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
Enhancing Maternal and Perinatal Health in Under-Served Remote Areas in Sub-Saharan Africa: A Tanzanian Model
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
TL;DR: Findings strongly indicate that remotely located health centres in resource limited settings hold a great potential to increase accessibility to CEmONC services and to improve maternal and perinatal health.
Prevalence and factors associated with non-utilization of healthcare facility for childbirth in rural and urban Nigeria: Analysis of a national population-based survey
TL;DR: The prevalence of home delivery was much higher in rural than urban Nigeria and the associated factors differ to varying degrees in the two residences.
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
A reassessment of the concept of reproductive risk in maternity care and family planning services. Proceedings of a seminar presented under the Population Councils Robert H. Ebert Program on Critical Issues in Reproductive Health and Population February 12-13 1990 the Population Council New York New York.
Rooks J,Winikoff B +1 more
- 01 Jan 1990
TL;DR: Kallianes et al. as mentioned in this paper presented a discussion of issues involved in developing a reproductive risk assessment instrument and scoring system and the WHO risk approach in maternal and child health and family planning services.
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Issues in essential obstetric care
Diana Measham,Virginia Kallianes +1 more
- 01 Jan 1996
TL;DR: The Safe Motherhood Inter-Agency Group's technical meeting on essential obstetric care, and the development and publication of this report, are grateful to the distinguished panel of speakers on whose work this report is based.
The effect of addressing demand for as well as supply of emergency obstetric care in Dinajpur, Bangladesh
J. Hossain,S.R. Ross +1 more
TL;DR: At the end of the project, knowledge of obstetric danger signs was much greater in intervention area than in the other 2 areas, and it is concluded that the best results are achieved through a combination of facility improvement, quality of care activities and targeted community mobilization activities.
Maternal Mortality: Paradigm Shift in Nepal
TR Bhadari,Ganesh Dangal +1 more
TL;DR: Though maternal health is a priority agenda of Nepal among the policy makers and the country is likely to achieve Millennium Development Goal 5 by the year 2015, there is a wide gap between policies and charted targets, and the real accessibility and availability of the quality health services.