIIRMRKv)HYGEXMSRERHGSYRWIPMRKSR*4
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
v 7GLIHYPIXLIHEXIERHRSXIMXHS[RSRXLI1SXLIVERH'LMPH
&SSO
v )RGSYVEKIXLI[SQERXSFVMRKLIVTEVXRIVSVEJEQMP]QIQFIV
XSEXPIEWXSRIZMWMX
v %JXIVXLIXLQSRXLWII[SQERIZIV][IIOWYRXMPWLI
HIPMZIVWv %PPTVIKRERX[SQIRWLSYPHLEZIEXPIEWXVSYXMRI
ERXIREXEPZMWMXW
v )RGSYVEKI[SQIRXSGSQIJSVXLIJMVWXTVIREXEP
ZMWMXEWIEVP]MRTVIKRERG]EWTSWWMFPIFIJSVIQSRXLW
v 4VIKRERX[SQIR[LSHSRSXGSQIJSVTVIREXEPGEVI
WLSYPHFIZMWMXIHEXLSQI
7/27/2019 Maternal and Newborn Care
44/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
&DUHGXULQJODERU
FKLOGELUWKDQGLPPHGLDWH
SRVWSDUWXP
-RTVIZIRXMRKQEXIVREPERHRI[FSVRQSVXEPMX]KSSHUYEPMX]LIEPXLGEVI
MWMQTSVXERXHYVMRKXLIGVMXMGEPTIVMSHSJPEFSVERHHIPMZIV]8LITVIWIRGISJEWOMPPIHFMVXLEXXIRHERXQE]MXFIEQMH[MJIRYVWISV
HSGXSVHSIWRSXSRP]IRWYVIL]KMIRIHYVMRKPEFSVERHHIPMZIV]FYXQE]
EPWSTVSZMHIWEJIERHRSRXVEYQEXMGGEVIVIGSKRM^IGSQTPMGEXMSRWERH
EPWSQEREKIXLIQIJJIGXMZIP]SVVIJIVGSQTIXIRXP]XLI[SQERXSE
LMKLIVPIZIPSJGEVI
8LIJSPPS[MRKEVIWXITWXSJSPPS[[LIRHSMRKGEVIHYVMRKPEFSV
GLMPHFMVXLERHMQQIHMEXITSWXTEVXYQ
7XITWXSJSPPS[
(SEUYMGOGLIGOJSVIQIVKIRG]WMKRW
)QIVKIRG]WMKRW
v 9RGSRWGMSYW'SRZYPWMRK
v :EKMREPFPIIHMRK
v 7IZIVIEFHSQMREPTEMR
v 0SSOWZIV]MPP
v 7IZIVILIEHEGLI[MXLZMWYEPHMWXYVFERGI
v 7IZIVIFVIEXLMRKHMJJMGYPX]
v *IZIV
v 7IZIVIZSQMXMRK
(S238QEOIEZIV]WMGO[SQER[EMX
EXXIRHXSLIVUYMGOP]
7/27/2019 Maternal and Newborn Care
45/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
1EOIXLI[SQERGSQJSVXEFPI
v +VIIXLIVQEOIWYVIWLIMWGSQJSVXEFPIERHEWOLS[WLIMWJIIPMRK
v -J[SQERLEWLEHRSTVIREXEPZMWMXWVIKMWXIVXLI[SQERERHMWWYI
E 1SXLIVERH'LMPH&SSO
%WWIWWXLI[SQERMRPEFSV
v 8EOIXLILMWXSV]SJPEFSVERHVIGSVHSRXLIPEFSVJSVQ
7XEVXSJPEFSVTEMRWJVIUYIRG]ERHMRXIRWMX]SJGSRXVEGXMSRW
:EKMREPHMWGLEVKIWLS[FPIIHMRK
;EXIV[LIRXLIFEKSJ[EXIVWFVSOIGSPSVSJ[EXIV
-WXLIFEF]QSZMRK#
v 6IZMI[1SXLIVERH&EF]&SSOSVJEGMPMX]TVIREXEPVIGSVH
-JRSVIGSVHEWO[LIRXLIHIPMZIV]MWI\TIGXIH
(IXIVQMRIMJTVIXIVQPIWWXLERQSRXLWTVIKRERX
6IZMI[XLIFMVXLTPER
-J[MXLTVMSVTVIKRERGMIW
2YQFIVSJTVMSVTVIKRERGMIWHIPMZIVMIW
%R]TVMSVGEIWEVIERWIGXMSRJSVGITWHIPMZIV]SVSXLIVGSQTPMGEXMSRWWYGLEWTSWXTEVXYQLIQSVVLEKI
%R]TVMSVXLMVHHIKVIIXIEV
v 3FWIVZIXLI[SQERWVIWTSRWIXSGSRXVEGXMSRW-WWLI
'STMRK[IPP#
(MWXVIWWIH#
4YWLMRKSVKVYRXMRK#
'LIGOEFHSQIRJSV
9 'EIWEVIERWIGXMSRWGEV
9 ,SVM^SRXEPVMHKIEGVSWWPS[IVEFHSQIRMJTVIWIRXIQTX]
FPEHHIVERHSFWIVZIEKEMR *IIPEFHSQIRJSV
9'SRXVEGXMSRWJVIUYIRG]HYVEXMSRER]GSRXMRYSYWGSRXVEGXMSRW
9*IXEPPMIPSRKMXYHMREPSVXVERWZIVWI
9*IXEPTVIWIRXEXMSRLIEHFVIIGLSXLIV
91SVIXLERSRIJIXYW
9*IXEPQSZIQIRX
7/27/2019 Maternal and Newborn Care
46/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
0MWXIRXSXLIJIXEPLIEVXFIEX'SYRXRYQFIVSJFIEXWMRSRIQMRYXI
-JPIWWXLERSVQSVIXLERFIEXWTIVQMRYXIXYVR[SQER
SRLIVPIJXWMHIERHGSYRXEKEMR
1IEWYVI&4ERHXIQTIVEXYVI
0SSOJSVTEPPSV
0SSOJSVWYROIRI]IWHV]QSYXL4MRGLXLIWOMRSJXLIJSVIEVQ
HSIWMXGSQIFEGOUYMGOP]#
(IXIVQMRIXLIWXEKISJPEFSV
v )\TPEMRXSXLI[SQERXLEX]SY[MPPTIVJSVQEZEKMREPI\EQMREXMSR
ERHEWOJSVLIVGSRWIRX
v -RWTIGXXLIZYPZEJSV
&YPKMRKTIVMRIYQ
%R]ZMWMFPIJIXEPTEVXW
:EKMREPFPIIHMRK
0IEOMRKEQRMSXMGJPYMHMJ]IWMWMXQIGSRMYQWXEMRIHJSYPWQIPPMRK#
;EVXWOIPSMHXMWWYISVWGEVWXLEXQE]MRXIVJIVI[MXLHIPMZIV]#
7/27/2019 Maternal and Newborn Care
47/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
)\EQMREXMSRSJXLIZYPZEERHZEKMRE
v %P[E]WI\TPEMRERHEWOJSVXLI[SQERWGSRWIRX
v ;EWL]SYVLERHW[MXLFYFFPMRKWSETERH[EXIVFIJSVIERHEJXIV
IEGL I\EQMREXMSR
v 9WIGPIERKPSZIWJSVZEKMREPI\EQMREXMSR
