Medicine an Surgery notes

Apr 25th, 2015
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HIGH RISK OBSTETRICS CARE INTHE DEVELOPING COUNTRIESDR. AMIT SENGUPTAMBBS; MD (OBGYN); Ph.D (BIOMED ENGINEERING)Member-Editorial Advisory Board, FetalMonitoring, OBGYNET.IDEAL APPROACH - AT RISK STRETEGYAll pregnant mothers are at high risksome at higher-higher riskDEFINE AND IDENTIFY HIGH RISKCOMMUNITY & FAMILYADOLOSCENCEWOMEN & CHILDRENNEWBORNSIN RELATION TO VITAL PARAMETRSNUTRITIONAL LEVELANTHROPOLOGICAL PROFILESOCIO-ECONOMIC STATUSEDUCATION & AWARENESS LEVELVsDISEASE BURDEN RATE ANDSPECIFIC MORBIDITY-MORTALITY PATTERNKEY IMPACT FACTORSAVAILABILITY OF AFFORDABLE QUALITY HEALTHINFRASTRUCTURETECHNOLOGICAL SUPPORT BASECOMMUNICATION AND TRANSPORT FACILITESPOLITICAL & PEOPLES COMMITMENTDevelop HIGH RISK scoring system (1)Based upon simple clinical parametersGROWTH PARAMETERS--BMI,HEIGHT, WEIGHTNUTRITIONAL/DIET INDEX - HAEMOGLOBIN,S.PROTEINS, CALCIUM, BONE MASS INDEX,MIDARM SKIN FOLD THICKNESSHIGH RISK SCORING (2)Based on social-health indicators i.e.,AGE AT MARRIAGE, CONSUMMATION AND FIRSTCONCEPTIONFERTILITY RATE, ABORTION RATE, LOW BIRTHWEIGHT RATE, EXISTING MATERNAL MORTALITYAND INFANT MORTALITY RATE, UNMET NEED FORCONTRACEPTION,RTI RATESET RISK SCORING (3)MATERNAL - PERINATAL MORBIDITY & MORTALITYPATTERN/RATEFEMALE LITERACY/AWARENESS LEVEL,GENDEREQUALITY IN DECISION MAKINGAVAILABILITY OF PRE-MARITAL & PREPREGNANCY COUNSELINGDEVELOP NETWORKING

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