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

Tags

• acronym
• process
• bag technique

Topic

Bag Technique

Concept

The 4 guiding principles of bag technique

Anchor Id

A1

Difficulty

easy

Memory Aid

Think of the word CIPS — your bag keeps a CIPS (chips) of good technique: C = Clean and well-arranged contents, I = Infection spread minimized, P = Professional image reflected, S = Save time and effort. Imagine a bag of chips labeled 'CIPS' on your clinic table.

Anchor Type

acronym

Why It Works

Acronyms compress multiple items into a single memorable word. Linking it to a familiar snack (chips) adds a sensory hook that makes it stick.

Example Usage

Question: What are the guiding principles of bag technique? Recall CIPS — Clean, Infection prevention, Professional image, Save time.

Recall Trigger

Imagine opening a bag of 'CIPS' chips before starting a home visit.

Tags

• analogy
• principle
• bag technique

Topic

Bag Technique

Concept

Bag technique: inside of the bag is always kept clean

Anchor Id

A2

Difficulty

easy

Memory Aid

Think of your public health bag as a BALIKBAYAN BOX. Once you pack it clean in the Philippines and ship it, you never put dirty laundry inside it — only clean, organized items. The inside is sacred space. The moment a dirty item touches the inside, the whole box is compromised, just like your bag.

Anchor Type

analogy

Why It Works

The balikbayan box is a deeply familiar and emotionally significant object for Filipinos. Associating the bag's cleanliness with keeping a balikbayan box pristine creates an emotionally resonant analogy.

Example Usage

If asked about the core principle of bag technique, think: balikbayan box = inside is always clean. Never place used or dirty articles back inside the bag.

Recall Trigger

Picture a balikbayan box — would you put muddy shoes inside it?

Tags

• sequence
• process
• bag technique
• micro_story

Topic

Bag Technique

Concept

Bag technique arrival sequence: place bag on clean surface, then wash hands BEFORE removing articles

Anchor Id

A3

Difficulty

medium

Memory Aid

Imagine Midwife Maria arriving at Aling Nena's bahay kubo. Before anything else, Maria surveys the sala and spots a clean wooden bench. She sets her bag down gently — her mobile clinic must not touch the dirty floor. She then calls out, 'Aling Nena, pwede po bang humingi ng tubig at sabon?' She washes her hands thoroughly, dries them on her personal towel, and ONLY THEN opens her bag. Maria always says: 'PARK the bag, WASH the hands, OPEN the bag — in that order, no shortcuts.'

Anchor Type

micro_story

Why It Works

A vivid, locally-set narrative with named characters and sensory details (bahay kubo, wooden bench, basin of water) encodes the sequence into episodic memory, which is much stronger than semantic memory.

Example Usage

For sequence questions, recall: Park (clean surface) → Wash hands → Open bag. Never open the bag before hand washing.

Recall Trigger

Picture Midwife Maria at Aling Nena's bahay kubo.

Tags

• rhyme
• sequence
• antenatal care
• DOH standard

Topic

Prenatal Home-Based Care

Concept

DOH standard: at least 4 prenatal visits (1st trimester, 2nd trimester, 2 visits in 3rd trimester)

Anchor Id

A4

Difficulty

easy

Memory Aid

Chant this to a simple rhythm: 'ONE in the FIRST, ONE in the SECOND, TWO in the THIRD — that's FOUR visits heard!' Or remember it as a jeepney route: First stop (1st trimester), Second stop (2nd trimester), Third stop A and Third stop B (two stops in the 3rd trimester). You always get off at 4 stops total.

Anchor Type

rhyme

Why It Works

Rhythm and rhyme activate the phonological loop in working memory. The jeepney analogy is culturally resonant and gives a spatial/journey metaphor that aids recall.

Example Usage

If asked how many DOH-standard prenatal visits, recall the chant — 4 total: 1st trimester (1), 2nd trimester (1), 3rd trimester (2).

Recall Trigger

Sing: ONE in the FIRST, ONE in the SECOND, TWO in the THIRD.

