This document discusses the importance of skilled birth attendants in managing normal pregnancies and childbirth, as well as identifying and referring complications in women and newborns. It states that about 15% of pregnancies develop complications that cannot be predicted and some may be life-threatening. The World Health Organization defines a skilled birth attendant as a health professional trained to manage uncomplicated pregnancies and childbirth, as well as identify, manage, and refer complications. The document emphasizes the need for timely intervention in obstetric emergencies and notes the increased risk of casualties when midwifery skills are absent. It outlines the knowledge and skills needed in training community health workers to take on roles as skilled birth attendants.

1. PRESENTED BY
SANJEEV SHRIVAS
MSC NURSING1ST YEAR
MAITRI COLLEGE OF NURSING

2. Pregnancy and childbirth are normal
events in the life of a woman. Though
most pregnancies result in normal
birth, it is estimated that about 15%
may develop complications, which
cannot be predicted. Some of these
may be life threatening for the mother
and/or her baby.

3. WHO defines a skilled birth attendant as “an
accredited health professional – such as a
midwife, doctor or nurse – who has been
educated and trained to proficiency in the
skills needed to manage normal
(uncomplicated) pregnancies, childbirth and
the immediate postnatal period, and in the
identification, management and referral of
complications in women and newborns.”

4.  Managing normal( uncomplicated)
pregnancies, childbirth and the
immediate postnatal period.
 Identifying and managing
complications in women and
newborns, and making referrals.

5.  Most of the obstetric complication are
unpredictable.
 Timely and life saving support and
intervention are a must.
 Absence of midwifery skills- increased
chances of casualty.

6.  Permission to use Uterotonic drugs for
prevention of PPH.
 Permission to use drugs in emergency
situations prior to referral for stabilizing the
patient.
 Permission to perform basic procedures at
community level in emergency situations.

7. KNOWLEDAGE BASED OBJECTIVE:-
 The care and importance of the women and
newborn during the antenatal period, labour
and postnatal period.
 Essential care of the new born and its
importance for the health of the baby.
 Clinical features and initial management of
the common obstetric complication during
the antenatal period, labour and postnatal
period.

8. Skilled based objective:-
◦ Measuring the blood pressure, pulse and foetal
heart rate(FHR), checking for pallor and oedema
and determining the fundal height, foetal lie and
presentation accurately.
◦ Performing haemoglobin estimation and testing
for proteins and sugar.
◦ Conducing pelvic assessment to determine pelvic
adequacy.
◦ Plotting the partograph and knowing when to
refer the women.

9.  Trainee’s profile /who is to be trained
 Trainer’s profile / who is to be trainer
 Training site:
 Duration of training
 Training material
 Certification of trainees

10. MODULE 1: MANAGEMENT OF NORMAL
PREGNANCY, LABOUR AND POSTPARTUM
PERIOD
 Care during pregnancy –
antenatal care
 Care during labour and delivery-
intrapartum period
 Care after delivery-
postpartum care

11. MODULE 2: MANAGEMENT OF COMMON
OBSTETRIC COMPLICATIONS
 Prevention of pph and active management of 3 stage of labour
 Management of pph
 Management of eclempsia
 Prevention and management of infection
MODULE 3: ENSURING THE QUALITY OF CARE
Awareness of the community regarding danger sing
 Counselling and supportive environment
 Provide much privacy as possible to the women and her family
 Support care during an emergency/ complication
 Emotional & psychological support

12. Thank you