Table of Contents
REQUIREMENTS #
- Vital signs tray
- Delivery tray
- Induction tray
- Oxytocin
- Anticonvulsant e.g. Magnesium Sulphate
- Intravenous line tray
- IV Fluids e. g. Normal Saline or Ringer’s Lactate
- Urethral Catheter and Urine Bag
- Foetal monitor (manual /electronic)
- Intake and Output chart
- Oxygen Apparatus
- Suction Apparatus
- Perineal Pad
- Theatre Gown and Cap
- Consent Form
- Patella Hammer
- Urine Dipsticks
- Blood and Urine sample bottles
- Maternal and Child Health Record Book (Manual/Electronic)
STEPS #
- Establish rapport (refer steps)
- Explain procedure to client (refer steps)
- Explain to client the need to attend antenatal clinic and procedures involved
- Perform a rapid evaluation of the general condition of the woman, including vital signs
- Take history of the present and past illness from her relatives
- Ascertain gestational age to help in proper diagnosing of pre-eclampsia
- Maintain Infection Prevention and Control measures throughout management
- Perform general examination from head to toe
- Obtain urine sample and test for protein and sugar
- Take blood sample for BUE & Creatinine, FBC, Rh status, grouping and cross matching etc.
- Monitor vital signs, reflexes, foetal heart rate every hourly and record
- Gather equipment for convulsion management (airway, suction, mask and bag, nasal prongs, oxygen)
- Start anticonvulsant as per WHO/GHS protocols
- Pass indwelling urethral catheter to monitor urine output (at least 30 ml per hour) and proteinuria
- Discontinue anticonvulsive therapy if urine is less and infuse normal saline or Ringer’s Lactate solution at maintenance rate (100-125 ml/hour) but monitor for the development for pulmonary oedema
- Ensure safety of client by pulling up side rails (Never leave the woman alone because convulsion may follow soon)
