4. trays to be kept in labour room-a4 size

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Ÿ Gloves Ÿ Scissors Ÿ Artery forceps Ÿ Cord clamp Ÿ Sponge holding forceps Ÿ Urinary catheter Ÿ Bowl for antiseptic lotion Ÿ Gauze pieces and cotton swabs Ÿ Speculum Ÿ Perineal pads Ÿ Kidney tray Delivery tray Episiotomy tray Ÿ Inj. Xylocaine 2% Ÿ 10 ml disposable syringe with needle Ÿ Episiotomy scissors Ÿ Kidney tray Ÿ Artery forceps Ÿ Allis forceps Ÿ Sponge holding forceps Ÿ Toothed forceps Ÿ Needle holder Ÿ Needle (round body and cutting) Ÿ Chromic catgut no.0 Ÿ Gauze pieces Ÿ Cotton swabs Ÿ Antiseptic lotion Ÿ Thumb forceps Ÿ Gloves Baby tray Ÿ Two pre-warmed towels/sheets for wrapping the baby Ÿ Cotton swabs Ÿ Mucus extractor Ÿ Bag and mask Ÿ Sterilized thread for cord/cord clamp Ÿ Nasogastric tube Ÿ Gloves Ÿ Inj. Vitamin K Ÿ Needle and syringe. (Baby should be received in a pre- warmed towel. Do not use metallic tray) Medicine tray* Ÿ Inj. Oxytocin (to be kept in fridge) Ÿ Cap Ampicillin 500 mg Ÿ Tab Metronidazole 400 mg Ÿ Tab Paracetamol Ÿ Tab Ibuprofen Ÿ Tab B complex Ÿ IV fluids Ÿ Inj. Oxytocin 10 IU Ÿ Tab. Misoprostol 200 micrograms Ÿ Inj. Gentamycin Ÿ Vit K Ÿ Inj. Betamethasone Ÿ Ringer lactate Ÿ Normal Saline Ÿ Inj. Hydralazine Ÿ Nifedipine Ÿ Methyldopa Ÿ Magnifying glass (*-Nevirapin and other HIV drugs only for ICTC and ART Centres) Emergency drug tray** Ÿ Inj. Oxytocin (to be kept in fridge) Ÿ Inj. Magsulf 50% Ÿ Inj. Calcium gluconate-10% Ÿ Inj. Dexamethasone Ÿ Inj. Ampicillin, Inj.Gentamicin Ÿ Inj. Metronidazole Ÿ Ceftriaxone (3rd generation cephalosporins) - For L3 facility Ÿ Inj. Lignocaine-2% Ÿ Inj. Adrenaline Ÿ Inj. Hydrocortisone Succinate Ÿ Inj. Diazepam Ÿ Inj. Pheneramine maleate Ÿ Inj. Carboprost Ÿ Inj. Fortwin Ÿ Inj. Phenergan Ÿ Ringer lactate Ÿ Normal saline Ÿ Inj. Hydralazine Ÿ Nifidipine Ÿ Methyldopa Ÿ Inj. Betamethasone Ÿ IV sets with 16-gauge needle (at least 2) Ÿ Controlled suction catheter Ÿ Mouth gag Ÿ IV Cannula Ÿ Vials for blood collection (**–only for L2, L3 facilities) Gloves, speculum, anterior vaginal wall retractor, posterior vaginal wall retractor, sponge holding forceps, MVA syringe and cannulas, MTP cannulas, small bowl of antiseptic lotion, sanitary pads, pads /cotton swabs, disposable syringe and needle, misoprostol tablet, sterilized gauze/pads, urinary catheter. MVA/ EVA tray: PPIUCD Insertion Forceps, Cu IUCD 380A/ Cu IUCD 375 in a sterile package. (*** – only for L3 facilities with PPIUCD trained provider) PPIUCD tray***Trays to be kept in Labour Room (As per GoI’s MNH Toolkit) DAKSHATA

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Ÿ GlovesŸ ScissorsŸ Artery forcepsŸ Cord clampŸ Sponge holding

forcepsŸ Urinary catheterŸ Bowl for antiseptic

lotionŸ Gauze pieces and

cotton swabsŸ SpeculumŸ Perineal padsŸ Kidney tray

Delivery tray Episiotomy tray

Ÿ Inj. Xylocaine 2%Ÿ 10 ml disposable

syringe with needleŸ Episiotomy scissorsŸ Kidney trayŸ Artery forcepsŸ Allis forcepsŸ Sponge holding

forcepsŸ Toothed forcepsŸ Needle holderŸ Needle (round body

and cutting)Ÿ Chromic catgut no.0Ÿ Gauze piecesŸ Cotton swabsŸ Antiseptic lotionŸ Thumb forcepsŸ Gloves

Baby tray

Ÿ Two pre-warmed towels/sheets for wrapping the baby

Ÿ Cotton swabsŸ Mucus extractorŸ Bag and maskŸ Sterilized thread for

cord/cord clampŸ Nasogastric tubeŸ Gloves Ÿ Inj. Vitamin KŸ Needle and syringe.

