vkn'kZ izlo d{k fn'kk&funsZ'k
NRrhlx<+
DRAFT 2016
DIRECTORATE HEALTH SERVICES & NATIONAL HEALTH MISSION
NEW RAIPUR, CHHATTISGARH
1 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
vkn'kZ izlo d{k fn'kk&funsZ'k
vkn'kZ izlo d{k dk gksuk ekr`&f'k'kq LokLF; dh xq.koRrkiw.kZ lsok ds fy, vko';d
gSA
vkn'kZ izlo d{k ds fdz;kUo;u gsrq fuEufyf[kr fn'kk&funsZ'k gS%&
1) izlo d{k esa nh tkus okyh vfuok;Z lsok;sa
xHkZorh efgyk dsk izlo d{k esa izlo ds lfdz; pj.k (Active Phase) esa ys tkuk
pkfg, tSls%&fxzok (Cervical Dilation) dk QSyko 4 ;k 4 lseh- ls vf/kd gks
Partograph ds ek/;e ls fuxjkuh
f'k'kq dk tUe
izlo ds rhljs pj.k dk lfdz; izca/ku
uotkr f'k'kq ds ns[kHkky ds lkFk uotkr f'k'kq dk Resuscitation
Lruiku dh 'kq:vkrA
Episiotomy/Tear repair
tfVyrkvksa dh igpku ,oa izca/ku
;fn efgyk rS;kj gks rks PPIUCD dk Insertion
2) v/kkslajpuk (Infrastructure)
izlo d{k
izlo d{k ls tqM+k gqvk fdz;k'khy 'kkSpky; (Functional Toilet)
uotkr f'k'kq ns[kHkky bZdkbZ ds fy, LFkku (NBCC Corner)
uflZax LVs'ku ds fy, LFkku/Service Area
fQzt (Refrigerator) ds fy, LFkku
3) izlo d{k ds fy, midj.k ,oa lkexzh%& izR;sd izlo d{k esa fuEu midj.k ,oa
lkexzh vfuok;Z :i ls gksuk pkfg,A
izlo Vscy (Labour Table) xn~ns ds lkFk] pknj] rkfd;k(Case load ds vk/kkj ij
la[;k½ Macintosh, Foot Step, Foot Rest.
jDr ,oa Amniotic rjy inkFkZ ,d= djus ds fy, Kell`ys Pad & Bucket
lsdaM dkaVs okyk fnoky ?kM+h (Wall Clock)
FkekZehVj nhoky esa Vaxk gqvkA
Suction Apparatus
Adult Resuscitation midj.k
izR;sd izlo Vscy ds fy, delivery trolly IV drip stand
2 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
nks izlo Vscy ds chp insZA
tUe lg;ksxh ds fy, dqlhZ@LVwy
nhoky ls yxk gqvk ySEi
nLrkus (Gloves), Cotton ¼dkWVu½] xkWt (Gouge), lsusVjh iSM (Sanitary pad)
,izu] Thread, catgut, IV drip set, needle ¼lqbZ½, Cord clamp, nokbZ;kW (Injectable, oral
and parental, Leucoplast etc.)
izR;sd izlo gsrq Autoclaved delivery set
fQzt
fLQXekseSuksehVj (B.P.. Instrument), o;Ld ,oa uotkr FkekZehVj] otu e'khu
Pulse Oxymeter ¼iYl~ vkWDlhehVj½
LVjykbZtj
vkWDlhtu flysUMj
ikVksZxzkQ
nokbZ;kW ,oa bUtsD'ku j[kus ds fy, Plastic Jars gksus pkfg, ftlesa nokbZ;ksa ds
uke ,oa volku frfFk (Expiry date) fy[ks gksus pkfg,A
tSo fpfdRldh; vif'k"V izca?ku ds fy, Colour Coded Bins
Hub Cutter (Needle Cutter) ¼gc dVj½
iapj jfgr MCcs (Puncture proof container)
0.5% Dyksfju ?kksy ds fy, Plastic Bottle
Intranatal izksVksdkWy] Posters for display (AMTSL,PPH vkfn gsrq½
Oghy ps;j@ejht VªkWyh@LVªspj
fMyhojh Vªs] Episiotomy Vªs] MVA Vsª] PPIUCD Vªs] Baby Vªs] Medicine Vªs] Emergency
Drug Vªs]
gkFk /kksus dk {ks= ,oa HkrhZ ejht gsrq 'kkSpky;
Foetoscope/Foetal MkIyj
LVsFksLdksi
SBA xq.koRrk izksVksdkWy dk izn'kZu
Shadow less lamp
ePNj Hkxkus dk lk/kuA