Tags

• acronym
• danger signs
• referral
• pregnancy

Topic

Prenatal Home-Based Care

Concept

Danger signs of pregnancy (10 key signs)

Anchor Id

A5

Difficulty

hard

Memory Aid

Use the acronym VHASHFEVWD — pronounce it 'V-HASH-FEV-WD' like a secret code, or group into the phrase 'Very High Alert Signs: Fetch Emergency Vehicle With Doctor': V = Vaginal bleeding, H = Headache (severe), A = Abdominal/epigastric pain (severe), S = Swelling of face and hands, H = High fever, F = Fetal movement decreased/absent, E = Epigastric pain (covered), V = Vomiting (persistent, severe), W = Watery vaginal discharge (ruptured membranes), D = Difficulty breathing. Alternatively: BLAST-V-WFC: Blurring of vision, Loss/decrease fetal movement, Abdominal pain, Swelling, Terrible headache, Vaginal bleeding, Watery discharge, Fever, Convulsions.

Anchor Type

acronym

Why It Works

Grouping 10 danger signs into a coded phrase creates chunks that the brain can process as single units rather than 10 separate items.

Example Usage

Exam question: 'Which of the following is NOT a danger sign of pregnancy?' Run through BLAST-V-WFC mentally and check the option against each letter.

Recall Trigger

Think 'BLAST-V-WFC' or 'Very High Alert Signs: Fetch Emergency Vehicle With Doctor'.

Tags

• visual_association
• danger signs
• referral
• scope of practice

Topic

Prenatal Home-Based Care

Concept

Danger signs of pregnancy are ALL referral triggers — midwife refers, does not manage

Anchor Id

A6

Difficulty

medium

Memory Aid

Visualize a bright RED EXIT DOOR in your mind. Every time you see a danger sign of pregnancy, that red exit door lights up with flashing arrows pointing to BEmONC or CEmONC. The midwife's job is to OPEN that door and escort the patient through it — not to block the door and try to fix things alone. Paint the door in your mind with the words 'REFER NOW' in bold.

Anchor Type

visual_association

Why It Works

A vivid visual image with a clear action (open the exit door) creates an automatic stimulus-response pattern. The red color triggers urgency.

Example Usage

Whenever an MLE question describes a pregnancy danger sign and asks what the midwife should do: the answer is REFER to a higher-level facility (BEmONC/CEmONC), not manage.

Recall Trigger

See a flashing red EXIT door.

Tags

• acronym
• birth plan
• three delays
• prenatal care

Topic

Birth Plan

Concept

Birth plan components: 6 key elements

Anchor Id

A7

Difficulty

medium

Memory Aid

Use the acronym PLACES B: P = Place of delivery (facility with SBA), L = Labor signs/danger signs (know them), A = Attendant (skilled birth attendant identified), C = Companion during labor, E = Emergency funds/savings, S = Support for other children at home, B = Blood donor identified. Remember: 'The birth plan has a PLACES B — a Place for the Baby to be born safely.'

Anchor Type

acronym

Why It Works

PLACES B sounds like 'places be' — a command to have all your places organized. The phrase 'a place for the baby' creates a meaningful sentence that aids encoding.

Example Usage

Question: 'Which element of the birth plan addresses the second delay?' Answer: Transport (under Place/Emergency) — recall PLACES B and identify the transport component.

Recall Trigger

Think of finding the right PLACES for the Baby.

Tags

• micro_story
• birth plan
• three delays
• facility delivery

Topic

Birth Plan

Concept

Birth plan defeats the three delays; facility delivery only — no hilot home births

Anchor Id

A8

Difficulty

medium

Memory Aid

Imagine a pregnant woman named Cora in a remote barangay who has a birth plan taped to her refrigerator. When her labor starts at midnight, she doesn't panic. She calls her cousin (companion — Delay 1 solved), hops on the prearranged tricycle (transport — Delay 2 solved), and arrives at the BEmONC RHU before the baby's head is crowning (Delay 3 — care received in time). Contrast this with her neighbor who had no birth plan and called the hilot instead. The hilot's home birth turned into a tragedy. Cora's story ends with a healthy baby because of her laminated birth plan.

