First Referral Units (FRUs)

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