3 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
4) izlo d{k gsrq lkr Vªs%&
dz- Vªs dk uke midj.k@nok@lkexzh
1 fMfyojh Vªs
Scissor
Artery Forceps
Sponge holding Forceps
Speculum
Urinary Catheter
Bowl for antiseptic lotion
kidney tray
Gauge Piece
Cotton Swabs
Sanitary Pads
Gloves
2 bihfl;ksVkseh Vªs
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 &
Cutting )
Chromic Catgut no.0
Gauge pieces
Cotton swabs
Antiseptic lotions
Gloves
4 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
3 csch Vªs
Two pre-warmed towels/
Sheets for wrapping the
baby
Mucus extractor
Bag & mask
Sterlized thread/ cord
clamp
Needle ( 26 guage) &
syringe (1 ml)
Inj Vitamin K
Gloves
¼f'k'kq dks igys ls xeZ rkSfy;s esa
fy;k tkuk pkfg,A blds fy, /kkrq
dh Vªs dk mi;ksx u djsa½
4 nokbZ;ksa dk Vªs
Inj. Oxytocin
Inj.Gentamicin
Inj. Vit K
Inj. Betamethasone
Inj. Hydralazine
Cap. Ampicillin 500gm
Tab. Metronidazole
400mg
Tab. Paracetamol
Tab. Ibuprofen
Tab. B complex
Tab. Misoprostol
200micrograms
* usfojsfiu vkSj vU; ,pvkbZoh nokbZ;kW
dsoy ,dhd`r lykg vkSj tkWp dsUnz
¼vkbZlhVhlh½ vkSj ,aVh jsVªksfo;y Fksjsih
¼,vkjVh½ dsUnzksa ds fy, gh gSaA
5 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
5 vkikrdkyhu nok Vªs
**Inj. Oxytocin (should
be kept in regerigerator ) Inj. Magsulf 50%
Inj Calcium gluconate 10%
Inj. Dexamethasone
Inj. Ampicillin
Inj. Gentamicin
Inj. Metronidazole
Inj. Lignocaine 2%
Inj. Adrenaline
Inj. Hydrocortisone Succinate
Inj. Diazepam
Inj. Pheneramine Maleate
Inj. Corboprost
Inj. Pentazocin Chloride
Inj. Promethazine
Inj. Betamethasone
Inj. Hydralazine
IV fluids- Ringerlactate, Normal Saline
IV sets with 16 gauge needle at least 2
IV Cannula
Vials for blood collection
Syringes & needles
Tab. Nifedipine
Tab. Methyldopa
Suction Catheter
Mouth gag
¼** dsoy Lrj 2 vkSj lsok dsUnzksa ds
fy,½
6 eSU;qvy osD;we ,Lihjs'ku ¼,eoh,½@bysDV«hd
osD;we ,Lihjs'ku ¼bZo,½ Vªs
Speculum
6 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
Anterior vaginal wall retractor
Posterior vaginal wall reactor
Sponge holding forceps
MVA syringe & cannulas
MTP cannulas
Urinary catheter
Small bowl of antiseptic lotion
Sterlized gauge /pads
Cotton swabs
Disposable syringe & needle
Tab. Misoprostol
7 iskLV ikVZe baVªk ;wVsjkbu daMªklsfIVo fMokbl
¼ihihvkbZ;wlhMh½ Vªs ***
PPIUCD Insertion Forceps
Sim's Speculum
Ring forceps / Sponge holding forceps
Cu IUCD 380A/ Cu IUCD 375 in a sterile package
Cotton swabs
Betadine Solution (*** dsoy LokLF; dsUnzksa ds fy, tgkW
izf'kf{kr ihihvkbZ;wlhMh iznkrk gks½
7 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
5) Service Area ¼dk;Z {ks=½
izR;sd izlo d{k esa Recording/Reporting ,oa isij dk;Z gsrq fu/kkZfjr {ks= gksuk