v ;EWLXLIZYPZEERHTIVMRIEPEVIEWFIJSVIIEGLI\EQMREXMSR
v 4IVJSVQKIRXPIZEKMREPI\EQMREXMSRHSRSXWXEVXHYVMRKGSRXVEGXMSR
(IXIVQMRIGIVZMGEPHMPEXEXMSRMRGIRXMQIXIVWGQ
*IIPJSVTVIWIRXMRKTEVXMWMXLEVHVSYRHERHWQSSXLLIEH#-JRSXMHIRXMJ]XLITVIWIRXMRKTEVX
*IIPJSVXLIQIQFVERIWMWMXMRXEGX#
*IIPJSVXLIGSVHMWMXJIPX#4YPWEXMRK#
(S238TIVJSVQZEKMREPI\EQMJFPIIHMRKRS[SV
IEVPMIVMRXLIXLMVHXVMQIWXIV
(IXIVQMRMRK7XEKISJ0EFSV
7/27/2019 Maternal and Newborn Care
48/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
(IGMHIMJXLI[SQERGERWEJIP]HIPMZIV
v -JXLIVIMWRSMRHMGEXMSRJSVVIJIVVEPGSRXMRYIXSXEOIGEVISJLIV
v -JXLIVIMWER]MRHMGEXMSRJSVVIJIVVEPFYX[SQERMWMRPEXIEGXMZIPEFSV
HIPMZIVXLIFEF]FYXTVITEVIJSVMQQIHMEXIVIJIVVEPMJWXMPPRIGIWWEV]
v -JXLIVIMWER]MRHMGEXMSRJSVVIJIVVEPERHWLIMWMRIEVP]PEFSVERHXLI
VIJIVVEPLSWTMXEPGERFIXMQIP]VIEGLIHVIJIVYVKIRXP]
v
-JXLI[SQERSVLIVJEQMP]VIJYWIWVIJIVVEPGSRXMRYIXSXEOIGEVISJLIVFYXI\TPEMRXLITSWWMFPIGSRWIUYIRGIW
+MZIWYTTSVXMZIGEVIXLVSYKLSYXPEFSV
v )\TPEMRTVSGIHYVIWWIIO
TIVQMWWMSRERHHMWGYWW
JMRHMRKW[MXLXLI
[SQERERHLIVJEQMP]
v )\EQMRIXLI[SQERMRE
TPEGI[LIVIWLIMWRSXI\TSWIHXSTISTPI
SXLIVXLERXLII\EQMRMRK
TIVWSRERHLIVGLSMGISJ
GSQTERMSR
v )RGSYVEKILIVXS[EWL
JVSQLIV[EMWXHS[RSV
XEOIEFEXLEXXLISRWIXSJ
PEFSV
v )RGSYVEKILIVXSQSZI
JVIIP]WYTTSVXLIVGLSMGISJEFMVXLMRKTSWMXMSR
v )RGSYVEKILIVXSHVMROFYXRSXIEXEWWLIQE]ZSQMXSVMRGEWIWLI
RIIHWWYVKIV]XLIHMKIWXMSRQE]MRXIVJIVI
v )RGSYVEKILIVXSIQTX]LIVFPEHHIVERHFS[IPW6IQMRHLIVXSIQTX]
LIVFPEHHIVIZIV]LSYVW
7/27/2019 Maternal and Newborn Care
49/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
(S238WLEZITIVMRIYQ-XGEYWIWHMWGSQJSVX[LIRLEMV
KVS[WFEGOERHMXHSIWRSXVIHYGIXLIVMWOSJMRJIGXMSREW
TVIZMSYWP]XLSYKLXSJ
(S238KMZIIRIQE-XGEYWIWHMWGSQJSVXERHGEVVMIWE
GIVXEMRHIKVIISJVMWOXSXLIFS[IP;MXLSYXERIRIQE
WSMPMRKMWQEMRP]PMKLXERHIEWMIVXSVIQSZIXLERWSMPMRK
EJXIVERIRIQE
2):)6PIEZIE[SQERMRPEFSVEPSRI
&VIEXLMRKXIGLRMUYI
v 8IEGL[SQERXSRSXMGIRSVQEPFVIEXLMRK
v )RGSYVEKILIVXSFVIEXLIQSVIWPS[P]QEOMRKEWMKLMRKRSMWIERH
XSVIPE\[MXLIEGLFVIEXL
v -JWLIJIIPWHM^^]SVJIIPMRKTMRWERHRIIHPIWMRLIVJEGILERHWSV
JIIXIRGSYVEKILIVXSFVIEXLIQSVIWPS[P]
v 8STVIZIRXTYWLMRKEXXLIIRHSJ
XLIJMVWXWXEKIXIEGLLIVTERXMRK
XSFVIEXLI[MXLSTIRQSYXLQEOI
WLSVXFVIEXLWJSPPS[IHF]E
PSRKFVIEXLSYXv (YVMRKHIPMZIV]SJXLILIEHEWO
LIVRSXXSTYWLFYXXSFVIEXLI
WXIEHMP]SVXSTERX
v 8EPOXSLIVERHLIVGSQTERMSREFSYXXLITVSGIWWERHTVSKVIWWSJ
PEFSV
v 'SEGLLIVSRFVIEXLMRKXIGLRMUYI
v 1EMRXEMRGPIERPMRIWWSJPEFSVERHFMVXLMRKEVIEWERHGPIERYTWTMPPW
MQQIHMEXIP]
v )RGSYVEKIWYTTSVXJVSQXLIGLSWIRFMVXLGSQTERMSR
7/27/2019 Maternal and Newborn Care
50/90
1SRMXSVERHQEREKIPEFSV
*MVWXWXEKIRSX]IXMREGXMZIPEFSVGIVZM\MWHMPEXIHGQERHGSRXVEGXMSRWEVI[IEOPIWWXLERMRQMRYXIW
v 'LIGOIZIV]LSYVJSVIQIVKIRG]WMKRWJVIUYIRG]ERHHYVEXMSRSJGSRXVEGXMSRWJIXEPLIEVXVEXIQSSHERHFILEZMSV
v 'LIGOIZIV]LSYVWJSVJIZIVTYPWIFPSSHTVIWWYVIERHGIVZMGEPHMPEXEXMSR
v
6IGSVHJMRHMRKWMRPEFSVVIGSVHv 6IGSVHXMQISJVYTXYVISJQIQFVERIWERHGSPSVSJXLIEQRMSXMG
JPYMH
v %WWIWWTVSKVIWWSJPEFSV%JXIVLSYVWMJGSRXVEGXMSRWEVIWXVSRKIVERHQSVIJVIUYIRX
FYXRSTVSKVIWWMRGIVZMGEPHMPEXEXMSR[MXLSV[MXLSYXQIQFVERIWVYTXYVIHVIJIVXLI[SQERYVKIRXP]XSXLILSWTMXEP[MXL')Q3'GETEFMPMXMIW
4EMRERHHMWGSQJSVX
VIPMIJ
v 7YKKIWXGLERKISJTSWMXMSR
v )RGSYVEKIQSFMPMX]EW
GSQJSVXEFPIJSVLIV
v )RGSYVEKIGSQTERMSRXS
1EWWEKILIVPS[IVFEGO
MJWLIJMRHWMXLIPTJYP
,SPHLIVLERHERH
WTSRKILIVJEGIERHRIGO
FIX[IIRGSRXVEGXMSRW
v )RGSYVEKILIVFVIEXLMRK
XIGLRMUYI
v )RGSYVEKI[EVQFEXLMJ
EZEMPEFPIERHHIWMVIH
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
7/27/2019 Maternal and Newborn Care
