INTERVENTIONS FOR MATERNAL AND NEONATAL DEATHS

PRINCIPAL INTERVENTIONS FOR MATERNAL AND NEONATAL DEATHS.



Table 1 :Causes of maternal and neonatal deaths and principal interventions required.

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Causes of maternal and neonatal % Proven interventions
deaths
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Bleeding after delivery [postpartum....25..Treat anemia in pregnancy.
hemorrhage]...............................................Skilled attendant at birth:
...................................................................prevent/treat bleeding with
...................................................................correct drugs,
...................................................................replace fluid loss by
.................................................................. intravenous drip/transfusion
...................................................................if needed
Infection after delivery.......................15.. Skilled attendant at birth:
..................................................................clean practice. Antibiotics if
..................................................................infection arises
Unsafe abortion............................13.
.................................................................Skilled attendant: give
.................................................................antibiotics, empty uterus,
.................................................................replace fluid if needed,
.................................................................counsel, and provide family
.................................................................planning. Access to safe
.................................................................abortion where not against the
.................................................................law.
High blood pressure..........................12....Detect pregnancy;refer to
................................................................doctor or hospital Treat[hypertension] during pregnancy:........eclampsia with appropriate
most dangerous when severe
[eclampsia] ..........................................anticonvulsive [magnesium
................................................................sulfate].Refer unconscious
...............................................................woman for expert urgent
...............................................................assistence
Obstructed labor .........................8
..............................................................Detection in time and referral for
..............................................................operative delivery.
Other direct obstetric causes .........8
.............................................................Refer ectopic pregnancy for
.............................................................operation.
Indirect causes .........................19 .....................................................
.............................................................Disease-specific interventions
.............................................................[malaria, HIV, etc]

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Causes of neonatal deaths........... %.. .Proven intervention ....................
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Infections [septic meningitis],.33....Maternal tetanus toxoid
..........................................................immunization
pneumonia, neonatal ........................syphilis screening and treatment,
tetanus, congenital syphilis]......... ....clean delivery,warmth, support for
.........................................................early and exclusive breastfeeding,
.................................................... ....early recognition management of
.................................................... ....infections.
Birth asphyxia and ........... 28.. ..Skilled attendant at birth:
trauma.............................................effective management of maternal
........................................................obstetric complications.
Preterm birth and/ or...........24.. ..Anti malarial for women at
.......................................................risk during
low birth weight ............................pregnancy.Attention to warmth,
.....................................................breastfeeding counseling and support,
.....................................................infection control and early detection
.....................................................and
....................................................management of complication. Sexually
....................................................transmitted disease treatment. ....................................................Smoking cessation.

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