course for trained birth attendant

25
5|;}lT 5lZRFZLSF ;CFIS

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Page 1: course for trained birth attendant

5|;}lT 5lZRFZLSF ;CFIS

Page 2: course for trained birth attendant

:+L GF AFCI HGGF\UF[ GL ZRGF

U]~ VF[Q8

,n] VF[Q8

E'UF\S]Z

D}+ Gl,SF G] D}B

IF{lGN=FZ

D/ DFU"

IF[lG 58,

5[lZGLID

Page 3: course for trained birth attendant

:+LGF V\FTZLS HGGF\UF[ GL ZRGF

Page 4: course for trained birth attendant

:+LGF V\FTZLS HGGF\UF[ GL ZRGF

Page 5: course for trained birth attendant

;UEF" :+LGL 5[8 5ZYL T5F;

• UE":Y lXX]GF lJSF;

UE":Y lXX]GL l:YlT UE":Y lXX]GF WASFZF

5F6LG]\ 5|DF6

UEF"XIGF ;\SMRGM

Page 6: course for trained birth attendant

jIFbIFVM

!f ,F. o UE":Y lXX]GL l:YlT DFTFGF SZM0ZHH]GL ;F5[1FDF\ S. ZLTGL K[P T[ ,F. N=FZF HF6L XSFIP H[DS[ ;LWL l:YTL4 VF0L l:YTL4 +F\;L l:YlT JU[Z[ )) 8SF S[XDF\ ;LWL l:YTL CMI K[P

Zf 5|[hg8[XG o UE":Y lXXGM H[ EFU UEF";IGF D]BGL GHLS CMI T[G[ 5|[hg8[XG SC[JFIP HM DFYFGM EFU CMITM SLO[,LS VG[ HM W0GM GLR[GM EFU CMITM 5M0[,LS VYJF A|LR 5|[hg8[XG SC[JFIP

Page 7: course for trained birth attendant

#f 5|[h8L\U 5F8" o GLR[YL VF\U/L GFBLG[ T5F; SZTF\ UE":Y lXX]GM H[ EFU UEF"XIGF D]BYL BAZ 50[ T[G[ 5|[h8L\U 5F8" SC[JFIP H[DS[ SLO[,LS 5|[hg8[XGDF\ DFYFGM 5FK/GM EFU 4 S5F/4 S[ RC[ZM JU[Z[P

$f 5MhLXG o 5|[h8L\U 5F8"GF SM. V[S OL1F 5M.g8GL l:YlT DFTFGF 5[-}GF CF0SFDF\ VFU/ 5FK/4 HD6L v 0FAL AFH] K[P T[ VG];FZ 5MhL;G GSSL YFIP H[DS[ J"8[S; 5|[hg8[XGDF\ VMS;L5]8 GFDG]\ OL1F 5M.g8 VFU/ v 5FK/ S[ 0FAL HD6L AFH] CMI T[ 5|DF6[ GLR[GL 5MHLXGM GSSL YFIP

Page 8: course for trained birth attendant

,F. ( LIE)o

;LWL l:YTL

+F\;L l:YlT

VF0L l:YTL

Page 9: course for trained birth attendant

Zf 5|[hg8[XG (PRESENTATION)o

SLO[,LS A|LR

Page 10: course for trained birth attendant

#f 5|[h8L\U 5F8" (PRESENTING PART) o

DFYFGM 5FK/GM EFU S5F/ RC[ZM

Page 11: course for trained birth attendant

5[8 5ZYL T5F; GL +6 ZLT

• 5[8GL HM.G[ T5F;• CFYGL T5F;• WASFZFGL T5F;

Page 12: course for trained birth attendant

5[8GL HM.G[ T5F;

• 5[8GM VFSFZ• GFEL• :8[=R DFS;"• H}GF VM5Z[XGGF lRgCM

Page 13: course for trained birth attendant

CFYGL T5F;

5[8 5ZGL T5F; 5wWTL;Z YJL HM.V[P T[ DF8[ ,LIM5Mg0 GFDGL ZLTYL 5[8GL T5F; DF8[ RFZ 5|SFZGL U|L5 CMI K[P 5[8GL T5F; DF8[ :+LG[ ;LWL ;]J0FJJL HM.V[VG[ A\gG[ 5U -L\R6 VG[ YF5FDF\YL JF/[,F CMJF HM.V[P VG[ 5[8GM EFU B]<,M CMJM HM.V[P 5|YD +6 U|L5 DF8[ T5F; SZGFZ jIlST 5,\UGL HF6L AFH] :+LGF DFYF TZO OZLG[ pEF ZC[J]\ 50[P HM :+L HF0L S[ 5FT/L CMI TM 56 T5F;DF\ D]xS[,L 50L XS[P

Page 14: course for trained birth attendant

Og0, CF.8q VFWFZGL p\RF.

