When Caring for a Woman Who Is Expecting Again Logic Emergency

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Counselling for Maternal and Newborn Wellness Care: A Handbook for Building Skills. Geneva: World Health Organization; 2013.

Counselling for Maternal and Newborn Health Care: A Handbook for Edifice Skills.

Bear witness details

• Contents

eight DANGER SIGNS IN PREGNANCY

What is in this session?

It is of import to share information with women and their families about the early on detection and recognition of danger signs and complications as part of birth and emergency planning. You lot need to hash out with them what the danger signs are and help them to call up near and make up one's mind where they will go if they experience i or any of these.

What skills volition I develop?

• To provide data nigh danger signs and complications during pregnancy and childbirth

• To support women in planning where to become and how to get there chop-chop if an emergency arises.

What am I going to learn?

By the end of this session yous should exist able to:

1. Know the danger signs and complications.

2. Be able to effectively communicate danger signs to women and their families.

3. Exist able to finer communicate how to access emergency care when a danger sign is recognized.

Danger signs and complications

All pregnant women, their partners and families should be aware of the signs of complications and emergencies and know when to seek intendance from the skilled attendant.

DANGER SIGNS DURING PREGNANCY

If any of the following signs occur, the adult female should exist taken immediately to the hospital or health centre.

• vaginal bleeding

• convulsions/fits

• severe headaches with blurred vision

• fever and too weak to go out of bed

• severe abdominal hurting

• fast or hard animate.

If she has whatsoever of these signs she should go to the health center as presently equally possible:

• Fever

• Intestinal pain

• Feels ill

• Swelling of fingers, face and legs

Communicating danger signs

Most women have uneventful pregnancies and childbirth but sudden and unpredictable complications may happen at any time to any woman. Where problems do occur it is important to ensure that they are acted upon without filibuster. You need to detect a way to explain in familiar terms (using local words) the danger signs, so that the woman, her family and others in the community tin can recognize them if they should occur, and to ensure they know where to become in instance of an emergency. Information technology would besides be helpful hither to refer to Session 7 on nascency and emergency plans equally many elements, including ship, where the nearest health facility is located, and logistical details regarding persons to support the family unit, should already have been discussed and planned in advance.

Activity one

two hours 55 minutes

To begin reflecting on how to inform pregnant women and their families on the danger signs during pregnancy and build on women's past experience where possible.

1. Review the list of danger signs above.

   • What problems do women and families have in identifying each of these? Are there local terms that are used for whatever of them? Are there any local beliefs, explanations, or ways of handling danger signs that stop people from seeking care in a timely fashion?

   • How do women prioritize the main danger signs? Are in that location certain signs that they feel demand more urgent attention than others?

   • Are all women told about danger signs or just those women who are idea to be at loftier gamble?

2. Organize a discussion with a group of women. Enquire the group for their past experience with danger signs and complications.

   • Take whatsoever of the women experienced danger signs before? If so, how did they recognize them?

   • What did they do? Who did they see?

   • Did they find transport urgently? If not, what could be done next time?

   • What data did they accept or were in that location any gaps?

   • How could wellness workers have better prepared them?

3. Review the listing of danger signs once more.

   • Is the community enlightened and able to recognize danger signs in pregnancy?

   • Think of ways to help the broader community in identifying danger signs and supporting women to reach appropriate intendance in a timely way.

   • Do you or other health agencies currently discuss danger signs in pregnancy with the broader community? What are the advantages of doing so?

4. What kind of support materials might improve the communication of danger signs?

   • Accept into business relationship the educational and cultural background of your audience (e.m. the counselling context) and the resources you lot accept to develop, or to obtain materials.

5. Finally, recall nearly whether there are whatsoever other groups or providers in the community that y'all could work with to help alert the whole community to the danger signs in pregnancy and labour.

Write down some ideas in your notebook that could assist you discuss danger signs with women and their families, both on a one-to-one ground and in a group setting.

