Page 7 - الحقيبة التدريبية لنموذج الرعاية ومسار الحوامل
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ATIENTS SEGMENTED BASED ON RISK FACTORS TO DETERMINE LEVELS OF CARE
NO RISK FACTOR ( NORMAL PREGNANCY ) PREGNANCY WEEKS
VITAL SIGNS :Temp <38c SBP≥140or DBP≥90
12 up to 36WEEK 40 up to 38WEEk
VITAL SIGNs Maternal HR >120 or <50
Temperature ≥38.3C RR >26 or <12 Spo <95% SBP ≥140 or DBP ≥90 symptomatic or <80/40 FHR >160bpm for >60 seconds;decelerations 0 01
03 03
Risk Factors (RF) VITAL SIGNS
Maternal HR <40 or >130 SPO2 <93% SBP ≥160 or DBP ≥110 or <60 FHR <110 bpm for >60 seconds 33
immediate lifesaving intervention required ,such as: Maternal 33
• Cardiac compromise • Acute mental status change or unresponsive (cannot
• Severe respiratory distress
• Seizing follow verbal commands)
• Hemorrhaging • Signs of placental abruption
• Signs of uterine rupture
Fetal : • prolapsed cord
Imminent Birth : • Fetal parts visible on the perineum • Active maternal bearing – down efforts
Non – urgent Attention ,such as: 03 3
• >37 weeks early labor signs and /or c/o SROM/ leaking
• Non –urgent symptoms may include: common discomforts of pregnancy ,vaginal discharge ,constipation, ligament pain,nausea ,anxiety
If the pregnant woman has one or more of the risk factors in classifying pregnant women with the mother's health passport 01 01
Patient Segmentation
SEGMENT 0: PHC SEGMENT 1: ANC ON HOSPITAL SEGMENT 3:PHC + EMERGENCY TRANSFER TO HOSPITAL
SECONDARY OR TERTIARY
