Guest guest Posted April 13, 2005 Report Share Posted April 13, 2005 well done Anchita. Here in the UK we have RCOG , NICE and local hospital guidelines and protocols which are very useful. Yes Misoprostol 800 microgm, PR is cheap and effective method of controlling/preventing PPH Congrats again... Malini With regards L/M Prasad (lp1960@...) <outbind://13/My%20Documents/My%20Pictures/GIFS/floers/bouqet1.gif> Wish a very happy and cheerful day keep smiling Special Day Dear All, Monday, i.e. the 11th of April was the National Safe Motherhood Day. Apart from the obvious national significance, and the importance in every doctor's life, esp. Ob-Gyn nad Public Health specialists, this year the day assumed great importance for me profesionally. As I'd written before, I am working as a Consultant to the Ministry of Health, the Maternal Health Divison. One of my " deliverables " (excuse the job lingo) was a technical protocol titled " Guidelines for Ante-natal Care and Skilled attendance at birth by ANMs and LHVs " . This " book " was officially released at the hands of the Secretary Health and family Welfare on Monday. As the " chief author " you can imagine my pride on seeing my book released with the GoI cover and under the GoI banner and at the hands of an Impt person in the " system " . Incidentally, these guidelines are a landmark of sorts, as they bring to the nursing cadre certain permisiions for things that they were not allowed to do earlier (officially). For e.g. believe it or not, till now the nurse was not allowed to give an IV (Inj. or fluids)!!! But here the group at the Ministry (with me as the youngest member) went back to the Drug Controller of India to seek modifications in the rules, and got approval. Other approvals include the use of oral Misoprostol ( a uterotonic drug, sometimes used for Medical abortion) routinely after each delivery for the prevention of PPH etc.(Any comments Kishoreda, as a Gyneacologist?) To be part of such " historic changes " feels good. And of course the professional appreciation and recognition is a much welcome " fallout " of this endevour. Very soon similar guidelines will be released for the Medical officers (MBBS) too. Of course, I am the one writing it again! But before I take all the credit, i must say that there have been people here in the Ministry and with the UN agencies (incl WHO) who have gone out of their way to help me, and give me technical inputs wherever required. I am a public Health person, so you can imagine what i went thru while writing an Obst. Book!! But there were Numerous Gynaecs more than willing to help out! We often blame the govt. fot " sitting idle " . Now that I'm here i can say that they work. But they too are the victims of red-tapism. They fight it the best they can. But a serious and sincere officer with a good team can achieve a lot. Anchita (93) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2005 Report Share Posted April 13, 2005 well done Anchita. Here in the UK we have RCOG , NICE and local hospital guidelines and protocols which are very useful. Yes Misoprostol 800 microgm, PR is cheap and effective method of controlling/preventing PPH Congrats again... Malini With regards L/M Prasad (lp1960@...) <outbind://13/My%20Documents/My%20Pictures/GIFS/floers/bouqet1.gif> Wish a very happy and cheerful day keep smiling Special Day Dear All, Monday, i.e. the 11th of April was the National Safe Motherhood Day. Apart from the obvious national significance, and the importance in every doctor's life, esp. Ob-Gyn nad Public Health specialists, this year the day assumed great importance for me profesionally. As I'd written before, I am working as a Consultant to the Ministry of Health, the Maternal Health Divison. One of my " deliverables " (excuse the job lingo) was a technical protocol titled " Guidelines for Ante-natal Care and Skilled attendance at birth by ANMs and LHVs " . This " book " was officially released at the hands of the Secretary Health and family Welfare on Monday. As the " chief author " you can imagine my pride on seeing my book released with the GoI cover and under the GoI banner and at the hands of an Impt person in the " system " . Incidentally, these guidelines are a landmark of sorts, as they bring to the nursing cadre certain permisiions for things that they were not allowed to do earlier (officially). For e.g. believe it or not, till now the nurse was not allowed to give an IV (Inj. or fluids)!!! But here the group at the Ministry (with me as the youngest member) went back to the Drug Controller of India to seek modifications in the rules, and got approval. Other approvals include the use of oral Misoprostol ( a uterotonic drug, sometimes used for Medical abortion) routinely after each delivery for the prevention of PPH etc.(Any comments Kishoreda, as a Gyneacologist?) To be part of such " historic changes " feels good. And of course the professional appreciation and recognition is a much welcome " fallout " of this endevour. Very soon similar guidelines will be released for the Medical officers (MBBS) too. Of course, I am the one writing it again! But before I take all the credit, i must say that there have been people here in the Ministry and with the UN agencies (incl WHO) who have gone out of their way to help me, and give me technical inputs wherever required. I am a public Health person, so you can imagine what i went thru while writing an Obst. Book!! But there were Numerous Gynaecs more than willing to help out! We often blame the govt. fot " sitting idle " . Now that I'm here i can say that they work. But they too are the victims of red-tapism. They fight it the best they can. But a serious and sincere officer with a good team can achieve a lot. Anchita (93) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2005 Report Share Posted April 13, 2005 First and foremost, Anchita, let me congratulate you. Regarding the usage of various drugs by ANMs, I have mixed feelings. Let me marshal my thoughts and I shall come back to you. Kishore Shah 1974 Special Day Dear All, Monday, i.e. the 11th of April was the National Safe Motherhood Day. Apart from the obvious national significance, and the importance in every doctor's life, esp. Ob-Gyn nad Public Health specialists, this year the day assumed great importance for me profesionally. As I'd written before, I am working as a Consultant to the Ministry of Health, the Maternal Health Divison. One of my " deliverables " (excuse the job lingo) was a technical protocol titled " Guidelines for Ante-natal Care and Skilled attendance at birth by ANMs and LHVs " . This " book " was officially released at the hands of the Secretary Health and family Welfare on Monday. As the " chief author " you can imagine my pride on seeing my book released with the GoI cover and under the GoI banner and at the hands of an Impt person in the " system " . Incidentally, these guidelines are a landmark of sorts, as they bring to the nursing cadre certain permisiions for things that they were not allowed to do earlier (officially). For e.g. believe it or not, till now the nurse was not allowed to give an IV (Inj. or fluids)!!! But here the group at the Ministry (with me as the youngest member) went back to the Drug Controller of India to seek modifications in the rules, and got approval. Other approvals include the use of oral Misoprostol ( a uterotonic drug, sometimes used for Medical abortion) routinely after each delivery for the prevention of PPH etc.(Any comments Kishoreda, as a Gyneacologist?) To be part of such " historic changes " feels good. And of course the professional appreciation and recognition is a much welcome " fallout " of this endevour. Very soon similar guidelines will be released for the Medical officers (MBBS) too. Of course, I am the one writing it again! But before I take all the credit, i must say that there have been people here in the Ministry and with the UN agencies (incl WHO) who have gone out of their way to help me, and give me technical inputs wherever required. I am a public Health person, so you can imagine what i went thru while writing an Obst. Book!! But there were Numerous Gynaecs more than willing to help out! We often blame the govt. fot " sitting idle " . Now that I'm here i can say that they work. But they too are the victims of red-tapism. They fight it the best they can. But a serious and sincere officer with a good team can achieve a lot. Anchita (93) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2005 Report Share Posted April 14, 2005 Congratulations to you and your team, Anchita! Ravin '82 Quote Link to comment Share on other sites More sharing options...
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