A sustainable model to improve maternal health and promote early obstetric care in resource‐poor regions

2019 ◽  
Vol 145 (3) ◽  
pp. 350-353
Author(s):  
Sharon Foo ◽  
Shephali Tagore ◽  
Manisha Mathur ◽  
Keorany Poun ◽  
Maly Sam ◽  
...  
Keyword(s):  
Maternal Health ◽  
Obstetric Care ◽  
Resource Poor

The traditional healer in obstetric care: A persistent wasted opportunity in maternal health

2015 ◽  
Vol 133 ◽  
pp. 59-66 ◽  
Author(s):  
Raymond Akawire Aborigo ◽  
Pascale Allotey ◽  
Daniel D. Reidpath
Keyword(s):  
Maternal Health ◽  
Traditional Healer ◽  
Obstetric Care

scholarly journals The impact of a multi-level maternal health programme on facility delivery and capacity for emergency obstetric care in Zambia

2017 ◽  
Vol 13 (10) ◽  
pp. 1481-1494 ◽  
Author(s):  
Elizabeth G. Henry ◽  
Donald M. Thea ◽  
Davidson H. Hamer ◽  
William DeJong ◽  
Kebby Musokotwane ◽  
...  
Keyword(s):  
Maternal Health ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Facility Delivery ◽  
Multi Level ◽  
The Impact ◽  
Health Programme

scholarly journals Incidence of maternal near-miss in Kenya in 2018: findings from a nationally representative cross-sectional study in 54 referral hospitals

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Onikepe Owolabi ◽  
Taylor Riley ◽  
Kenneth Juma ◽  
Michael Mutua ◽  
Zoe H. Pleasure ◽  
...  
Keyword(s):  
Maternal Health ◽  
Maternal Mortality ◽  
Obstetric Care ◽  
Near Miss ◽  
World Health ◽  
Maternal Near Miss ◽  
Live Births ◽  
Management Of Complications ◽  
Referral Hospitals ◽  
Nationally Representative

Abstract Although the Kenyan government has made efforts to invest in maternal health over the past 15 years, there is no evidence of decline in maternal mortality. To provide necessary evidence to inform maternal health care provision, we conducted a nationally representative study to describe the incidence and causes of maternal near-miss (MNM), and the quality of obstetric care in referral hospitals in Kenya. We collected data from 54 referral hospitals in 27 counties. Individuals admitted with potentially life-threatening conditions (using World Health Organization criteria) in pregnancy, childbirth or puerperium over a three month study period were eligible for inclusion in our study. All cases of severe maternal outcome (SMO, MNM cases and deaths) were prospectively identified, and after consent, included in the study. The national annual incidence of MNM was 7.2 per 1,000 live births and the intra-hospital maternal mortality ratio was 36.2 per 100,000 live births. The major causes of SMOs were postpartum haemorrhage and severe pre-eclampsia/eclampsia. However, only 77% of women with severe preeclampsia/eclampsia received magnesium sulphate and 67% with antepartum haemorrhage who needed blood received it. To reduce the burden of SMOs in Kenya, there is need for timely management of complications and improved access to essential emergency obstetric care interventions.

scholarly journals Utility of paperless partogram in labor management

2020 ◽  
Vol 9 (3) ◽  
pp. 1045
Author(s):  
Nazli Tarannum ◽  
Nishat Akhtar
Keyword(s):  
Perinatal Outcome ◽  
Analytical Study ◽  
Obstetric Care ◽  
Resource Poor Setting ◽  
Delivery Time ◽  
Labor Management ◽  
Resource Poor ◽  
Group A ◽  
The Mean ◽  
Group B