51/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
%JXIVLSYVWMJXLIVIMWRSMRGVIEWIMRGSRXVEGXMSRWERHQIQFVERIWEVIRSXVYTXYVIHERHRSTVSKVIWWMRGIVZMGEPHMPEXEXMSREHZMWIXLI[SQERXLEXWLILEHEJEPWIPEFSVERHXS[EMXJSVMRGVIEWMRKTEMRHMWGSQJSVXERHJSVVYTXYVISJXLIQIQFVERIW
(S238HSZEKMREPI\EQMREXMSRQSVIJVIUYIRXP]XLER
IZIV]LSYVW
*MVWXWXEKIMREGXMZIPEFSVGIVZMGIMWHMPEXIHGQSVQSVI
v 'LIGOIZIV]QMRYXIWJSVIQIVKIRG]WMKRWJVIUYIRG]ERHHYVEXMSRSJGSRXVEGXMSRWJIXEPLIEVXVEXIQSSHERHFILEZMSV
v 'LIGOIZIV]LSYVWJSVJIZIVTYPWIFPSSHTVIWWYVIERHGIVZMGEPHMPEXEXMSR
v 6IGSVHXMQISJVYTXYVISJQIQFVERIWERHGSPSVSJXLIEQRMSXMGJPYMH
v 6IGSVHJMRHMRKWMRPEFSVVIGSVHERHTEVXSKVETL
(S238EPPS[XLI[SQERXSTYWLYRPIWWHIPMZIV]MW
MQQMRIRX-XHSIWRSXLIPTXSWTIIHYTPEFSVERH[MPP
NYWXI\LE YWXXLI[SQER
(S238KMZIQIHMGEXMSRWXSWTIIHYTPEFSV8LMWMW
HERKIVSYWERHQE]GEYWIXVEYQEXSXLIQSXLIVERH
XLIFEF]
-JTEVXSKVETLTEWWIWEPIVXPMRI
v 6IEWWIWW[SQERERHGSRWMHIVGVMXIVMEJSVVIJIVVEPv
%PIVXXVERWTSVXWIVZMGIWv )QTX]FPEHHIVv )RWYVIEHIUYEXIL]HVEXMSRFYXSQMXWSPMHJSSHWv )RGSYVEKIYTVMKLXTSWMXMSRERH[EPOMRKMJ[SQER[MWLIWv 1SRMXSVMRXIRWMZIP]-JVIJIVVEPPSRKVIEWWIWWMRLSYVW
ERHVIJIVMJRSTVSKVIWW
7/27/2019 Maternal and Newborn Care
52/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
7IGSRHWXEKIGIVZM\HMPEXIHGQSVFYPKMRKXLMRTIVMRIYQERHLIEHMWZMWMFPI
v 'LIGOIZIV]QMRYXIWJSVTIVMRIYQXLMRRMRKERHFYPKMRKZMWMFPIHIWGIRHSJXLILIEHHYVMRKGSRXVEGXMSRIQIVKIRG]WMKRWJIXEPLIEVXVEXIERHQSSHERHFILEZMSV
v 'SRXMRYIVIGSVHMRKMRXLITEVXSKVETL
-JTEVXSKVETLTEWWIW%'8-32PMRIVIJIVYVKIRXP]XS
ER)Q3'JEGMPMX]YRPIWWMQQMRIRXHIPMZIV]
v %WWMWXXLIHIPMZIV] )RWYVIEPPHIPMZIV]IUYMTQIRXERHWYTTPMIWEVIEZEMPEFPIERHTPEGI
SJHIPMZIV]MWGPIERERH[EVQ )RWYVIFPEHHIVMWIQTX] 4SWMXMSRXLI[SQERGSQJSVXEFP][LIVIWLI[MPPHIPMZIV ;LIRHIPMZIV]MWMQQMRIRX[EWLLERHWSTIRHIPMZIV]OMXVIEH]
S\]XSGMR-9ERHTYXSRKPSZIWNYWXFIJSVIHIPMZIV] 7XE][MXLXLI[SQERERHIRGSYVEKILIV1EMRXEMRGSRWXERXZIVFEP
ERHI]IGSRXEGX %[EMXJSVWTSRXERISYWTYWLMRKIJJSVXWF]XLI[SQER(SRSX
VYWLLIV (IPMZIVXLIFEF] +MZIS\]XSGMR-9-1 ;EXGLJSVZEKMREPFPIIHMRK
/IITLERHWSJJXLITIVMRIYQYRXMPLIEHSJFEF]
EHZERGIW1EWWEKMRKERHSVWXVIXGLMRKXLITIVMRIYQ
LEZIRSXFIIRWLS[RXSFIFIRIJMGMEP
(S238ETTP]JYRHEPTVIWWYVIXSLIPTHIPMZIVXLIFEF]-XQE]LEVQXLIQSXLIVERHLIVFEF]
8LIVIMWEGYVVIRXIJJSVXXSEQIRHXLI1MH[MJIV]PE[XSEPPS[QMH[MZIWXSEHQMRMWXIVS\]XSGMR
7/27/2019 Maternal and Newborn Care
53/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
(IPMZIVMRKXLIFEF]
v )RWYVIGSRXVSPPIHHIPMZIV]SJXLILIEH/IITSRILERHSRXLILIEHEWMXEHZERGIW[MXLGSRXVEGXMSRW 7YTTSVXTIVMRIYQ[MXLSXLIVLERHERHGSZIVERYW[MXLTEHLIPH
MRTSWMXMSRF]LIIPSJLERHHYVMRKHIPMZIV](MWGEVHTEHERHVITPEGI[LIRWSMPIHXSTVIZIRXMRJIGXMSR0IEZIXLITIVMRIYQZMWMFPIFIX[IIRXLYQFERHMRHI\JMRKIV%WOXLI[SQERXSFVIEXLIWXIEHMP]ERHRSXXSTYWLHYVMRKHIPMZIV]
SJXLILIEH)RGSYVEKIVETMHFVIEXLMRK[MXLQSYXLSTIR
v *IIPKIRXP]VSYRHXLIRIGOJSVXLIGSVH-JGSVHTVIWIRXERHPSSWIHIPMZIVXLIFEF]XLVSYKLXLIPSSTSJGSVHSVWPMTMXSZIVXLIFEF] WLIEH-JGSVHMWXMKLXGPEQTERHGYXXLIGSVHERHYR[MRHMXJVSQEVSYRHXLIRIGO
v +IRXP][MTIXLIFEF]WJEGI[MXLEGPIERKEY^ISVGPSXLv %[EMXWTSRXERISYWVSXEXMSRSJXLIWLSYPHIVWXSXLIERXIVSTSWXIVMSV
TSWMXMSR[MXLMRQMRYXIWv %TTP]KIRXPIHS[R[EVHTVIWWYVIXSHIPMZIVXSTWLSYPHIVXLIRPMJX
FEF]YTXSHIPMZIVPS[IVWLSYPHIVv 'EXGLXLIFEF][MXLEXS[IPERHHV]FEF][MXLMXv
4PEGIXLIFEF]SRQSXLIVWEFHSQIRSVEVQWv 2SXIXLIXMQISJHIPMZIV]v ;LMPIFEF]MWSRQSXLIVWEFHSQIRSVGLIWXHV]FEF][MTII]IW
ERHEWWIWWFVIEXLMRKv 4EPTEXIXLIQSXLIVWEFHSQIRXSI\GPYHIWIGSRHFEF]
7/27/2019 Maternal and Newborn Care
54/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
