Final Month UHPAB Exam Prep DME

DAY 1 📅 Nov 10 (Sun)

⚠️ Obstructed Labour & Ruptured Uterus

DME 211: EMERGENCY!

Obstructed Labour: Causes (CPD, malposition, malpresentation)
Signs & Symptoms: Bandl's ring, uterine exhaustion
Ruptured Uterus: Types, Risk factors, Management

🚨 REMEMBER: Obstructed labour = No descent despite strong contractions. EMERGENCY CS!

💔 KEY POINT: Ruptured uterus = Sudden pain + shock + fetal distress. MATERNAL DEATH RISK!

"Recognize the emergency. Act fast. Save two lives!"

"Be strong and courageous. Do not be afraid." - Joshua 1:9

DAY 2 📅 Nov 11 (Mon)

🩸 Postpartum Hemorrhage (PPH)

DME 211: #1 Killer of Mothers

Definition: >500ml blood loss (vaginal), >1000ml (CS)
4 Ts: Tone, Tissue, Trauma, Thrombin
Management: Active management, Manual removal, Surgical

Click Here for Day 2 Summary

🩸 REMEMBER: Active management = Oxytocin within 1 minute + Controlled cord traction!

🚨 KEY POINT: AMTSL prevents 60% PPH! Uterine atony = main cause! Massage + Oxytocin!

"PPH is PREVENTABLE. You have the power to save lives!"

"Rescue those being led away to death." - Proverbs 24:11

DAY 3 📅 Nov 12 (Tue)

🔺 Intrapartum Hemorrhage & Inversion

DME 211: APH & Uterine Inversion

APH: Placental abruption, Placenta previa
Uterine Inversion: Degrees, Causes, Management

Click Here for Day 3 Summary

⚠️ REMEMBER: APH = After 28 weeks! Placenta previa = PAINLESS bleeding. Abruption = PAINFUL!

🔺 KEY POINT: Inversion = Uterus turns inside out. SHOCK IS DISPROPORTIONATE! REPLACE IMMEDIATELY!

"Stay calm in the storm. Your knowledge is the anchor!"

"Peace be still." - Mark 4:39

DAY 4 📅 Nov 13 (Wed)

💔 Obstetrical Shock & HELLP

DME 211: Circulatory Collapse

Types: Hypovolemic, Septic, Cardiogenic
HELLP Syndrome: Hemolysis, Elevated LFTs, Low Platelets
Management: ABCDE approach, Fluid resuscitation

Click Here for Day 4 Summary

🚨 REMEMBER: SHOCK = BP<90/60 + tachycardia + cold clammy skin! ACT FAST!

🎯 KEY POINT: HELLP = Severe pre-eclampsia variant. Platelets <100,000! Deliver ASAP!

"Shock kills in minutes. Your rapid response saves lives!"

"When I am afraid, I put my trust in You." - Psalm 56:3

DAY 5 📅 Nov 14 (Thu)

🩺 Thromboembolic Disorders

DME 211: DVT, PE, DIC, AFE

DVT: Risk factors, Signs (Homans' sign), Prophylaxis
PE: Symptoms, Diagnosis, Management
DIC: Consumptive coagulopathy

Click Here for Day 5 Summary

🦵 REMEMBER: DVT = Unilateral leg swelling, pain, warmth. Heparin prophylaxis!

🎯 KEY POINT: DIC = Clotting AND bleeding. Triggered by sepsis, abruption, PPH!

"Pregnancy is hypercoagulable. Be vigilant for clots!"

"Guard your heart above all else." - Proverbs 4:23

DAY 6 📅 Nov 15 (Fri)

🔴 Vulval Hematoma & Puerperium

DME 211: Trauma & Complications

Vulval/Vaginal Hematoma: Causes, Signs, Management
Abnormal Puerperium Overview

Click Here for Day 6 Summary

🔴 REMEMBER: Hematoma = Pain + swelling + discoloration. Incision & drainage if >5cm!

🎯 KEY POINT: Puerperal pyrexia = Temp >38°C for 2 days. Rule out causes!

