Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries
Tulsi Ram Bhandari,Ganesh Dangal +1 more
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TL;DR: Twenty-five years have passed since the global community agreed in Nairobi to address the high maternal mortality by implementing the Safe Motherhood Initiative, and emergency obstetric care is one of the strategies for reducing the maternal mortality as pregnancy related complications are unpredictable.
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Abstract: Twenty-five years have passed since the global community agreed in Nairobi to address the high maternal mortality by implementing the Safe Motherhood Initiative. However, every year nearly three million women die due to pregnancy related causes. This tragedy is avoidable if women have timely access to required emergency obstetric care. Emergency obstetric care refers to life-saving services for maternal and neonatal complications provided by skilled health workers. Since the beginning of the 1980’s, several efforts have been intensified to improve maternal and child health status and reducing the high morbidity and mortality. There was built on a worldwide consensus to provide improved maternal and child health care for addressing the high morbidity and mortality. All participant countries agreed to integrate emergency obstetric care services in their national health care system. Emergency obstetric care is one of the strategies for reducing the maternal mortality as pregnancy related complications are unpredictable. However, many women in developing countries do not have access to essential health care services including emergency obstetric care. Basic emergency obstetric care by skilled birth attendants or timely referral for further comprehensive emergency obstetric care can reduce maternal deaths and disabilities significantly. This paper is based on the results published in PubMed, Medline, Lancet, WHO and Google Scholar web pages from 1990 to 2013.
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Citations
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Angelo S Nyamtema,Nguke Mwakatundu,Sunday Dominico,Hamed Mohamed,Senga Pemba,Richard Rumanyika,Clementina Kairuki,Irene Kassiga,Allan Shayo,Omary Issa,Calist Nzabuhakwa,Chagi Lyimo,Jos van Roosmalen,Jos van Roosmalen +13 more
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Prevalence and factors associated with non-utilization of healthcare facility for childbirth in rural and urban Nigeria: Analysis of a national population-based survey
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Safe delivery care practices in western Nepal: Does women's autonomy influence the utilization of skilled care at birth?
TL;DR: In this article, the authors conducted a community-based cross-sectional study for assessing women's autonomy and utilization of safe delivery care service in Kapilvastu district of Nepal from June to October 2014.
Quality and timeliness of emergency obstetric care and its association with maternal outcome in Keren Hospital, Eritrea
TL;DR: In this paper , the authors compared women with potentially life-threatening condition (PLTC) and women with severe maternal outcome (SMO) with respect to various process and timeliness indicators.
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Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care
TL;DR: The study concluded that Nurses’ management protocol has appositive effect on nurse’s knowledge and practices regarding obstetric emergencies and recommended that Simple guidelines regarding emergency obstetrical nursing care can be attributed to nurses in the emergency obstetrics department.
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References
Comparison of midwifery-led and consultant-led maternity care for low risk deliveries in Nepal
TL;DR: After appropriate screening, intrapartum care for low risk deliveries is effectively provided by midwives and the Birthing Centre model should be considered throughout the developing world, particularly as a site for training of skilled attendants.
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Strengthening emergency obstetric care in Nepal: The Women's Right to Life and Health Project (WRLHP).
TL;DR: While the use of maternity services is still low in Nepal, improving availability and quality of EmOC together with community empowerment can increase utilization by women with complications, even in low‐resource settings.
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Service providers’ perception of the quality of emergency obsteric care provided and factors indentified which affect the provision of quality care
Elizabeth Chodzaza,K Bultemeier +1 more
TL;DR: The findings of this study reveal that health care workers rate the quality of emergency obstetric care they provide as poor and structure and process factors which contribute to this overall poor quality emergency Obstetric care provided were attributed to health care system problems and client problems.
Women are still deprived of access to lifesaving essential and emergency obstetric care
Monir Islam,Sachiyo Yoshida +1 more
TL;DR: Policy makers and program managers need to shift focus from development of new technologies toward development of viable organizational strategies to provide access to essential and emergency obstetric care 24 hours a day 7 days a week, and account for every birth and every death.
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Emergency Obstetric Referral in Rural Sierra Leone: What Can Motorbike Ambulances Contribute? A Mixed-Methods Study
TL;DR: Evaluating the implementation of the eRanger motorbike ambulances in rural Sierra Leone in terms of its use, acceptability and accessibility found that the ambulance is being used regularly to transport patients to a health care facility, well known to the communities, is acceptable and accessible, and is valued by those it serves.
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