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Geneva, Switzerland, World Health Organization [WHO], 2018. 458 p.Girls and women who have been subjected to female genital mutilation (FGM) need high quality, empathetic and appropriate health care to meet their specific needs. This handbook is for health care providers involved in the care of girls and women who have been subjected to any form of FGM. This includes obstetricians and gynaecologists, surgeons, general medical practitioners, midwives, nurses and other country-specific health professionals. Health-care professionals providing mental health care, and educational and psychosocial support – such as psychiatrists, psychologists, social workers and health educators – will also find this handbook helpful. It includes advice on how to: 1) communicate effectively and sensitively with girls and women who have developed health complications due to FGM; 2) communicate effectively and sensitively with the husbands or partners and family members of those affected; 3) provide quality health care to girls and women who have health problems due to FGM, including immediate and short-term urogynaecological or obstetric complications; 4) provide support to women who have mental health and sexual health complications caused by FGM; 5) make informed decisions on how and when to perform deinfibulation; 6) identify when and where to refer patients who need additional support and care; and 7) work with patients and families to prevent the practice of FGM.
Managing complications in pregnancy and childbirth: a guide for midwives and doctors. Second edition.
Geneva, Switzerland, WHO, 2017. 492 p. (Integrated Management Of Pregnancy And Childbirth)Since the first edition was published in 2000, the Managing Complications in Pregnancy and Childbirth (MCPC) manual has been used widely around the world to guide the care of women and newborns who have complications during pregnancy, childbirth and the immediate postnatal period. The MCPC manual targets midwives and doctors working in district-level hospitals. Selected chapters from the first edition of the MCPC were revised in 2016 based on new World Health Organization recommendations, resulting in this second edition.
New York, New York, UNFPA, 2003. 6 p.Emergency obstetric care is the cornerstone of UNFPA's efforts to improve pregnancy outcomes. This six-panel checklist is designed to help programme planners and managers monitor elements that are critical to providing a high quality of emergency obstetric care. (author's)
SAFE MOTHERHOOD NEWSLETTER. 1994 Jul-Oct; (15):4-7.WHO has developed guidelines to health interventions for safe motherhood entitled the Mother-Baby Package. The guidelines are the minimum levels of care that all pregnant women and newborns should receive. Even though they can be used in any country, they are designed for countries with the most severe problems and most acute constraints on resources. The Package spells out in detail how to prevent and treat pregnancy complications. Basically, prenatal care is needed to recognize complications. Health facilities are needed so the complications can be treated. Women should receive family planning counseling to prevent unplanned and unwanted pregnancies. WHO provides specific guidelines on early diagnosis and health interventions at different levels of care (community, health center, and district hospital) for each major cause of maternal and neonatal mortality. There must be rapid referral and efficient transport of mothers and newborns with emergency conditions to a facility equipped to handle these cases. It emphasizes the need for cleanliness during delivery. WHO also has guidelines on postpartum care of mother and child. It advocates putting the newborn to the breast as soon as possible after birth and exclusive breast feeding. WHO introduced the Mother-Baby Package to health planners from some countries with high maternal mortality levels (Bangladesh, Benin, Ethiopia, Guinea, Mongolia, Mozambique, Nepal, Uganda, Viet Nam, Yemen, and Zambia) in April 1994. Mongolia was the first country to translate the Package. District health managers and obstetricians adapted the interventions for local conditions in Mongolia. District health teams are set to implement the interventions soon.
Care of mother and baby at the health centre: a practical guide. Report of a technical working group.
Geneva, Switzerland, WHO, Division of Family Health, Maternal Health and Safe Motherhood Programme, 1994. , 55 p. (Safe Motherhood Practical Guide; WHO/FHE/MSM/94.2)This report is designed for health planners and program managers to improve access to health and to decentralize maternal and newborn health care. It covers secondary care services that traditional birth attendants (TBAs), midwives, and other nonphysician health workers in health centers can perform. Specifically, it defines the tasks and skills required to provide comprehensive care of mother and infant at the health center and in the community. It also looks at the role of the health center in training, supervision, and continuing logistic support for community based care. The first chapter examines the health center's role in maternal health and the 3 approaches to integrated care: vertical integration, integration across time, and horizontal integration. The next chapter reviews the essential elements of obstetric and neonatal care, including sexually transmitted diseases and HIV/AIDS. Topics discussed in the chapter on developing and maintaining a functional referral system include referral protocols, functional links with referral centers, obstetric first aid, maternity waiting homes, transport and communication, and reception of referred cases in referral centers. Institutional support mechanisms (chapter 4) are training; teamwork and supervision; logistics, maintenance, and essential drugs and supplies; management, communication, and interpersonal skills; and data collection and research. Topics included in the chapter on community support systems are TBA training and retraining, integrating the TBA into the health care system, IEC, and community support mechanisms for the health of mothers and newborns. The last chapter revolves around evaluation and monitoring, including estimating catchment area and coverage, monitoring quality of care for mothers and newborns, performance indicators, record keeping, and home-based maternal records.