vfuok;Z gS ,oa ;g ejht {ks= ls ,dne vyx ugha gksuk pkfg, blls M~;qVh esa
dk;Zjr deZpkjh@LVkQ dksbZ Hkh vkikrdkyhu fLFkfr esa ;k izlo d{k esa xHkZorh
efgyk dks ;fn fdlh Hkh t:jr ij rqjar izfrfdz;k dj ldsxhA
bl {ks= dks nokbZ;ksa] midj.k] Consumables vkfn j[kus gsrq mi;ksx esa ugha
ykuk pkfg,A nokbZ] midj.k] Consumables dks replacement stock ds :i esa
izlo d{k ds ckgj j[kuk pkfg,A
jDr L=ko ls cpko ,oa mipkj ds fy, Oxytocin nok igyh izkFkfedrk gSA
;g Low resource setting tSls miLokLF; dsUnzksa esa Oxytocin dk mi;ksx ugha
fd;k tk ldrk D;ksafd bls Refrigerator ¼fQzt½ esa j[kk tkrk gSA;fn
Oxytocin injection miyC/k ugha gS rks Oral Mesoprostol (600 Mcg) dh
xksyh dk mi;ksx dj ldrs gSA
izlo d{k ds lQy fdz;kUo;u gsrq ,d izlo Vscy ds fy, 10x10 sq.ft. dh
txg ,oa 2 izlo Vscy ds fy, 20x20 sq.ft. dh txg gksuk pkfg,A
izR;sd izlo Vscy esa Sleek vertical trolley gks ftlesa 7 Vªs j[kus ds fy, txg
gks ¼mijksDrkuqlkj½
6) Newborn Care Corner ¼uotkr f'k'kq lqj{kk bZdkbZ½
izR;sd izlo d{k esa uotkr f'k'kq lqj{kk bZdkbZ (NBCC) vfuok;Z :i ls gksuk
pkfg,A
izR;sd izlo d{k ,oa izlqfr vkijs'ku fFk;sVj esa NBCC dkuZj gks ftlesa ,d
jsfM;sUV okeZj] ,d Functional ambu bag ,oa mfpr Size dk Mask gksuk
pkfg,A
7) tUe ds le; vfuok;Z lsok ¼lqj{kk½
uotkr dk Resuscitation xehZ gsrq izko/kku Lruiku dh tYn ls tYn 'kq:vkr uotkr dk otu ysuk tUetkr fodykaxr ds fy, uotkr dk fujh{k.k
uksV%& lHkh uotkr dks Radiant warmer esa j[kuk vfuok;Z ugha gSA
ekrk ,oa f'k'kq esa fuEufyf[kr y{k.k fn[kus ij Radiant Warmer esa f'k'kq dks
vkikrdkyhu uotkr ns[kHkky ds fy, j[kuk pkfg, ,oa vko';drkuqlkj
Resuscitation nsuk pkfg,A
fedksfu;e Stained Liquor ,oa le; ls iwoZ izlo gksus ij uotkr ds ugha jksus
ij] iSjksa esa viaxrk] gkFk iSj detksj] vaxks ds fu"dzh; fn[kus ij ,oa
fpfdRld ds lykg vuqlkj
8 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
8) uotkr lqj{kk bZdkbZ ds fy, vko';d midj.k ,oa lkexzh
csch Vªs
fifM;kVªhd LVsFksLdksi ¼uotkr LVsFksLdksi csgrj fodYi gS½
csch Ldsy
jsfM;sUV okeZj
Pediatric ambu bag & mask-Neonatal, Size (0 and1)
Oxygen hood ¼Neonatal)
Laryngoscope and Endotracheal
Intubation tube
nks tksM+s isfUly cSVjh ¼lsy½
Mucous extractor suction tube ds lkFk ,oa iSjksa ls vkWijsV djus okyh
suction e'khu NG tube (uslksxSLVªhd V~;wc½
Blankets ¼dEcy½
nks lkQ ,oa lw[kk Vkosy
Feeding tubes
jDr ,df=r djus ds fy, 2 [kkyh Vials
Alcohol hand rub
HLD/Sterile gloves
Disposable lhfjt] Hub Cutter.
Injection Vit.K 1mg
9) izlo d{k ds fy, lkekU; vko';drk,W
izlo d{k dh lrg (Floor) esa fcuk design okyh] fQlyu fujks/kh lQsn Tile
yxkukA
lrg ls 6 fQV rd fnoky esa VkbYl yxs gksuk pkfg, 'ks"k fnoky ,oa Nr esa
lQsn isaV yxkuk pkfg,A
foUMks ,oa Ventiltors, Froasted Glass ds lkFk gksuk pkfg,A
f[kM+fd;ksa esa eD[kh] ePNj ,oa dhM+ks dks jksdus ds fy, tkyh gksuk pkfg,A
