Professional Documents
Culture Documents
Maternal Care
A learning
programme for
professionals
Developed by the
Perinatal Education Programme
Primary
Maternal
Care
A learning programme
for professionals
Developed by the
Perinatal Education Programme
www.ebwhealthcare.com
VERY IMPORTANT
We have taken every care to ensure that drug
dosages and related medical advice in this book
are accurate. However, drug dosages can change
and are updated often, so always double-check
dosages and procedures against a reliable,
up-to-date formulary and the given drugs
documentation before administering it.
Contents
Acknowledgements
Introduction
About the EBW Healthcare series
Why decentralised learning?
Books in the EBW Healthcare series
Format of the courses
Contributors
Updating the course material
Contact information
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1 Antenatal care
Goals of good antenatal care
Diagnosing pregnancy
The first antenatal visit
Determining the duration of pregnancy
Side room and special investigations
The second antenatal visit
Grading the risk
Subsequent visits
The visit at 28 weeks
The visit at 34 weeks
The visit at 41 weeks
Managing women with HIV infection
Case study 1
Case study 2
Case study 3
Case study 4
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Case study 1
Case study 2
Case study 3
2A Skills workshop: Routine use of the
antenatal card
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4 Antepartum haemorrhage
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Antepartum haemorrhage
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The initial, emergency management of
antepartum haemorrhage
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Diagnosing the cause of the bleeding
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Antepartum bleeding caused by abruptio
placentae
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Antepartum bleeding caused by placenta
praevia
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A blood-stained vaginal discharge
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Case study 1
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Case study 2
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Case study 3
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Case study 4
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5 Preterm labour and preterm rupture of
the membranes
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Preterm labour and preterm rupture of
the membranes
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Diagnosis of preterm labour and preterm
rupture of the membranes
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Case study 1
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Case study 2
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Case study 3
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Acknowledgements
Introduction
WHY DECENTRALISED
LEARNING?
To help solve these many problems, a selfhelp decentralised learning method has been
developed which addresses the needs of
professional healthcare workers, especially
those in poor, rural communities.
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INTRODUCTION
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4. Important lessons
6. Case studies
Each chapter closes with a few case
studies which encourage the participant
to consolidate and apply what was learned
earlier in the chapter. These studies give the
participant an opportunity to see the problem
as it usually presents itself in the clinic or
hospital. The participant should attempt to
answer each question in the case study before
reading the correct answer.
7. Practical training
Certain chapters contain skills workshops,
which need to be practised by the participants
(preferably in groups). The skills workshops,
which are often illustrated with line drawings,
list essential equipment and present step-bystep instructions on how to perform each
task. If participants arent familiar with a
practical skill, they are encouraged to ask an
appropriate medical or nursing colleague to
demonstrate the clinical skill to them. In this
way, senior personnel are encouraged to share
their skills with their colleagues.
8. Final examination
On completion of each course, participants
can take a 75-question multiple-choice
examination on the EBW Healthcare website,
when they are ready to.
All the exam questions will be taken from
the multiple-choice tests from the book. The
content of the skills workshops will not be
included in the examination.
CONTRIBUTORS
The developers of our learning materials are a
multi-disciplinary team of nurses, midwives,
obstetricians, neonatologists, and general
paediatricians. The development and review of
all course material is overseen by the Editorin-Chief, emeritus Professor Dave Woods,
a previous head of neonatal medicine at the
University of Cape Town who now consults to
UNICEF and the WHO.
Perinatal Education Trust
Books developed by the Perinatal Education
Programme are provided as cheaply as possible.
Writing and updating the programme is both
funded and managed on a non-profit basis by
the Perinatal Education Trust.
Eduhealthcare
Eduhealthcare is a non-profit organisation
based in South Africa. It aims to improve health
and wellbeing, especially in poor communities,
through affordable education for healthcare
workers. To this end it provides financial
support for the development and publishing of
the EBW Healthcare series.
The Desmond Tutu HIV Foundation
The Desmond Tutu HIV Foundation at the
University of Cape Town, South Africa,
is a centre of excellence in HIV medicine,
INTRODUCTION
CONTACT INFORMATION
EBW Healthcare
Website: www.ebwhealthcare.com
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Email: info@ebwhealthcare.com
Telephone: +27 021 44 88 336
Fax: +27 088 021 44 88 336
Post: 87 Station Road, Observatory, 7925,
Cape Town, South Africa
Editor-in-Chief: Professor Dave Woods
Website: www.pepcourse.co.za
UPDATING THE
COURSE MATERIAL
Email: pepcourse@mweb.co.za
Telephone: +27 021 786 5369
Fax: +27 021 671 8030