Process Flow of Clinical Service

ANTENATAL CARE

INFORMATION AREA

EXAMINATION AREA

DELIVERY ROOM

WARD/ LABOR ROOM

 Record general data
 Take LMP & confirm EDC
 Compute for gestational age
 Obtain medical & obstetrical
history
 Give IT vaccine- 2 dose for 1st
pregnancy 1 month a part
 Advice the mother to take folic
soon the woman learn that’s she is
pregnant; & ferrous sulfate on 2nd
trimester
 Review the result of any AN
screening
 Schedule for UTZ
 Discuss does & don’t during
pregnancy
 Health teaching on proper
nutrition, personal hygiene,
prenatal exercise, importance of
pure Breastfeeding for the 1st 6
months, immunization, STI
precaution, NBS, family planning
counseling and schedule of the next
prenatal visit
 Prepare birth and emergency plan
ESSENTIAL NEWBORN CARE
 Immediate drying of the new born
 Early skin to skin contact
 Cord clamping 3-5 mins. After birth
 Non separation of mother and baby
for early breastfeeding initiation
 Weighing of new born
 Anthropometric measurement
 Eye ointment OU
 Vitamin K 0.1 ml IM at LVL
 Hepatatis B 0.5 ml IM RVL
 BCG 0.05 ml ID at right upper deltoid
 Initiate early breastfeeding and baby
physical examination
 Keep baby warm and comfortable
 Admit the pregnant woman in labor
 Secure consent for admission
 Notify partner OB- gynecologist
 Monitor vital signs until stable
 Explain complicated situation
 Give the prescribe medication
 Discuss health teaching on mother
 Early breastfeeding initiation
 Instruct proper care of the cord
 Advice to come back after 1 week
 Check the condition of Mother and
Baby before going home
 Newborn screening after 24 hrs.
 Check baby’s cord
 Note if baby is with good suckling
before going home
 Check the vital signs
 Record height and weight
 Do the leopold’s maneuver
 Check fundic height and FHT
 Check vital signs and FHT
 Do the pelvic examination
 Monitor the progress of labor
 Ambulation and squatting advice
 If patient complaint of severe lumbo
sacral pain
 Transfer to delivery room
 Prepare for NSD
 Explain the four stages of labor
 Advice breathing technique
 Instruct proper bearing down
 List the gender and time of birth
 Check for calkin’s sign
 To the Brandt -Andrews maneuver
 Note the time of placenta expulsion
 Advice uterine massage
 Check and repair perineal laceration
 Record the amount of vaginal
discharge
  Schedule of postpartum visit
 Advice mother to continue
breastfeeding up to 2 years
 Intends to use family planning
 Prescribe postpartum medication
 Health teaching on proper nutrition,
personal hygiene, post natal
exercise, immunization and STI
precaution

 Check the vital signs and weight

 Check the patient physical condition
 Check the umbilical cord of the
baby
 Ask and check for any excessive
vaginal bleeding
 Note for any foul smell vaginal
discharge

INTRAPARTUM CARE POSTPARTUM CARE