izlo d{k ,oa izlo d{k ls tqM+s gq, 'kkSpky; esa 24 ?kaVs ikuh dh lqfo/kk gksuk
pkfg,A
;fn ikuh dh vkiwfrZ lhfer gS rks vksojgsM VSad gksuk pkfg, ,oa ikuh iai ds
ek/;e ls vksojgSM VSad esa ys tkus dh O;oLFkk dh tkuh pkfg,
okf'kax {ks= esa Elbow Operated Tap yxk gksuk pkfg,A
izR;sd izlo d{k esa ,d fQzt gksuk pkfg, ftlesa injection oxytocin j[kk tk
ldsA
izlo d{k dk {ks=@vkdkj o foLRkkj dh la[;k izlo Vscy dh la[;k dsUnz esa
izlo gsrq HkrhZ efgykvksa dh la[;k ds vk/kkj ij gksuk pkfg,A
izlo d{k esa izdk'k gsrq Emergency Light/Inverter/Ganerater/Power
Backup gksuk pkfg,A
9 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
10) vfuok;Z nokbZ;ksa
lkIrkfgd ,oa ekfld LVWkd gsrq eSVjfuVh foax esa vyx ls Store gksuk pkfg,A
r`rh; Lrj (Level-3) ds izlo d{k esa Centrally air conditioned ds lkFk air
handling unit gksuk pkfg,A
;fn air condition miyC/k ugha gks rks Cross Ventilation ds lkFk exhaust
vko';d gSA
;fn izlo d{k esa Air condition gS rks ;g /;ku j[kk tk, fd NBCC esa lh/ks
uotkr f'k'kq ds mij BaMh gok ugha tkuk pkfg,A
11) izlo d{k esa ladze.k jksdFkke
vLirky ds deZpkfj;ksa ,oa izlwrk ds fj'rsnkjksa ds fy;s izlo d{k esa tkus gsrq
vyx ls pIiy dh o;oLFkk gksuh pkfg,A
izlo gsrq tkus okyh ejht dks Sterile gown nsuk@igukuk pkfg,A
izlo d{k dh lrg dks ¼Hkkjr ljdkj }kjk tkjh izksVksdkWy ds vuqlkj gksuk
pkfg,A
izlo djokus ds fy, mi;ksx fd;s tkus okys nkLrkus] midj.kksa] Linen vkfn
dk Sterilization vPNs ls gksuk@djuk pkfg,A
disinfection and sterilization ds fy, ekud izfdz;k viuk;h tkuh pkfg,A
mi;ksx djus ds i'pkr~ lkexzh dks Floor ;k vU; txg ij ugha Qasduk
pkfg,A
lkexzh dks Cyhfpax ikmMj ds ?kksy esa Mqckuk pkfg, ,oa lQkbZ ,oa
Autoclaving ds fy, Hkstuk pkfg,A
Decontamination dh izfdz;k i'pkr~ mi;ksx esa dh xbZ lkexzh dks
Sterlization ds fy, Hkstuk pkfg,A
lkcqu ds ikuh ls lrg dks lkQ djuh pkfg, ,oa lrg dks lw[kk j[kuk pkfg,A
izlo Vscy ds mijh lrg dks fQukWy@Cyhphax ?kksy ls lkQ djuk pkfg,A
vkyekjh] Shadow less lamp, lockers, trolley vkfn ds lrgksa dks low level
okys Disinfectant ls lkQ djuk pkfg,A
bysDVªkWfud eWkfuVj dks 70% ,Ydksgy ls lkQ djuk pkfg,A
Floor esa ;fn [kwu ds NhaVs] 'kjhj ds rjy inkFkZ fxjus ij Cyhphax ?kksy mlds
mij Mkys ,oa 10 feuV rd NksM+ nsA fQj iksaNk yxkuk pkfg,A
Placenta ¼IyslsaVk½ dks ihys jax ds MCcs esa Mkyuk pkfg,A
mi;ksx fd;s x;s linen dks Cyhphax ?kksy esa Disinfect djus ds i'pkr~ lQkbZ
,oa Autoclaving ds fy, HkstukA
izlo d{k ds lrg dks izR;sd 3 ?kaVs esa Disinfectant ?kksy ls iksaNk djuk
pkfg,A
izR;sd izlo i'pkr~ yscj@izlo Vscy dh lQkbZ djuk pkfg,A
12) vkn'kZ izlo d{k gsrq ekuo lalk/ku dk izf'k{k.k (Training)
,,u,e@LVkQ ulZ dks Ldhy cFkZ vVsaMsaV@uotkr f'k'kq lqj{kk
dk;Zdze@IMNCI esa izf'k{khr gksuk pkfg,A