Anchor Type

micro_story

Why It Works

Narrative with contrast (Cora vs. the neighbor) creates emotional stakes. Emotional memory is long-lasting. The three delays are embedded naturally in the story.

Example Usage

For questions about the birth plan's purpose, recall Cora — the plan defeats all three delays and ensures facility delivery with a skilled birth attendant.

Recall Trigger

Picture Cora's laminated birth plan on the refrigerator.

Tags

• acronym
• prenatal package
• immunization
• supplementation

Topic

Prenatal Home-Based Care

Concept

Prenatal package: TT/Td, Iron-Folic Acid, Calcium, Deworming (2nd/3rd trimester), BP at every visit

Anchor Id

A9

Difficulty

medium

Memory Aid

Remember TICDB: T = Tetanus toxoid (TT/Td), I = Iron with folic acid, C = Calcium, D = Deworming (2nd/3rd trimester), B = Blood pressure checked at EVERY visit. Say it like 'TICK-DB' — you TICK off each item at every prenatal visit like checking a grocery list. Draw a tick mark next to each item in your mind.

Anchor Type

acronym

Why It Works

The acronym TICDB with the 'tick mark' visual doubles the encoding — verbal and visual. The grocery checklist metaphor is a familiar daily routine.

Example Usage

If asked what is included in the prenatal package, mentally tick: Tetanus, Iron-folic acid, Calcium, Deworming, Blood pressure.

Recall Trigger

Imagine ticking off a grocery list: T-I-C-D-B.

Tags

• chunking
• postpartum
• schedule
• DOH standard

Topic

Postnatal Home Care

Concept

DOH postpartum standard: at least 2 check-ups — 1st within 24 hours, 2nd at about 7th day, plus 6-week visit

Anchor Id

A10

Difficulty

easy

Memory Aid

Chunk it as the '24-7-6' code — like a safe combination lock: 24 (hours) – 7 (days) – 6 (weeks). Say it fast: 'Twenty-four, seven, six — postpartum check click!' Visualize turning a combination lock: first dial to 24, second to 7, third to 6, and the lock opens to reveal a healthy postpartum mother.

Anchor Type

chunking

Why It Works

Chunking three numbers into a code reduces cognitive load. The combination lock image adds a visual-kinesthetic memory layer. The rhyme 'check click' reinforces it.

Example Usage

Question: 'When is the first postpartum visit done?' Recall the lock code — first number is 24 (hours after delivery).

Recall Trigger

Turn the combination lock: 24-7-6.

Tags

• acronym
• postpartum
• assessment
• mother

Topic

Postnatal Home Care

Concept

Postpartum assessment: what the midwife checks (mother)

Anchor Id

A11

Difficulty

medium

Memory Aid

Use BUBBLE-B: B = Breasts (engorgement, mastitis, breastfeeding support), U = Uterus (involution, firmness), B = Bladder (urinary function), B = Bowel function, L = Lochia (color, odor, amount), E = Episiotomy/perineum (healing, infection), B = Baby blues/postpartum depression. This is the classic postpartum assessment mnemonic — BUBBLE-B for a bubbly, healthy mama!

Anchor Type

acronym

Why It Works

BUBBLE-B is a widely used nursing/midwifery mnemonic that is already designed for recall. Adding 'bubbly healthy mama' creates a positive emotional association.

Example Usage

For any question about postpartum assessment, run through BUBBLE-B to ensure all areas are covered.

Recall Trigger

Say 'BUBBLE-B' and picture a bubbly, happy postpartum mother.

Tags

• acronym
• danger signs
• postpartum
• referral

Topic

Postnatal Home Care

Concept

Postpartum danger signs (referral triggers)

Anchor Id

A12

Difficulty

hard

Memory Aid

Use FRESH BCD: F = Fever, R = Red/painful/swollen breast (mastitis), E = Edema plus severe headache or visual changes (pre-eclampsia signs), S = Severe heavy vaginal bleeding, H = Heavy foul-smelling lochia, B = Breathing difficulty, C = Calf pain or swelling (DVT), D = Depression (severe). Think of a FRESH Bad Combo Disaster — if you see any of these signs postpartum, disaster is brewing and you must refer!

