This presentation is the analysis of current newborn care in India. It focuses on the Hospital birth scenario and Factors contributing to newborn death. It further highlights , how the Midwives can make a difference.
Telenursing; a current trend in nursing practiceArowojolu Samuel
Telenursing: A seminar presentation by Amu Justina. telenursing in nigeria, challenges of telenursing, components of telenursing. telenursing as a current trend in nursing practice. telemedicine, telenursing.
Telenursing; a current trend in nursing practiceArowojolu Samuel
Telenursing: A seminar presentation by Amu Justina. telenursing in nigeria, challenges of telenursing, components of telenursing. telenursing as a current trend in nursing practice. telemedicine, telenursing.
LAW: THE SUM TOTAL OF RULES AND REGULATIONS BY WHICH THE SOCIETY IS GOVERNED
ETHICS: Ethics is the systematic study of What a persons conduct ought to be with regard to him or herself, other human beings and the environment, it is the justification of what is right or good and the study of what a person’s life and relationship ought to be, not necessarily what they are.
Adolescent Sexual and Reproduction Health PresentationDeepak TIMSINA
ADRA worked to scale-up ASRH programme in Kalikot District through its Strengthening Reproductive Health (SRH) project. I worked as a 'Training Officer' in ADRA from 2012-2013.
Health information system is that that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research.
ANM online (ANMOL Tab for Health workers) by Dr Rajesh Garg ,KCGMC, Karnal (H...Dr Rajesh Garg
The current presentation is on the Tablet based Application for health workers working in the field like ANM. The tab is called as ANMOL ( ANM Online) and helps in capturing the data from the filed right into the tab. It helps in preparing due list, work plan, logistic plan, inbuilt audio video health education material and so on. This is one of the novel innovation in the field of Public Health with real time data entry and data analysis for taking action in the field by the health worker.
The presentation can be used for academic purpose strictly only. Acknowledgement of author is must for showing or using any part of it publically. No professional use for commercial gain/ purpose of any kind is allowed.
This slide contains information regarding Maternal and Child Health Program. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
LAW: THE SUM TOTAL OF RULES AND REGULATIONS BY WHICH THE SOCIETY IS GOVERNED
ETHICS: Ethics is the systematic study of What a persons conduct ought to be with regard to him or herself, other human beings and the environment, it is the justification of what is right or good and the study of what a person’s life and relationship ought to be, not necessarily what they are.
Adolescent Sexual and Reproduction Health PresentationDeepak TIMSINA
ADRA worked to scale-up ASRH programme in Kalikot District through its Strengthening Reproductive Health (SRH) project. I worked as a 'Training Officer' in ADRA from 2012-2013.
Health information system is that that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research.
ANM online (ANMOL Tab for Health workers) by Dr Rajesh Garg ,KCGMC, Karnal (H...Dr Rajesh Garg
The current presentation is on the Tablet based Application for health workers working in the field like ANM. The tab is called as ANMOL ( ANM Online) and helps in capturing the data from the filed right into the tab. It helps in preparing due list, work plan, logistic plan, inbuilt audio video health education material and so on. This is one of the novel innovation in the field of Public Health with real time data entry and data analysis for taking action in the field by the health worker.
The presentation can be used for academic purpose strictly only. Acknowledgement of author is must for showing or using any part of it publically. No professional use for commercial gain/ purpose of any kind is allowed.
This slide contains information regarding Maternal and Child Health Program. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
High risk approach in maternal and child healthShrooti Shah
High risk pregnancy is defined as one which is complicated by factor or factors that adversely affects the pregnancy outcome –maternal or perinatal or both.The risk factors may be pre-existing prior to or at the time of first antenatal visit or may develop subsequently in the ongoing pregnancy labour or puerperium.
Over 50 percent of all maternal complications and 60 percent of all primary caesarean sections arise from the high risk group of cases.
Mothers in Critical Care: learning from patients’ experiences & challenges to...Intensive Care Society
Dr Lisa Hinton is a medical sociologist, and leads applied research in the Health Experiences Research Group (HERG). Improving patient experience is a global priority for health policy makers and care providers. How research on patient and staff experiences can make a difference in these areas is at the core of her research interests.
Lisa has a portfolio of applied, mixed methods, social science research specialising primarily in women's health, in particular experiences of infertility, pregnancy, childbirth and neonatal care. She is also involved in several studies seeking to improve patient experiences in critical care.The role of digital technology in patient self-management and healthcare is another area of interest.