xzkeh.k fpfdRlk lgk;d dks Ldhy cFkZ vVsaMsaV@BEmONC esa izf'k{khr gksuk
pkfg,A
10 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
fpfdRlk vf/kdkfj;ksa dks BEmONC/CEmONC esa izf'k{khr gksuk pkfg,A
LVkQ ulZ@fpfdRlk vf/kdkfj;ksa dks lqj{khsr xHkZikr lsokvksa@MTP esa izf'k{khr
gksuk pkfg,A
13½ tUe lg;ksxh dk;Zdze (Birth Companion programme)
ijaijkxr :i esa ekrk çlo ds {k.kksa esa vius ifjtuksa ds lkfUu/; esa gksrh FkhA
bl çdkj viuksa dk lkFk gksuk çlo dh vR;f/kd ihM+k ,oa ruko dks de djrk gSA
,sls le; esa viuksa ds }kjk nh xbZ lkaRouk] lgt&Hkko leFkZu ,oa lkFk cgqr vge
gksrk gSA
xHkZorh efgykvksa dks çlo ds nkSjku fujarj vk'oklu] vkjke] çksRlkgu vkSj
lEeku dh vko';drk gksrh gSA ;g lHkh çlo ds nkSjku fdlh vius ds lkFk gksus ls
lgtrk ls gksrk gSA vr% çlo ds nkSjku efgyk ifjtu dk mifLFkr jguk ,d
egRoiw.kZ igy gSA blh /kkj.kk ds lkFk tUe lg;ksxh dk;ZØe çkjaHk fd;k tk jgk gSA
mn~ns';%&
çlodky esa xHkZorh ekrk ds ifjokj ds Hkkxhnkjh dk volj nsukA
çloiwoZ] çlo] çloksÙkj vof/k ds nkSjku csgrj ekufld LokLF; cuk;s j[kukA
1) tUe lg;ksxh%& ;g dk;Zdze rfeyukMw ,oa fons'kksa esa lQy jgk gSA bl dk;Zdze ls fuEu ykHk
gksaxs%&
çlo dh le;kof/k esa deh
çlo ihM+k esa deh HkkoukRed ruko esa deh
çlo ls nokbZ;k¡ ,oa çfØ;k dh vko';drkvksa esa deh
xaHkhj çlo ds çek.k esa deh
çlo i'pkr~ dh leL;kvksa esa deh
ifjtu lqfo/kk lacaf/kr vk'oLr
2) tUe lg;ksxh dk;ZØe lHkh 'kkldh; vLirky ftles esfMdy d‚yst] ftyk vLirky]
lkeqnkf;d LokLF; dsaæ] çkFkfed LokLF; dsaæ rFkk miLokLF; dsUæksa esa ykxw fd;k tk jgk gSA
bl dk;ZØe ds varxZr%&
çR;sd xHkZorh efgyk dks çlo ds nkSjku çlwfr d{k esa vius ,d efgyk ifjtu
dks lkFk j[kus dh vuqefr gksxhA
lkekU; Js.kh ds çlo esa gh ;g lqfo/kk miyC/k gksxhA fltsfj;u lsD'ku ,oa
bDykfE'k;k tSlh fLFkfr;ksa esa ;g vuqefr ugha gksxhA
tUe lg;ksxh gsrq ik=rk%&
xHkZorh efgyk ds }kjk p;fur ijhtu efgyk dks vuqefr gksxhA fo'ks"kr% ek¡]
lkl] cgu tks çlwrk jgh gksA
fdlh Hkh çdkj laØked jksx ls xzflr ugha gks rFkk lkQ&lqFkjs diM+s igus gksA
çlo dh çfØ;k nkSjku xHkZorh efgyk ds lkFk jgus rS;kj gksA
,slh efgyk tks Lo;a dHkh çlwrk jgh gksA
11 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
tUe lg;ksxh dh Hkwfedk%&
HkkoukRed leFkZu ¼fujarj vk'oklu½ çnku djsaA
vkjkenk;d Li'kZ] elkt] i;kZIr rjy inkFkksaZ dk lsouA
xHkZorh ekrk dh bPNkvksa dks nwljksa ds lEeq[k Li"V djukA
çlo çxfr ds ckjs esa ijhtuks dks voxr djkukA
MîwVh ulZ ds lykg ,oa funsZ'kksa dk ikyu djuk
tUe lg;ksxh bu phtksa ls cpsa%&
fdlh nokbZ ;k midj.k dks gkFk yxkukA
ulZ ,oa M‚DVj ds dk;Z esa ck/kk mRiUu djukA
xHkZorh efgyk dk eukscy fxjkuk ,oa mls ijs'kku djuk
vU; xHkZorh efgykvksa ds Vscy dh vksj u tkuk rFkk vU; tUe lg;ksxh ls
ckrsa u djukA
bu fLFkfr;ksa esa tUe lg;ksxh dks çlo d{k ls ckgj Hkstk tk;sxkA