(Baby should be received in a pre-warmed towel. Do not use metallic tray)

Medicine tray*

Ÿ Inj. Oxytocin (to be kept in fridge)

Ÿ Cap Ampicillin 500 mgŸ Tab Metronidazole 400 mgŸ Tab ParacetamolŸ Tab IbuprofenŸ Tab B complexŸ IV fluidsŸ Inj. Oxytocin 10 IUŸ Tab. Misoprostol 200

microgramsŸ Inj. GentamycinŸ Vit KŸ Inj. BetamethasoneŸ Ringer lactateŸ Normal SalineŸ Inj. HydralazineŸ NifedipineŸ MethyldopaŸ Magnifying glass

(*-Nevirapin and other HIV drugs only for ICTC and ART Centres)

Emergency drug tray**

Ÿ Inj. Oxytocin (to be kept in fridge)Ÿ Inj. Magsulf 50%Ÿ Inj. Calcium gluconate-10%Ÿ Inj. DexamethasoneŸ Inj. Ampicillin, Inj.GentamicinŸ Inj. MetronidazoleŸ Ceftriaxone (3rd generation

cephalosporins) - For L3 facilityŸ Inj. Lignocaine-2%Ÿ Inj. AdrenalineŸ Inj. Hydrocortisone SuccinateŸ Inj. DiazepamŸ Inj. Pheneramine maleateŸ Inj. CarboprostŸ Inj. FortwinŸ Inj. PhenerganŸ Ringer lactateŸ Normal salineŸ Inj. HydralazineŸ NifidipineŸ MethyldopaŸ Inj. Betamethasone Ÿ IV sets with 16-gauge needle (at least 2)Ÿ Controlled suction catheterŸ Mouth gagŸ IV CannulaŸ Vials for blood collection (**–only for L2, L3 facilities)

Gloves, speculum, anterior vaginal wall retractor, posterior vaginal wall retractor, sponge holding forceps, MVA syringe and cannulas, MTP cannulas, small bowl of antiseptic lotion, sanitary pads, pads /cotton swabs, disposable syringe and needle, misoprostol tablet, sterilized gauze/pads, urinary catheter.

MVA/ EVA tray:

PPIUCD Insertion Forceps, Cu IUCD 380A/ Cu IUCD 375 in a sterile package.

(*** – only for L3 facilities with PPIUCD trained provider)

PPIUCD tray***–

Trays to be kept in Labour Room (As per GoI’s MNH Toolkit)

DAKSHATA

Additional Trays/Kits to be kept in Labour Room

Examination tray PPH Management Kit Severe PE/E Management Kit

ŸWide bore cannula (number 16/18) - at least 2

ŸIV set, IV fluids (NS, RL)ŸSyringes (10 ml, 5 ml, 2 ml)ŸBlood and urine collection vialsŸInj. Oxytocin (to be kept in refrigerator),

Tab. Misoprostol, Inj. Methylergometrine, Inj. Carboprost (to be kept in refrigerator)

ŸBowl with cotton swabsŸAlcohol/spirit swabs, ŸAntiseptic solution bottleŸAdhesive tapeŸSuture materialŸSelf-retaining catheter, UrobagŸSyringe & distilled water for inflationŸLong elbow-length sterile glovesŸSterile glovesŸFor Condom Tamponade: SS tray with lid,

Sims speculum, SS bowl with swabs, Sponge holders, Suture material, Scissors, Foley’s catheter (16 no.), Condoms, IV set, 500 ml NS, PPE

*Ensure availability of functional oxygen source with attachments, functional suction machine and functional BP apparatus and stethoscope

Dry cotton swabs

ŸŸ Bowl with cotton swabsŸ Sterile flovesŸ Antiseptic solution bottleŸ Measuring tapeŸ Stethoscope/FoetoscopeŸ Uristix bottleŸ BP apparatusŸ ThermometerŸ Knee hammerŸ MCP cardsŸ Blood and urine collection vialsŸ Alcohol swabsŸ RDKs (to be kept in fridge)

SS tray ŸMouth gagŸSuction catheterŸIV cannula, IV set, IV fluids (RL)ŸSyringes (20 ml, 10 ml, 5 ml)ŸAntihypertensive drugs (Labetalol - Tab &

Inj., Tab. Nifedipine)ŸInj. Magnesium sulfate - at least 20

ampoules (1 amp = 1 gm)Ÿ2% xylocaineŸAlcohol swabsŸAdhesive tapeŸAntiseptic solution bottleŸBlood and urine collection vialsŸSelf-retaining catheter, UrobagŸSyringe & distilled water for inflationŸDry cotton swabsŸSterile glovesŸKnee hammerŸInj. Calcium Gluconate

*Ensure availability of functional oxygen source with attachments, functional suction machine and functional BP apparatus and stethoscope