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COLLABORATIVE APPROACH FOR THE TREATMENT OF POSTPARTUM HAEMORRHAGE

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. The Swedish Association of Midwives. 1000.

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COLLABORATIVE APPROACH FOR THE TREATMENT OF POSTPARTUM HAEMORRHAGE

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  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. The Swedish Association of Midwives

  3. 1000 USA CAN HAI LAC trend 900 BOL PAR PER 800 PAN BRA TRT GUT 700 DOR NIC ELS 600 VEN COL maternal mortality (ratio per 100,000 live births) BAR 500 ECU JAM HON MEX 400 ARG BAH COR 300 CUB CHI 200 URU 100 0 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 maternal mortality’s 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

  4. 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

  5. Women do not always come to the clinics.

  6. Key Components of FIGO/ICM Safe Motherhood/Newborn Projects • 1. Civil Society • 2. Midwives’ & Nurses’ Associations • 3. Obstetric Societies • 4. Ministries of Health

  7. Latin America and the Carribean:Causes 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

  8. 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.

  9. GUATEMALA 2002

  10. Parteras Empiricas – Misoprostol

  11. Health Clinic Manager -- Afghanistan

  12. Learning How to Use Oxytocin

  13. Alerta Internacional Asociación de Ginecologia y Obstetricia de Guatemala

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