"Perineal trauma is painful. Your gentle care heals!"

"He heals the brokenhearted and binds up their wounds." - Psalm 147:3

🎉 DAY 7 📅 Nov 16 (Sat)

😎 REST & REVIEW!

WEEK 1 COMPLETE!

✅ Review Days 1-6 (All obstetric emergencies)
✅ Create PPH management algorithm
✅ Practice 20 MCQs on obstetric complications
✅ Watch emergency obstetric care video
✅ REST - You've earned it!

🎯 REMEMBER: These are LIFE-SAVING skills. MASTER THEM!

"Week 1 down! You're handling the hardest topics. Keep going! 🏗️"

"The path of the righteous is like the morning sun." - Proverbs 4:18

DAY 8 📅 Nov 17 (Sun)

🤱 Breast Complications

DME 211: Mastitis & Abscess

Engorgement, Mastitis, Breast Abscess
Risk factors: Cracked nipples, poor latch, stasis
Management: Antibiotics, continued breastfeeding, drainage

Click Here for Day 8 Summary

🤱 REMEMBER: Mastitis = Fever + painful lump. Continue breastfeeding! Stasis worsens it!

🎯 KEY POINT: Abscess = Fluctuant mass. Needs INCISION & DRAINAGE + antibiotics!

"Support breastfeeding, even when complications arise!"

"My cup overflows." - Psalm 23:5

DAY 9 📅 Nov 18 (Mon)

🚽 Urinary Complications

DME 211: Retention & Infection

Urinary Retention: Neurogenic, mechanical
UTI: Pyelonephritis, Cystitis
Management: Catheterization, antibiotics

Click Here for Day 9 Summary

🚽 REMEMBER: Retention common after epidural/tested bladder. Catheterize if >600ml!

🔥 KEY POINT: Pyelonephritis = Fever + flank pain + dysuria. IV antibiotics required!

"A full bladder delays uterine involution. Keep them empty!"

"Streams of living water will flow." - John 7:38

DAY 10 📅 Nov 19 (Tue)

🔥 Puerperal Sepsis & Pyrexia

DME 211: Infection Control

Surgical Site Infection, Endometritis, Wound infection
Pyrexia: Causes beyond sepsis (mastitis, UTI, DVT)
Management: Antibiotics, wound care

🔥 REMEMBER: Sepsis = Temp >38°C + offensive lochia + tachycardia. Broad-spectrum ABX!

🎯 KEY POINT: Lochiorrhea = prolonged lochia. Endometritis = tender uterus. Peritonitis = board-like abdomen!

"Infection is a killer. Prevention is your best weapon!"

"A threefold cord is not quickly broken." - Ecclesiastes 4:12

DAY 11 📅 Nov 20 (Wed)

🧠 Postpartum Psychological Disorders

DME 211: Mental Health

Baby Blues vs PPD vs Postpartum Psychosis
Risk factors, Symptoms, Management
Referral & Family support

😢 REMEMBER: Baby blues = Days 2-3, self-limiting. PPD = >2 weeks, needs treatment!

🚨 KEY POINT: Psychosis = EMERGENCY! Delusions, hallucinations, risk of harm. ADMIT IMMEDIATELY!

"Maternal mental health matters. Screen every mother!"

"The Lord is close to the brokenhearted." - Psalm 34:18

DAY 12 📅 Nov 21 (Thu)

👶 Hemorrhagic Disease & Neonatal Anemia

DME 212: Neonatal Complications

Vitamin K Deficiency Bleeding (VKDB)
Neonatal Anemia: Causes, Management
Prevention: Vitamin K prophylaxis

💉 REMEMBER: VKDB = Day 1-7 (early), 2-12 weeks (late). Give 1mg IM at birth!

🎯 KEY POINT: Delayed cord clamping reduces anemia risk! Wait 1-3 minutes!

"One injection prevents disaster. Never forget Vitamin K!"

