EmOC Functions to be performed by SBA in Home Delivery LSSkills As discussed in Islamabad Regional W

1
EmOC Functions to be performed by SBA in Home
Delivery (LSSkills) As discussed in Islamabad
Regional Workshop

• IV infusion (of serum, antibiotics,
  anticonvulsants (first load of MgSO4),
  oxytocics)
• Active management of 3rd stage of delivery
• Recognize incomplete evacuation of placenta
  refer
• Recognize cervical tears/uterine rupture
  stabilize refer
• Recognize bleeding during labour (e.g. placenta
  praevia) stabilize - refer
• Manage convulsions in pre or eclampsia -
  stabilize - refer
• Refer dystocias/malpresentations/prolonged labour
• Basic neonatal resuscitation (airway, warming,
  mouth/to/mouth)

2
EmOC Functions to be performed by SBA in
Facility Delivery (Islamabad Regional Workshop
Apr 2004)

• All the above, plus
• Repair of tears
• Manual removal of placenta
• Preparation for blood transfusion (refer to
  higher level)
• Management of eclampsia (refer to higher level)
• Assisted vaginal delivery (vacuum extraction)
• Preparation for C/section (refer to higher level)
• Advanced neonatal resuscitation management of
  low birth weight