T[ 0FAF CFYGL 8R,L VF\U/L TZOGL AM0"ZYL YFI K[P T[GFYL VFWFZGL pRF. DF5JFDF\ VFJ[ K[P VG[ UE"J:YFGF V9JF0LIF GSSL SZJFDF\ VFJ[ K[P5KL Og0,CF.8 YL p5ZGL AM0"Z ;]WL ;[DLDF\ DF5JFDF\ VFJ[ K[P

Page 15: course for trained birth attendant

5[8GF 3[ZFJFG]\ DF5 oT[ GFlEGF ,[J,[ ,[JFDF\ VFJ[ K[P VG[ ;[DLDF\ 3[ZFJM DF5JFDF\ VFJ[ K[P5}ZF DCLG[ T[ ,UEU !__ ;[DL H[8,M CMI K[P

Page 16: course for trained birth attendant

5|YD U|L5 oA\G[ CFYGL VF\U/LIM J0[ C/JF CFY[ UEF"XIGF p5ZGF EFU GL T5F; SZJFDF\ VFJ[ K[P VG[ UE":Y lXX]GM SIM EFU Og0;DF\ K[ T[ GSSL SZFI K[P HM DFY]\ CMITM UM/4 S964 GFGM EFU CMI VG[ HM A|LRGM EFU CMITM 5CM/M4 GZD4 U\9FI[,M EFU ,FU[P

Page 17: course for trained birth attendant

lN=TLI U|L5A\G[ CFYGL CY[0LVM CJ[ 5[8GL A\G[ AFH] 5Z D}SL C/JF CFY[ YM0] NAF6 SZJFDF\ VFJ[ K[P V[S AFH] S96 SZM0ZGG]GM EFU HIFZ[ ALHL AFH] lJlJW GFGF VGLIDLT CFY 5UGF EFUM CMI T[ GSSL YFI K[P

Page 18: course for trained birth attendant

T'TLI U|L5 V[S CFYGF V\U}9F VG[ VF\U/LVM J0[ 5[8GM GLR[GM EFU Symphysis Pubis YL p5Z 5S0JFDF\ VFJ[ K[P VG[ tIF\ DFY] S[ ALHM EFU K[P T[ GSSL SZJFDF\ VFJ[ K[P HM 5[hlg8\U 5F8" V[gU[H0 GF CMITM D]ST ZLT[ OZTF\ EFU 4 DM8F EFU[ DFY] CFYDF\ VFJ[ K[P

Page 19: course for trained birth attendant

RT]Y" U|L5

T5F; SZGFZ jIlST :+LGF 5U TZO pEL ZC[ K[P VG[ NZ[S CFYGL 5C[,L +6 VF\U/LVMGL 8MRYL 5[<JLS .g,[8 GL TZO YM0]\ NAF6 VF5[ K[P HM DFY]\ GLR[ CMI TM UM/ S96 EFU H[J]\ ,FU[ K[P VG[ HMT[ V[gU[H0 CMITM A\G[ CFY GLR[ 5FK/GL TZO HTF\ K}8F\ 50[ K[P HIFZ[ DFY] V\NZ pTI"] GF CMITM A\G[ CFY GLR[ 5FK/GL TZO HTF\ E[UF YFI K[P p5ZF\T VF U|L5 YL AF/SG]\ DFY]\ KFTL TZO ;\5}6" J/[,]\ K][ S[ JF\;F TZO J/[,]\ K[P T[ 56 HF6L XSFI K[P

