B Subha Sri, MPS Course, July 2010. MEETING HEALTH SYSTEMS CHALLENGES RELATED TO EMERGENCY OBSTETRIC CARE. Maternal death – Medical causes. Hemorrhage Hypertensive disorders Sepsis Obstructed labour Unsafe abortion
MPS Course, July 2010MEETING HEALTH SYSTEMS CHALLENGES RELATED TOEMERGENCY OBSTETRIC CARE
Which woman will develop complications cannot be predicted in advance – High risk approach not enough.
Skilled birth attendance with access to Emergency Obstetric Care for all women.
Basic Emergency Obstetric Care
Comprehensive Emergency Obstetric Care
All (1 to 6) functions included in basic EmOC
7) Perform surgery (e.g., cesarean section)
8) Perform blood transfusion
Quality improvement is an improvement in the level of performance of a key process
2) Geographic distribution
3) Percentage of births in EmOC facilities
No. of women with obstetric complications treated in EmOC facilities
15% of estimated live births in catchment area
6) Case fatality rate