çlo laxh dk;ZØe ds fØ;kUo;u gsrq vLirky çeq[k gsrq fn'kk&funsZ'k&
çlo Vscy ds lehi cSBus gsrq LVwy@dqlhZ dh O;oLFkkA
,d ls vf/kd çlwrh Vscy d{k esa gks rks insZ@ikVhZ'ku cukdj çR;sd Vscy dks
vyx djukA
tUe lg;ksxh dk;ZØe dk çpkj&çlkj gsrq çlqrh d{k ds ckgj tkudkjh dk
cksMZ@iksLVj yxk;k tk;sA
leLr LokLF; laLFkk,a tgk¡ çlo djk;k tkrk gS] bl dk;ZØe ds fØ;kUo;u
dh ftEesnkjh lHkh eq[; fpfdRlk ,oa LokLF; vf/kdkjh@flfoy
ltZu@fodkl[k.M fpfdRlk vf/kdkjh@ vkj- ,e- ,- dh gksxhA
tUe lg;ksxh gsrq fu/kkZfjr jftLVj gksxk tks yscj LVkQ }kjk la/kkfjr j[kk
tk;sxkA ftles tUe lg;ksxh dk uke] eksckby ua] irk] xHkZorh ls fj'rk]
xHkZorh efgyk ,oa çlo laxh ds gLrk{kj gksxkA
çlqrh d{k dh ulZ }kjk ços'k ds le; tUe lg;ksxh dks mldh Hkwfedk]
nkf;Ro] D;k djs& D;k uk djs bls le>k;k tk;sxk rFkk vko';d dSi& ekLd
,oa pIiy miyC/k djkbZ tk,xh rFkk vkbZ& dkMZ@ VSx tkjh djsxh ftlls
tUe lg;ksxh dh igpku vklkuh ls gksA
çf'kf{kr uksMy M‚DVj ,oa ulZ vius laLFkk ds M‚DVj& ulZ& vk;k dk tUe
lg;ksxh dk;ZØe gsrq mUeq[khdj.k djsaxsA
çlo d{k dh ulZ dk nkf;Ro gksxk fd çR;sd çlo dk lgh fjd‚MZ j[ks rFkk
f'k¶V cnyrs le; fjd‚MZ tk¡p ysA cPps dh vnyk& cnyh] LVkQ dk
nqoZ~;ogkj] cPps dk ykirk gksuk vkfn f'kdk;rksa ls cpsaA
çlqrh okMZ esa dk;Zjr M‚DVj vkSj uflaZx deZpkjh tUe lg;ksxh dks vko';d
tkudkjh çnk; djsaxsA
15 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
14½ ekuo lalk/ku ds dRo;Z (Duty Chart)
dzekad ekuo lalk/ku Lrj&1
(SHC/Non 24x7 PHC)
1 ,,u,e@ vkj,e,
¼xzkeh.k fpfdRlk
lgk;d½
[krjs dh ladsr dh igpkj o fjQjy
xHkZorh gksus dh tkWp
izlodkyhu ns[kHkky
,lch, }kjk lkekU; izlo ¼ikVksZxzkQ]
,,eVh,l,y vkfn½
jsQj djus ds igys vkikrdkyhu izlo esa
izkjafHkd fpfdRlk ¼,sDysEifl;k] ihih,p dk
izca/ku½
izlo i'pkr 24 ls 48 ?kaVs rd vLirky esa
izlqrk dk ns[kHkky
tkWp%& Hb, Urin albumin sugar, RD test
tUe ds rqjar ckn f'k'kq ns[kHkky
f'k'kq dks iksNuk] xeZ j[kuk] Ropk ls
laidZA
Lruiku dh 'kq:vkrA
iquthZou ds lkFk vko';d uotkr ns[kHkky
'kwU; fnol Vhdkdkj.k
Sepsis ,oa le; iwoZ tUe vkfn tVhyrkvksa dh
igpku vkSj lanHkZu ds iwoZ izkjafHkd izca/kuA
chekj uotkr dk rqjar lanZHkuA
fjQjy lsok;sa
izlo i'pkr~ ifjokj fu;kstu ds laca/k esa lykgA
dzekad ekuo lalk/ku Lrj&2
(24x7 PHC/Non FRU CHC)
1 LVkQ ulZ [krjs dh ladsr dh igpkj o fjQjy
xHkZorh gksus dh tkWp
izlo iwoZ ns[kHkky
izlodkyhu ns[kHkky
,lch, }kjk lkekU; izlo ¼ikVksZxzkQ]
,,eVh,l,y vkfn½
jsQj djus ds igys vkikrdkyhu izlo es
izkjafHkd fpfdRlk ¼,sDysEifl;k] ihih,p dk
izca/ku½
16 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
izlo i'pkr 24 ls 48 ?kaVs rd vLirky esa
izlwrk dh ns[kHkky
tkWp%& Hb, Urin albumin sugar,Blood
Grouping, Sickling,Blood Sugar, VDRL, HIV
test, RD test
tUe ds rqjar ckn f'k'kq ns[kHkky
f'k'kq dks iksNuk] xeZ j[kuk] Ropk ls
laidZA
Lruiku dh 'kq:vkrA
