Midwife Licensure Exam The Midwife's Public Health Service Delivery — Prenatal Home-Based and Postnatal Home CareConcept Map

Concept

Bag Technique & Clean Home Care

Sub Concepts

• Clean working surface preparation
• Hand washing protocol
• Prevention of cross-contamination
• Organization of equipment and supplies
• Aseptic handling of articles

Relationship To Central

Foundation for safe, infection-free home visits

Concept

Prenatal Home-Based Care (ANC)

Sub Concepts

• Four minimum ANC visits schedule
• Risk assessment and history
• Physical assessment procedures
• Micronutrient supplementation (Iron-FA, Calcium, Deworming)
• Tetanus immunization (TT/Td)
• Laboratory screening
• Health teaching on danger signs
• Birth plan development

Relationship To Central

First contact point in MNCHN continuum; prevention-focused

Concept

Danger Signs Recognition & Referral

Sub Concepts

• Pregnancy danger signs
• Postpartum danger signs
• Newborn danger signs
• Referral pathways to BEmONC/CEmONC
• Urgent transport arrangements

Relationship To Central

Detect-and-refer core competency; prevents maternal deaths

Concept

Birth Planning (Obstetric Preparedness)

Sub Concepts

• Facility and skilled attendant selection
• Transport and backup plan
• Financial preparation and savings
• Blood donor identification
• Companion and childcare arrangements
• Labor sign recognition

Relationship To Central

Addresses three delays; family-centered decision-making

Concept

Postnatal Home Care (Mother & Newborn)

Sub Concepts

• Postpartum mother assessment
• Newborn assessment and care
• Exclusive breastfeeding support
• Cord care and hygiene
• Thermal management and kangaroo care
• Newborn screening (heel prick 24-72 hours)
• Immunization (BCG, Hepatitis B, EPI schedule)
• Postpartum danger signs monitoring

Relationship To Central

High-risk period (first 24-72 hours critical); two-patient assessment

Concept

DOH Standards & MNCHN Programs

Sub Concepts

• Four ANC minimum visits
• Two postpartum check-ups (24 hours, 7 days)
• Expanded Newborn Screening protocol
• Unang Yakap (first embrace) program
• EINC (Essential Intrapartum and Newborn Care)
• Target Client List (TCL) and FHSIS documentation

Relationship To Central

Policy framework guiding home visit scheduling and content

Concept

Record Keeping & Community Tracking

Sub Concepts

• Mother-and-child health records
• Target Client List maintenance
• FHSIS (Field Health Services Information System)
• Defaulter tracking
• Maternal and neonatal outcome indicators

Relationship To Central

Data management for continuity and accountability

To

Prenatal Home-Based Care

From

Bag Technique

Strength

strong

Relationship

Bag technique is the enabling methodology that allows safe, clean delivery of ANC content in the home environment

To

Danger Signs Recognition

From

Prenatal Home-Based Care

Strength

strong

Relationship

Every ANC contact includes teaching of pregnancy danger signs as a core safety measure

To

Referral Pathways

From

Danger Signs Recognition

Strength

strong

Relationship

Detection of any danger sign triggers midwife referral responsibility; detect-and-refer is the core competency

To

Prenatal Home-Based Care

From

Birth Planning

Strength

strong

Relationship

Birth plan is developed during ANC visits; it operationalizes the three-delays prevention strategy

To

Facility Delivery

From

Birth Planning

Strength

strong

Relationship

Written birth plan ensures seamless transition from home to facility when labor begins

To

Newborn Assessment

From

Postnatal Home Care

Strength

strong

Relationship

Newborn assessment is integral to every postnatal home visit; two patients assessed together

To

Mother Assessment

From

Postnatal Home Care

Strength

strong

Relationship

Postpartum mother assessment at 24h and 7 days is parallel and equally important to newborn care

To

Danger Signs Recognition

From

Newborn Assessment

Strength

strong

Relationship

Newborn danger signs assessment is a critical detect-and-refer competency in the postnatal period

To

Immunization and Screening

From

Newborn Assessment

Strength

strong

Relationship

During postnatal visits, midwife confirms birth doses, arranges heel prick screening and hearing screen

To

Record Keeping and Documentation

From

Prenatal Home-Based Care

Strength

moderate

Relationship

Each ANC visit is recorded in TCL and FHSIS, creating continuity and enabling defaulter follow-up

To

Record Keeping and Documentation

From

Postnatal Home Care

Strength

moderate

Relationship

Each postnatal visit findings are recorded in MCP, TCL, and FHSIS for outcome tracking

To

Prenatal Home-Based Care

From

DOH Standards and Programs

Strength

strong

Relationship

DOH minimum four-visit standard and Unang Yakap program guide the frequency and content of ANC

To

Postnatal Home Care

From

DOH Standards and Programs

Strength

strong

Relationship

DOH two-visit postpartum minimum (24h and 7 days) standard frames the intensity of early follow-up

To

Infection Prevention

From

Bag Technique

Strength

strong

Relationship

Bag technique is the operationalized method of infection prevention in non-sterile home environment

To

Micronutrient Supplementation

From

Prenatal Home-Based Care

Strength

moderate

Relationship

Iron-FA, calcium, and deworming are provided and counseled during ANC visits

To

Tetanus Immunization

From

Prenatal Home-Based Care

Strength

moderate

Relationship

TT/Td is given during ANC following 5-dose schedule; protects mother and newborn

To

Three-Delays Prevention

From

Birth Planning

Strength

strong

Relationship

Birth plan directly addresses three delays: access (transport), decision (companion/attendant), quality (funds/blood donor)

To

Exclusive Breastfeeding Support

From

Newborn Assessment

Strength

moderate

Relationship

At every postnatal visit, midwife assesses breastfeeding and provides counseling to ensure exclusivity

To

Cord Care Monitoring

From

Newborn Assessment

Strength

moderate

Relationship

Cord care assessment (clean and dry) is performed at every postnatal visit; infection is a danger sign

To

Family Planning Counseling

From

Mother Assessment

Strength

moderate

Relationship

Family planning counseling and options are reviewed during postpartum visits, preparing for birth spacing