Background: Partograph use in labor has revolutionized the obstetric care. WHO recommends universal use of WHO modified partograph, which in clinical setup is less often used. Debdas (2006) proposed the paperless partogram which is designed for use by clinician/nurses/midwives as it is very simple and low skill method. The present study is proposed to evaluate the effectiveness of paperless partogram as a bedside tool and its comparison with WHO modified partograph.Methods: It was a prospective analytical study done in department of obstetrics and gynecology, JNMCH, AMU, Aligarh from September 2017 to July 2019 and included 400 pregnant women at term, divided into 2 groups of 100 each Group A (paperless partogram) and Group B (WHO modified partograph) and their labor events were followed.Results: Out of 200 women that were included in each group, maximum women were multigravida, 58.5% in group A and 61.5% women in Group B. Mean age in Group A was 24.68±3.8years and Group B was 24.93±3.75 years. The mean duration of labor in Group A was 3.57±2.20 hours and Group B was 3.40±2.03 hours. There were 87.5% of women who delivered before alert ETD, likewise in Group B; women who delivered before alert line are 88.5%. These differences were statically not significant. Perinatal outcome was also similar in both groups.Conclusions: In our study, the paperless study was found to be as efficient as WHO modified partograph for management of labor. The mean delivery time was 3.57 hours similar to WHO partograph of difference between alert and action line. Thus, for resource poor setting like India with overburdened population paperless partogram can be used as an alternative to WHO modified partograph which is complex and time consuming.

scholarly journals Monitoring quality of obstetric care from hospital discharge databases: A Delphi survey to propose a new set of indicators based on maternal health outcomes

PLoS ONE ◽  
2019 ◽  
Vol 14 (2) ◽  
pp. e0211955 ◽  
Author(s):  
Priscille Sauvegrain ◽  
Anne Alice Chantry ◽  
Coralie Chiesa-Dubruille ◽  
Hawa Keita ◽  
François Goffinet ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Outcomes ◽  
Hospital Discharge ◽  
Obstetric Care ◽  
Delphi Survey ◽  
Quality Of Obstetric Care ◽  
Maternal Health Outcomes ◽  
Monitoring Quality

The management of postpartum haemorrhage

1992 ◽  
Vol 30 (23) ◽  
pp. 89-92
Keyword(s):  
Maternal Health ◽  
Maternal Death ◽  
Postpartum Haemorrhage ◽  
Obstetric Care ◽  
Obstetric Emergency ◽  
The Uk

Postpartum haemorrhage (PPH) is a major cause of maternal death worldwide. In the UK, improved maternal health and obstetric care have greatly reduced mortality, but PPH remains a common obstetric emergency and some women still die from it. How can the risk of PPH be minimised and how should it be managed?

scholarly journals Male Involvement in Maternal Health Planning Key to Utilization of Skilled Birth Services in Malindi Subcounty, Kenya

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Lilian Nyamusi Nyandieka ◽  
Mercy Karimi Njeru ◽  
Zipporah Ng’ang’a ◽  
Elizabeth Echoka ◽  
Yeri Kombe
Keyword(s):  
Maternal Health ◽  
Health Planning ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Male Involvement ◽  
Rural Populations ◽  
Place Of Birth ◽  
Community Members ◽  
Care Services ◽  
Setting Process

Background.In Malindi, rural populations face challenges in accessing skilled birth services. Consequently, the majority of women deliver at home and only seek help when they have complications. This paper reports part findings from a study conducted to assess health priority setting process and its implication on availability, access, and use of emergency obstetric care services in Malindi.Methods. The study utilized qualitative methods to collect data from health personnel and maternal health stakeholders including community members. Source and method triangulation was used to strengthen the credibility of study findings. Data was categorized manually into themes around issues relating to utilization of skilled birth services discussed in this paper.Findings. Various barriers to utilization of skilled birth services were cited. However, most were linked tomwenye(the husband) who decides on the place of birth for the wife.Conclusion.Husbands are very influential in regard to decisions on skilled birth service utilization in this community. Their lack of involvement in maternal health planning may contribute as a barrier to utilization of skilled care by pregnant women. There is need to address themwenyefactor in an attempt to mitigate some of the barriers cited for nonutilization of skilled birth services.

Sign in / Sign up

Export Citation Format

Share Document