iquthZou ds lkFk vko';d uotkr ns[kHkky
'kqU; fnol Vhdkdkj.k
Sepsis ,oa le; iwoZ tUe vkfn tfVyrkvksa dh
igpku vkSj lanHkZu ds iwoZ izkjafHkd izca/kuA
chekj uotkr dk rqjar lanZHkuA
fjQjy lsok;sa
izlo i'pkr~ ifjokj fu;kstu ds laca/k esa lykgA
2 esfMdy vkWfQlj Assisted Normal Delivery
tfVyrk dk izca/ku ¼jDr p<+kus ;k ltZjh lfgr
Lrj 3 dh fjQjy tfVyrk ds vykok½
Episiotomy ,oa mlesa Vkads yxkuk
vikrdky esa izlwfr dh tfVyrkvksa esa izkjafHkd
mipkj dj izFke lanHkZu bZdkbZ@mPp fpfdRlk
laLFkku esa Hkstuk
vkikrdkfyu fLFkfr esa tkWp%& Hb, Urin
albumin sugar, Blood Grouping,
Sickling,Blood Sugar, VDRL, HIV test, RD
test
lqjf{kr xHkZikr lsokA
RTI/STI izdj.kksa dk izca/ku
izlo ds i'pkr~ 48 ?kaVs rd vLirky esa BgjukA
uotkr dks bUQsD'ku ls cpkukA
izh&VeZ izlo ;k le; ls igys ikuh dh FkSyh
QwVus ij ,UVhck;ksafVd nsuk] Corticosteroid
nsuk A
Hyper bilirubinemia okys cPps dks QksVksFkSjsih
uotkr Sepsis dk izca/ku
chekj uotkr vkSj Low Birh weight Baby dk
izca/ku ,oa mPp laLFkku esa lanHkZuA
17 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
dzekad ekuo lalk/ku Lrj&3
(FRU CHC/CH/DH/MC)
1 L=hjksx
fo'ks"kK@CEmONC
izf'kf{kr fpfdRlk
vf/kdkjh
mijksDr drZO;ksa ds lkFk fuEufyf[kr drZO;ksa dk fuoZgu
djsaxs%&
PIH/Eclampsia,Sepsis,PPH,Retained
Placenta, xaHkhj jDr vYirk] vo:) izlo dk
izca/kuA
fltsfj;u o vU; lftZdy fpfdRlkA
Blood Transfusion
PPTCT lsokA
ftyk fpfdRlky; esa fyad ART/ART
HIV efgyk ladzfer efgyk dk izloA
18 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
15½ izlo d{k esa D;k djsa ,oa D;k u djsa
D;k djsa D;k u djs
LVkQ ulZ dh M~;wVh Shift cnyus ds
le; midj.kksa ds fdz;k'khyrk dh tkWp
efgyk dh xksiuh;rk vkSj xfjek cuk,
j[kukA
izR;sd izlo ds fy, Sterlized midj.k
dk mi;ksx
izR;sd izlo Vscy ij ykbV dh lqfo/kk
nks izlo Vsscy ds chp xksiuh;rk cuk;s
j[kus gsrq IykfLVd ds insZsZ yxkus
pkfg,A
izlo d{k drought eqDr gksuk pkfg,A
tUe ds ,d ?kaVs ds Hkhrj f'k'kq dks
Lruiku djkukA
izlo ds fy, vko';d nokbZ;kW dk
20% cQj LVkWd ges'kk miyC/k j[kukA
izlo d{k dk rkieku 25&28 0C
lsfYl;l cuk;s j[kuk pkfg,A
igkM+h ,oa BaMh {ks=ksa esa BaM ds le;
Room Heater dk mi;ksxA
bUtsD'ku Oxytocin ¼vkDlhVkslhu½ dks
fQzt esa j[kuk ¼fQztj esa ugha½
ladze.k jksdFkke izksVksdkWy dh izsfDVl
RH –ve ekrkvksa esa cord CyM dks ,d=
djukA
vkyekjh ,oa /kkrq ls cuh oLrqvksa dks
izlo d{k esa ugha j[kuk pkfg,A
izlo d{k esa jkS'kuh ,oa rkieku ds fy,
dks;yk ugha tykuk pkfg,A
fpfdRld] ulZ] ,oa tUe lg;ksxh dks
xkmu] pIiy] ekLd] dSi igus fcuk
izlo d{k esa ugha tkus nsuk pkfg,
nks izlo Vscy ds chp diM+s dk inkZ
ugha yxkuk pkfg, mles /kwy terh gSA
izlo d{k esa vuko';d O;fDr;ksa dks
izos'k ugha nsuk pkfg,A
izlo dh fdz;k dks c<+kus ds fy;s isV esa
ncko ugha Mkyuk pkfg,A
izlo ihM+k c<+kus ds fy, fcuk fpfdRld
dh lykg ds Oxytocin bUtsD'ku dks