"Before I formed you in the womb I knew you." - Jeremiah 1:5

DAY 13 📅 Nov 22 (Fri)

🦠 Neonatal Infections

DME 212: Sepsis, Meningitis, Tetanus

Neonatal Sepsis: Early vs Late onset
Meningitis: Signs, Diagnosis, Treatment
Tetanus Neonatorum: Prevention (tetanus toxoid)

🦠 REMEMBER: Sepsis = temp instability + poor feeding + lethargy. IV antibiotics STAT!

🎯 KEY POINT: Tetanus = Lockjaw, convulsions, 100% preventable with maternal TT!

"Infection kills newborns. Prevention starts with clean delivery!"

"I will take away sickness from among you." - Exodus 23:25

🎊 DAY 14 📅 Nov 23 (Sat)

💪 NEONATAL CHECKPOINT!

WEEK 2 COMPLETE!

✅ Review Days 8-13 (Puerperium & Neonatal)
✅ Create sepsis management protocol
✅ Practice 25 MCQs on neonatal care
✅ List all Vitamin K and TT schedules
✅ REST - Your brain is soaking it all in!

📊 PROGRESS: 14/31 days = 45% DONE! Critical care skills mastered!

"You're becoming a neonatal defender! 🌟"

"We are God's handiwork, created to do good works." - Ephesians 2:10

DAY 15 📅 Nov 24 (Sun)

💛 Neonatal Jaundice

DME 212: Physiological vs Pathological

Physiological: Day 2-3, resolves by day 7
Pathological: Within 24hrs, >2 weeks, high levels
Management: Phototherapy, Exchange transfusion

💛 REMEMBER: Bilirubin >20 mg/dl = Kernicterus risk! Check day 1 levels!

🎯 KEY POINT: ABO/Rh incompatibility = early jaundice. Phototherapy threshold varies!

"Yellow baby can become brain damaged. Assess early!"

"Let the little children come to me." - Matthew 19:14

DAY 16 📅 Nov 25 (Mon)

🧩 Congenital Abnormalities

DME 212: By System

GIT: Cleft lip/palate, imperforate anus
CNS: Neural tube defects, hydrocephalus
Cardiovascular: CHD
GU: Hypospadias, ambiguous genitalia

🧩 REMEMBER: Neural tube defects = Folic acid preventable! Give 0.4mg preconception!

🎯 KEY POINT: Ambiguous genitalia = EMERGENCY! Check for salt-wasting crisis!

"Early detection saves lives. Examine every newborn thoroughly!"

"I praise You, for I am fearfully and wonderfully made." - Psalm 139:14

DAY 17 📅 Nov 26 (Tue)

🥕 Infant Nutrition & Assessment

DME 212: Growth & Malnutrition

Breastfeeding: Exclusive for 6 months
Weaning: Complementary feeding
Assessment: Weight, Length, MUAC, Weight-for-age
Nutritional disorders: PEM, Rickets, Anemia

🥕 REMEMBER: MUAC <11.5cm = Severe acute malnutrition. Immediate referral!

🎯 KEY POINT: Exclusive breastfeeding prevents 13% of under-5 deaths. Promote it!

"Food is medicine. Good nutrition is the foundation of health!"

"Man shall not live on bread alone." - Matthew 4:4

DAY 18 📅 Nov 27 (Wed)

🚨 IMCI - Danger Signs

DME 212: Integrated Management

General Danger Signs: Lethargic, unconscious, convulsions, vomiting
Assess & Classify: Sick child 2 months to 5 years
Assess & Classify: Sick young infant 0-2 months

🚨 REMEMBER: Any danger sign = URGENT REFERRAL! Don't wait!

🎯 KEY POINT: IMCI = Integrated Management of Childhood Illness. Standardized approach!

"IMCI saves children's lives. Know it by heart!"

"Let the little children come to me." - Matthew 19:14

DAY 19 📅 Nov 28 (Thu)

📊 IMCI Treatment & HIV

DME 212: IMCI Treatment

Treat the Child: Oral drugs, injections, referrals
Counsel the mother
Manage HIV/AIDS using IMCI approach

💊 REMEMBER: Follow the algorithm exactly! Cough = Check for fast breathing = Pneumonia!

