Module 3

1
Module 3
2
Module 3

• Enhance Clinical Skills
• Low Birthweight Babies
• Prematurity
• Growth Restriction
• Surgical Skills
• Pelvic Anatomy
• Surgical Complications
• Evidence Based Practice
• Cause Effect

3
Methods

• Participation
• Concepts
• Clinical Problems
• Your circumstances Experience
• Practical Sessions
• Ultrasound

4
Low Birth Weight

• What do we mean?
• Why should a baby be born with a low birth weight?

5 min group work 10 min discussion
5
Low Birth Weight

• Why are we concerned?
• Prematurity
• Growth Restriction
• Combination of both

5 min group work 10 min discussion
6
Threshold of Viability

• What is this?
• What is it in your health facility
• What determines this threshold?
• Could it change?

10 min group work 20 min discussion
7
Premature Delivery

• Definition
• Aetiology

10 minute presentation
8
Premature Delivery

• The Malawi Experience

15 min presentation 10 min discussion Chisale
Mhango
9
Evidence Based Practice

• Levels of Evidence
• Association
• Cause Effect
• Effective Interventions

20 min Interactive presentation With refernce,
specifically, To pre-term delivery.
10
Premature Delivery

• Effective Interventions
• Antibiotics for pre-term rupture of membranes
• Steroids
• Kangaroo Care

11
Premature Delivery

• Ineffective Interventions
• Tocolytics (except to permit use of steroids)
• Antibiotic Prophylaxis

12
Premature Delivery

• Things we should do anyway
• Family Planning
• Pre-Pregnancy Care
• Antenatal Care

10 minute presentation 15 minute discussion of
practicalities
13
Group Work

• What Can Be Done In Your Practice?

15 min group work 20 minute presentations
14
Growth Restriction

• What do we mean?
• What are the implications?
• What are the Causes?
• How can it be avoided?
• How do we detect it?
• How do we treat it?