COLLABORATIVE APPROACH FOR THE TREATMENT OF POSTPARTUM HAEMORRHAGE

1
COLLABORATIVE APPROACH FOR THE TREATMENT OF
POSTPARTUM HAEMORRHAGE

• FLASOG May 2005
• Betty-Anne Daviss, RM, MA
• Project Manager, ICM/FIGO, Iniciativa Maternidad
  Sin Riesgo/Newborn
• Iniciativa Global en la Prevencion de la
  hemorragia Post-Parto

2
(No Transcript)
3
The Swedish Association of Midwives
4
maternal mortalitys unfinished agenda in the
Americas
Centers for Disease Control Prevention.
Achievements in Public Health 1900-1999
Healthier Mothers and Babies 48(38)849-58
Atlanta, 1999. WHO Maternal Mortality in 2000
estimates developed by WHO, UNICEF UNFPA
Geneva, 2002
5
Important measure to reduce maternal mortality

• In developed countries it has been shown that the
  development of national midwifery coverage has
  often been the single most important measure in
  reducing maternal mortality.
• Jerker
  Liljestrand,
• Co-chair, Safe
  Motherhood Program,
  FIGO

6
Women do not always come to the clinics.
7
Key Components of FIGO/ICM Safe
Motherhood/Newborn Projects

• 1. Civil Society
• 2. Midwives Nurses Associations
• 3. Obstetric Societies
• 4. Ministries of Health

8
Latin America and the CarribeanCauses of
Maternal Mortality

• Hemorrhage (20),
• Toxemia (22)
• Other complications post partum (15)
• Other direct causes (17).
• Abortion related deaths 11 (in some countries,
  abortions leading cause)
• Pre-existing diseases (15) ( tuberculosis, heart
  disease, and influenza) management.
• Based on PAHO data (1995-2000) for reported
  maternal deaths in 20 countries, using various
  sources, primarily vital statistics,
  surveillance, and special country studies.
  Under-reporting is still a problem in many
  countries

9

Joint Statement Management of the Third Stage of
Labour to Prevent Post-partum Haemorrhage

• Every attendant at birth needs to have the
  knowledge, skills and critical judgment needed to
  carry out active management of the third stage of
  labour and access to needed supplies and
  equipment.

10
GUATEMALA 2002
11
Parteras Empiricas Misoprostol
12
Health Clinic Manager -- Afghanistan
13
Learning How to Use Oxytocin
14
Alerta Internacional Asociación de Ginecologia y
Obstetricia de Guatemala