Anchor Type

acronym

Why It Works

The phrase 'Fresh Bad Combo Disaster' creates a vivid mental image of something going wrong — negative emotional charge aids memory for danger signs.

Example Usage

Question lists postpartum symptoms — mentally run FRESH BCD. Any match = refer immediately.

Recall Trigger

Think: FRESH BCD = Fresh Bad Combo Disaster.

Tags

• acronym
• danger signs
• newborn
• referral

Topic

Postnatal Home Care

Concept

Newborn danger signs (referral triggers)

Anchor Id

A13

Difficulty

hard

Memory Aid

Use the acronym SCARF-JN: S = Seizures/convulsions, C = Chest indrawing or fast breathing (60/min or more), A = Absence of movement even when stimulated, R = Redness/swelling/pus at cord or eyes, F = Fever or Hypothermia (too hot or too cold), J = Jaundice of palms and soles, N = Not feeding/poor feeding. Imagine wrapping a sick newborn in a SCARF to keep warm — but if you see SCARF-JN signs, the baby needs more than a scarf, it needs the hospital NOW.

Anchor Type

acronym

Why It Works

SCARF is a concrete object associated with warmth/protection of a newborn, making the metaphor emotionally and semantically coherent. The list covers all high-yield newborn danger signs.

Example Usage

Exam lists newborn signs — check each against SCARF-JN. Any sign present = urgent referral to BEmONC.

Recall Trigger

Picture wrapping a newborn in a SCARF — if you see SCARF-JN, refer!

Tags

• visual_association
• newborn
• respiratory rate
• danger sign

Topic

Postnatal Home Care

Concept

Fast breathing in newborn = 60 breaths per minute or more is a danger sign

Anchor Id

A14

Difficulty

medium

Memory Aid

Think of the number 60 as a STOP SIGN. In the Philippines, a 60 km/h sign on the road means slow down or stop and check. For a newborn, 60 breaths/minute means STOP and REFER. Visualize a big round road sign with '60' on it, but instead of a car, there is a little baby. The sign reads: 'Beyond 60 = Danger Zone.'

Anchor Type

visual_association

Why It Works

Road signs are universal visual symbols with automatic response behaviors (stop, check). Repurposing a known visual symbol creates an instant association.

Example Usage

Question: 'A newborn has a respiratory rate of 64/min. What should the midwife do?' Recall the 60 STOP SIGN — 64 is beyond 60, this is fast breathing, refer immediately.

Recall Trigger

See a road sign: '60 = STOP and REFER (for newborn breathing).'

Tags

• rhyme
• newborn screening
• timing
• NBS

Topic

Postnatal Home Care

Concept

Newborn screening (heel prick) timing: 24-72 hours after birth, NOT before 24 hours

Anchor Id

A15

Difficulty

medium

Memory Aid

Chant: 'Not before twenty-four, not after seventy-two — the heel-prick window is just for you!' Or think of it as a simbang gabi schedule: you can only attend the misa between specific hours — too early and the church is locked (not before 24 hours, results will be invalid), too late and you miss it (after 72 hours is too delayed). The sweet spot is 24-72 hours.

Anchor Type

rhyme

Why It Works

Rhyme encodes the numbers musically. The simbang gabi analogy (a beloved Filipino Christmas tradition) creates an emotionally resonant cultural memory hook with clear boundaries.

Example Usage

Question: 'A baby was born at 6 AM. The earliest the heel-prick NBS sample should be taken is...' Recall: not before 24 hours = 6 AM the next day.

Recall Trigger

Chant: 'Not before 24, not after 72.'

Tags

• analogy
• newborn care
• EINC
• Unang Yakap

Topic

Postnatal Home Care

Concept

Newborn care essentials: exclusive breastfeeding, clean-and-dry cord care, warmth/skin-to-skin

Anchor Id

A16

Difficulty

easy

Memory Aid

Think of the newborn as a newly transplanted sampaguita seedling: it needs THREE things to survive — WATER (breastfeeding is the baby's water and food), DRY SOIL around the roots (cord stays dry and clean, no toyo or herbal applications!), and WARMTH from the sun (skin-to-skin/kangaroo care). Overwater it or wet the roots (wet cord) and it rots. Keep it in a cold, dark room (hypothermia) and it dies. Simple, natural, three things.

