Pe e management strategies at different levels
This presentation is the property of its rightful owner.
Sponsored Links
1 / 8

PE/E Management Strategies at different levels PowerPoint PPT Presentation


  • 105 Views
  • Uploaded on
  • Presentation posted in: General

PE/E Management Strategies at different levels. Pius Okong M.Med, PhD Associate Professor Nsambya Hospital, FIGO SM&NHC. Timely management. Elements CEmOC BEmOC Family/Co Diagnosis YES YES Recog

Download Presentation

PE/E Management Strategies at different levels

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Pe e management strategies at different levels

PE/E Management Strategies at different levels

Pius Okong M.Med, PhD

Associate Professor

Nsambya Hospital, FIGO SM&NHC


Timely management

Timely management

Elements CEmOC BEmOC Family/Co

  • Diagnosis YES YES Recog

  • Treat YES Initiate Cont.

  • Monitor YES YES ?

  • Plan delivery YES No No

  • Delivery YES Y/N ?


Pe e case management

PE/E Case management

  • Diagnosis

  • Prevent seizures: Min 24 hrs, Mag Sulphate

  • Control/stabilize BP: Antihypertensive IV

  • Evaluate cond. of Baby

  • Evaluate mother: LFT,RFT,CBC

  • Monitoring


Family community level

Family/Community level

Who?

  • Pregnant woman/support person

  • CHW

    What?

  • Knowledge to recognize seizures and symptoms

  • Plan for emergency, transfer to BeOC facility

    Little or No information on CHW roles? Urine testing at home? Lack of evidence Research


Basic eon care facility

Basic EON Care Facility

Who?

  • Midwives/Lab Assistant

  • Clinical officers/Nurses

    What?

  • Diagnosis: symptoms/exam/urine testing?

  • Initiate Mag Sulphate, Anti HT

  • Monitoring: BP, for seizures, fetus, urine etc

  • Communication/Transfer to CEmONC

    Evidence about early treatment beneficial


Cemonc facilities

CEmONC Facilities

Who?

  • Midwives

  • Doctors

  • Anaethetists

  • Laboratory tech


Cemonc facilities1

CEmONC Facilities

What? Processes

  • Emergency preparedness/critically ill patient

  • Drills for the teams?

  • Consumables

  • Tools

  • Use of Mag Sulphate for PE, prenatal and continuing pregnancy

    Evidence about use of Mag/sulphate and timing of delivery etc.


Challenges

Challenges

Evidence for:

  • Research to fill the gaps at community level: CHW information, diagnosis, urine testing and what medications?

  • Modeling the complex aspects of case management in health facilities

  • Case management audits: accountability and health care quality?


  • Login