Maternal and Child Health Nursing (NCM 65):
BEmONC/CEMONC
Mr. Donald Camatura | Oct. 07, 2021
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OUTLINE
BEmONC
A. Pre-Pregnancy Package of Services
B. Complete Pre-Natal Package
C. Complete Childbirth Package
D. Complete Post-Partum and Post-Natal Package
E. BEmONC Provider Facilities
F. BEmONC Human Resources
G. BEmONC Equipment Requirements
H. BEmONC Blood Supply
CEmONC
A. Pre-Pregnancy Package of Services
B. Complete Pre-Natal Package
C. Complete Childbirth Package
D. Complete Post-Partum and Post-Natal Package
E. CEmONC Provider Facilities
F. CEmONC Human Resources
G. CEmONC Equipment Requirements
H. CEmONC Blood Supply
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BEmONC
Basic Emergency Obstetric and Newborn Care
o Services provided by a healthcare facility and/or
professional to facilitate maternal and newborn
conditions/complications for maintaining life.
o Availability must be ensured for twenty-four hours a
day, seven days a week.
o Can be given in a single facility or in a network of
facilities.
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For the mother:
o Post-partum check up including identification of
early signs and symptoms of postpartum
complications
o Micronutrient supplementation
o Counselling
o Prevention and management of other diseases
For the newborn:
o Post-natal care required within 24 hours after birth
o Counselling on post-partum/post-natal check-up,
home care and immunization
E. BEmONC PROVIDER FACILITIES
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Barangay Health Station (BHS)
Rural Health Unit (RHU)
Lying-in clinic
Birthing home
District hospital
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Adequate and appropriate Human Resource shall be
assured at all levels. This shall consist of
Community/Women’s Health Teams at community level and
competent professionals at health facility level.
A BHS BEmONC therefore requires that the MHO and PHN,
who are based at the RHU make regular supervisory visit
and be available “on call” to assist the midwife in BEmONC
provision.
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B. COMPLETE PRE-NATAL PACKAGE
Provision of eight essential antenatal care service
Promotion of exclusive breastfeeding, newborn screening,
BCG and Hepatitis B birth dose immunization
Counselling on
o use of modern FP methods especially lactation
amenorrhea (LAM), with focus on health caring and
health seeking behaviors; and
o contraception including surgical procedures where
appropriate: bilateral tubal ligation (BTL), no-scalpel
vasectomy (NSV) and management of
complications resulting from contraception
Counselling on Healthy Lifestyle with focus on smoking
C. COMPLETE CHILDBIRTH PACKAGE
For the mother:
o Monitoring vital signs and the progress of labor
o Identification of early signs and symptoms and
administration of appropriate management of
prolonged labor, hypertension, abnormal
presentation, bleeding.
o Active management of the third stage of labor.
o Provision of immediate post-partum nursing care.
For the newborn:
o Drying to keep the baby warm
o Provision of appropriate thermal care through
mother and newborn skin-to-skin contact.
o Immediate latching on and initiation of breastfeeding
within first hour after birth.
o Non-immediate cord clamping (1-3 minutes or until
cord pulsation stops)
D. COMPLETE POST-PARTUM AND POST-NATAL PACKAGE
A. PRE-PREGNANCY PACKAGE OF SERVICES
Micronutrient Supplementation
Tetanus toxoid immunization following the recommended
schedule
Family Planning
Provision of oral health services
Counselling of STI/HIV/AIDS, nutrition, personal hygiene,
and the consequences of abortion.
Adolescent and youth health services including peer and
professional counselling and RH education
Promotion of healthy lifestyle including advice relative to
smoking cessation, healthy diet, regular exercise and
moderate alcohol intake.
Management of lifestyle-related diseases like diabetes,
cardiovascular disease (CVD), etc.
Prevention and Management of other diseases including
tuberculosis, malaria (e.g. provision of insecticide treated bed
nets for malaria-infested areas), schistosomiasis, and
anemia.
cessation, healthy diet and nutrition, regular exercise, STI
control HIV prevention and oral health.
Prevention and management of early bleeding in pregnancy.
Early detection and management of signs of complications of
pregnancy.
Measurement of fundic height against the age of gestation,
fetal heart beat and fetal movement count to assess the
adequacy of fetal growth and wellbeing.
Provision of other support services
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F. BEmONC HUMAN RESOURCES
G. BEmONC EQUIPMENT REQUIREMENTS
Should have the required vital equipment to enable them to
deliver quality WHSM services to clients.