v'PEQTERHGYXXLIGSVH 'LERKIKPSZIW-JRSXTSWWMFPI[EWLKPSZIHLERHW[MXLFYFFPMRK
WSETERH[EXIV 4YXXMIWXMKLXP]EVSYRHXLIGSVHEXGQERHGQJVSQXLIFEF]W
EFHSQIR 'YXFIX[IIRXMIW[MXLEWXIVMPIMRWXVYQIRX 3FWIVZIWXYQTJSVFPSSHSS^MRK (SRSXFERHEKISVFMRHXLIWXYQT0IEZIMXSTIR
v /IITXLIFEF][EVQ
8LSVSYKLP]HV]XLIFEF] 0IEZIFEF]SRXLIQSXLIVWGLIWXMRWOMRXSWOMRGSRXEGX 'SZIVXLIFEF]GSZIVXLILIEH[MXLEGET 4YXFEF]XSQSXLIVWFVIEWXW
(S238YWILSX[EXIVFSXXPIWXS[EVQXLIFEF]
&EF]WWOMRQMKLXKIXFYVRIH7OMRXSWOMRGSRXEGX
[MXLXLIQSXLIVMWXLIFIWX[E]XSOIITXLIFEF]
[EVQ
(S238PIEZIXLIFEF][IXWLILI[MPPFIGSQIGSPH
7/27/2019 Maternal and Newborn Care
55/90
8LMVHWXEKIFIX[IIRFMVXLSJXLIFEF]ERHHIPMZIV]SJXLITPEGIRXE
v (IPMZIVXLITPEGIRXEF]GSRXVSPPIHGSVHXVEGXMSRv 'LIGOXLEXXLITPEGIRXEERHQIQFVERIWEVIGSQTPIXI -RKSSHPMKLXLSPHTPEGIRXEERHQIQFVERIYTF]XLIGSVH )\TSWIQEXIVREPWYVJEGISJXLITPEGIRXEERHGLIGOJSV
GSQTPIXIRIWWv 4YXXLITPEGIRXEMRXSEGSRXEMRIVERHLERHSZIVXSEJEQMP]QIQFIV
JSVHMWTSWEP
(IPMZIVMRKXLITPEGIRXEF]GSRXVSPPIHGSVHXVEGXMSR
v 'PEQTXLIGSVHGPSWIXSXLITIVMRIYQERHLSPHMX[MXLSRILERHv 4PEGIWMHISJXLISXLIVLERHEFSZIW]QTL]WMWTYFMW[MXLTEPQJEGMRK
XS[EVHWXLIQSXLIVWYQFMPMGYWv %[EMXJSVEWXVSRKYXIVMRIGSRXVEGXMSR;LIRYXIVYWMW[IPP
GSRXVEGXIHWXEVXWYWXEMRIHKIRXPIGSVHXVEGXMSR[MXLSRILERH;MXLXLISXLIVLERHI\IVXGSYRXIVXVEGXMSRSRXLIEFHSQIR
v -JXLITPEGIRXEHSIWRSXHIWGIRHHYVMRKWIGSRHWSJGSRXVSPPIHGSVHXVEGXMSRVIPIEWIFSXLGSVHXVEGXMSRERHGSYRXIVXVEGXMSRERHVITIEX[MXLXLIRI\XGSRXVEGXMSR
v %WXLITPEGIRXEMWGSQMRKSYXGEXGLMRFSXLLERHWXSTVIZIRXXIEVMRKSJXLIQIQFVERIW -JXLIQIQFVERIWHSRSXWPMTSYXWTSRXERISYWP]KIRXP]X[MWXMX
MRXSEVSTIERHQSZIMXYTERHHS[RXSLIPTWITEVEXMSR[MXLSYXXIEVMRKMX
-JXLIQIQFVERIWXIEVKIRXP]I\EQMRIXLIYTTIVZEKMREERHGIVZM\ERHYWIEWTSRKIJSVGITWXSVIQSZIER]TMIGIWSJQIQFVERIWXLEXEVITVIWIRX
v 2IZIVETTP]GSVHXVEGXMSR[MXLSYXETTP]MRKGSYRXIV
XVEGXMSREFSZIXLITYFMGFSRI[MXLXLISXLIVLERHv %P[E]WYWIKIRXPIXVEGXMSRXSTYPPXLITPEGIRXE
v (S238WUYII^ISVQEWWEKIXLIEFHSQIRXSHIPMZIV
XLITPEGIRXE
v (S238TYXJMRKIVWSVLERHMRXLIZEKMREXSPSGEXI
TPEGIRXE
v (S238HSQERYEPI\TPSVEXMSRSJXLIYXIVYWEJXIV
XLIHIPMZIV]SJXLITPEGIRXEEWEVSYXMRITVSGIHYVI
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
7/27/2019 Maternal and Newborn Care
56/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
1SRMXSVGPSWIP][MXLMRSRILSYVEJXIVHIPMZIV]ERHKMZI
WYTTSVXMZIGEVI
*SVXLIQSXLIV
v 'LIGOJSVZEKMREPXIEVWERHFPIIHMRK -QQIHMEXIP]QEWWEKIXLIJYRHYWSJXLIYXIVYWYRXMPXLIYXIVYWMW
[IPPGSRXVEGXIH ;MTISJJFPSSHJVSQTIVMRIYQ -RWTIGXXLITIVMRIYQERHPS[IVZEKMREJSVXIEVWERHSFWIVZIJSV
LIEZ]FPIIHMRKv 'PIERXLI[SQERERHQEOILIVGSQJSVXEFPI 9WIEGPIER[EWLGPSXLERH[EVQ[EXIVXSGPIERLIVTIVMRIYQ )RGSYVEKILIVXSTEWWYVMRI ;MTILIVFYXXSGOWERHXLMKLW-JWLITVIJIVW]SYQE][MTILIV
EPPSZIV4YXGPIERTEHWGPSXLYRHIVLIVFYXXSGOWXSGSPPIGXFPSSH 'LERKILIVGPSXLIWERHGSQFLIVLEMV %JXIVXLI[SQERLEWFIIRGPIERIHLIPTLIVXSEGSQJSVXEFPI
TSWMXMSR
v -RMXMEXIFVIEWXJIIHMRK[MXLMRSRILSYV[LIRXLIFEF]MWVIEH],IPT
LIVXSTYXXLIFEF]XSLIVFVIEWXWv )RGSYVEKILIVXSIEXERHHVMROLMKLIRIVK]JSSHWXLEXEVIIEWMP]
HMKIWXMFPI
v 'LIGOIZIV]QMRYXIWJSVIQIVKIRG]WMKRWERHYXIVMRIGSRXVEGXMSR -JXLIVIMWER]GSQTPMGEXMSREPWSQIEWYVIXIQTIVEXYVI&4ERH
TYPWI %PWSGLIGOJSVW[IPPMRKSJTIVMRIYQERHLIQEXSQE
(3238YWIEHYPXHMETIVWMRWXIEHSJWERMXEV]TEHWSV
GPSXLXSGEXGLTSWXTEVXYQFPSSH8LMWQE]QEWO
FPIIHMRKERHQMWPIEHTSWXTEVXYQEWWIWWQIRX6IWIEVGL
MWGYVVIRXP]SRKSMRKXSHIXIVQMRIXLIEQSYRXSJFPSSHEREHYPXHMETIVEFWSVFW;EMXJSVSJJMGMEPVIWIEVGLVIWYPXW
ERHTVSRSYRGIQIRXWFIJSVIYWMRKEHYPXHMETIVW
7/27/2019 Maternal and Newborn Care
57/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
*SVXLIRI[FSVR
