Académique Documents
Professionnel Documents
Culture Documents
Bernadette Daelmans,
1|
2|
Essential interventions
3|
Essential interventions
Before pregnancy
During pregnancy
Essential interventions
During child birth
Exclusive breastfeeding
Thermal care Hygienic cord care
Packages of care
Clinical
TREATMENT FOR PREGNANCY COMPLICATIONS
REPRODUCTIVE CARE
Outpatient
ANTENATAL CARE
POSTNATAL CARE
AND
MANAGEMENT OF NEWBORN PROBLEMS
PREPREGNANCY CARE
HOME VISITS DURING PREGNANCY SAFER HOME BIRTH
Family/ community
Intersectoral: improved housing, water and sanitation, and nutrition; education and empowerment
6 Pre-pregnancy
Pregnancy
Childbirth
Newborn/postnatal
Essential newborn care Not breathing at Birth: drying, skin-to-skin birth: Resuscitation First week: early/excl. BF, Preterm birth: Kangaroo warmth, cord care, hygiene Mother Care, BF support, Suspected sepsis: immediate treatment of Early antibiotic suspected infection treatment
7|
REPRODUCTIVE CARE
Labour and childbirth care Labour monitoring Childbirth care Obstruction/Fetal distress: CS, vacuum PT labour: corticosteroids, antibiotics for PPROM
PRECONCEPTION CARE
Birth: drying, skin-to-skin First week: early/excl. BF, warmth, cord care, hygiene
8|
champions, MoHs, local authorities, professional association, NGOs & international agencies.
10 |
Monitoring quality
WHO Safe Childbirth Checklist
contains 29 items addressing: the major causes of maternal death - haemorrhage, infection, obstructed labour and hypertensive disorders intrapartum-related stillbirths inadequate intrapartum care neonatal deaths - birth asphyxia, infection and complications related to prematurity
http://www.who.int/patientsafety/implementation/checklists/childbirth/en/index.html
12 |
WHO Global Health Workforce Statistics. Countdown countries affected by a severe health workforce shortage | 13 in 2012, by UNICEF region. al Health Workforce Statistics.
Regulatory bodies
Educational standards and practice competencies. License and relicense midwives.
By professional associations
Establish solid governance, strengthen administrative capacity and improve financial management
By partners:
15 |
Support programmes to scale up midwifery services enabling country commitments to the Global Strategy
16 |
18 |
QoC improvement
Vital registration
Identify deaths
Report deaths
Response
QoC 19 | measurement MMR tracking
20 |
| Barros AJD et al., Equity in maternal, newborn and child health interventions in Countdown to 2015: Source: 21
a retrospective review of survey data from 54 countries. Lancet 2012; 379: 1225-33.
22 |
CoIA
HOSPITAL: When the mother went into premature labour, her husband urged her to go to the hospital, and she delivered a LBW infant weighting 1.5 kg
23 |
HOME: When discharged from the hospital on day 5, the CHW visited to assist with feeding, ensuring warmth and screen for danger signs
Thank you
24 |