ECLAMPSIA KIT - EVERY MATERNITY SETUP SHOULD BE READY BY DR SHASHWAT JANI

ECLAMPSIA KIT - EVERY MATERNITY SETUP SHOULD BE READY BY DR SHASHWAT JANI.

1. ECLAMPSIA KIT Every Maternity Setup should be Ready Dr. Shashwat Jani. M.S. ( Gynec) Diploma In Advance Endoscopy. Consultant Assistant Professor, Smt. N.H.L. Municipal Medical College, Sheth V. S. General Hospital, Ahmedabad. Mobile : [phone]. E-mail : [email protected]

2. 13-Dec-14 Dr Shashwat Jani. 9909944160 2 Greetings From Ahmedabad . . .

3. B.P. may be normal…!!! Treat all women with convulsions in pregnancy as Eclampsia until proven otherwise. 13 December 2014 3 Dr Shashwat Jani. 99099 44160.

4. Need Of Eclampsia Kit... Eclampsia is the one of the major cause of maternal morbidity and mortality worldwide. Approximately 72,000 pregnant women die every year because of eclampsia and severe preeclampsia. That is nearly 200 women every day . Preeclampsia - eclampsia rank 2 nd only to hemorrhage as a specific, direct cause of maternal death. The risk that a woman in a developing country will die of pre-eclampsia or eclampsia is about 300 times that of a woman in a developed country. 13 December 2014 4 Dr Shashwat Jani. 99099 44160.

5. According To N.E.R… Greater numbers of convulsions prior to care, may be due to lack of facilities nearby. Time spent in access to care is crucial and may alter maternal and fetal out come. Convulsions post admission (76.6%), indicate lack of standardized care protocol, for eclampsia which is mandatory. Time spent between first episode of convulsion and access to critical care is between 1 to 4 hours in majority (48.33%) of patients. 13 December 2014 Dr Shashwat Jani. 99099 44160. 5

6. Need Of Eclampsia Kit … Eclampsia is one condition which in spite of all progress in the medical field is still on the rise. Yet the majority of deaths related to pre-eclampsia and eclampsia could be avoided if women received timely and effective care, delivered according to evidence-based standards. 13 December 2014 6 Dr Shashwat Jani. 99099 44160.

7. Principles of Management Resuscitation - Maintain Airway. Oxygen Administration. Arrest Convulsions. Hemodynamic Stabilization ( Control of B.P. ) . Collect blood sample for Investigations. And, For all these , E verything should be at easily approachable one place 13 December 2014 Dr Shashwat Jani. 99099 44160. 7

8. Who should Have … Each & every Maternity Home should have… Starting from Primary Health Centre to Tertiary care hospital. All Ambulance Service Vehicles. Each Maternity Home / Ambulance should prepare its own medication tool box as per requirement. 13 December 2014 8 Dr Shashwat Jani. 99099 44160.

9. Contents of Eclampsia Kit 13 December 2014 9 Dr Shashwat Jani. 99099 44160.

10. Airway Equipment : Guedel Airways: sizes 4, 3, and 2 Laedal bag, mask and valve Green oxygen tubing 2 meters Yankeur sucker 13 December 2014 10 Dr Shashwat Jani. 99099 44160.

11. Venous Access : 20G Cannula (pink) x 2 18G Cannula (green) x 2 16G Cannula (grey) x 2 Tourniquet x 1 Fixation tape x 1 Roll 13 December 2014 11 Dr Shashwat Jani. 99099 44160.

12. I.V. Fluids : Ringer Lactate ( 1 litre ) – 1 Normal Saline ( 100ml ) – 1 Distill Water ( 10 ml ) – 5 I . V. Set – 1 13 December 2014 12 Dr Shashwat Jani. 99099 44160.

13. Disposable Syringes : 20 cc × 2 10 cc × 5 5 cc × 5 Needles : 18 G × 5 20 G × 5 22 G × 5 13 December 2014 13 Dr Shashwat Jani. 99099 44160.

14. Drugs : Inj. MgSo4 ( 50 % ) ( 2 ml ) – 16 Amp. Inj. Labetolol ( 4ml ) ( 20mg ) -- 10 Amp. Inj. Hydralazine ( 1 ml ) ( 20 mg ) – 2 Amp. Inj. Calcium gluconate ( 10 % ) ( 10ml ) – 1 Amp. 13 December 2014 14 Dr Shashwat Jani. 99099 44160.

15. Inj. Lignocaine ( 2 % ) – 1 Bulb. Cap. Nifedipine ( 10 mg ) -- 2 cap. Inj. Antibiotic ( Ampicillin OR Cephalosporin ) – 1 Inj. Diazepam – 2 Amp. Inj. Atropine, Adrenaline , Lasix -- 3 Amp. 13 December 2014 Dr Shashwat Jani. 99099 44160. 15

16. Other equipments : Blood sample collection bottles Spirit swab bottle. Urine Albumin Strip bottle Foley’s Catheter ( No. 16 ) Urine bag. 13 December 2014 16 Dr Shashwat Jani. 99099 44160.

17. Reflex Hammer Surgical Gloves ( 5 pairs ) B.P. Instrument Stethoscope Suction Catheter. Check List & Patient Monitoring Chart. 13 December 2014 17

18. Maintain the Check List regularly. Check the expiry date of the drugs on regular interval. Keep the Kit at easily approachable place. Inform all Medical & Paramedical staff about place where kit has been kept. Give training to all paramedical staff . 13 December 2014 Dr Shashwat Jani. 99099 44160. 18

19. Benefits Of Kit : All things at one place . No need to rush for each and every thing. Faster and Stress free Management. Better maternal and fetal Outcome . Reduces maternal morbidity & mortality . Better option for PHC and Ambulances. 13 December 2014 19 Dr Shashwat Jani. 99099 44160.

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21. Thank you 13-Dec-14 Dr Shashwat Jani. 9909944160 21