Summary

• Description:

  MNH 1103 — Maternal and Newborn Health I is the definitive first-year clinical guide to normal pregnancy, labour, the puerperium, and the newborn. The pregnancy chapter covers preconception care interventions (folic acid, iron, teratogen avoidance, HIV screening), a three-category diagnostic table for presumptive, probable, and positive signs of pregnancy, and the physiological changes of pregnancy across six body systems (cardiovascular, respiratory, renal, gastrointestinal, musculoskeletal, and haematological), followed by an eight-contact ANC schedule table based on the WHO 2016 guidelines adopted by Kenya, and the management of seven common minor complications. The labour chapter defines term labour and its onset signs, presents a stages-of-labour reference table with duration norms for primigravidae and multigravidae, explains the physiology of the powers and the eight-step mechanism of normal vertex labour, and provides a detailed breakdown of the WHO partograph components including the alert and action lines. Pain relief covers both non-pharmacological approaches and pharmacological options (Entonox, pethidine, epidural), and EMTCT precautions during labour are included. The puerperium chapter covers uterine involution, the lochia sequence (rubra, serosa, alba), targeted postnatal care timelines, the physiology of lactation, colostrum, and the distinction between exclusive breastfeeding and cup-and-spoon feeding. The newborn chapter presents a comprehensive characteristics reference table, the five-sign APGAR scoring system with management thresholds, and nine steps of essential newborn care including warm chain, clean chain, eye prophylaxis, vitamin K, and birth immunizations. They are written for KRCHN Year 1 students preparing for obstetric theory examinations and supervised maternity ward practice.

• File Size:

  375.28 KB
• Length:

  10 pages
• Category:

  KMTC Notes
• Posted By:

  Caleb_Peter

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