v +IRXP]GPIERXLIFEF]WI]IW[MXLGPIER[EXIVERH[MTIHV][MXLGPIERGPSXL%TTP]EWQEPPEQSYRXSJXIXVEG]GPMRISMRXQIRXSRXLIMRWMHIPS[IVPMHW
v )\EQMRIXLIFEF]XLSVSYKLP] %WWIWWFVIEWXJIIHMRK 3FWIVZIQSZIQIRXWEVIXLIPMQFWQSZMRKW]QQIXVMGEPP]# 0SSOJSVW[IPPMRKERHFVYMWIWSJXLITVIWIRXMRKTEVX *IIPJIIXEVIXLI]GSPH# 0SSOEXTEPQWERHWSPIWEVIXLIVIFPMWXIVW#
0SSOEXXLIYQFMPMGYWJSVFPIIHMRK 0SSOEXXLIXSRKYIJSVTEPPSV 0SSOJSVQEPJSVQEXMSRW ;IMKLXXLIFEF]MWXLI[IMKLXPIWWXLERK#
v +MZI:MXEQMR/QK-1
v /IITXLIFEF]MRWOMRXSWOMRGSRXEGX[MXLXLIQSXLIV
+MZISRP]FVIEWXQMPOXSXLIRI[FSVR(S238KMZI
[EXIVWYKEV[EXIVGLI[IHVMGISVLIVFEPHIGSGXMSRW
8LMW[MPPMRXIVJIVI[MXLFVIEWXJIIHMRKMRMXMEXMSRERH
FVIEWXQMPOTVSHYGXMSRERHQE]FVMRKHMEVVLIEPHMWIEWI
%P[E]WOIITXLIQSXLIVERHRI[FSVRXSKIXLIV
'SRXMRYIGEVIEJXIVSRILSYVTSWXTEVXYQ/IIT[EXGL
GPSWIP]JSVEXPIEWXLSYVW
*SVXLIQSXLIV
v )RGSYVEKILIVXSIEXERHHVMROLMKLIRIVK]JSSHXLEXEVIIEWMP]HMKIWXMFPI
v )RGSYVEKILIVXSTEWWYVMRI'LIGOJSVFPEHHIVHMWXIRWMSRMJYREFPI
XSZSMHv )RWYVIXLEXWLILEWGPIERGPSXLRETOMRXSGSPPIGXZEKMREPFPSSH
v %HZMWITSWXTEVXYQGEVIERHL]KMIRI
v +MZIZMXEQMR%-9SRIGETWYPISRGI[MXLMRQSRXLWTSWXTEVXYQ
v +MZIMVSRJSPEXIQKYKXEFPIXXEFPIXHEMP]
7/27/2019 Maternal and Newborn Care
58/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
v %WOLIVGSQTERMSRXS[EXGLLIVERHXSGEPP]SYJSVFPIIHMRKSVTEMRMJQSXLIVJIIPWHM^^]SVJSVER]SXLIVTVSFPIQ
v 'LIGOEXERHLSYVWXLIRIZIV]LSYVWJSVIQIVKIRG]WMKRWERHYXIVMRIGSRXVEGXMSR-JXLIVIMWER]GSQTPMGEXMSREPWSQIEWYVIXIQTIVEXYVI&4ERHTYPWIIZIV]QMRYXIW
v )RGSYVEKIXLIQSXLIVXS[EWLJVSQ[EMWXHS[RSVLEZIEWTSRKIFEXLSVEWLS[IV[MXL[EVQ[EXIVIEGLQSVRMRKSV[LIRWLIJIIPWPMOIMX
v 9WIKYEZEPIEZIWHIGSGXMSR4WMHMYQKYENEZE0MJ[SQERTVIJIVWJSVLIV[EWLSVFEXL
*SVXLIRI[FSVR
v /IITXLIFEF]MRXLIVSSQ[MXLXLIQSXLIVMRLIVFIHSV[MXLMRIEW]VIEGL
v 7YTTSVXI\GPYWMZIFVIEWXJIIHMRKSRHIQERHHE]ERHRMKLXEWSJXIRERHEWPSRKEWXLIFEF][ERXW
v -QQYRM^IEGGSVHMRKXSXLI)4-WGLIHYPI
v %WOXLIQSXLIVERHLIVGSQTERMSRXS[EXGLXLIFEF]ERHEPIVX]SYMJXLIVIMWFVIEWXJIIHMRKHMJJMGYPX]HMJJMGYPX]SJFVIEXLMRKGSPHJIIXERHFPIIHMRKJVSQXLIGSVH
v
'LIGOEXEVSYRHERHLSYVWERHXLIRHEMP]JSVGSPHJIIXFVIEWXJIIHMRKERHFVIEXLMRKHMJJMGYPX]
v (S238FEXLIXLIFEF]YRXMPEXPIEWXLSYVWEJXIV
FMVXLXSTVIZIRXFEF]JVSQKIXXMRKGSPH
v (S238VIQSZIZIVRM\-XTVSXIGXWXLIFEF]WWOMR
)HYGEXIERHGSYRWIPSRJEQMP]TPERRMRKERHTVSZMHI
XLIJEQMP]TPERRMRKQIXLSHMJEZEMPEFPI
v %WO[LEXEVIXLIGSYTPIWTPERWVIKEVHMRKHIWMVIHRYQFIVSJGLMPHVIR
v +MZIVIPIZERXMRJSVQEXMSRERHEHZMGI
v %HZMGIXLEXI\GPYWMZIFVIEWXJIIHMRKMWXLIFIWXGSRXVEGITXMZIMRXLIJMVWXWM\QSRXLW
v ,IPTLIVXSGLSSWIXLIQSWXETTVSTVMEXIQIXLSHJSVLIVERHLIVTEVXRIVXLVSYKLTVSTIVGSYRWIPMRK
7/27/2019 Maternal and Newborn Care
59/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
-RJSVQXIEGLERHGSYRWIPXLI[SQERSRMQTSVXERX
1',QIWWEKIW
v 8EPOXSXLI[SQER[LIRWLIMWVIWXIHERHGSQJSVXEFPIv %PWSKMZIMQTSVXERXMRJSVQEXMSRERHEHZMGIXSLIVGSQTERMSR
v 8EOIXMQIXSI\TPEMRYWIZMWYEPEMHWERHHIQSRWXVEXIMQTSVXERXPIWWSRW
v )RGSYVEKIXLIQXSTEVXMGMTEXIEGXMZIP]MRHMWGYWWMSRWERHXSEWOUYIWXMSRW
v -JQIXLSHSJGLSMGIMWRSXEZEMPEFPIMRXLIGPMRMGMRJSVQERHKMZILIVEX[S[E]VIJIVVEPWPMT[MXLTVSTIVMRWXVYGXMSRSR[LIVIWLIGERKIXMXERH[LIRXSKSXLIVI
&,7
v 2EXYVEPJEQMP]TPERRMRK2*4&EWEP&SH]8IQTIVEXYVI&&8'IVZMGEP1YGYW&MPPMRKW7]QTXS8LIVQEP78
v 'SRHSQv
4VSKIWXMRSVEPTMPPWv 'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv0EGXEXMSREP%QIRSVVLIE
1IXLSH0%1v7XERHEVH(E]W1IXLSH7(1
6,9
v 2EXYVEPJEQMP]TPERRMRK&&8&MPPMRKW78
v 'SRHSQv 4VSKIWXMRSVEPTMPPWv
'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv -RXVE9XIVMRI(IZMGI-9(v 2SR7GEPTIP:EWIGXSQ]
27:JSVQIRv0%1v7(1
,SWTMXEP
