Essential Supplies for Safe Delivery Preparation

 
Preparing for Safe Delivery
 
2
 
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Learning Objectives
 
3
 
7 Trays 
(as per GoI’s MNH Toolkit)
:
Delivery tray
Episiotomy tray
Medicine tray
Emergency drug tray
Baby tray
MVA tray
PPIUCD tray
 
Trays/Kits to be Kept in Labour Room
Additional trays/kits:
Examination Tray
PPH Management
Kit
Severe PE/E
Management Kit
 
4
 
Sterile Gloves
Speculum, Urinary catheter -1each
Bowl for antiseptic lotion- 1
Sponge holding forceps-1
Gauze pieces, Cotton swabs
Sterile perineal pads-2
Artery forceps-2
Scissor- 1
Kidney tray
- 1
Cord clamp-1
 
Delivery Tray
 
5
 
Inj. Xylocaine 2%
10 ml disposable syringe with needle
Episiotomy scissor, Artery forceps
Allis forceps, Sponge holding forceps, Toothed forceps
Thumb forceps, Kidney tray, Needle holder
Needle (round body and cutting)
Chromic catgut no. 0, Gauze pieces, Cotton swabs,
Antiseptic lotion, Gloves
 
Episiotomy Tray
 
6
 
Two pre-warmed towels/sheets for wrapping the
baby (Baby should be received in a pre-warmed
towel. Do not use metallic tray for receiving baby.)
Mucus extractor, cotton swabs
Nasogastric tube, Gloves
Bag and mask, Sterilized thread/cord clamp, Needle
(26 gauze) and syringe (1 ml)
Inj. Vitamin K, needle and syringe
 
Baby Tray
 
7
 
Inj. Oxytocin 10 IU (to be kept in fridge), Inj. Gentamicin,
Inj. Vit K, Inj. Betamethason, Inj. Hydralazine
Cap Ampicillin 500 mg, Tab. Metronidazole 400 mg, Tab
Paracetamol, Tab Ibuprofen, Tab B complex, Tab.
Misoprostol 200 micrograms, Tab. Nifedipine, Tab.
Methyldopa
IV fluids - Ringer lactate, Normal Saline, Magnifying glass
(*Nevirapin and other HIV drugs only for ICTC and ART
Centres)
 
Medicine Tray*
 
8
 
Inj. Oxytocin (to be kept in fridge), Inj. Magnesium sulphate 50%,
Inj. Calcium gluconate-10%, Inj. Dexamethasone, Inj. Ampicillin,
Inj. Gentamicin, Inj. Metronidazole, Inj. Lignocaine-2%, Inj.
Adrenaline, Inj. Hydrocortisone Succinate
Inj. Diazepam, Inj. Pheneraminemaleate, Inj. Carboprost (to be
kept in fridge), Inj. Pentazocin chloride, Inj. Promethazine, Inj.
Betamethasone (to be kept in fridge), Inj. Hydralazine
IV fluids- Ringer lactate, normal saline, IV sets with 16-gauge
needle at least two, IV Cannula, Vials for blood collection
Syringes and needles, Tab.Nifedipine, Tab.Methyldopa, Suction
catheter, Mouth gag.
Ceftraixone (3
rd
 generation cephalosporin for L3 facility)
 
Emergency Drug Tray**
 
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9
 
MVA/EVA Tray:
Gloves, speculum, anterior
vaginal wall retractor, posterior
vaginal wall retractor, sponge
holding forceps
MVA syringe and cannulas, MTP
cannulas
Small bowl of antiseptic lotion,
sanitary pads, pads /cotton
swabs, disposable syringe and
needle, sterilized gauze/pads,
urinary catheter
Misoprostol tablet
 
MVA/EVA and PPIUCD Tray
 
PPIUCD Tray
Cu IUCD 380A/ Cu IUCD 375 in
a sterile package
PPIUCD Insertion Forceps,
sims speculum, sponge
holding forceps, bowl with
swabs
Only for L3 facilities with
PPIUCD trained provider)
 
10
10
 
Examination Tray
 
SS tray
Bowl with cotton swabs
Sterile gloves
Antiseptic solution bottle
Measuring tape
Stethoscope/ Foetoscope
Uristix bottle
BP apparatus
Thermometer
Knee hammer
MCP cards
Blood and urine collection
vials, alcohol swabs
RDKs (to be kept in
refrigerator)
 
 
 