IM ;k IV drip esa ugha yxkuk pkfg,A
ckj&ckj P/V Examination ugha djuk
pkfg,A
nkbZ] ferkfuu] fj'rsnkj ls izlo ugha
djkuk pkfg,A
;fn uotkr ugha jks jgk gS rks mls ihB
esa] ryqos esa ugha ekjuk pkfg,A
uotkr dks fcuk diM+s ds ugha j[kuk
pkfg,A
;fn uotkr jsfM;sUV okeZj es gks rks mls
vdsyk ugha NksM+uk pkfg,A
16½ izlo d{k ds lQy lapkyu ds fy, 10 eq[; dne%&
7 rjg ds Vªs dks arrange dj mi;ksx gsrq j[kukA
izlo d{k esa vko';d midj.kksa dh fdz;k'khy voLFkk esa miyC/krk tSls&izlo
Vscy] B.P. Apparatus, LVsFksLdksi] fQVksLdksi@Mkiyj] ikVksZxzkQ] Foot step,
tUe lg;ksxh ds fy, dqlhZ]
izlo d{k dks okrkoj.k ds vuqdwy j[kuk%& lkQ&lqFkjk] rkieku] insZ] f[kM+dh]
'kh'ks yxs gq,] xksiuh;rk ,oa 'kkSpky; 24 ?kaVs ikuh lqfo/kk ds lkFkA
;fn LokLF; dsUnz esa fo'ks"kK ,oa izf'kf{kr ekuo lalk/ku inLFk gS rks mUgsa mPp
tksf[ke okys ejhtksa ds ckjs esa igys ls crk dj j[ksA
19 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
uotkr f'k'kq ns[kHkky bZdkbZ%&
izlo ds vk/ks ?kaVs iwoZ jsfM;sUV okeZj dks pkyw gkyr esa j[kuk pkfg,A
jsfM;sUV okeZj ds uhps fdz;k'khy resuscitation cSx vkSj ekLd igys ls
tkWp dj j[kukA
Suction e'khu%&
uotkr ds fy, Dee lees dks Vªs esa j[kukA
ekrk ds fy, %& Foot operated/electrical suction e'khu ds lkFk
Disposable lD'ku Catheter ds lkFk fdz;k'khy j[kukA
vkWfDltu flysUMj &
vkWfDltu flysUMj Hkjk gksuk pkfg, A
can ,oa pkyw djus ds fy, Key gksus pkfg,A
izR;sd ckj vkWfDltu nsus ds fy, u;s V~;wc dk mi;ksx djuk pkfg,A
vkWfDltu nsus ds iwoZ V~;wc dks ikuh esa Mqck dj vkWfDltu gS vFkok ugha
;g tkWp dj ysuk pkfg,A
gkFk /kksus okys {ks= es lkcqu ,oa 24 ?kaVs ikuh dh O;oLFkk gksuh pkfg, ,oa uy
dks dksguh ds }kjk lapkyu ;qDr cukuk pkfg,A
ladze.k jksd Fkke dh izfdz;k &
Mªe esa nLrkus] midj.k] fyuu ,oa xkWtihl j[kuk pkfg,A
izlo d{k ds fy;s vyx ls vkWVksDyso dh O;oLFkk gksuh pkfg,A
izlo esa mi;ksx es vkus okys midj.kksa dks diM+s es yisV dj mfpr
la[;k es j[kuh pkfg,A ¼izfr izlo gsrq ,d lsV½
0-5 izfr'kr Dyksfju ?kksy izfr fnu cukuk pkfg,A ftlesa Soiled Item
dks Mwckus ds i'pkr~ vxyh izfdz;k ds fy, Hkstuk pkfg,A
izlo d{k es dk;Z djus ds nkSjku O;fDrxr lqj{kk midj.k iguuk
pkfg,A
vif'k"V izca/ku (Waste Disposal) &
vif'k"V izca/ku gsrq miyC/k dyj dksMsM fMCcksa dks Hkj tkus ij rRdky
,oa izfrfnu [kkyh djuk pkfg,A
rjy vif'k"V dk izca/ku (Liquid Waste Disposal) vko';drkuqlkj djuk
pkfg, &
fjdkMZ dk la/kkj.k &
ikVksZxzkQ] izloiath] fjQj bu@fjQj vkÅV jftLVj miyC/k gksuk
pkfg, o izfr izlo gsrq iw.kZ :i ls Hkjk gksuk pkfg,A
20 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
17½ vknZ'k izlo d{k dk izn"kZu
22 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h
18½ vkn'Zk izlo d{k esa SBA Protocol dk izn"kZu
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