🎯 KEY POINT: HIV-exposed infants = Cotrimoxazole prophylaxis at 6 weeks. Test at 18 months!

"Standardized care = Quality care. Follow IMCI!"

"To act justly and to love mercy." - Micah 6:8

DAY 20 📅 Nov 29 (Fri)

🌍 Other Childhood Illnesses

DME 212: Diarrhea, Pneumonia, Malaria

Gastroenteritis: ORS, Zinc, Continue feeding
Pneumonia: Fast breathing, Chest indrawing, Antibiotics
Malaria: Test, Treat, Prevent with ITN

💧 REMEMBER: ORS = 1L clean water + 6 tsp sugar + 0.5 tsp salt. Saves lives!

🎯 KEY POINT: Pneumonia = 50 breaths/min (2-12m), 40 breaths/min (12m-5y). Fast breathing = KEY SIGN!

"Diarrhea, pneumonia, malaria = Top child killers. Know them!"

"Save the weak and the needy." - Psalm 82:4

🔥 DAY 21 📅 Nov 30 (Sat)

🎯 MAJOR MILESTONE!

WEEK 3 COMPLETE!

✅ Review Days 15-20 (Pediatrics & IMCI)
✅ Practice IMCI on 5 case scenarios
✅ List ORS preparation steps
✅ Calculate pneumonia breathing rates
✅ REST - You're becoming a child health expert!

📊 PROGRESS: 21/31 days = 68% DONE! Paediatric mastery achieved!

"You're saving babies now. FEEL THE POWER! 💪"

"Let your light shine before others." - Matthew 5:16

DAY 22 📅 Dec 1 (Sun)

📊 Management Theories & Principles

DME 213: Be a Leader!

14 Principles of Management (Fayol)
Management Styles: Autocratic, Democratic, Laissez-faire
Functions: Planning, Organizing, Staffing, Directing, Controlling

📊 REMEMBER: Fayol's 14 principles = Division of work, Authority, Discipline, Unity of command!

🎯 KEY POINT: Unity of command = One boss per employee! Avoids confusion!

"Leadership is influence. Learn to lead, not just manage!"

"Where there is no vision, the people perish." - Proverbs 29:18

DAY 23 📅 Dec 2 (Mon)

👥 HR & Financial Management

DME 213: People & Money

HR: Planning, Recruitment, Performance Appraisal
Financial: Budgeting, Accountability, Sources of funding

💰 REMEMBER: Budget = Plan for income/expenditure. Types: Capital, Recurrent, Cash flow!

🎯 KEY POINT: Performance appraisal = Annual, objective, feedback. Motivates staff!

"People are your greatest asset. Manage them well!"

"The workers are worthy of their wages." - 1 Timothy 5:18

DAY 24 📅 Dec 3 (Tue)

🏥 Facility Management

DME 213: Equipment & Infrastructure

Equipment & Supplies: Inventory, Stock control, Procurement
Infrastructure: Maintenance, Safety
Transport: Ambulance management

🏥 REMEMBER: FIFO = First In, First Out. Prevent expiration. Stock cards essential!

🎯 KEY POINT: Cold chain = 2-8°C for vaccines. Break in chain = Discard!

"A well-managed facility saves lives. Be organized!"

"Everything should be done in a fitting and orderly way." - 1 Corinthians 14:40

DAY 25 📅 Dec 4 (Wed)

🤝 Leadership & Conflict

DME 213: Lead with Wisdom

Leadership Theories: Trait, Behavioral, Contingency
Styles: Autocratic, Democratic, Transformational
Conflict Resolution: Avoid, Compete, Accommodate, Compromise, Collaborate

🤝 REMEMBER: Collaboration = Win-win. Best for complex issues needing buy-in!

🎯 KEY POINT: Support supervision = Not fault-finding, but capacity building!

"Lead with grace. Transform your team!"