11
11
 
PPH Management Kit
 
Wide bore cannula (number 16/18)- at least 2
IV set, IV fluids (NS, RL), Syringes (10 mL, 5 mL, 2 mL), Blood and urine
collection vials
Inj. Oxytocin (to be kept in refrigerator), Tab. Misoprostol, Inj.
Methylergometrine, Inj. Carboprost (to be kept in refrigerator)
Bowl with cotton swabs, Alcohol/spirit swabs, Antiseptic solution bottle,
Adhesive tape, Suture material, Dry cotton swabs
Self-retaining catheter, Urobag, Syringe & distilled water for inflation
Long elbow-length sterile gloves, Sterile gloves
For Condom Tamponade: SS tray with lid, Sims speculum, SS bowl with
swabs, Sponge holders, Suture material, Scissors, Foley’s catheter (16 no.),
Condoms, IV set, 500 mL NS, PPE
*Ensure availability of functional oxygen source with attachments, functional suction
machine and functional BP apparatus and stethoscope.
 
12
12
 
Severe PE/E Management Kit
 
Mouth gag, Suction catheter
IV cannula, IV set, IV fluids (RL), Syringes (20 mL, 10 mL, 5 mL)
Antihypertensive drugs (Labetalol- Tab & Inj., Tab. Nifedipine)
Inj. Magnesium sulfate- at least 20 ampoules (1 amp = 1 gm)
2% xylocaine, Alcohol swabs, Adhesive tape, Antiseptic
solution bottle, Blood and urine collection vials
Self-retaining catheter, Urobag, Syringe & distilled water for
inflation, dry cotton swabs
Sterile gloves, knee hammer, Inj. Calcium Gluconate
*Ensure availability of functional oxygen source with attachments,
functional suction machine and functional BP apparatus and
stethoscope.
 
13
13
 
Pre filled 10 IU oxytocin syringe (by the side of
delivery tray) helps in
Ensuring that  the mother receives Inj Oxytocin 10
I.U. immediately after delivery
Reducing confusion and need for health worker to
step away from mother to pick and fill  Oxytocin
syringe
 
Pre-filled Oxytocin Syringe
 
14
14
 
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Learn about the crucial items needed for safe delivery preparation, including personal protective equipment (PPE), delivery trays, episiotomy trays, baby trays, and medicine trays. Understanding the importance of each item and how to utilize them effectively can contribute to a successful delivery process.


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  1. Preparing for Safe Delivery

  2. Learning Objectives At the end of the sessions, learners will be able to: List the items of personal protective equipment (PPE) to be worn by the provider to conduct normal delivery List the seven trays as per GoI s recommendation (depending upon level of facility) and three additional trays/kits, and their contents to be kept ready in LR Describe the importance of pre-filled syringe with 10 IU Oxytocin kept ready before delivery by the side of delivery tray 2

  3. Trays/Kits to be Kept in Labour Room 7 Trays (as per GoI s MNH Toolkit): Delivery tray Episiotomy tray Medicine tray Emergency drug tray Baby tray MVA tray PPIUCD tray Additional trays/kits: Examination Tray PPH Management Kit Severe PE/E Management Kit 3

  4. Delivery Tray Sterile Gloves Speculum, Urinary catheter -1each Bowl for antiseptic lotion- 1 Sponge holding forceps-1 Gauze pieces, Cotton swabs Sterile perineal pads-2 Artery forceps-2 Scissor- 1 Kidney tray- 1 Cord clamp-1 4

  5. Episiotomy Tray Inj. Xylocaine 2% 10 ml disposable syringe with needle Episiotomy scissor, Artery forceps Allis forceps, Sponge holding forceps, Toothed forceps Thumb forceps, Kidney tray, Needle holder Needle (round body and cutting) Chromic catgut no. 0, Gauze pieces, Cotton swabs, Antiseptic lotion, Gloves 5

  6. Baby Tray Two pre-warmed towels/sheets for wrapping the baby (Baby should be received in a pre-warmed towel. Do not use metallic tray for receiving baby.) Mucus extractor, cotton swabs Nasogastric tube, Gloves Bag and mask, Sterilized thread/cord clamp, Needle (26 gauze) and syringe (1 ml) Inj. Vitamin K, needle and syringe 6

  7. Medicine Tray* Inj. Oxytocin 10 IU (to be kept in fridge), Inj. Gentamicin, Inj. Vit K, Inj. Betamethason, Inj. Hydralazine Cap Ampicillin 500 mg, Tab. Metronidazole 400 mg, Tab Paracetamol, Tab Ibuprofen, Tab B complex, Tab. Misoprostol 200 micrograms, Tab. Nifedipine, Tab. Methyldopa IV fluids - Ringer lactate, Normal Saline, Magnifying glass (*Nevirapin and other HIV drugs only for ICTC and ART Centres) 7

