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Covers preventing infection in clinical settings, high-level disinfection, universal precautions, and preparation of kits. Provides structured approaches for labor stages, including partograph use and care during second and third stages. Includes episiotomy steps and suturing care, management of retained placenta with related procedures, and handling obstetric complications such as fetal distress, cord problems, malpresentation, shoulder dystocia, multiple pregnancy, pre-term birth, assisted deliveries, and emergency obstetric care 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infection control measures are included before and during labor and delivery?","Question",{"text":113,"@type":114},"The protocol covers preventing infection in clinical settings, high-level disinfection, universal precautions, and preparation of kits.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does the protocol guide management during different stages of labor?",{"text":118,"@type":114},"It provides sections for labor, including partograph, and specific guidance for the second and third stages of labor.",{"name":120,"@type":111,"acceptedAnswer":121},"What procedures are described for complications such as episiotomy and retained placenta?",{"text":122,"@type":114},"It includes steps for performing episiotomy, care after episiotomy with tear repair/suturing, and procedures for retained placenta, including manual removal and related 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.................................................................................................................................................3  \nAcknowledgement ...................................................................................................................................4  \nINTRODUCTION........................................................................................................................................5  \nInfection Control ..................................................................................................................................5  \nPreventing infection in clinical settings ...........................................................................................6  \nHigh-level disinfection: ........................................................................................................................6  \nUniversal precautions ..........................................................................................................................7  \nPreparation of kits: ..............................................................................................................................8  \nLabor: .................................................................................................................................................12  \nPartograph .........................................................................................................................................15  \nSecond stage of labor ........................................................................................................................17  \nThird stage of labor ............................................................................................................................19  \nOther Procedures during Labor and Delivery ....................................................................................24  \nSteps in performing episiotomy ....................................................................................................24  \nEpisiotomy and Tear Repair/Suturing............................................................................................25  \nEpisiotomy Care: ............................................................................................................................25  \nRetained Placenta ..........................................................................................................................27  \nProcedure for manual removal of placenta ..................................................................................27  \nRetained placenta with closed cervix ............................................................................................29  \nPlacenta accreta.................................................................................................................................29  \nTear of Perineum, Vaginal or Cervix ..................................................................................................30  \nOther procedures: .........................................................................................................................30  \nArtificial Rupture of Membrane-only for augmentation ..............................................................31  \nManagement of Fetal Distress.......................................................................................................32  \nSome possible causes of fetal distress ..........................................................................................32  \nObstructed /Labor Complication .......................................................................................................33  \nCord Presentation ..........................................................................................................................35  \nCord Prolapse:...............................................","cbCainAGCtNTY1Wz","https://ap.wps.com/l/cbCainAGCtNTY1Wz","pdf",1186003,43,"English","# Contents\n## Acronyms\n## Acknowledgement\n## INTRODUCTION\n## Infection Control\n## Labor\n## Partograph\n## Second stage of labor\n## Third stage of labor\n## Other Procedures during Labor and Delivery\n## Management of Fetal Distress\n## Obstructed / Labor Complication\n## Emergency Obstetric Care\n## BEmONC Components\n## CEmONC Components","[{\"question\":\"What infection control measures are included before and during labor and delivery?\",\"answer\":\"The protocol covers preventing infection in clinical settings, high-level disinfection, universal precautions, and preparation of kits.\"},{\"question\":\"How does the protocol guide management during different stages of labor?\",\"answer\":\"It provides sections for labor, including partograph, and specific guidance for the second and third stages of labor.\"},{\"question\":\"What procedures are described for complications such as episiotomy and retained placenta?\",\"answer\":\"It includes steps for performing episiotomy, care after episiotomy with tear repair/suturing, and procedures for retained placenta, including manual removal and related scenarios.\"}]","Labor and Delivery Protocol - July 2015 - Operational Guidance | PDF",1790545825,108]