"Whoever wants to be great must be a servant." - Matthew 20:26

DAY 26 📅 Dec 5 (Thu)

📈 Quality & Information Systems

DME 213: HIMS & Quality

Quality Control: Standards, Indicators, Audits
Health Information Management System (HIMS)
Data collection, analysis, use for decision-making

📊 REMEMBER: HIMS = Forms, registers, reports. Timely, accurate, complete data!

🎯 KEY POINT: Quality indicators = Maternal mortality rate, neonatal mortality rate. Track them!

"Data drives decisions. Be a quality champion!"

"For lack of guidance a nation falls." - Proverbs 11:14

DAY 27 📅 Dec 6 (Fri)

🇺🇬 Uganda Health System

DME 213: Policies & Structure

Health System Structure: HCII, HCIII, HCIV, Hospital
Key Policies: Uganda Healthcare System
Integrated disease response & surveillance

🇺🇬 REMEMBER: HCII = Parish, no doctor, maternity. HCIII = Sub-county, clinical officer, maternity beds!

🎯 KEY POINT: IDSR = Integrated Disease Surveillance & Response. Report 9 priority diseases!

"Know your system. Work within it to improve it!"

"Be strong and courageous." - Joshua 1:9

💥 DAY 28 📅 Dec 7 (Sat)

🎊 FINAL SPRINT!

WEEK 4 COMPLETE!

✅ Review Days 22-27 (Management)
✅ List all 14 Fayol principles
✅ Draw Uganda health system structure
✅ Practice conflict resolution scenarios
✅ REST - The finish line is near!

📊 PROGRESS: 28/31 days = 90% DONE! Management skills acquired!

"You've mastered management. Now lead! 🌟"

"Well done, good and faithful servant!" - Matthew 25:23

DAY 29 📅 Dec 8 (Sun)

💼 Entrepreneurship

DME 213: Be Your Own Boss!

Entrepreneurship: Characteristics, Skills, Process
Business Idea: Opportunity identification
Business Types: Sole proprietorship, Partnership, Company

💼 REMEMBER: Entrepreneur = Risk-taker, innovative, persistent. Sees opportunity where others see risk!

🎯 KEY POINT: SWOT analysis = Strengths, Weaknesses, Opportunities, Threats. Essential for planning!

"Midwives can be entrepreneurs. Start that clinic!"

"Go to the ant, consider its ways and be wise." - Proverbs 6:6

DAY 30 📅 Dec 9 (Mon)

📈 Business Planning & Marketing

DME 213: Grow Your Business

Business Plan: Executive summary, Market analysis, Operations
Marketing: 4 P's (Product, Price, Place, Promotion)
Customer Care: Quality service, Retention

📈 REMEMBER: Business plan = Roadmap. Without it, you plan to fail!

🎯 KEY POINT: Customer care = Repeat business. Satisfied client refers 3 more!

"Your business can fill gaps in maternal care. Plan well!"

"The plans of the diligent lead to profit." - Proverbs 21:5

🎯 DAY 31 📅 Dec 10 (Tue)

😌 LIGHT REVIEW & REST

PREPARE YOUR MIND

✅ Skim ALL sticky notes (golden nuggets)
✅ Review emergency protocols ONE last time
✅ Pack exam materials (ID, pens, calculator)
✅ Sleep 8-9 hours (memory consolidation!)
✅ PRAY & visualize SUCCESS

🧠 REMEMBER: Tomorrow you rest. Dec 11-13 = Final review. Dec 14 = VICTORY!

"You've done the work. Now trust your training. You. Are. READY! 🏆"

"Be strong and courageous. Do not be afraid." - Joshua 1:9

🎓 EXAM DAY 📅 Dec 14 (Sat)

🏆 YOU ARE A MIDWIFE!

DEC 11-13: FINAL REVIEW DAYS

Use the website for last-minute notes!

✅ Dec 11: Review all obstetric emergencies (PPH, rupture, inversion)
✅ Dec 12: IMCI steps & neonatal care protocols
✅ Dec 13: Management theories & entrepreneurship basics
✅ Dec 14: EXAM DAY - You've got this! 👶⚕️

"SEMESTER 3 MASTERED. GO GET THAT A+! GOD IS WITH YOU! 🙏"