World Health Organization : Year 1994 ; World Health Organization, Family Health, Maternal and Newborn Health-Safe Motherhood, No. 94.11 - Revision 1: Safe Motherhood Mother-Baby Package ; Implementing Safe Motherhood in Countries

By Hiroshi Nakaiima, Dr.

Book Id: WPLBN0000120854
Format Type: PDF eBook:
File Size: 5.47 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1994 ; World Health Organization, Family Health, Maternal and Newborn Health-Safe Motherhood, No. 94.11 - Revision 1: Safe Motherhood Mother-Baby Package ; Implementing Safe Motherhood in Countries
Author:	Hiroshi Nakaiima, Dr.
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Nakajima, Dr, B. H. (n.d.). World Health Organization : Year 1994 ; World Health Organization, Family Health, Maternal and Newborn Health-Safe Motherhood, No. 94.11 - Revision 1. Retrieved from http://gutenberg.us/

Description
Medical Reference Publication

Excerpt
We stand at the threshold of a new century. At this moment, the future is our concern and must be our common responsibility. The future is for human beings - their lives and deaths, their personal relations, their happiness and suffering. Women are crucial to social and economic development. Their health and well-being matters to themselves, to their families and to communities. Moreover, the health and well-being of women is a critical ingredient of the generation of the future. Women undertake a vital function of bearing and raising our children. Yet insufficient attention has been paid to ensuring that they do so in safety. Pregnancy and childbirth are natural processes but they are by no means risk-free. Women and children die and suffer because they do not have access to the basic minimum of health care that is their right. Worldwide, only half the women in labour have someone nearby who can help if things go wrong. More than half a million women die each year as a direct result of pregnancy-related complications. Another 20 million at least suffer serious and long-lasting illnesses or disabilities. Every year, 4 million newborn infants die and millions more are disabled because of poorly managed pregnancies and deliveries. It is not for lack of knowledge that the majority of the world's women still face the prospect of death or disability as a consequence of childbearing. The burden of death and the stigma of permanent injury are borne by women and their newborn infants in large part because we, the holders of knowledge, the bearers of political authority and the architects of health and social programmes, have failed to exercise our full creative capacity and to commit our energies and resources to the health and development needs of women.

Table of Contents
TABLE OF CONTENS Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Executive summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x iii WHY the Mother-Baby Package? . . . . . . . . . . . . . . . . . . . . . 1 Most maternal deaths have the same causes . . . . . . . . . 1 Most pregnancy complications can be prevented or treated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Safe motherhood benefits babies too . . . . . . . . . . . . . . . 7 Safe motherhood is attainable . . . . . . . . . . . . . . . . . . . . 10 Effective and feasible interventions . . . . . . . . . . . . . . 10 District health system . . . . . . . . . . . . . . . . . . . . . . . . 10 Skilled health workers . . . . . . . . . . . . . . . . . . . . . . . . 14 WHAT is the Mother-Baby Package? . . . . . . . . . . . . . . . . . . 17 Goals and objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Reduction of maternal and neonatal mortality . . . . . . 17 Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Basic maternity care . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Breast-feeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Prevention. early detection and management of complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Anaemia in pregnancy . . . . . . . . . . . . . . . . . . . . . . . 24 Sexually transmitted diseases and HIV . . . . . . . . . . . 28 Eclampsia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Abortion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Haemorrhage - ante and postpartum . . . . . . . . . . . 37 Prolonged/obstructed labour . . . . . . . . . . . . . . . . . . 40 Puerperal sepsis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Neonatal tetanus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Birth asphyxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Neonatal hypothermia . . . . . . . . . . . . . . . . . . . . . . . . 47 Ophthalmia neonatorurn . . . . . . . . . . . . . . . . . . . . . . 49 HOW to operationalize the Mother-Baby Package . . . . . . . 53 Define national policy and guidelines . . . . . . . . . . . . . . 54 Assess needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Prepare national plan of action . . . . . . . . . . . . . . . . . . . 56 Estimate costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Identify sources of financial support . . . . . . . . . . . . . . . 57 Develop detailed implementation plan . . . . . . . . . . . . . 58