Our View

WHO recommends that health services work with women, their families and the broader community so that they take appropriate and comprehensible data on the danger signs during pregnancy, as any woman tin develop complications, and to ensure that all are enlightened of where to seek intendance in the instance of an emergency.

Explore with women what they know about danger signs and brand sure they know them all. Some danger signs are more difficult than others to recognize such equally oedema. When counselling women about danger signs you need to explore with them what is normal, what is unusual and what is a danger sign.

The adjacent important step is to help the woman and her family plan where they will get and how they will attain the skilled bellboy if they have any of these signs. Refer to Session 7 as much of this information should already have been discussed and drafted into a birth and emergency plan.

HOW CAN YOU Help WOMEN AND FAMILIES Amend UNDERSTAND THE DANGER SIGNS?

Women and their families demand to be able to recognize danger signs accurately and deed appropriately. For example, bleeding requires firsthand transport to a wellness facility because a woman, peculiarly with anaemia, can die in a matter of hours.

Knowing about the danger signs in advance will assist communities and families implement their birth and emergency plans.

If y'all have a highly literate population you might consider communicating all the danger signs in a leaflet or fact sheet or some other method that can exist given out at routine antenatal care. If your population is less literate, you lot will have to rely on verbal or pictorial methods. It is difficult to remember all the danger signs, particularly if a person has little formal educational activity. You need to work with the community and with other health providers to increase awareness of women and other community members of the danger signs, and of the importance of reaching an advisable care provider urgently if any should announced. One time again information technology is of import to ensure emergency transport schemes are in place (Session 7).

All women and their families need to be given information on danger signs

Communicating danger signs without fear

Research has shown that using fright-based messages about danger signs is not effective unless used correctly.

It will be hard to communicate danger signs without creating fear. When discussing danger signs with women and their families, provide a realistic description that would help them to identify the signs in an emergency. Avoid frightening the woman with the worst-example scenario of what might happen. While complications such as haemorrhage, obstructed labour or infection are relatively rare, the focus should be on recognition of the signs and awareness of what to do if they occur. While as a health worker yous are used to seeing complications, retrieve for the adult female it can be very frightening. Reassure her that you volition do everything you tin can to help her, try to alleviate her fears, and support her, simply remember to answer her questions and concerns truthfully. It will not be helpful to make false promises or reassurances nigh pregnancy outcomes.

REMINDER

Pregnancy is a normal and natural process. Most women practise not experience emergencies during pregnancies, only any woman could. Women need to know when to seek care from an appropriate provider. A good counsellor volition get the residue right between informing women and their families of the possible danger signs and what to practice, and supporting women and their families to enjoy their pregnancy as a happy experience.

What did I learn?

You have considered how to communicate danger signs to a woman and her family unit, as well as the larger community. This has helped yous to decide what format can be used to convey issues relating to danger signs. Furthermore, it is important to link discussions of danger signs with a concrete plan (such as the birth and emergency programme in Session 7) in order to ensure that women and their families know where to get during an obstetric emergency, and how to get there urgently.

Do you feel confident about communicating danger signs to women and their families? What else could you do to improve the way you communicate danger signs? What kinds of support materials can you develop? Who else can you work with in the community to raise awareness of emergency signs and the importance of seeking appropriate care when they occur?

The next time you lot counsel a woman virtually danger signs, write up what happened and what you did in your notebook. Y'all could and then share this with a colleague and ask for feedback on what could take been improved or washed differently, as well every bit what you did well.

Copyright © Earth Wellness Organization 2013.

All rights reserved. Publications of the World Health Arrangement can be obtained from WHO Printing, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; email: tni.ohw@sredrokoob). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above accost (fax: +41 22 791 4806; email: tni.ohw@snoissimrep).

Bookshelf ID: NBK304178

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Source: https://www.ncbi.nlm.nih.gov/books/NBK304178/

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