Real progress will require tackling discrimination against women, increasing resources to strengthen health systems to ensure universal access to care, including through skilled birth attendants and
emergency obstetric care, and expanding access to family planning.
«We found compelling evidence for impact of several interventions on preventing stillbirths, especially
emergency obstetric care; screening and treatment for maternal infections such as syphilis, and prevention and treatment of malaria,» said Gary Darmstadt, MD, MS, co-author and co-editor of the study and former director of the Johns Hopkins Bloomberg School of Public Health's International Center for Advancing Neonatal Health.
Since more than half of maternal deaths in sub-Saharan Africa are due to obstetric complications, it is critical to ensure that women with life - threatening complications can access
the emergency obstetric care that can save their life and that of their baby.
«Doing so depends not on the delivery of a single intervention, like vaccines, bed nets and cocktails of medicine, but on a well - functioning health system, with access to skilled birth attendants and
emergency obstetric care.»
This strategy requires responsive health systems that are equipped with lifesaving commodities and staffed with health workers who can deliver high - quality and timely skilled care, including
emergency obstetric care and interventions for small and ill newborn babies.
21 studies: 13 for skilled birth attendance (10 before - after or non-randomised studies and 3 observational studies) and 9 historical or ecological studies for
emergency obstetric care
However, it is uncertain what the effects of alternative ways of providing
emergency obstetric care are on stillbirths or perinatal mortality (very low - certainty evidence)(Yakoob 2011).
➡ It is uncertain what the effects of alternative ways of providing
emergency obstetric care are on stillbirths or perinatal mortality.
The effect of providing skilled birth attendance and
emergency obstetric care in preventing stillbirths
Randomised and non-randomised trials; and observational studies evaluating the provision of skilled birth attendance and
emergency obstetric care
Of the stillbirths, the number occurring less than 12 hours before or during childbirth, has decreased 18 % in less than 5 years, mainly due to improvements in quality of facility childbirth,
emergency obstetric care and mothers choosing to deliver their babies in maternity facilities, according DHS.
June 2017 — Since the first edition was published in 2000, Managing complications in pregnancy and childbirth has been translated into several languages and today is used widely in training for and the provision of
emergency obstetric care.
Direct Relief's interventions include expanding access to safe deliveries by training and equipping traditional birth attendants and midwives, addressing complications in birth with
emergency obstetric care, and enrolling mothers into the Prevention of Maternal - to - Child Transmission of HIV program.
Not exact matches
The new edition brings the guidance in the manual into line with WHO's current recommendations for
emergency obstetric and newborn
care.
The
emergency obstetric referral interventions examined included financial arrangements, implementation strategies and delivery arrangements such as information and communication technologies, changes in where
care is provided, integration of services, and the use of ambulances.
At this time, in the United States all Level III hospitals, those that have
emergency obstetric services available at all times and a neonatal special
care nursery meet the current ACOG recommendations for VBAC.
The decision to offer and pursue TOLAC in a setting in which the option of
emergency cesarean delivery is limited should be carefully considered by patients and their obstetricians or other
obstetric care providers.
When resources for
emergency cesarean delivery are not available, ACOG recommends that obstetricians or other
obstetric care providers and patients considering TOLAC discuss the hospital's resources and availability of
obstetric, pediatric, anesthesiology, and operating room staffs.