v 2EXYVEPJEQMP]TPERRMRK&&8&MPPMRKW78
v 'SRHSQv 4VSKIWXMRSVEPTMPPWv
'SQFMRIHSVEPTMPPWv 4VSKIWXMRMRNIGXMSRv -9(v 7YVKMGEPWXIVMPM^EXMSRJSV[SQIRERHQIRv0%1
v7(1
7/27/2019 Maternal and Newborn Care
60/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
-QTSVXERXMRJSVQEXMSRERHEHZMGITSWXTEVXYQ
v ,]KMIRIJSVXLIQSXLIVv ,]KMIRIJSVXLIFEF]v /IITMRKXLIFEF][EVQv 'EVISJXLIFEF]WGSVHv 7IPJGEVIHYVMRKTSWXTEVXYQv 2YXVMXMSRv 4VIZIRXMRKERIQMEv
;LIRERH[LIVIXSWIIOJSVGEVIv &VIEWXQMPOERHFVIEWXJIIHMRKv *EQMP]4PERRMRKv -QQYRM^EXMSRv 2I[FSVRWGVIIRMRK
-JXLI[SQERHIPMZIVIHMRXLI&,7HMWGLEVKIXLI
[SQERERHLIVFEF]
v 8LI[SQERERHLIVFEF]QE]FIHMWGLEVKIHLSYVWEJXIVHIPMZIV]
v )RWYVIXLEXXLI[SQERMWEFPIXSFVIEWXJIIHWYGGIWWJYPP]FIJSVIHMWGLEVKI
v 6ITIEXMQTSVXERXLIEPXLMRJSVQEXMSR (MWGYWWSRP]XLIXSTMGWXLEXEVIQSWXMQTSVXERXXSXLI[SQER 7TIRHQSVIXMQISRRYXVMXMSRIHYGEXMSRERHGSYRWIPMRKJSVZIV]
XLMR[SQIRERHEHSPIWGIRXW +MZIEHZMGISRHERKIVWMKRWHYVMRKTSWXTEVXYQTIVMSH
v +MZIMVSRJSPEXIQKYKXEFPIXXEFPIXHEMP]JSVQSRXLW
v +MZIQIFIRHE^SPIQKXEFPIXXEFPIXWMRKPIHSWIMJRSRI[EWKMZIRMRXLITEWXQSRXLW
v +MZI:MX%-9WMRKPIHSWIv (SETVIHMWGLEVKII\EQMREXMSR
*SVXLIQSXLIV %WOEFSYXKIRIVEPJIIPMRKTEMRYVMREXMSRERHMJXLIVIEVIER]
TVSFPIQW 'LIGOJSVTEPQEVERHGSRNYRGXMZEPTEPPSV 1IEWYVIFPSSHTVIWWYVIXIQTIVEXYVIERHTYPWI
7/27/2019 Maternal and Newborn Care
61/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
%WWIWWQSXLIVWFVIEWXWMJXLIVIEVIGVEGOWJMWWYVIWSVW[IPPMRK 'LIGOEFHSQIRJSVYXIVMRIGSRXVEGXMSRERHFPEHHIVHMWXIRWMSR 'LIGOTIVMRIYQJSVW[IPPMRKJSYPWQIPPMRKHMWGLEVKISVTYWERH
TVSJYWIPSGLME
*SVXLIRI[FSVR %WWIWWFVIEWXJIIHMRK 0SSOEXXLIQSYXLJSVXLVYWLYPGIVWERH[LMXITEXGLIW *IIPJIIXMJGSPH
%WWIWWMRKFVIEWXJIIHMRK
v %WOXLIQSXLIV -WXLIVIER]HMJJMGYPX]FVIEWXJIIHMRK# -WFEF]WEXMWJMIH[MXLJIIHW#,S[QER]XMQIWFEF]FVIEWXJIIHWMRLSYVW#,EWWLIKMZIRXLIFEF]ER]XLMRKSXLIVXLERFVIEWXQMPO,EWFEF]FVIEWXJIHMRXLITVIZMSYWLSYV#
v 3FWIVZIEFVIEWXJIIHJSVEXPIEWXQMRYXIW-JFEF]LEWRSXJIHMRXLITVIZMSYWLSYVEWOXLIQSXLIVXSTYXXLIFEF]SRLIVFVIEWX-JFEF]LEWEPVIEH]JIHEWO
XLIQSXLIVXSXIPP]SY[LIRLIVFEF]MW[MPPMRKXSJIIHEKEMR -WFEF]EFPIXSEXXEGLXSXLI
RMTTPIW[IPP# -WFEF]WYGOPMRKIJJIGXMZIP]# -WFEF]TSWMXMSRIH[IPP#
v (VMROJMVWXFIJSVIERHEJXIVFVIEWXJIIHMRK
v 7IIOIRGSYVEKIQIRXJVSQLYWFERHERHJEQMP]QIQFIVW
7/27/2019 Maternal and Newborn Care
62/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
v 6IJIVXLIRI[FSVRXSXLIRIEVIWXJEGMPMX]SJJIVMRKRI[FSVRWGVIIRMRK %WOXLIQSXLIVXSFVMRKXLIRI[FSVRXSXLIJEGMPMX][MXLMR
LSYVWYTXS[IIOWEJXIVFMVXL
v )RGSYVEKIXLIQSXLIVXSVIXYVR[MXLLIVFEF]JSVTSWXTEVXYQZMWMXW 7GLIHYPIEGSRZIRMIRXHEXIERHXMQIEKVIISRXLIHEXI ;VMXIHS[RXLIHEXISRXLI1SXLIVERH&EF]&SSO )RGSYVEKIXLI[SQERXSFVMRKLIVTEVXRIVSVEJEQMP]QIQFIV
XSXLIVIXYVRZMWMXW
v 6IKMWXIVXLIFEF]EXXLIQYRMGMTEPGMZMPVIKMWXV]SJJMGIEWWSSREWTSWWMFPI )RWYVIXLEXXLIQSXLIVKIXWEGST]SJXLIVIKMWXIVIHFMVXL
GIVXMJMGEXI
6IGSQQIRHIH7GLIHYPISJ4SWXTEVXYQ'EVI:MWMXW
v *MVWXZMWMXWLSYPHFI[MXLMRLSYVWWMRGIMXMW
XLIQSWXGVMXMGEPTIVMSH
v %PPTSWXTEVXYQ[SQIRWLSYPHLEZIEXPIEWX
VSYXMRITSWXTEVXYQZMWMXW
v ;SQIR[LSHSRSXVIXYVRJSVTSWXTEVXYQZMWMXW
WLSYPHFIZMWMXIHEXLSQI
WXZMWMX
RHZMWMX
WX[IIOTSWXTEVXYQTVIJIVEFP][MXLMRLSYVW
[IIOWTSWXTEVXYQ
7/27/2019 Maternal and Newborn Care
63/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
3RVWSDUWXP&DUH
7XITWXSJSPPS[
(SEUYMGOGLIGOJSV
IQIVKIRG]WMKRW
)QIVKIRG]WMKRW
v 9RGSRWGMSYW'SRZYPWMRKv :EKMREPFPIIHMRKv 7IZIVIEFHSQMREPTEMRv 0SSOWZIV]MPPv 7IZIVILIEHEGLI[MXLZMWYEP
HMWXYVFERGIv 7IZIVIFVIEXLMRKHMJJMGYPX]v *IZIVv 7IZIVIZSQMXMRK
(S238QEOIEZIV]WMGO[SQER[EMXEXXIRHXSLIV
UYMGOP]
1EOIXLI[SQERGSQJSVXEFPI
