Sandhya Jeganathan
Guide:
Dr.Meera, Asst Prof ,
Dept of Community Medicine
• recommend the mother to plan her delivery
in a health center.
• If this is not possible then with the help of a
health care worker ,should prepare for
delivery at home such that it poses the least
risk for the mother , baby and to those who
help in the delivery.
DISPOSABLE DELIVERY KIT
• A Major Strategy Internalising The
Principles Of Primary Health Care.
(Equitable Distribution, community
Participation,intersectoral Co-ordination
And Appropriate Technology)
Aimed at making the home deliveries as clean
and safe as possible.
• To prevent / minimize infection to
mother

Child health care worker

• To maintain clean perineum ,thereby
reducing the incidence of infection in the
mother
• To maintain a clean tie to reduce the
incidence of sepsis and tetanus in the
newborn.
• To maintain clean hands (usage of gloves)
as a part of universal precaution
 Safe delivery
• Clean surface
• Clean hands
• Clean blade
• Clean cord
• Clean tie
Things needed for a safe delivery
• Several large and Clean pieces of cloth for
wrapping and wiping the baby.
• Two Clean ties or threads for tying the umbilical
cord.
• One new Clean razor for cutting the cord.
• One container of Clean water(boiled and cooled)
for cleaning the mother, the baby and the
assistant,s hand and arms.
• Clean hands-soap for the assistant to wash her
hands before and after conducting the delivery
• One container of antiseptic solution (such as
iodine or gentian violet)
Contd.

• One container of Clean water(boiled and

cooled) for cleaning the mother, the baby
and the assistant,s hand and arms.
• Clean hands-soap for the assistant to wash
her hands before and after conducting the
delivery
• One container of antiseptic solution (such as
iodine or gentian violet).
• Listen to fetal heart rate immediately after
contractions,if<100 suspect fetal distress.
• If membranes have ruptured ,note the color
of draining amniotic fluid-presence of thick
meconium indicates the need for close fetal
monitoring and possible intervention for
management of fetal distress.
• Encourage the woman to have personal
support from a person of her choice
throughout Labour and delivery.
• Ensure good communication and support by
staff
• Maintain cleanliness of the woman and her
environment.
• Ensure mobility and encourage the woman
to empty her bladder regularly
• Do not routinely give enema to woman in
Labour.
Contd.
Teach breathing techniques for labour and
delivery(to breathe out more slowly and to relax
with each expiration).
Be sensitive to the woman’s feeling
If the woman’s pulse is increasing she may be
dehydrated or in pain-ensure adequate hydration
via oral or iv route.
If her BP increases suspect hemorrhage.
Allow the baby’s head to turn spontaneously
Once out suction the baby’s moth and nose.
• Feel the baby’s neck for cord

• Reduce tears by delivering one shoulder at a

time
• Deliver placenta by controlled cord
traction(pull) with simultaneous counter
traction above the pubic bone(push) with
the other hand.