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close this bookEssential Elements of Obstetric Care at First Referral Level (WHO - OMS, 1991, 80 p.)
View the document(introduction...)
View the documentPreface
Open this folder and view contents1. Introduction
Open this folder and view contents2. Essential elements of obstetric care related to causes of maternal death
Open this folder and view contents3. Implementation
View the documentReferences
View the documentAnnex 1. Technical Working Group on Essential Obstetric Functions at First Referral Level
View the documentAnnex 2. Surgical and delivery equipment
View the documentAnnex 3. Materials for side-ward laboratory tests and blood transfusion1
View the documentAnnex 4. Essential drugs for obstetric services1
View the documentAnnex 5. Maternity centre facilities and equipment
View the documentSelected WHO publications of related interest
View the documentBack cover

Back cover

Maternal mortality rates in many developing countries remain unacceptably high. Rates in the poorest parts of the world can be 100 times as high as in some developed countries. Much can be done at the primary health care level, but most of these deaths are due to major complications of pregnancy requiring for their treatment the skills and facilities that should be available at the first referral level - the district or subdistrict hospital or health centre. This book defines the essential elements of obstetric care at first referral level, and is intended for those responsible for the planning, organization, and management of maternity care services, particularly in developing countries.

The first part of the book discusses the major causes of maternal mortality requiring medical or surgical intervention, including ectopic pregnancy, antepartum haemorrhage, and cephalopelvic disproportion. The indications and level of skill and facilities required for a wide range of procedures, such as caesarean section and the treatment of sepsis, are also described. Practical details of surgical and medical supplies and facilities are contained in the annexes, which list the minimum equipment necessary to perform the procedures mentioned, as well as essential drugs and side-ward laboratory equipment for basic biochemical tests.

The guidelines provided should be of assistance to all those who have a role to play in raising the standards of obstetric referral services in order to reduce maternal mortality and morbidity by bringing competent obstetric care within the reach of all who need it.

Price: Sw. Fr. 14.-


Price in developing countries: Sw. fr. 9.80

ISBN 92 4 154424 4