v +VIIXLIVQEOIWYVIWLIMWGSQJSVXEFPIERHEWOLS[WLIMWJIIPMRK
v -JJMVWXZMWMXVIKMWXIVXLI[SQERERHMWWYIE1SXLIVERH'LMPH&SSO
4SWXTEVXYQGEVIIREFPIWLIEPXLTVSJIWWMSREPWXSGLIGOMJXLIQSXLIV
ERHFEF]EVIHSMRK[IPPERHHIXIGXERHQEREKIER]TVSFPIQWIEVP]8LMW
MWEPWSXLIFIWXXMQIXSSJJIVXLISTTSVXYRMX]XSWYTTSVXFVIEWXJIIHMRK
ERHTVSZMHIJEQMP]TPERRMRKERHWIVZMGIW8LIJMVWXLSYVWMWQSWX
GVMXMGEPERHTIVMSH[LIVIQSWXTSWXTEVXYQHIEXLWSGGYV
8LIJSPPS[MRKEVIWXITWXSJSPPS[MRTSWXTEVXYQGEVI
7/27/2019 Maternal and Newborn Care
64/90
v )\EQMRIXLI[SQER 1IEWYVI&4XIQTIVEXYVIERHTYPWI
'LIGOEFHSQIRJSVYXIVMRIGSRXVEGXMSRERHFPEHHIVHMWXIRWMSR
'LIGOXLIZYPZEJSVXIEVW[IPPMRKERHTYW 'LIGOTEHJSVFPIIHMRKERHPSGLMERSXIWQIPPERHEQSYRX %WWIWWQSXLIVWFVIEWXWMJXLIVIEVIER]GVEGOWSVW[IPPMRK
*SVXLIFEF]HYVMRKXLIJMVWX[IIOSJPMJI
v %WOERHVIZMI[VIGSVH ,S[SPHMWXLIFEF]# 4VIXIVQPIWWXLER[IIOWSVQSRXLSVQSVIIEVP]
&VIIGLHIPMZIV]# (MJJMGYPXHIPMZIV]# ,EWFEF]LEHGSRZYPWMSRW# ,S[MWXLIFEF]JIIHMRK# (S]SYLEZISXLIVGSRGIVRWVIKEVHMRKFEF]#
v %WWIWWXLIRI[FSVR %WWIWWFVIEXLMRKFEF]QYWXFIGEPQ9 0MWXIRJSVKVYRXMRK
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
%WWIWWXLITSWXTEVXYQ[SQERERHLIVFEF]
*SVXLIQSXLIVYTXS[IIOWTSWXTEVXYQ
v %WOERHVIZMI[VIGSVH ;LIRERH[LIVIHMH]SYHIPMZIV# ,S[EVI]SYJIIPMRK# ,EZI]SYLEHER]TEMRSVJIZIVSVFPIIHMRKWMRGIHIPMZIV]# (S]SYLEZIER]TVSFPIQYVMREXMRK# ,EZI]SYHIGMHIHSRER]GSRXVEGITXMSR#
,S[HS]SYVFVIEWXWJIIP# %R]GSQTPMGEXMSRWHYVMRKHIPMZIV]# 6IGIMZMRKER]XVIEXQIRXW# (S]SYLEZIER]SXLIVGSRGIVRW#
-JRSXGSYRWIPGPMIRXERHTVSZMHIMJ*4WIVZMGIWEVIEZEMPEFPIMJRSXVIJIVXSLIEPXLJEGMPMX]SJJIVMRK*4WIVZMGIW-JYWMRK*4EWOEFSYXER]TVSFPIQWVIPEXIHXSQIXLSHMJ[MXLTVSFPIQTVSZMHIRIGIWWEV]EHZMGIQEREKIQIRX
v%WOEFSYXXLIYWISJER]QSHIVR*4QIXLSH
7/27/2019 Maternal and Newborn Care
65/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
9 'SYRXFVIEXLWEVIXLI]TIVQMRYXI#6ITIEXMJXLIGSYRXMWRSX
9 0SSOEXXLIGLIWXJSVMRHVE[MRK 0SSOEXXLIQSZIQIRXWEVIXLI]RSVQEPERHW]QQIXVMGEP# 0SSOEXXLITVIWIRXMRKTEVXMWXLIVIW[IPPMRKERHFVYMWIW# 0SSOEXXLIEFHSQIRJSVTEPPSV 0SSOJSVQEPJSVQEXMSRW *IIPXLIXSRIMWMXRSVQEP# *IIPJSV[EVQXL-JGSPHSVZIV][EVQQIEWYVIXIQTIVEXYVI ;IMKLXLIFEF]
v %WWIWWFVIEWXJIIHMRK %WOXLIQSXLIV9 -WXLIVIER]HMJJMGYPX]FVIEWXJIIHMRK#9 -WFEF]WEXMWJMIH[MXLJIIHW#9 ,S[QER]XMQIWFEF]FVIEWXJIIHWMRLSYVW#9 ,EWWLIKMZIRXLIFEF]ER]XLMRKSXLIVXLERFVIEWXQMPO9 ,EWFEF]FVIEWXJIHMRXLITVIZMSYWLSYV#
3FWIVZIEFVIEWXJIIHJSVEXPIEWXQMRYXIW-JFEF]LEWRSXJIHMRXLITVIZMSYWLSYVEWOXLIQSXLIVXSTYXXLIFEF]SRLIVFVIEWX-JFEF]LEWEPVIEH]JIHEWOXLIQSXLIVXSXIPP]SY[LIRLIVFEF]MW[MPPMRKXSJIIHEKEMR
9 -WFEF]EFPIXSEXXEGLXSXLIRMTTPIW[IPP#9 -WFEF]WYGOPMRKIJJIGXMZIP]#9 -WFEF]TSWMXMSRIH[IPP#
-WLYWFERHEVITEVIRXWWYTTSVXMZISJFVIEWXJIIHMRK# -WWLI[MPPMRKXSNSMRSVSVKERM^IFVIEWXJIIHMRKWYTTSVXKVSYT
LIVIMRXLIGSQQYRMX]# ,EWWLIFIIRKMZIRWEQTPIWSJQMPOJSVQYPE#-J]IWHMWGSYVEKI
LIVJVSQYWMRKJSVQYPE
v %WOEFSYXRI[FSVRWGVIIRMRK-JRSX]IXHSRIVIJIVXLIRI[FSVRXSXLIRIEVIWXJEGMPMX]SJJIVMRKRI[FSVRWGVIIRMRK
%WOXLIQSXLIVXSFVMRKXLIRI[FSVRXSXLIJEGMPMX][MXLMRLSYVWYTXS[IIOWEJXIVFMVXL
v %WOEFSYXFMVXLVIKMWXVEXMSRSJXLIFEF]-JRSVIKMWXVEXMSR]IXVIKMWXIVXLIFEF]EXXLIQYRMGMTEPGMZMPVIKMWXV]SJJMGIEWWSSREWTSWWMFPI )RWYVIXLEXXLIQSXLIVKIXWEGST]SJXLIVIKMWXIVIHFMVXL
GIVXMJMGEXI
7/27/2019 Maternal and Newborn Care
66/90
+MZI:MXEQMR%MJRSRI[EWKMZIRTSWXTEVXYQ
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v (S238WQSOIERHEZSMHWIGSRHLERHWQSOI %GXMZISVTEWWMZIWQSOMRKGEYWIWPS[FMVXL[IMKLX 7QSOMRKMWLEVQJYPXSXLIPYRKWERHMWEJEGXSVMRGEYWMRKL]TIVXIRWMSR
ERHGERGIVv (S238HVMROEPGSLSPMGFIZIVEKIW(S238XEOIHVYKWXLEXEVIRSX
