Maternity, Labor & Child Health Management
The Maternity, Labor & Child Health module in MOANA provides obstetricians, midwives, pediatricians, and community health officers with a specialized clinical environment for maternal and child healthcare. It manages maternal antenatal records, labor progress partographs, delivery logging, neonatal resuscitation, official birth registrations linked to maternal MPI records, longitudinal pediatric growth monitoring, and expanded immunization tracking.
Child Health & Maternity Dashboard showing active labor cases, recent birth registrations, and immunization due lists.🔍 Click to enlarge
1. Antenatal Care & Labor Intake
When an expectant mother presents to the maternity unit:
- Mother MPI Verification: Scan the mother's Digital Health ID or search the Master Patient Index (MPI) to load her antenatal record.
- Obstetric History Review:
- Gravida, Para, Term, Preterm, Abortions, Living children (GPAL summary).
- Estimated Date of Delivery (EDD) and current Gestational Age.
- Blood group and Rhesus status, Hepatitis B, HIV, and Syphilis serology screening.
- High-risk obstetric tags (e.g., Pre-eclampsia, Gestational Diabetes, Previous C-Section, Placenta Previa).
- Labor Partograph Documentation:
- Cervical dilatation (cm) plotted against the WHO alert and action lines.
- Fetal heart rate monitoring (every 15–30 minutes).
- Uterine contraction frequency and duration.
- Amniotic fluid character (Intact, Clear, Meconium-stained, Blood-stained).
2. Delivery & Birth Event Registration
Immediately following delivery, the attending midwife or obstetrician launches the Register Birth Wizard:
graph TD
A[Delivery Event] --> B[Link Mother MPI ID]
B --> C[Record Delivery Details & Attendant]
C --> D[Assess Neonatal APGAR: 1 min & 5 min]
D --> E[Anthropometric Measurements: Wt, Ht, HC]
E --> F[Generate Newborn MOANA Health ID]
F --> G[Initialize Expanded Immunization Record EIR]
Register Birth Modal capturing delivery mode, neonatal vitals, and maternal linkage.🔍 Click to enlarge
Register Birth Modal capturing delivery mode, neonatal vitals, and maternal linkage.🔍 Click to enlarge
Step-by-Step Birth Registration:
- Maternal Linkage: The baby's electronic record is permanently bound to the biological mother's MOANA ID.
- Delivery Metadata:
- Date and exact time of birth.
- Delivery Mode: Spontaneous Vertex Delivery (SVD), Emergency Caesarean Section, Elective C-Section, Vacuum Assisted, Breech Delivery.
- Birth Outcome: Live Birth, Fresh Stillbirth, Macerated Stillbirth.
- Attending delivery clinician, midwife, and pediatric resuscitation officer.
- Neonatal APGAR Assessment (1-Minute & 5-Minute):
| Score Criteria | 0 Points | 1 Point | 2 Points |
|---|---|---|---|
| Activity (Muscle Tone) | Flaccid / Limp | Some flexion of arms/legs | Active motion |
| Pulse (Heart Rate) | Absent | < 100 bpm | ≥ 100 bpm |
| Grimace (Reflex Irritability) | Floppy / No response | Grimace / Weak cry | Vigorous cry / Cough / Sneeze |
| Appearance (Skin Color) | Blue / Pale all over | Body pink, extremities blue (Acrocyanosis) | Completely pink |
| Respiration (Breathing) | Absent | Slow / Irregular / Weak gasp | Good, strong crying |
- Anthropometric Measurements:
- Birth Weight: Flags low birth weight (< 2.5 kg) or very low birth weight (< 1.5 kg).
- Birth Length (cm) and Head Circumference (cm).
- System Generation: MOANA automatically provisions a new permanent MOANA Health ID for the newborn, links emergency contacts, and issues the official digital Birth Notification Summary.
3. Expanded Programme on Immunization (EIR)
MOANA features an automated Childhood Immunization Schedule that tracks vaccine doses, due dates, lot numbers, and cold chain validity:
Childhood Immunization Tracker showing administered vaccines, upcoming due dates, and certificate generator.🔍 Click to enlarge
Childhood Immunization Tracker showing administered vaccines, upcoming due dates, and certificate generator.🔍 Click to enlarge
Childhood Immunization Tracker showing administered vaccines, upcoming due dates, and certificate generator.🔍 Click to enlarge
Childhood Immunization Tracker showing administered vaccines, upcoming due dates, and certificate generator.🔍 Click to enlarge
Standard Immunization Schedule Matrix:
| Child Age | Target Vaccines & Prophylaxis | Clinical Purpose |
|---|---|---|
| Birth (0 Days) | BCG, Hepatitis B (Birth Dose), OPV 0 | Tuberculosis, Neonatal Hep B, Polio |
| 6 Weeks | Pentavalent 1 (DTP-HepB-Hib), PCV 1, Rota 1, OPV 1 | Diphtheria, Tetanus, Pertussis, Hib, Pneumococcal, Rotavirus |
| 10 Weeks | Pentavalent 2, PCV 2, Rota 2, OPV 2 | Second dose booster series |
| 14 Weeks | Pentavalent 3, PCV 3, IPV (Injectable Polio), OPV 3 | Primary series completion |
| 6 Months | Vitamin A Supplementation (100,000 IU) | Visual development & immune support |
| 9 Months | Measles-Rubella 1 (MR1), Yellow Fever | Measles & Rubella primary immunization |
| 12 Months | Vitamin A (200,000 IU), Deworming (Albendazole) | Micronutrient & parasite control |
| 18 Months | Measles-Rubella 2 (MR2), DTP Booster | Secondary booster series |
- Automated Missed-Dose Alerts: Highlights overdue vaccines in bold amber on the child's banner whenever they present to any hospital department.
- Digital Vaccination Certificate: One-click generation of the official Ministry of Health Child Immunization Passport with anti-counterfeit QR code.