  8. Emergency Drug Tray** Inj. Oxytocin (to be kept in fridge), Inj. Magnesium sulphate 50%, Inj. Calcium gluconate-10%, Inj. Dexamethasone, Inj. Ampicillin, Inj. Gentamicin, Inj. Metronidazole, Inj. Lignocaine-2%, Inj. Adrenaline, Inj. Hydrocortisone Succinate Inj. Diazepam, Inj. Pheneraminemaleate, Inj. Carboprost (to be kept in fridge), Inj. Pentazocin chloride, Inj. Promethazine, Inj. Betamethasone (to be kept in fridge), Inj. Hydralazine IV fluids- Ringer lactate, normal saline, IV sets with 16-gauge needle at least two, IV Cannula, Vials for blood collection Syringes and needles, Tab.Nifedipine, Tab.Methyldopa, Suction catheter, Mouth gag. Ceftraixone (3rd generation cephalosporin for L3 facility) (**only for L2, L3 facilities) 8

  9. MVA/EVA and PPIUCD Tray MVA/EVA Tray: PPIUCD Tray Gloves, speculum, anterior vaginal wall retractor, posterior vaginal wall retractor, sponge holding forceps Cu IUCD 380A/ Cu IUCD 375 in a sterile package PPIUCD Insertion Forceps, sims speculum, sponge holding forceps, bowl with swabs MVA syringe and cannulas, MTP cannulas Small bowl of antiseptic lotion, sanitary pads, pads /cotton swabs, disposable syringe and needle, sterilized gauze/pads, urinary catheter Only for L3 facilities with PPIUCD trained provider) Misoprostol tablet 9

  10. Examination Tray SS tray Knee hammer Bowl with cotton swabs MCP cards Sterile gloves Blood and urine collection vials, alcohol swabs Antiseptic solution bottle RDKs (to be kept in refrigerator) Measuring tape Stethoscope/ Foetoscope Uristix bottle BP apparatus Thermometer 10

  11. PPH Management Kit Wide bore cannula (number 16/18)- at least 2 IV set, IV fluids (NS, RL), Syringes (10 mL, 5 mL, 2 mL), Blood and urine collection vials Inj. Oxytocin (to be kept in refrigerator), Tab. Misoprostol, Inj. Methylergometrine, Inj. Carboprost (to be kept in refrigerator) Bowl with cotton swabs, Alcohol/spirit swabs, Antiseptic solution bottle, Adhesive tape, Suture material, Dry cotton swabs Self-retaining catheter, Urobag, Syringe & distilled water for inflation Long elbow-length sterile gloves, Sterile gloves For Condom Tamponade: SS tray with lid, Sims speculum, SS bowl with swabs, Sponge holders, Suture material, Scissors, Foley s catheter (16 no.), Condoms, IV set, 500 mL NS, PPE *Ensure availability of functional oxygen source with attachments, functional suction machine and functional BP apparatus and stethoscope. 11

  12. Severe PE/E Management Kit Mouth gag, Suction catheter IV cannula, IV set, IV fluids (RL), Syringes (20 mL, 10 mL, 5 mL) Antihypertensive drugs (Labetalol- Tab & Inj., Tab. Nifedipine) Inj. Magnesium sulfate- at least 20 ampoules (1 amp = 1 gm) 2% xylocaine, Alcohol swabs, Adhesive tape, Antiseptic solution bottle, Blood and urine collection vials Self-retaining catheter, Urobag, Syringe & distilled water for inflation, dry cotton swabs Sterile gloves, knee hammer, Inj. Calcium Gluconate *Ensure availability of functional oxygen source with attachments, functional suction machine and functional BP apparatus and stethoscope. 12

  13. Pre-filled Oxytocin Syringe Pre filled 10 IU oxytocin syringe (by the side of delivery tray) helps in Ensuring that the mother receives Inj Oxytocin 10 I.U. immediately after delivery Reducing confusion and need for health worker to step away from mother to pick and fill Oxytocin syringe 13

  14. Key Messages For safe delivery PPE should be worn by providers to prevent infection All seven trays must be kept ready in LR as recommended in GoI s MNH tool kit. Always keep pre-filled syringe with 10 IU oxytocin by the side of delivery tray. This helps providers to ensure that mother receives it within one minute of delivery of baby 14

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