safe motherhood - dr. abram siregar
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Safe Motherhood
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Background
Too many women die related to childbirthToo young/too old, too many, too close, too
late, too sick
Childbirth must not carry with the risk ofdeath or disability for woman & infant
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Background
The medical cause of maternal deaths are similarthroughout the world:
Hemorrhage
Sesis
Hyertensi!e disorder of
regnancy "#clamsia$
%rolonged or obstructed labor
Comlications ofunsafe abortions
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hat is Safe Motherhood
' woman(s ability to ha!e
a safe and healthy
regnancy and deli!ery
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hat is The Safe Motherhood
)nitiati!e*)s a global effort that aim to reduce
deaths and illnesses among women and
infants, esecially in de!eloingcountries
as launched in +-. to imro!ematernal health and cut the number of
maternal deaths in half by the year 0001
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S'2# M3TH#4H335
6)S)37:
omen able to make decisions for
themsel!es and their families and tocontribute to the socioeconomicde!eloment
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S'2# M3TH#4H335
M)SS)37 5et1of Health in artnershis with
local go!ernment unit, ri!ate sector,
uni!ersity and others, commit to leadand ro!ide 8uality maternal healthser!ices to make regnancy, childbirthand motherhood a safe e9erience for
all mother
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S'2# M3TH#4H335
3';
To imro!e well being of mothers
through a comrehensi!e aroach ofro!iding, re!enting, romoti!e,curati!e and rehabilitati!e health care
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#ssential Ser!ices 2or Safe Motherhood
Community #ducation on Safe Motherhood
High 8uality %renatal care
Skilled assitance during birth
Care for obstetrics comlications, including
emergencies %ostartum care
Management of abortion comlications
2amily lanning counseling, information and
ser!ices 4eroducti!e health education and ser!ices for
adolescents
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Safe Motherhood Goal
Reduce maternal mortality and morbidity
Core ObjectivesImprove quality and increase access to family
planning and maternal health care services
Educate couples to ensure they have the best
chance for a anted and safe pregnancy
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'ro9imate )ncome ;e!els "
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%otential )mact
Improved maternal health and nutrition(appropriate management of delivery andimmediate postpartum care could prevent)
over one*half of infant deaths
++, of maternal deaths
- million deaths and ./- million stillbirths
Costing 011 per death averted in lo*income
country
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Safe Motherhood 'ctionMessages
%dvance safe motherhood through human rights
Safe motherhood is a vital social and
economic investment
Empoer omen) ensure choices
2elay marriage and first birth
Recogni3ed that every pregnancy
faces ris's
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Safe Motherhood 'ctionMessages
Ensure s'illed attendance at delivery
Improve access to quality reproductivehealth service
4revent unanted pregnancy andadress unsafe abortion
Measure progress
5tili3e the poer of partnership
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SAFE
MOTHERHOOD
BASIC MATERNITY CARE
PRIMARY HEALTH CARE
EQUITY FOR WOMEN
FAM
ILY
PLANN
ING
ANTE
NATAL
CARE
CLEA
N
SAFE
DEL
IVERY
ESSEN
TIAL
OBSTETRIC
CA
RE
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The MotherBaby %ackage
1. WHY The Mother-Baby Package ?
2. WHAT is The Mother-Baby
Package ?
3. HOW to operationai!e
The Mother-Baby Package ?
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H *The MotherBaby %ackage
1. Most "aterna #eaths ha$e the
sa"e ca%ses
2. Most pregnancy co"pications can
be pre$ente# or treate#
3. &a'e "otherhoo#
bene'its babies too
(. &a'e "otherhoo# is attainabe
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H'T )S *The MotherBaby %ackage
1. )oa an# Ob*ecti$es2. +a"iy panning
3. Basic "aternity care(. Pre$ention, eary #etection an#
"anage"ent o' co"pications
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2amily %lanning Hels %re!ent
nante# Pregnancy
an# there'ore nsa'e Abortion
an# there'ore Materna /eaths
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H3 to oerationaliDeThe MotherBaby %ackage
1. /e'ine nationa poicy an# g%i#eines
2. Asses nee#s
3. Prepare nationa pan o' action
(. 0sti"ate costs. #enti'y so%rces o' 'inancia s%pport
. /e$eop #etaie# i"pe"entation pan
4. "pe"ent pan acti$ities
5. Monitor an# e$a%ate
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The MotherBaby %ackage)nter!ention
+1 Before and
during regnancy
1 5uring deli!ery@1 'fter deli!ery for Mother
A1 'fter deli!ery for newborn
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Making %regnancy Safer "000$
ALL%regnant omen
Are at risk ofObstetric 6o"pications
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ONLY
#mergency
Obstetric Care
&A70& 870&
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3bstetricsComlication
Are Made Fatalby
The Three /eays
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The Three 5elays
/eay to &009 6A:0
/eay to +;/ 6A:0
/eay to )0T 6A:0
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#!ery %regnant oman
Has a 4)HTTo Secial Care
2rom the Health Ser!ices
2rom Her 2amily
2rom Her Community
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Thank you