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PHC-11 شوية مزعجة فحنزل MCQs عليها

‏﴿يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾

PHC-10 🔹42 days = maternal death includes death during pregnancy or within 42 days after termination of pregnancy. 🔹9 key signal functions = show if facility can provide *EmONC. 🔹*BEmONC = 7 functions 🔹1. IV/IM antibiotics 🔹2. Oxytocic drugs 🔹3. Anticonvulsants 🔹4. Manual removal of placenta 🔹5. Removal of retained products 🔹6. Assisted vaginal delivery 🔹7. Neonatal resuscitation 🔹*CEmONC = 7 + 2 🔹8. Cesarean section 🔹9. Blood transfusion 🔹15% = about 15% of all pregnant women develop obstetric complications. 🔹6 process indicators 🔹1–2 = Access 🔹3–4 = Utilization 🔹5–6 = Quality 🔹Indicator 1: at least 5 *EmONC facilities per 500,000 population, including at least 1 comprehensive facility. 🔹Indicator 2: same standard in all subnational areas: at least 5 facilities / 500,000, including 1 comprehensive. 🔹Indicator 3: at least 15% of all births should occur in *EmONC facilities. 🔹Indicator 4: met need for *EmONC = 100% of women with major direct obstetric complications treated. 🔹Indicator 5: cesarean section rate among all births = minimum 5%, maximum 15%. 🔹Indicator 6: case fatality rate = maximum acceptable 1%. For your information: *EmONC = Emergency Obstetric and Newborn Care *BEmONC = Basic Emergency Obstetric and Newborn Care *CEmONC = Comprehensive Emergency Obstetric and Newborn Care

الindicators مهمة الدكتورة كالت

ضفت 9-10-11-12-13 الي يريد يقراهم

سلايد اضافي محاضرة 8 للي ميدري

اوف يا طلابة مرح

اي جملة متكونة من كلمتين يعني بيها 2 Postpartum وره ساعتين حفظوها مرح تاخرت POST ساعتين الباقي عليكم هاي بس تذكيرات ممكن تفيد اذا واحد كل شي متذكر بالامتحان

عندي طريقة تحفظون ذني Hemorrhage نهايتها age اغلبنا هسه 21 Unsafe abortion متكونة من 14 حرف Eclampsia حرف الE يشبه رقم 3 بس بالمكلوب Obstructed labour بيها اثنين O o+o=8 يسوون رقم 8 الباقي عليكم

راقي

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حطيتلكم ستكر ستج

ارقام محاضرة 7 هم لان تكرهوها (جذب اني اكرهها)

PHC-7 🔹Vaginal blood loss ≤250 mL ➡️ Normal postpartum bleeding ⸻ 🔹>2–3 pads in 20–30 min after delivery ➡️ Emergency bleeding 🚨 ➡️ Immediate hospital assessment ⸻ 🔹≥1 pad in 5 min within or after 6 weeks after delivery ➡️ Heavy vaginal bleeding / Postpartum hemorrhage (PPH) 🚨 ➡️ Urgent hospital referral ⸻ 🔹<1 pad in 5 min after 6 weeks ➡️ Light vaginal bleeding ➡️ Refer to hospital for assessment ⸻ 🔹Fever >38°C + weakness + lower abdominal pain + tenderness + foul-smelling lochia + profuse lochia + uterus not well contracted + history of heavy vaginal bleeding ➡️ Uterine infection ➡️ Give first dose IV/IM antibiotics ➡️ Urgent hospital referral 🚨 ⸻ 🔹Fever >38°C + burning on urination + flank pain ➡️ Upper urinary tract infection ➡️ Give first dose IV/IM antibiotics ➡️ Urgent hospital referral 🚨 ⸻ 🔹Burning on urination + suprapubic pain + urinary frequency ➡️ Lower urinary tract infection ➡️ Give amoxicillin ➡️ Encourage fluids ➡️ Follow-up after 2 days ➡️ Refer if no improvement ⸻ 🔹Fever >38°C + stiff neck or lethargy ➡️ Very severe febrile disease ➡️ Give first dose IV/IM antibiotics ➡️ Urgent hospital referral 🚨 ⸻ 🔹Diastolic BP >110 mmHg ➡️ Preeclampsia ➡️ Start antihypertensive therapy ➡️ Urgent hospital referral 🚨 ⸻ 🔹Diastolic BP >90 mmHg on two readings ➡️ Preeclampsia ➡️ Reassess after 1 week ➡️ Refer if persistent ⸻ 🔹Target BP <140/90 mmHg ➡️ Aim during treatment of hypertensive disorders ⸻ 🔹BMI ≥30 or ≥35 ➡️ Obesity ➡️ Early mobilization ➡️ Compression stockings if ≥2 thromboembolism risk factors ➡️ Breastfeeding counselling ➡️ Glucose tolerance test at 6 weeks postpartum ➡️ Dietitian referral ⸻ 🔹BMI ≥40 ➡️ Severe obesity ➡️ Apply all above measures ➡️ Refer for thromboprophylaxis 🚨 ⸻ 🔹1st postnatal contact → 24–48 hr after delivery 🔹2nd postnatal contact → 72 hr after delivery 🔹3rd postnatal contact → 7–14 days after delivery 🔹4th postnatal contact → 6 weeks after delivery (42 days) 🔹Postnatal period → 6 weeks = 42 days 🔹Iron + folic acid → 3 months postpartum 🔹Change pads → every 4–6 hr 🔹Sexual health/dyspareunia assessment → 2–6 weeks postpartum 🔹Avoid intercourse → until vaginal bleeding stops + perineal wound heals 🔹Pregnancy can occur → 4 weeks after delivery 🔹Pregnancy can occur → 2 weeks after abortion 🔹Recommended spacing after delivery → ≥24 months 🔹Recommended spacing after abortion → ≥6 months 🔹LAM* works if: 🪽│ Exclusive breastfeeding Baby <6 months 🪽│ No menses 🔹Exclusive breastfeeding → 6 months 🔹Postnatal blues → first week, lasts up to 2 weeks 🔹Postpartum depression → lasts at least 2 weeks 🔹Gestational diabetes follow-up → fasting plasma glucose at 6–13 weeks or HbA1c 🔹If normal → annual HbA1c screening *LAM = Lactational Amenorrhea Method

حلو جوكم بنات

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