Page 20: course for trained birth attendant

AF/SGF WASFZFGL T5F; o5|[hg8[XG 5|DF6[ lXX]GF CNIGF WASFZF ;RM8 ZLT[ ;F\E/L XSJFGL HuIF 56 AN,FI K[P AF/SGF CNIGF WASFZF ;C[,FI YL XMWJF DF8[ VFU/GF EFUDF\ ZC[,F AF/SGF BEFG[ XMWJM HM.V[P VF VFU/GM BEM DFYF TZOYL AF/SGF JF\;F TZO H.V[ TM 5C[,F\ 8[SZF TZLS[ CFYDF\ VFJ[ K[P ;FDFgI ZLT[ SLO[,LS 5|[hg8[XGDF\ WASFZF GFEL VG[ V[g8LZLIZ ;]5LZLIZ .,LIFS :5F.G GL JrR[ CMI K[P A|LR 5|[hg8[XGDF\ WASFZF GFELGL p5ZS[ T[GF ,[J,[ CMI K[P VMSL;5]8GL V[lg8ZLIZ 5MhLXGDF\ T[ 5FK/GL TZO ;\E/FI K[PWASFZF ;\FE/JF lO8M:SM54 :8[YM:SM5 S[ 0M%,Z JF5ZL XSFIP DLGL8DF\ WASFZFGL ;\bIF VG[ lGIlDTTF HMJFDF\ VFJ[ K[P ;FDFgI ZLT[ WASFZF ! DLGL8DF\ !Z_ YL !$_ JrR[ CMI K[P 5Z\T]\ WASFZF HIFZ[ !!_ YL VMKF VYJF !5_ YL JW] CMI tIFZ[ AF/S V\NZ U}\U/F. ZCI]\ K[P T[D DFGL XSFI VG[ TFtSF,LS ;]JFJ0 SZFJJFGF 5|ItGM CFY WZJF HM.V[P5[8 5ZGL T5F; UEF"XIGF K[<,F DCLGFVMDF\ VG[ ;\SMRGM JBT[ VG[ JrR[ JrR[ 56 Y. XS[P T5F; 5ZYL 5|[hg8[XG VG[ 5|[h8L\U 5F8" S[8,M GLR[ pTIM" K[P T[ HF6L XSFI K[P VG]EJYL VF T5F; 5ZYL AF/SG]\ SN TYF HM0SF\ AF/SMDF\ ALHF AF/SG]\ 5|[hg8[XG 56 HF6L XSFI[ K[P VG[ VG]EJL TALAM VF RFZ U|L5YL Vertex l;JFIGF 5|[hg8[XG ;RM856[ VM/BL XS[ K[P

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Page 22: course for trained birth attendant

;UEF" :+LGL 5|tI[S D],FSFTDF\ 5[8 5ZYL T5F; SZJL HM.V[ VG[ VF T5F; B]AH ;RM856[ VG[ RMS;FIYL SZJL HM.V[P VFD SZJFYL UE":Y lXX]GF V5}ZTF lJSF;4D'tI] 4 UEF"XIDF\ T[GL l:YlT 4 UE"H/G]\ JWT]\ v VMK]\ 5|DF6 4 UEF"XIGF ;\SMRGM JU[Z[GL ;RM8 DFCLTL D[/JL XSFI K[P

Page 23: course for trained birth attendant

GLR[YL VF\U/L GFBLG[ T5F;• UEF"XIGF D]BGL l:YlT • UE":Y lXX]GF 5|[hg8L\U 5F8"• :8[XG• 5|[hg8L\U 5F8"DF\ YTF\ O[ZOFZM • DFTFGF 5[-]GF\ CF0SF JrR[ GL HUFVM

Page 24: course for trained birth attendant

GLR[YL VF\U/L GFBLG[ T5F;5|;]TLGF N]oBFJF ;FY[ VG[ UEF"XIGF D]BGF B],JFGL DCtJGL DFCLTL VF\U/LGL T5F; SZJFYL D[/JL XSFIDMHF 5C[Z[,F CFYGL A\G[ VF\U/LVM IMGLGL V\NZ GFBJFDF\ VFJ[ K[P VG[ UEF"XIGF D]BDF\YL 5|[hg8L\U 5F8" ;]WL ,. HJFDF\ VFJ[ K[P VG[ 5KL 5|[hg8L\U 5F8" SIM K[ T[ GSSL SZJFDF\ VFJ[ K[PH[DS[ Vertex, Face, Breech JU[Z[PVertex 5|[hg8[XGDF\ 5KL VF\U/LYL GFGL VG[ DM8L OMg8FG[, GL TYF ;HF.8, ;]RZ GL T5F; SZJFDF\ VFJ[ K[P VG[ 5MhLXG GSSL SZJFDF\ VFJ[ K[P5|[hg8L\U 5F8" G]\ :8[XG GSSL SZJFDF\ VFJ[ K[P

Page 25: course for trained birth attendant