First Referral Unit

It is a district or sub-divisional hospital or community health centre which has the facilities for obstetric surgery, blood transfusion, anaesthesia, specialist pediatric care, operation theatre and required equipment. This centre also has the facilities for MTP, tubectomy, vasectomy and pediatric care for high risk neonates and other severe problems of early childhood. It provides specialist services in addition to all the services available at a PHC.

Specialist Services available at FRU:

Surgical:

• Caesarian section
• Laparotomy and repair of ruptured uterus
• Surgical treatment of severe sepsis
• Evaluation of incomplete abortion
• Mid-trimester abortion
• Repair of cervical and vaginal tears
• Amniotomy with/ without oxytocin
• Tubectomy/vasectomy

Medical Management of:

• severe hypertensive disorders of pregnancy, eclampsia
• hemorrhagic shock
• severe anaemia
• septicemia
• use of iv oxytocin during labour

Manual:

• Manual removal of placenta
• Forceps delivery
• Vacuum extraction
• Partography

Anaesthesia:

• general, spinal

Blood Transfusion:

• bleeding a donor and blood transfusion
• performing mandatory tests

Newborn and Pediatric Care:

• Resuscitation
• Management of sick newborns and severe illnesses of young children