Sunday 29 December 2019

How a Teamwork helps a newborn child at Primary Health Center Kharik Bhagalpur.

Working as an ANM at rural-based primary health center Kharik, District Bhagalpur often faces challenging situations due to infrastructure and a smaller number of medical equipment. She never expected her training and expertise given by CARE India would one day help save a newly born child in the most unexpected situation.

It was a wee hour of the cold morning on 19th November. Suddenly a newly pregnant mother admitted to hospital. She was conscious and struggling with her life due to labor pain.  Babita Kumari, who is a labor room in-charge at the facility. she became a lifesaver for both Rani Khatoon and her newly born child.

Rani Khatoon 21, arrived for her first birth at 8:10 AM early morning but after having all her health examinations at Primary health center. ANMs advised her and her family members to wait until the cervix would not come to the active phase. She, along with her mother-in-law, was waiting in the Labor ward-room.

During the stay, an outsider not known, whose relatives came for a health checkup at the PHC. Some chit chats happened and he has prescribed Rani Khatoon’s mother about medicines and injections for smooth delivery. Her mother became influenced to the outsider without taking any consultation from doctors/ANMs. she bought it from the local medical shop and given to her. The medicines and injections could not relieve her pain and instead, she suffered heavy labor pain within three hours. At 1:35 PM, she has given the birth of a male child who was having difficulty to take breath properly.
Babita Sister, who immediately inform to BM Care and explains the details that her child was not breathing after birth and had to be resuscitated. It was also a coincidence that on the same day, A BRG meeting has been scheduled at ICDS office and the repeated call was coming by the CDPO ma’am for attending it.

As per the united nations data, 802,000 infants died in India last year, and over 8 lakh newborn babies die in India every year. If they get the right treatment at the right time, they can be saved. Being a Block Manager Care India, I know how crucial these first golden minutes of a baby’s life are, instead of attending BRG meeting I have given first priority to save the baby's life and postponed the meeting for some other days. I was more concern about the newly born child's life.

I immediately inform the details with Dr. Karm Chand, A Medical Officer-in-charge at Kharik PHC. The one-day-old baby weighs 2710 grams- difficulty to breathe on his own. The baby was in critical condition and battling for his life, but the constant efforts of MOIC and his teams, a ray of hope had arisen for the baby. and a smiling relief of sigh had come in everyone's faces.

The doctors and ANMs manage to resuscitate and stabilize him, suddenly again baby went into the shock, and all attempts at helping him were falling. later doctors and BM CARE decided to transfer the baby as soon as possible to the better-equipped main hospital in the district at Jawahar Lal Nehru Medical College and Hospital, Bhagalpur. where the child could get advanced care.

BM CARE, immediately called to Ambulance driver, who had gone far to drop out a patient at home but I instructed the Ambulance EMT while returning to PHC, be assured that all the medical arrangements and Oxygen cylinder must be ready without any further delay. The ambulance reached PHC after 25 minutes. till then the entire medical team was giving their full percentage to keep the baby safe.

Before referring the baby to the JLNMCH Bhagalpur, BM-CARE checked, whether all the essential medical equipment’s inside the ambulance is available and functioning or not. BM-Care was also in constant touch with the EMT until the safe admission of the baby in the hospital. Apart, From the next day, both BM-Care and Babita Kumari, ANM, were in constant touch with the mother and relatives of the child and taking progress report daily.

Now, the baby is stable and recovering faster than earlier and is doing well. Babita Kumari, ANM says every child has the right to survive and thrive. save a child’s life without any personal purpose that is one of the biggest rewards of her career. she proudly says, every planning and training like SBA, AMANAT JYOTI helped to ensure the safe delivery of Rani Khatoon's baby. Although it was a difficult situation for the family. I am glad I was able to help and I am proud to be a Registered AMANAT Mentor Nurse!

Rani Khatoon’s relatives are very happy after receiving such facilities and treatment care given. Rani says it was a miracle for the family. we didn’t expect anything after such an incident and now once again we could see the happiness in my life.

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