Anchor Type

analogy

Why It Works

The sampaguita is the Philippine national flower — culturally iconic and emotionally significant. Garden care is a relatable, intuitive metaphor that maps perfectly onto newborn care needs.

Example Usage

For questions about essential newborn care, recall the sampaguita: Feed (breastfeed), Keep cord dry, Keep warm.

Recall Trigger

Picture a sampaguita seedling: water, dry roots, warm sunlight.

Tags

• micro_story
• FHSIS
• TCL
• documentation
• defaulter tracking

Topic

Recording and Public Health

Concept

FHSIS/TCL recording — enables defaulter tracking and follow-up

Anchor Id

A17

Difficulty

easy

Memory Aid

Imagine Midwife Grace at the BHS on a Monday morning. She opens her Target Client List (TCL) and sees that Marites, 28 weeks pregnant, missed her 3rd prenatal visit. Because Grace recorded every visit carefully in the FHSIS, the gap is obvious — it jumps out of the list like a red flag. Grace calls the barangay health worker, finds out Marites was feeling sick and embarrassed to come, and visits her at home that afternoon. The TCL saved Marites from becoming a missed case. No record = no follow-up = lost to care.

Anchor Type

micro_story

Why It Works

The narrative makes abstract documentation concrete. Giving the TCL character (it 'jumps out like a red flag') anthropomorphizes a tool, making it memorable. The consequence is clear and emotional.

Example Usage

Question about the purpose of TCL/FHSIS: recall Grace and Marites — recording enables defaulter tracking and ensures no pregnant woman is lost to care.

Recall Trigger

Picture Grace's TCL with a red-flag missing name.

Tags

• chunking
• ANC
• DOH
• WHO
• schedule

Topic

Prenatal Home-Based Care

Concept

WHO now recommends 8 ANC contacts (vs. DOH minimum of 4 visits)

Anchor Id

A18

Difficulty

easy

Memory Aid

Chunk it as 'DOH 4, WHO 8 — double the plate!' Imagine DOH serving a meal with 4 dishes (minimum standard), but WHO recommends 8 dishes (premium care). The Philippines follows the DOH minimum of 4 as the basic standard, but the WHO model with 8 contacts is the aspirational best practice. On the MLE, 4 = DOH minimum, 8 = WHO recommended.

Anchor Type

chunking

Why It Works

The food metaphor ('double the plate') creates a visual and sensory anchor. The 4/8 number relationship (double) is easy to recall because 8 = 4 × 2.

Example Usage

MLE asks: 'How many ANC visits does the DOH require as minimum?' Answer: 4. 'How many does WHO recommend?' Answer: 8.

Recall Trigger

DOH plate has 4 dishes; WHO plate has 8 dishes.

Tags

• analogy
• home visit
• risk assessment
• community

Topic

Home Visit

Concept

Home visit purpose: seeing real living conditions that shape risk (water, sanitation, transport, household members)

Anchor Id

A19

Difficulty

easy

Memory Aid

A home visit is like a detective's crime scene investigation — the clinic only shows you the patient; the HOME shows you the WHOLE STORY. Just as detective Carding Reyes can't solve the mystery without visiting the scene, the midwife cannot fully assess risk without seeing the barangay's water supply, the drainage ditch in front of the house, or whether there is a vehicle for emergency transport. The clinic is the report; the home is the evidence.

Anchor Type

analogy

Why It Works

The detective analogy creates an active, engaging mental framework. It reframes the home visit as exciting investigative work rather than routine duty, increasing engagement and retention.

Example Usage

Question: 'What is the primary advantage of a home visit over a clinic visit?' Recall the detective — the home reveals the full picture of risk factors the clinic cannot show.

Recall Trigger

Think of yourself as Detective Carding arriving at the crime scene (the home).

