Block 2.

2
Safe Motherhood and
Neonates

Coordinator Team
dr. Mei Neni Sitaresmi, Sp.A(K)
Department of Pediatric, Faculty of Medicine, Gadjah Mada
University

Dra. Yayi Suryo Prabandari, M.Si., Ph.D.

Department of Bioethics and Medical Humanities, Faculty of
Medicine, Gadjah Mada University

dr. Hartono, Sp. M(K)

Department of Pediatrics, Faculty of Medicine, Gadjah Mada University

dr. Dyah Rumekti Hadiati, Sp.OG(K)

Department of Obstetric and Ginaecology, Faculty of Medicine,
Gadjah Mada University

OVERVIEW
The second block in phase 2

(transition from theory to practice),

year 2 (life Cycle)
Consists of 6 modules:
1.Labor and Delivery
2.Hypertension in Pregnancy
3.Postpartum Hemorrhage
4.Family Planning
5.Normal neonate
6.High risk neonate

RELATIONSHIP WITH OTHER

BLOCK
Block 1.4 (Genito-urinary System )
Block 2.1 (Conception, Fetal Growth

& Congenital Anomaly)

Block 2.3 (Childhood)
Block 2.4 (Adolescent)
Block 2.5 (Adult)
Block 3.2 (Abdominal Complaints)
Block 4.1 (Emergency)

learning strategies
Lectures (32 hours)
Tutorial session (back bone)
Self study
Practical session
Skills laboratory

LO of week 1: Labor and

Delivery
Normal labor and delivery
Labor and delivery problems

Normal labor and delivery

Characteristic of true and false labor
Initial assessment of laboring patient
Stages and mechanism of normal

labor
Methods of monitoring the mother
and fetus including partograph
Management of normal delivery

labor and delivery problems

Abnormal labor and delivery due to power factor:
Diagnosis, management and complication
Abnormal labor and delivery due to and fetal factor;
Diagnosis, management and complication

Uterotonic and tocolytic drugs

Types of uterotonics, pharmacodynamic and

pharmacokinetics, indication and contraindication,

side effects
Indications for vaginal and abdominal operative

delivery
Strategies for emergency management of breech,

shoulder dystocia, and cord prolapse

LO of week 2
(disorders of pregnancy)
Pre-eclamsia and eclamsia
IUGR
Multifetal pregnancy
Preterm and posterm pregnancy
Premature rupture of membran
Oligohydramnion and polyhidramnion
Diagnosis (early detection), risk
factors, patophysiology, management
and complications

LO of week 3
(obstetrical hemorrhage)
Antepartum and postpartum hemorrhage:

incidence, etiology-predisposing factors,

preventions, signs and symptoms, diagnosis,
classification, management and
complications
Hemorrhagic shock:
incidence, etiology-predisposing factors,

preventions, signs and symptoms, diagnosis,

classification
management including drugs, fluid, blood
transfusion, operative
Complications including DIC

 Maternal Mortality and Safe

Motherhood
Definition, causes, determinant factors,

pillars of safe motherhood, making

pregnancy safer
policy to decrease maternal mortality
maternal and perinatal audit.

LO of week 4
(Family planning)
Demographic feature of Indonesia
Classification contraceptive methods:

simple, effective and secure :

types
indications, contraindications
effectiveness, failure rate
safety, side effects or complications,
compliance, continuation rate
reversibility, returns of fertility
Acceptability, practicability

LO of week 5
(normal neonate)
Physiology and adaptation of the newborn
Neonatal resuscitation
Assessment of the newborn
Essential newborn care (maintenance airway, early
breastfeeding initiation, thermoregulation,
prevention of infection, immunization and vitamin K
injection)
Feeding of the newborn (anatomy and physiology of
lactation, importance of breastfeeding, advantaged
of breast-milk and disadvantage of formula milk,
feeding methods, baby friendly hospital
Neonatal jaudice: metabolism of bilirubin, risk factors
of jaundice, assessment newborn with jaundice,
management of jaundice
Growth and development of neonate

LO of week 6
(high risk neonate)
integrated management of young infant illness

(possible severe disease and infection,

diarrhea, jaundice, low birth weight and feeding
problems)
the dangers sign and symptom in neonates
low birth weight, neonatal infection, neonatal
asphyxia and birth trauma
risk factors, criteria diagnosis, classification,
management and complication
newborn of mother with problems (tuberculosis,
DM, hepatitis B, HIV mother, and TORCH)
referring and neonatal transport

LABORATORY PRACTICAL WORK

Clinical oriented of the pelvic and

perineum
Uterotonic drug
Albumin Urine
Screening of hemorrhage
(AT,CT,BT,RL,PT,APTT)
Mitosis, Kromosom, Drum's stick
Skrinning G6PD

SKILLS TRAINING SESSIONS

Communication: present and past

History
Laboratorium: urynalisis
BLS: neonatal resuscitation part 1
Reproduction:
Lactation and puerperium
Baby delivery

Thank You