Emergency Obstetric and Newborn Care 9 Signal Functions

Basic ServicesComprehensive Services
1. Administer parenteral antibioticsPerform signal functions 1 through 7 plus:
2. Administer uterotonic drugs (i.e., parenteral oxytocin, misoprostol)8. Surgery (cesarean delivery)
3. Administer parenteral anticonvulsants for preeclampsia (i.e., magnesium sulfate)9. Blood transfusion
4. Manually remove the placenta
5. Remove retained products of conception (e.g., manual vacuum extraction, misoprostol, dilation and curettage)
6. Perform assisted vaginal delivery (e.g., vacuum extraction, forceps delivery)
7. Perform basic neonatal resuscitation (e.g., bag and mask)
  • Source: WHO, UNFPA, UNICEF, and Mailman School of Public Health.27