Tags

• visual_association
• newborn
• immunization
• EPI
• BCG
• Hepatitis B

Topic

Postnatal Home Care

Concept

BCG and Hepatitis B birth doses confirmed at newborn postnatal visit; EPI schedule set

Anchor Id

A20

Difficulty

easy

Memory Aid

Visualize two passport stamps on a newborn's imaginary passport: one stamp says 'BCG' and the other says 'Hep B.' The midwife's job at the postnatal visit is to check that both passport stamps are there — like a customs officer checking documents before the baby is cleared for life. If either stamp is missing, the midwife arranges for it. The next stamps in the passport = the EPI schedule.

Anchor Type

visual_association

Why It Works

The passport analogy turns vaccine documentation into a visual checklist. Customs/passport checking is a familiar procedure with a clear binary outcome: stamped or not stamped.

Example Usage

At a postnatal home visit, the midwife should verify: Was BCG given? Was Hepatitis B birth dose given? Then schedule the next EPI visits.

Recall Trigger

Check the baby's 'passport' for BCG and Hep B stamps.

Formula

DOH ANC Standard: Minimum 4 visits — 1 (1st trimester) + 1 (2nd trimester) + 2 (3rd trimester) = 4

Mnemonic

1-1-2 = 4. 'One banana, One banana, Two bananas — that's four bananas for the pregnancy.' Or count on fingers: point, point, two fingers = 4 total.

When To Use

Whenever an MLE question asks about the DOH minimum ANC visits or their timing/distribution across trimesters.

What Each Part Means

1 = one visit in the 1st trimester (as early as possible); 1 = one visit in the 2nd trimester; 2 = two visits in the 3rd trimester; Total = 4 minimum prenatal contacts as per DOH standard.

Formula

Newborn Screening Window: 24 hours ≤ NBS sample ≤ 72 hours after birth

Mnemonic

'24 to 72 — that's the heel-prick cue!' Think of a work shift: the heel-prick team starts work at the 24-hour mark and must finish by the 72-hour mark. Outside those hours = overtime (too early/too late = invalid or missed).

When To Use

Any MLE question about when to collect the newborn screening sample, or which baby has an appropriately/inappropriately timed sample.

What Each Part Means

24 hours = earliest acceptable time (before 24 hours, newborn metabolism not yet stable enough for valid results); 72 hours = latest ideal time to ensure timely detection and treatment; The sample is a heel-prick blood spot for Expanded Newborn Screening (eNBS).

Formula

Postpartum Visit Schedule: Within 24 hours + Day 7 + 6 weeks = 3 key contacts

Mnemonic

24-7-6: 'Twenty-four, seven, six — turn the combination, mama's well pick!' Visualize a combination lock that opens to a healthy postpartum mother when you dial 24-7-6.

When To Use

Questions about postpartum visit scheduling, which visit is first, or timing of family planning counseling (6-week visit).

What Each Part Means

Within 24 hours = critical early detection of hemorrhage, infection, breastfeeding problems; Day 7 (about 1 week) = wound/lochia/breastfeeding check, newborn assessment; 6 weeks = final postpartum assessment, family planning counseling, full return-to-health check.

Formula

Newborn Fast Breathing: RR ≥ 60 breaths/minute = danger sign

Mnemonic

'Sixty or more = show them the door!' Sixty is the speed limit; beyond 60, the baby is speeding toward danger. Open the referral door.

When To Use

Any clinical scenario involving a newborn's breathing rate. Also applies to distinguishing normal (40-60 breaths/min at rest) from abnormal (≥60/min).

What Each Part Means

RR = respiratory rate; 60 breaths/minute is the threshold above which a newborn is considered to have fast breathing (tachypnea), a sign of possible respiratory distress, infection, or other serious condition requiring immediate referral.

Chain Title

Bag Technique Arrival Steps

Recall Test

Without looking, list the 8 steps of bag technique in order. What is the FIRST thing you do before opening the bag?

Memory Chain

Midwife Maria's story: She PARKS the bag (step 1), ASKS for water (step 2), OPENS and PREPARES her field (step 3), WASHES hands (step 4), TAKES only what she needs (step 5), PERFORMS care (step 6), CLEANS and REPLACES items (step 7), then RECORDS and REMINDS the family (step 8). Acronym: PAOPWTCR = 'Para Akong Ordenadong Propesyonal Walang Contamination, Rerekordon!' (I am an orderly professional without contamination, I will record!)