TVIWGVMFIHF]XLILIEPXL[SVOIVERH(S238I\TSWYVI]SYVWIPJXSLEVQJYPGLIQMGEPWPMOITIWXMGMHIWERHJIVXMPM^IVW %PGSLSPWSQIHVYKWERHLEVQJYPGLIQMGEPWWYGLEWTIWXMGMHIWGER
VIWYPXMREFSVXMSRGSRKIRMXEPQEPJSVQEXMSRWWXMPPFMVXLSVERYRLIEPXL]FEF]
%PGSLSPMGFIZIVEKIWLEVQJYPGLIQMGEPWERHTSPPYXERXWMILIEZ]QIXEPWPMOIPIEHQIVGYV]GEHQMYQERHEVWIRMGERHZILMGPIWERHJEGXSV]IQMWWMSRWQMRMRKEVIEEVIJEGXSVWMRGEYWMRKPMZIVHMWIEWIERHGERGIV
v %ZSMHWXVIRYSYWEGXMZMXMIWERHXEOIERETMRXLIQMHHPISJXLIHE] 6IWXEPPS[WWQSSXLERHEFYRHERXFPSSHJPS[XSXLIFEF]LIPTMRK
XLIFEF]XSKVS[ 7XVIRYSYWTL]WMGEPEGXMZMXMIWWYGLEWTPSYKLMRKXLIJMIPHSVPMJXMRK
LIEZ]SFNIGXWQE]VIXEVHXLIFEF]WKVS[XL =SYQE]HS]SYVYWYEPEGXMZMXMIWEWPSRKEW]SYRSXI\LEYWX]SYVWIPJ
ERHWXST[SVOMRKXLIQSQIRX]SYJIIPXMVIHv 8LIGSYTPIQE]LEZIWI\YEPVIPEXMSRWHYVMRKTVIKRERG]YRPIWWXLIVI
MWELMWXSV]SJTVIXIVQPEFSVERHMJWI\YEPMRXIVGSYVWIGEYWIWTEMR
v*SVSXLIVTVSFPIQWKSXSXLIRIEVIWXLSWTMXEPLIEPXLGIRXIV[MXL)Q3'GETEFMPMXMIWEWWSSREWTSWWMFPI
3XLIVTVSFPIQWMRXLIRI[FSVR
v (MJJMGYPX]JIIHMRKv *IIHWPIWWXLERXMQIWMRLSYVWv 4YWJVSQI]IWGSVHSVWOMRTYWXYPIWv =IPPS[WOMRERHI]IWv 7[SPPIRPMQFSVNSMRXv 'SRKIRMXEPQEPJSVQEXMSRW
7/27/2019 Maternal and Newborn Care
79/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
%[SQER[MXLELMWXSV]SJTVIXIVQPEFSVWLSYPHWIIELIEPXLTVSJIWWMSREPJSVEHZMGISRWI\YEPEGXMZMX]
8SIEWIHMWGSQJSVXEZSMHTSWMXMSRWXLEX[MPPTYXTVIWWYVISRXLI[SQERWEFHSQIR
%HZERXEKIWSJELIEPXLJEGMPMX]HIPMZIV]
v =SY[MPPKIXKSSHGEVIMJ]SYHIPMZIVMRXLILIEPXLJEGMPMX] 8LIVIMWEXVEMRIHLIEPXLTVSJIWWMSREP[LSGEREWWMWX]SY -XLEWXLIRIIHIHIUYMTQIRXWYTTPMIWERHHVYKWJSVXLIHIPMZIV]
v 4VIKRERG]TYXWXLIPMZIWSJXLI[SQERERHLIVFEF]EXVMWO 'SQTPMGEXMSRWYGLEWLIQSVVLEKIMRJIGXMSRWERHGSRZYPWMSRWGER
HIZIPSTHYVMRKHIPMZIV]ERHTSWXTEVXYQ 'SQTPMGEXMSRWGERFIQEREKIHJEWXMJXLI[SQERMWEPVIEH]MRXLI
JEGMPMX]8LMWMWPMJIWEZMRKv -XMWWEJIVJSVXLIFEF]XSFIFSVRMRXLIJEGMPMX] -RJIGXMSRSJXLIGSVHMWPIWWPMOIP] )EVP]ERHI\GPYWMZIFVIEWXJIIHMRKMWJEGMPMXEXIH 4VSFPIQWEVITVSQTXP]EXXIRHIH
4VITEVEXMSRJSVSFWXIXVMGEPIZIRXW
v *SVSFWXIXVMGIQIVKIRG] XVERWTSVXXSVIEGLXLILSWTMXEPXLEXGERFIEZEMPIHSJER]XMQISJ
XLIHE] JSSHERHQSRI]JSVQIHMGMRIWERHWYTTPMIW EGSQTERMSR[LSGERLIPTXEOIGEVISJXLI[SQERERHLIVFEF] VIPEXMZIW[LSEVIEFPIXSHSREXIFPSSH[LIRRIIHIH 1SXLIVERH&EF]&SSOXLEX[EWMWWYIHHYVMRKERXIREXEPGEVI
v *SVLIEPXLJEGMPMX]HIPMZIV] XVERWTSVXXSVIEGLXLILIEPXLJEGMPMX]
JSSHERHQSRI]JSVQIHMGMRIWWYTTPMIWERHRI[FSVRWGVIIRMRK EGSQTERMSR[LSGERLIPTXEOIGEVISJXLI[SQERERHLIVFEF] QSXLIVERHFEF]FSSOXLEX[EWMWWYIHHYVMRKERXIREXEPGEVI GPIERTMIGIWSJGPSXLJSV[EWLMRKHV]MRKERH[VETTMRKXLIFEF] WERMXEV]TEHWSVEHHMXMSREPGPIERWXVMTWSJGPSXLWXSYWIEJXIVFMVXL GPSXLIWJSVQSXLIVERHFEF]
7/27/2019 Maternal and Newborn Care
80/90
'SQQYRMX]1EREKIH1EXIVREP2I[FSVR'EVI%+YMHIJSV4VMQEV],IEPXL'EVI4VSJIWWMSREPW
&VIEWXQMPOERHFVIEWXJIIHMRK
v &VIEWXQMPOMWXLIFIWXJSSHJSV]SYVFEF]JVSQFMVXLYTXSQSRXLW -XQIIXWEPPXLIJSSHERHJPYMHRIIHWSJ]SYVFEF]JVSQFMVXLYTXS
QSRXLW -XTVSXIGXW]SYVFEF]JVSQHMWIEWIERHQEPRYXVMXMSR
v +MZIGSPSWXVYQXS]SYVFEF] -XTVITEVIW]SYVFEF]WWXSQEGLXSHMKIWXQMPO -XGSRXEMRWQER]TVSXIGXMZIWYFWXERGIWEKEMRWXMRJIGXMSR -XHSIWRSXGEYWIXYQQ]EGLISVHMEVVLIE
v (S238KMZITPEMR[EXIVWYKEVIH[EXIVGLI[IHWXMGO]VMGILIVFEPTVITEVEXMSRWSVWXEVZI]SYVFEF][LMPI[EMXMRKJSVXLIQMPOXSGSQIMR +MZMRKJIIHWSXLIVXLERFVIEWXQMPO[MPPHITVMZI]SYVFEF]SJRIIHIH
RYXVMIRXWERHSXLIVTVSXIGXMZIWYFWXERGIWJVSQGSPSWXVYQ ;EXIVGLI[IHWXMGO]VMGISVLIVFEPTVITEVEXMSRWQE]FI
GSRXEQMREXIH[MXLKIVQWXLEXQE]GEYWIHMEVVLIE +MZMRKJIIHWSXLIVXLERFVIEWXQMPOEJXIVFMVXL[MPPHITVMZI]SYSJ
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