Vital equipment are the most basic equipment needed to
operate BEmONC and CEmONC provider facilities in
accordance with the standards of the service delivery model
and are considered “first priority” in judging the operational
capability of the facility.
Forro, Gwyn Oona Florence L. | 1
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H. BEmONC BLOOD SUPPLY
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Required to have easy access to safe blood supply at all
times.
o Blood Center
o Blood Banks
o Blood Stations
o Blood Collection Units
o Local Blood Council
II.
CEmONC
Comprehensive Emergency Obstetric and Newborn Care
o Provides the same kind of services as in BEmONC
plus the provisions of surgical delivery and blood
bank services and other highly specialized obstetric
interventions.
o Can be given in a single facility or in a network of
facilities.
o
D. COMPLETE POST-PARTUM AND POST-NATAL PACKAGE
•
•
A. PRE-PREGNANCY PACKAGE OF SERVICES
Micronutrient Supplementation
Tetanus toxoid immunization following the recommended
schedule
Family Planning
Provision of oral health services
Counselling of STI/HIV/AIDS, nutrition, personal hygiene,
and the consequences of abortion.
Adolescent and youth health services including peer and
professional counselling and RH education
Promotion of healthy lifestyle including advice relative to
smoking cessation, healthy diet, regular exercise and
moderate alcohol intake.
Management of lifestyle-related diseases like diabetes,
cardiovascular disease (CVD), etc.
Prevention and Management of other diseases including
tuberculosis, malaria (e.g. provision of insecticide treated bed
nets for malaria-infested areas), schistosomiasis, and
anemia.
For the mother:
o Post-partum check up including identification of
early signs and symptoms of postpartum
complications
o Micronutrient supplementation
o Counselling
o Prevention and management of other diseases
For the newborn:
o Post-natal care required within 24 hours after birth
o Counselling on post-partum/post-natal check-up,
home care and immunization
E. CEmONC PROVIDER FACILITIES
•
•
•
•
•
Barangay Health Station (BHS)
Rural Health Unit (RHU)
Lying-in clinic
Birthing home
District hospital
•
Adequate and appropriate Human Resource shall be
assured at all levels. This shall consist of
Community/Women’s Health Teams at community level and
competent professionals at health facility level.
A BHS BEmONC therefore requires that the MHO and PHN,
who are based at the RHU make regular supervisory visit
and be available “on call” to assist the midwife in BEmOC
provision.
•
B. COMPLETE PRE-NATAL PACKAGE
Provision of eight essential antenatal care service
Promotion of exclusive breastfeeding, newborn screening,
BCG and Hepatitis B birth dose immunization
Counselling on
o use of modern FP methods especially lactation
amenorrhea (LAM), with focus on health caring and
health seeking behaviors; and
o contraception including surgical procedures where
appropriate: bilateral tubal ligation (BTL), no-scalpel
vasectomy (NSV) and management of
complications resulting from contraception
Counselling on Healthy Lifestyle with focus on smoking
cessation, healthy diet and nutrition, regular exercise, STI
control HIV prevention and oral health.
Prevention and management of early bleeding in pregnancy.
Early detection and management of signs of complications of
pregnancy.
Measurement of fundic height against the age of gestation,
fetal heart beat and fetal movement count to assess the
adequacy of fetal growth and wellbeing.
Prevention and management of other diseases
Provision of other support services
Immediate latching on and initiation of breastfeeding
within first hour after birth.
Non-immediate cord clamping (1-3 minutes or until
cord pulsation stops)
•
•
•
F. CEmONC HUMAN RESOURCES
G. CEmONC EQUIPMENT REQUIREMENTS
Should have the required vital equipment to enable them to
deliver quality WHSM services to clients.
Vital equipment are the most basic equipment needed to
operate BEmONC and CEmONC provider facilities in
accordance with the standards of the service delivery model
and are considered “first priority” in judging the operational
capability of the facility.
H. CEmONC BLOOD SUPPLY
Required to have easy access to safe
times.
o Blood Center
o Blood Banks
o Blood Stations
o Blood Collection Units
o Local Blood Council
blood supply at all
C. COMPLETE CHILDBIRTH PACKAGE
For the mother:
o Monitoring vital signs and the progress of labor
o Identification of early signs and symptoms and
administration of appropriate management of
prolonged labor, hypertension, abnormal
presentation, bleeding.
o Active management of the third stage of labor.
o Provision of immediate post-partum nursing care.
For the newborn:
o Drying to keep the baby warm
o Provision of appropriate thermal care through
mother and newborn skin-to-skin contact.
Forro, Gwyn Oona Florence L. | 2