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  1. 1

    WHO recommendations for augmentation of labour.

    World Health Organization [WHO]

    Geneva, Switzerland, WHO, 2014. [64] p.

    Optimizing outcomes for women in labour at the global level requires evidence-based guidance of health workers to improve care through appropriate patient selection and use of effective interventions. In this regard, WHO published recommendations for induction of labour in 2011. The goal of the present guideline is to consolidate the guidance for effective interventions that are needed to reduce the global burden of prolonged labour and its consequences. The primary target audience includes health professionals responsible for developing national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programmes, and public health policy-makers in all settings. Augmentation of labour is the process of stimulating the uterus to increase the frequency, duration and intensity of contractions after the onset of spontaneous labour. It has commonly been used to treat delayed labour when poor uterine contractions are assessed to be the underlying cause. The WHO technical consultation adopted 20 recommendations covering practices relating to the diagnosis, prevention and treatment of delayed progress in the first stage of labour, and supportive care for women undergoing labour augmentation. For each recommendation, the quality of the supporting evidence was graded as very low, low, moderate or high. The contributing experts qualified the strength of these recommendations (as strong or weak) by considering the quality of the evidence and other factors, including values and preferences of stakeholders, the magnitude of effect, the balance of benefits versus harms, resource use and the feasibility of each recommendation. To ensure that each recommendation is correctly understood and used in practice, additional remarks and an evidence summary have also been prepared, and these are provided in the full document, below each recommendation. Guideline users should refer to this information in the full version of the guideline if they are in any doubt as to the basis for any of the recommendations. (Excerpts)
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  2. 2
    Peer Reviewed

    Averting maternal death and disability.

    Fortney JA

    International Journal of Gynaecology and Obstetrics. 2008 Aug; 102(2):189-90.

    Recent articles in these pages have referred to the Millennium Development Goals (MDGs). These goals were set in 2000 by the General Assembly of the United Nations to be achieved by 2015. While aimed primarily at development and poverty reduction, 3 goals refer to measures of health. Of the 8 goals, the one of interest to this section of IJGO is MDG5, which refers to maternal health: Reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio; Achieve, by 2015, universal access to reproductive health care; A related goal is MDG4, which is to: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate. (excerpt)
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  3. 3

    Learning from RHI partnerships, 1998-2002.

    European Union. EC / UNFPA Initiative for Reproductive Health in Asia; United Nations Population Fund [UNFPA]

    Brussels, Belgium, European Union, EC / UNFPA Initiative for Reproductive Health in Asia, 2003. [124] p.

    The endorsement by the European Commission (EC) of the results of the International Conference on Population and Development (ICPD) held in Cairo in 1994 provided the spur for the EC/UNFPA Initiative for Reproductive Health in Asia (RHI). Once the goals of the Programme of Action (PoA) for support to population, sexual and reproductive health and rights were adopted, the EC began exploring ways to address these priorities through its own development assistance. In partnership with the United Nations Population Fund (UNFPA), the EC decided to mount this unique reproductive health initiative, which was able to draw on the expertise and resources offered by both local and international civil society organisations (CSOs), non-governmental organisations (NGOs) and the UN. With large sections of its population facing pressing reproductive health needs, South and Southeast Asia was identified as the Initiative’s region of implementation. As an immediate result of the launch meeting held in Brussels in April 1997, and UNFPA’s in-house assessment, seven countries considered to have among the most challenging reproductive health needs were chosen as focal areas, namely Bangladesh, Cambodia, Lao PDR, Nepal, Pakistan, Sri Lanka and Viet Nam. (excerpt)
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  4. 4

    Implementing the reproductive health approach.

    Fathalla MF

    In: An agenda for people: the UNFPA through three decades, edited by Nafis Sadik. New York, New York, New York University Press, 2002. 24-46.

    The solemn commitment that was made in Cairo in 1994 to make reproductive health care universally available was a culmination of efforts made by the United Nations Population Fund (UNFPA) and all those concerned about a people-centred and human rights approach to population issues. The commitment posed important challenges to national governments and the international community, to policy makers, programme planners and service providers, and to the civil society at large. The role of UNFPA in building up the consensus for the reproductive health approach before Cairo had to continue after Cairo if the goals of the International Conference on Population and Development (ICPD) were to be achieved. UNFPA continues to be needed to strengthen the commitment, maintain the momentum, mobilize the required resources, and help national governments and the international community move from word to action, and from rhetoric to reality. Reproductive health, including family planning and sexual health, is now one of three major programme areas for UNFPA. During 1997, reproductive health accounted for over 60 per cent of total programme allocations by the Fund. (excerpt)
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