Lisa leads qualitative work developing and evaluating complex interventions and is currently working on two clinical trials of self-monitoring of blood pressure. One is studying the impact of SMBP during pregnancy and a second the impact of SMBP after a stroke or TIA (see Hypertension). She also leads a programme of work as part of the Oxford BRC's Partnerships for Health Wealth and Innovation theme exploring research participation and patient and public involvement.
Contagious, infectious and waterborne diseases such as diarrhoea, amoebiasis, typhoid, infectious hepatitis, worm infestations, measles, malaria, tuberculosis, whooping cough, respiratory infections, pneumonia and reproductive tract infections dominate the morbidity pattern, especially in rural areas of India. India launched various health project to provide the health services.
“Critical appraisal is a systematic process used to identify the strengths and weakness of a research article in order to assess the usefulness and validity of research findings”
Once upon a time India's health care system was dominated by Ayurveda- the holistic health approach to keep person disease free by adopting healthy life style.
This presentation explained the importance of AYUSH in community settings
Questionnaires is one of the most popular tool of collecting data
They provide a convenient way to gathering information from a target population. A questionnaire is a planned self-reported form designed to elicit information though written or verbal responses of the subjects.
A Research critique is a systematic way of objectively reviewing a piece of research to highlight both its strengths and weaknesses, and its applicability to practice. Professionals often need to be able to identify best current practice, and the ability to evaluate and use published research is critical in achieving the EBP.
Declining sex ratio is a great concern as it create the imbalance in the society which might be irreversible for many more decades. This PPT Presentation highlighted the issue of declined sex ratio and its impact .
Evidence Based Neonatal Care is the practical approach to provide Neonatal care. Neonatal Mortality is the significant indicator to prevent the under Five Mortality.
This presentation is on "healthy India" towards FIT INDIA MOVEMENT . It explain the various aspects for being healthy. This short presentation can be use for the education and awareness purpose.
DR NILIMA SONAWANE
INE, MUMBAI , MAHARASHTRA INDIA
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
NURSES: A FORCE FOR CHANGE: IMPROVING HEALTH SYSTEMS' RESILIENCE
The nurses plays a key role in health system to achieve the national health goals.They identify the health needs and provide need based care.Community need assessment approach is essential to provide the health services.Community Health Nurses are not only the back bone of health sysytem but they are the heart and hands of health care delivery system.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
3. Presentation outline
Magnitude of newborn
deaths
What has worked in
Newborn care
Present Hospital birth
scenario
Factors contributing to
newborn death
Midwives can make a
difference
4. Who is Newborn/Neonate
• A newborn infant, or neonate, is a child under 28
days of age. During these first 28 days of life, the
child is at highest risk of dying.
5. What are the Causes of Neonatal Mortality in India
9. Timing of the Neonatal Death
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0%
Week 4
Week 3
Week 2
Day 7
Day 6
Day 5
Day 4
Day 3
Day 2
Day 1
Week 1
4.2%
8.7%
13.8%
3.0%
2.7%
5.6%
5.6%
10.2%
6.7%
39.5%
73.3%
Timing of neonatal deaths
14. Govt. programmes focused
mainly on post neonatal
period
- Diarrheal Disease
Control
- ARI
- Immunization
Focus of essential newborn
component
What has worked …….
15. • Importance to newborn health
• Reproductive and Child Health – II
- IMNCI: Community & facility
- Skilled care at birth
-Essential newborn care for health professionals
- Home based newborn care
- Up gradation of health facilities
What has worked …….
17. Analysis of current newborn care in Hospitals..
Input Process Output
Input:
• Essential equipments
• Adequate health professionals
• Child specialist at birth
• Delivery by SBA
18. • Process :
• Suctioning
• Stimulation
• APGAR scoring
• Warming
• Cord clamping
• Milk bank
• Thermoregulation
Analysis of current newborn care in Hospitals..
