EMERGENCY OBSTETRIC CARE - AN INTERVENTION OF MATERNAL MORTALITY
EMERGENCY OBSTETRIC CARE
AN INTERVENTION OF
Maternal deaths and disabilities are leading
contributors in women's disease burden with
an estimated 275,000 women killed each
year in childbirth and pregnancy worldwide.
In 2011, there were approximately 273,500
maternal deaths (uncertainty range, 256,300
to 291,700). Forty-five percent of postpartum
deaths occur within 24 hours. Over 90% of
maternal deaths occur in developing
PICTURE OF BANGLADESH
Bangladesh has a high maternal mortality
ratio, with 320 deaths per 100,000 births.
This means there are about 11,000 to 12,000
women dying from pregnancy or childbirth
complications every year in Bangladesh
These high mortality rates are underpinned
by the fact that nine out of every 10 deliveries
take place at home, most with unskilled
attendants or relatives assisting.
Death of a women while
pregnant or within 42 days of
termination of pregnancy from
any cause related to or
aggravated by the pregnancy
but not from accidental or
1) Haemorrhage (25%).
2) Infections (13%).
3) Unsafe abortion (13%).
4) Eclampsia (12%).
5) Obstructed labour (8%).
6) Other direct causes (8%).
1) Cardiovascular disease aggravated by
2) Respiratory disease aggravated by
1) Social issues
2) Economic Issues
3) Medical issues
(1) Early marriage
(2) Gender discrimination
(4) Desire for selective sex of child- female feticide
(5) Domestic violence
1) Lack of money
2) Lack of timely transport and communication
3) Delay in taking decision to shift
4) Improper dietary habits
1) Lack of ANC
2) Lack of emergency obstetric care
3) Lack of blood and blood products
4) Lack of essential drugs
5) Junior staff dealing with high risk cases without supervision
6) Delay in diagnosis / wrong diagnosis
Three Delay Model
1. Delay in seeking appropriate medical help for an
obstetric emergency for-
a) Reasons of cost,
b) Lack of recognition of an emergency,
c) Poor education, lack of access to information and
2. Delay in reaching an appropriate facility for
reasons of distance, Under developed
transportation and Medical & Health
3. Delay in receiving adequate care when
a facility is reached, because there are-
a) Shortages in staff / electricity and
b) Medical supplies are not available/