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 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.

scholarly journals Assessment of maternal deaths using three delay model at a tertiary care centre in rural Maharashtra, India: retrospective six years study

2018 ◽  
Vol 7 (8) ◽  
pp. 3043 ◽  
Author(s):  
Jitendra P. Ghumare ◽  
Namrata Vasant Padvi
Keyword(s):  
Maternal Health ◽  
Tertiary Care ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Care Hospital ◽  
Delay Model ◽  
Maternal Deaths ◽  
Level Ii ◽  
Level I ◽  
Facility Level

Background: Maternal deaths are the social indicators of the human development and hence their place in MDGs and now in SDGs. Even though India has made a great stride in reducing maternal deaths, the differentials in the states are huge ranging from 46 to 237 maternal deaths per 100000 live births. The three delay model assesses the issues in the emergency obstetric care and upon which the interventions can be based to improve maternal health indicators.Methods: Retrospective record based observational study was carried out at an obstetrics and gynecology department of a tertiary care hospital located at Northern Maharashtra region. The records of deliveries, maternal deaths, age of the mothers, their time of presentation with obstetric complication, level of delay and the reason for delay were extracted for the period of 2011 to 2016. Three delays being, level I - delay in decision to seek care, level II - delay in identifying and reaching medical facility, level III - delay in receipt of adequate and appropriate treatment at facility.Results: Out of 54335 deliveries, there were 128 maternal deaths. 80% women died due to complication in their ANC, 55% being in the third trimester of ANC. Major causes of death were preventable, including Eclampsia (21%), Anaemia (17%), PIH (15%), Sepsis, Other infections and haemorrhage. 27% women had delay of level I, 21% had level III and 15% had a mix of two or three level of delays. The reasons for level I delay being Lack of ANC visits, no ANC registration, level II delay being lack of timely transport facility, level III delay being lack of adequate manpower, training, and lack of efficient intensive care facilities.Conclusions: A good quality emergency obstetric care equals good maternal health. It can be achieved by strengthening the health infrastructure, tackling manpower shortages, having better referral linkages.

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

scholarly journals Female Community Health Volunteers’ (FCHVs) Involvement in Improving Maternal Health, Nepal

2019 ◽  
Vol 2 (3) ◽  
pp. 250-252 ◽  
Author(s):  
Prakash Shahi
Keyword(s):  
Maternal Health ◽  
National Policy ◽  
Family Health ◽  
Emergency Obstetric Care ◽  
Skilled Birth Attendant ◽  
Neonatal Morbidity ◽  
Obstetric Care ◽  
Safe Motherhood ◽  
Care Services ◽  
Policies And Programs

Improving maternal health was one of the eight millennium development goals (MDGs) in 2000 and later included in SDG as a major agenda in 2015 which was adopted by the international community.  In Nepal, the first elected democratic government developed Health Policy in 1991 and revised in 2014 which has identified safe motherhood as a priority program and institutionalized safe motherhood as a primary health care. In order to effectively address maternal and neonatal morbidity and mortality, the Family Health Division, Department of Health Services (DoHS) developed National Safe Motherhood Long Term Plan 2002- 2017 (revised in 2006) which aimed to establish basic and comprehensive emergency obstetric care services in all districts. To complement this plan, the National Policy on SBA (2006) was developed with the aim of increasing the percentage of births assisted by a skilled birth attendant (as internationally defined) to 60 percent by 2015. Table 1 explains some historical shifts in maternal health policies and programs in Nepal.

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