22. Factors contributing to Newborn death
• Underweight
antenatal
mother
• Inadequate
antenatal care
23. • Lack of proper
referral services
Factors contributing to Newborn death…
24. Factors contributing to Newborn death…
• Inadequate health
resources
• Lack of awareness about
health services
• Nurse-population ratio not
maintained well
25. • No competent health
workforce
• Lack of knowledge
about health
programmes
• Trained in non -
attending nursing
schools
Factors contributing to Newborn death…
26. • Health seeking
behavior of the
people and
delayed family
decision
• Self medication
Factors contributing to Newborn death…
28. Qualities required for midwives ……
• Knowledgeable And Skillful
• Patience
• Good Listener
• Management Skills
• Good Emotional/ Mental Strength
• Good Observational Skills
• Ability To Act On Own Initiative
• Be Willing To Take Responsibility
• Be Able To Stay Calm In Stressful Situations
• Have A Mature Approach
• Ability to work with all kind of people
29. Role of a midwives before conception
Educate on-
Special Care of female child
Adolescent reproductive health
Planned parenthood
Delay age of marriage and birth
Adolescent friendly health services
Prevention of Anemia
30. Reproductive health and family welfare
Genetic counseling
Birth spacing
Immunization
Nutritional counseling
Folic/ iron supplementation
Prevention of STI
Avoidance of alcohol tobacco /substance
Prevention against malaria
Role of a midwives before conception…
31. • Early registration
• Four antenatal visits
• T.T. immunization
• Maternal calcium supplementation
• BP Monitoring
• ITCT
• Counseling on birth preparedness
Role of a midwives in Antenatal care
32. • Maternal screening for anemia
• Prevention and management of maternal
Anemia
• Screening for APH
• Consumption of ionized salt
• Prevention of vector borne diseases
• Detection and treatment of syphilis
Role of a midwives in Antenatal care
33. • Preparation of delivery room
• Universal precautions
• Developing standard operating protocols
• Essential Articles as per IPHS
• Transport facilities
• Guidelines
• Cleanlliness
Role of a midwives in preparation of delivery
room
34. Care during labour and child birth
• Institutional delivery
• Skill attendance at delivery
• The policy decision ,,,use of specific drugs and
carry out emergency intervention
• Emergency obstetric care
• Early detection of the problems at birth and
referral services
• Treatment of problems
35. • Assessment
• Delayed cord cutting
• Essential preventive care of new born
• Prevent hypothermia
• Immediate drying
• Head covering
• Skin to skin care
Role of a midwives in immediate Newborn care
36. • Delayed bathing
• Early initiation of Breast feeding
• Hygiene to prevent infections
• Vit K
• Neonatal Resuscitation
• Immunization
Role of a midwives in immediate Newborn care
37. • Home visits till 6 weeks by
AHSA
• Counseling
• Prevention of hypothermia
• Early identification of
danger signs
• IMNCI interventions
• Prompt appropriate referral
Role of a midwives in care of healthy Newborn
38. • Exclusive breast feeding
• Clean postnatal practices
• Immunizing
• BCG
• OPV
• Hepatitis-B
Role of a midwives in care of healthy Newborn…..
39. • Thermal care -KMC
• Breast feeding
• IMNCI strategies
• Use of oral antibiotics
• Injectable Gentamycine by ANM to prevent sepsis
• Referral services
Role of a midwives in care of small and sick
newborn…
40. • Follow-up visits
• Treatment
• Monitoring growth and development
• Referral and treatment
• NICU Admission
• Assisted Ventilation
• KMC
Role of a midwives in care of small and sick
newborn…
41. Role of a midwives in care of beyond newborn
survival
• Screening for
birth defect
• Failure to thrive
• Follow-up visits
• Investigation
• Counseling
• Referral services
42. 1. Pregnancy Home Visits
Home based maternal and newborn careCommunity model
Pregnancy - 2 Home Visits
Community Health Worker
registers all pregnant women
refer to ANC
Key interventions
health/nutrition education
birth preparedness
danger sign awareness
breastfeeding preparedness
provide insecticide treated bednet
(where appropriate)
FOCUSED ANC
Tetanus Toxoid
Iron and Folic Tablets
BP and urine test for protein
Foetal Lie
Syphilis (and other STI)
detection and treatment
IPT if indicated
PMTCT if indicated
Management or referral of
obstetric complications
(EmOC)
2. Delivery
Delivery under skilled care
Temperature management
Dry, wrap and skin to skin
Resuscitation if required
Immediate and exclusive breastfeeding
Cord Care
Temperature of newborn
Birthweight
Refer if necessary
43. 3. Post Delivery Care – 2-3 home visits during first week
Home based maternal and newborn careCommunity model
Care of Newborn using checklist:
Assess newborn
weight
temperature
feeding
cord care
Assess for sepsis - refer if required
Counsel parents on thermal control, exclusive
BF, danger signs
Refer for vaccination
Birth registration
If Low Birth Weight:
give extra care with 2 additional
home visits
Kangaroo mother care
Keep warm
Assist with feeding if needed
Attention to hygiene
Review danger signs
Care of Mother using checklist:
Assess mother
check bleeding
check temperature
breast problems
Discuss danger signs
Nutrition counseling and family planning
Refer if necessary
44. Case scenario
• Baby of Archana was born to a Primigravida
mother at term, baby is now 20 hours of age
noticed to have yellowness of face and trunk.
What is the problem?
What action you will take?
