BEmONC Services	CEmONC Services
Antenatal Care
Registration (within first trimester) Physical examination (weight, blood pressure, abdominal examination) Ensuring consumption of iron-folic acid (IFA) tablets (100 IFA for all pregnant women or 200 IFA for pregnant women with anemia) Essential lab investigations (Hb%, pregnancy test, urine for albumin/sugar) including blood grouping and pH typing, wet mount Assured referral linkages for complicated pregnancies and deliveries Management and provision of all emergency obstetric and newborn care for complications other than those requiring blood transfusion or surgery Linkages with nearest Integrated Counseling and Testing Centre/Prevention of Parent-to-Child Transmission (ICTC/PPTCT) Centre for voluntary counselling and testing services	All BEmONC services plus: Blood cross matching Management of severe anemia Management of complications in pregnancy referred from BEmONC
Intranatal Care
Normal delivery with use of partograph Active management of third stage of labor Identification and referral for danger signs Pre-referral management for obstetric emergencies (eclampsia, postpartum hemorrhage, shock) Assured referral linkages with higher facilities Episiotomy and suturing cervical tear Assisted vaginal deliveries (outlet forceps, vacuum) Stabilization of patients with obstetric emergencies (eclampsia, postpartum hemorrhage, sepsis, shock)	All BEmONC services plus: Round-the-clock maternal care services Management of obstructed labor Surgical interventions such as cesarean section Comprehensive management of all obstetric emergencies (pregnancy-induced hypertension/eclampsia, sepsis, postpartum hemorrhage, retained placenta, shock) In-house blood bank/blood storage center Referral linkages with higher facilities including medical colleges
Newborn Services Neonatal resuscitation Warmth Infection prevention Initiation of breastfeeding within an hour of birth and exclusive breastfeeding thereafter Screening for congenital anomalies Weighing of newborns Antenatal corticosteroids to the mother in case of preterm babies to prevent Respiratory Distress Syndrome (RDS) Immediate care of low birth weight (LBW) newborns (>1800 g to <2500 g)	Newborn ServicesAll BEmONC services plus: Round-the-clock newborn care services Care of very LBW newborns (<1800 g)
Postnatal Care
Minimum 6 hours' stay post delivery 48 hours' stay post delivery and all postnatal services for days 0 and 3 for mother and baby Counseling for feeding, nutrition, family planning, hygiene, immunization, and postnatal check-up Home visits on days 3, 7, and 42 for mother and baby Additional visits for the newborn on days 14, 21, and 28 Additional visits may be necessary for LBW and sick newborns Stabilization of mother with postnatal emergencies (postpartum hemorrhage, sepsis, shock, retained placenta) Timely referral of women with postnatal complications Referral linkages with higher facilities Timely identification of danger signs and complications and referral of mother and baby	All BEmONC services plus: Clinical management of all maternal emergencies such as postpartum hemorrhage, puerperal sepsis, eclampsia, breast abscess, postsurgical complication, shock, and any other postnatal complications such as RH incompatibility
Newborn Services Warmth Hygiene and cord care Identification, management, and referral of sick neonates, LBW, and preterm newborns Care of LBW newborns (<2500 g) Zero day immunization–OPV (oral polio vaccine), BCG (bacille Calmette-Guerin for tuberculosis), Hepatitis B Care of LBW newborns (>1800 g to <2500 g) Referral services for newborns <1800 g and other newborn complications Management of sepsis	Newborn ServicesAll BEmONC services plus: Newborn care in district hospitals through Sick Newborn Care Unit (SNCU) Management of complications Care of very LBW newborns (<1800 g) Establish referral linkages with higher facilities

Source: Reference 14