|Title:||Management of Obstetric Emergencies in a Health Centre: A Handbook for Midwives|
|Format:||docx lit txt mbr|
|ePUB size:||1883 kb|
|FB2 size:||1968 kb|
|DJVU size:||1292 kb|
|Publisher:||Prentice Hall Press (December 1981)|
Obstetric emergencies are unplanned and often unanticipated. Management requires a clear understanding of the life-saving and damage-limiting treatments that can be implemented. This manual covers life-threatening emergencies of pregnancy in a systematic and comprehensive way, teaching the skills and procedures needed to save the mother and fetus. Essential anatomical, physiological and pathological information is presented and clinically applied, and treatment algorithms give clear, step-by-step management advice. October 1983 · Tropical Doctor. The Lived Experience of Guatemalan Lay Midwives' Struggle with Obstetrical Emergencies.
We established an onsite obstetric emergencies training programme for maternity staff in the Mpilo Central Hospital. We trained 12 local staff to become trainers and provided them with the equipment and resources needed for the course. The trainers held one-day courses for 299 staff at the hospital. Maternal mortality in Zimbabwe has increased from 555 to 960 per 100 000 pregnant women from 2006 to 2011 and 47% of the deaths are believed to be avoidable. Monitoring emergency obstetric care: a handbook. Geneva: World Health Organization; 2009. 9. Crofts JF, Ellis D, Draycott TJ, Winter C, Hunt LP, Akande VA. Change in. knowledge of midwives and obstetricians following obstetric emergency. and teamwork training.
Training for obstetric emergencies may be part of the solution, but is not always effective: some training programmes either did not have a clinical effect or were associated with increases in perinatal morbidity. In low-income countries, some studies have reported an increase in knowledge or skills after training, but failed to demonstrate improved clinical outcomes,2,3 while other interventions failed to demonstrate improved skills. Staff reported more confidence in their management of emergencies and a perception that emergency management has improved overall. Following the train-the-trainers course, staff developed their own emergency boxes for the management of eclampsia and postpartum haemorrhage, based on those they used during simulated emergencies. Training for obstetric emergencies is feasible in a low-resource setting.
The book is organized in two main sections: obstetric emergencies and gynecologic emergencies. Although the organization is along the lines of the traditional major emergencies that occur in these two disciplines, several problems are addressed by multiple authors from different perspectives. 1. Medical Emergencies in the Pregnant Patient Saju D. Joy and Stephen A. Contag. This chapter highlights five serious medical complications during pregnancy. Exclusive use of short-acting b 2-agonists for management of persistent asthma is associated with an increased mortality (40). Long-acting b 2-agonists have been shown to significantly decrease the number and severity of exacerbations when used in combination with inhaled corticosteroids; however, their safety in pregnancy has not been proven (30,38).
157 women referred for obstetric emergencies were studied regarding clinical outcome and process indicators like waiting time, partogramme quality and Caesarean section rate (CSR). It would be unwise to view process and outcome measurements as competing with each other; rather it is a matter of circumstances which indicator is regarded most useful3. In a more focused perspective, like evaluating the quality of a referral system, process indicators are more relevant. Improving health care through audit. New York: John Wiley & Sons.
Obstetric and foetal complication and their management have effects on a pregnant mother or her foetus. Pregnant women experience these complications during pregnancy, delivery, and up to 42 days following childbirth. Thus measuring the incidence of complications is essential for the specific population or at a health facility for strengthening the service provisions (training and recruiting of staff, purchasing of equipment, et. These conditions are considered obstetric emergencies and thus required immediate/urgent and appropriate interventions. MOU unit thus requires referring these cases to a hospital for the sake of mother and the unborn baby.
Obstetric and Intrapartum Emergencies: A Practical Guide to Management is written by a wide variety of obstetric experts in developing and developed countries and provides an easy-to-use guide to recognize and treat perinatal emergencies before it is too late. The text includes learning tools such as ‘Key Pearls’ and ‘Key Pitfalls,’ a section on managing emergencies in a low-resource setting and contains detailed illustrations throughout. This book is a practical and invaluable guide for obstetricians, neonatologists, midwives, medical students and the wider perinatal team.
Management of obstetric emergencies in primary careDr Shuhaila Ahmad Jabatan Obstetrik & Ginekologi Fakulti Perubatan Universiti Kebangsaan . .Eclampsia, Impending eclampsia Eclampsia : Occurrence of convulsion in a women whose condition meets the criteria of preeclampsia and not caused by coincidental neurological disease Impending eclampsia Is there such a condition? Preeclampsia with mainly neurological symptoms.
Maternity home and health centre respondents were mainly midwives and both had a similar level of vignette competence with a median of 53% in health centres and 50% in maternity homes. Health workers in clinics, also mainly midwives, scored lowest in the vignettes with a median score of 45% (range 5–55%) (figure 2, table 1). Download figure. We found that competence in first-line management of obstetric emergencies as measured by two clinical vignettes varied markedly by cadre and facility type. The two cadres with most training in obstetric care-doctors and midwives-scored highest in the vignettes, as expected. However, even doctors and midwives were classified as only moderately competent.