Bag Technique

Contents of Bag and its arrangement

FRONT OF BAG, LEFT TO RIGHT Oral thermometer Rectal thermometer ON RIGHT NEAR END OF BAG Test tube and holder Medicine dropper ON LEFT NEAR END OF BAG Medicine glass Weighing scale Bandage scissors

BACK OF BAG ( left and right) Alcohol 70% Acetic acid Aromatic spirit of ammonia Benedicts solution Betadine Ophthalmic ointment Hydrogen peroxide Zepheran solution Spirit of ammonia Acetic solution

CENTER OF BAG Forceps ( straight and curved) Roller bandage Alcohol lamp with denatured alcohol Kidney basin Syringe and needles in container, 5 & 2 ml Tape measure Cotton applicator Cord clamp Rubber gloves

ON THE TOP FILE CENTER BAG hand towel Soap on a soap dish Paper waste bag in pocket of bag Newspaper to serve as lining Apron Plastic lining NOTE: BP Apparatus and stethoscope are carried separately

PRENATAL CARE
DEFINITION: Refers to the care given to an expectant mother from the time that conception is confirmed until the beginning of labor PURPOSE: Establish a baseline of present health status Determine mother-fetal development Identify high risk and minimize its complication Provide time for education on pregnancy and possible dangers

EQUIPMENTS Maternal records (HBMR) BP apparatus Stethoscope, thermometer Weighing scale MCH flip chart Tape measure

PROCEDURE
1.

2. 3.

4.

Assess clients history which includes personal, family, social, previous obstetrical and present obstetrical data Assess the clients knowledge on guidelines for healthy pregnant and antepartal care Review the plans for antepartal care visits, examination and laboratory findings Identify the client and explain the procedure

5. Monitor vital signs of the client. 6. Measure the height on initial visit and monitor the weight in succeeding visit. 7. Conduct physical examination. Begin assessing from head to toe. 8. Perform abdominal examination by performing the Leopolds maneuver. 9. Administer the TT (tetanus toxoid) vaccine following the recommended schedule.

a.

b.
c. d. e.

TT1 TT2 TT3 TT4 TT5

give as early as possible after a month later at least six months later at least one year later at about one year later after TT4

10. Administer iron folate supplement until the second month postpartum. 11. Provide and promote health teachings on good nutrition, personal hygiene and enough rest and sleep. 12. Provide and promote health teachings on good nutrition, personal hygiene and enough rest and sleep. 13. Discuss with the client her expectations about pregnancy, which includes the danger signs of pregnancy, labor, delivery and impact on the family.

14. Plan with the mother the preparation for breastfeeding the baby. 15. Discuss the importance of prenatal and subsequent visits a. Initial visit up to 7 months - every month b. 7-8 months - every two weeks c. 8-9 months - weekly