Framework for safe delivery: A call to action

Visser, Gerard H.A.; Stones, William; Nassar, Anwar H.; Ayres‐de‐Campos, Diogo; Barnea, Eytan R.; Bernis, Luc de; Renzo, Gian Carlo Di; Vidarte, María Fernanda Escobar; Lloyd, Isabel; Nicholson, Wanda K; Shah, P K; Sun, Luming; Theron, Gerhard; Walani, Salimah R.

doi:10.1002/ijgo.12840

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Pregnancy is a continuum during which the short duration of childbirth-compared to the 9 months of gestation-is the most critical time for survival of both the mother and fetus and has major consequences that can last a lifetime. 6 Careful antenatal care and treatment of associated pathologies occurring during pregnancy can significantly reduce maternal and fetal risk during labor. Additionally, thirdtrimester obstetric emergencies represent a unique context in which two lives (mother and fetus) may be at risk and all efforts and actions must be ready to be performed in a short time and in the correct order.…”

Section: Tri Ag Ementioning

confidence: 99%

“…Pregnancy is a continuum during which the short duration of childbirth—compared to the 9 months of gestation—is the most critical time for survival of both the mother and fetus and has major consequences that can last a lifetime 6 . Careful antenatal care and treatment of associated pathologies occurring during pregnancy can significantly reduce maternal and fetal risk during labor.…”

Section: Triagementioning

confidence: 99%

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Prep‐for‐Labor: Overview ofFIGO's labor and delivery triage bundles of care to optimize maternal and newborn outcomes

Barnea,

Muller,

Di Simone

et al. 2023

Intl J Gynecology & Obste

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Childbirth is an intense event in which decisions may need to be made in seconds to guarantee the health of both mother and newborn. Despite health systems and care approaches varying widely according to real‐life scenarios, availability of facilities, beliefs, resources, staff, and geography, among others, optimal outcomes should be ensured worldwide. Triaging low‐risk pregnancies from high‐risk pregnancies is the first step to ensure proper allocation of resources. From this need, we developed FIGO's Prep‐For‐Labor triage methods, a series of 2‐minute labor and delivery bundles of care, with special regard given to low‐ and middle‐income countries and rural settings. Around 80% of women, once properly triaged, can pursue vaginal delivery with minimal intervention, while those at risk can either be managed on site or transferred promptly to an advanced care site. FIGO's bundles of care and good practice recommendations for labor and delivery and immediate newborn triage cover four clinical scenarios: (1) preterm labor; (2) induced or spontaneous labor at term; (3) cesarean delivery; and (4) newborn care. From rapid triage of the mother (low vs high risk) to the list of required equipment, description of skilled staff, and coordination of resources, the recommendations for care are introduced across these four areas in this overview article. Implementing the proposed management steps described in each summary can improve maternal and neonatal outcomes.

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Section: Tri Ag Ementioning

confidence: 99%

Section: Triagementioning

confidence: 99%

Prep‐for‐Labor: Overview ofFIGO's labor and delivery triage bundles of care to optimize maternal and newborn outcomes

Barnea,

Muller,

Di Simone

et al. 2023

Intl J Gynecology & Obste

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Design and Implementation of Using Intelligent Attendance System to Assess Human Resource Management

2021

2021 International Conference on Aviation Safety and Information Technology

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Maternal Mortality among Refugees and in Zones of Conflict

Adra¹,

Saad²

2020

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Every day, more than 500 women and girls in countries with emergency settings die during pregnancy and childbirth, due to the absence of skilled birth attendants or emergency obstetric procedures and unsafe abortion. Three chronologically ordered delays contribute to the increased maternal morbidity and mortality in conflict zones: (1) delay in recognizing the need to seek obstetrical care, (2) delay in reaching the medical facility, and (3) delay in diagnosing and receiving the proper care. When it comes to the causes of maternal mortality in states of conflict, the trends seem to be concordant with those seen in global estimations. Most common causes are preventable complications that could be avoided if proper care is given in the right time, including obstetrical hemorrhage, hypertensive disorders of pregnancy, and sepsis. Despite the apparent effects of war on interruption of access to reproductive healthcare, its direct consequences on pregnancy outcomes are less clear. Low birth weight, stillbirth, and prematurity were found to be consequences of conflict exposure. According to the World Health Organization, there are multiple evidence-based interventions that have been shown to reduce maternal morbidity and mortality, for which there is moderate-to high-quality evidence.

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Framework for safe delivery: A call to action

Cited by 3 publications

References 12 publications

Prep‐for‐Labor: Overview ofFIGO's labor and delivery triage bundles of care to optimize maternal and newborn outcomes

Prep‐for‐Labor: Overview ofFIGO's labor and delivery triage bundles of care to optimize maternal and newborn outcomes

Design and Implementation of Using Intelligent Attendance System to Assess Human Resource Management

Maternal Mortality among Refugees and in Zones of Conflict

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