Items To Remember

• Place bag on clean, flat surface (or use bag lining as barrier)
• Ask for basin, water, and soap
• Open bag, take out paper lining and soap/hand-washing articles
• Wash hands thoroughly and dry with personal towel
• Take out only articles needed, close bag between removals
• Perform care (VS, abdominal exam, FHT, health teaching)
• Clean and replace used articles, wash hands again
• Record visit, give instructions, set next appointment

Chain Title

Danger Signs of Pregnancy (10 Signs)

Recall Test

List all 10 danger signs of pregnancy from memory. Which of these signs suggests pre-eclampsia? Which suggests ruptured membranes?

Memory Chain

Imagine a pregnant woman named BLAST-VWF-CD going to the emergency room: Bleeding, and then she gets a terrible headache (Lethal Ache = blurring + headache), her face is Swollen, she has a Terrible seizure (convulsion), her fever Vaults up, she Winces from abdominal pain, she Feels nauseated and vomits, the baby Stops moving, she has a watery discharge, and finally can't breathe. Each stop on her emergency journey = one danger sign.

Items To Remember

• Vaginal bleeding
• Severe headache
• Blurring of vision
• Swelling of face and hands
• Convulsions/fits
• High fever
• Severe abdominal or epigastric pain
• Persistent severe vomiting
• Decreased or absent fetal movement
• Watery vaginal discharge (ruptured membranes) or foul-smelling discharge
• Fast or difficult breathing

Chain Title

Birth Plan Components (PLACES B)

Recall Test

List the 7 components of a birth plan using PLACES B. Why is identifying a blood donor important before delivery?

Memory Chain

Cora is planning her birth. She chooses a PLACE (BEmONC RHU), learns the LABOR SIGNS (so she knows when to go), picks her ATTENDANT (the midwife at the RHU), arranges for her sister as COMPANION, saves her EMERGENCY FUNDS in a paluwagan, arranges CHILDCARE SUPPORT for her toddler, and asks her brother-in-law to be the BLOOD DONOR. All 7 elements locked in: PLACES B.

Items To Remember

• Place of delivery (BEmONC-capable facility)
• Labor signs and danger signs recognized
• Attendant (skilled birth attendant)
• Companion during labor
• Emergency funds/savings
• Support for other children
• Blood donor identified in advance

Chain Title

Newborn Danger Signs (SCARF-JN)

Recall Test

What are the 7 newborn danger signs in SCARF-JN? At what respiratory rate does a newborn have 'fast breathing'?

Memory Chain

Picture a tiny baby wrapped in a SCARF. If the SCARF shows danger signs — it Seizes, Can't breathe right, is completely still and unresponsive (Absent movement), has Red infected cord, runs a Fever or is Frozen cold, turns Jaundice-yellow on palms, and stops breastfeeding (No feeding) — UNWRAP the scarf and RUSH to BEmONC. The scarf is no longer enough; the baby needs hospital care.

Items To Remember

• Seizures/convulsions
• Chest indrawing or fast breathing (60/min or more)
• Absence of movement even when stimulated
• Redness/swelling/pus at cord or eyes
• Fever or hypothermia
• Jaundice of palms and soles
• Not feeding or poor feeding

Chain Title

Prenatal Package (TICDB)

Recall Test

Name all 5 components of the prenatal package using TICDB. When is deworming given during pregnancy?

Memory Chain

Imagine TICKING off a grocery checklist at the BHS: T = Tetanus shot (first item in the cart), I = Iron-folic acid (second item), C = Calcium tablets (third), D = Deworming tablet — but only for 2nd/3rd trimester moms (check the label!), B = BP cuff always comes out at every visit (last item, never forgotten). TICK each one: TICDB done!

Items To Remember

• Tetanus toxoid/Td immunization
• Iron with folic acid daily
• Calcium supplementation
• Deworming (2nd/3rd trimester only)
• Blood pressure checked at every visit