Safe Motherhood

Sofie Rifayani Krisnadi

Dept.of Obstetrics & Gynecology
Hasan Sadikin Hospital/Padjadjaran University


Background
Too many women die related to childbirth
Too young/too old, too many, too close, too
late, too sick




Childbirth must not carry with the risk of
death or disability for woman & infant
Background
The medical cause of maternal deaths are similar
throughout the world:
Hemorrhage
Sepsis
Hypertensive disorder of
pregnancy (Eclampsia)
Prolonged or obstructed labor
Complications of
unsafe abortions
What is Safe Motherhood
A womans ability to have
a safe and healthy
pregnancy and delivery
What is The Safe Motherhood
Initiative?
Is a global effort that aim to reduce
deaths and illnesses among women and
infants, especially in developing
countries
Was launched in 1987 to improve
maternal health and cut the number of
maternal deaths in half by the year 2000.
SAFE MOTHERHOOD
VISION:
Women able to make decisions for
themselves and their families and to
contribute to the socioeconomic
development
SAFE MOTHERHOOD
MISSION
Dept.of Health in partnerships with
local government unit, private sector,
university and others, commit to lead
and provide quality maternal health
services to make pregnancy, childbirth
and motherhood a safe experience for
all mother
Safe Motherhood Goal
Reduce maternal mortality and morbidity
Core Objectives
Improve quality and increase access to family
planning and maternal health care services
Educate couples to ensure they have the best
chance for a wanted and safe pregnancy
How can Safe Motherhood Be Achieved?
Provide high quality maternal health services
to all women:
* care by skill health personnel before, during and
after childbirth
* emergencies care fore life-threatening obstetrics
complications
* family planning to enable women to plan their
pregnancies and prevent unwanted pregnancies
* health education and services for adolescents
* community education for women, their families and
decision-makers
Essential Services For Safe Motherhood
Community Education on safe motherhood
High quality Prenatal care
Skilled assitance during birth
Care for obstetrics complications, including
emergencies
Postpartum care
Management of abortion complications
Family planning counseling, information and
services
Reproductive health education and services for
adolescents
Approximate Income Levels (US $/capita/year)
Vietnam
Yemen
US$ 200
650
Congo
Tunisia
30
US$ 1600
35
Morocco
887
822
372
139
Ivory Coast
Bolivia
Armenia
Sri Lanka
Cambodia
105
1471
900
US$ 750
Maternal Mortality
Deaths per 100,000 Live Births
Indonesia 400
Safe Motherhood Action
Messages
Advance safe motherhood through human rights
Safe motherhood is a vital social and
economic investment
Empower women: ensure choices
Delay marriage and first birth
+ Recognized that every pregnancy
faces risks
Safe Motherhood Action
Messages
Ensure skilled attendance at delivery
; Improve access to quality reproductive
health service
^ Prevent unwanted pregnancy and
adress unsafe abortion
Measure progress
Utilize the power of partnership
SAFE
MOTHERHOOD

BASIC MATERNITY CARE
PRIMARY HEALTH CARE
EQUITY FOR WOMEN
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The Mother-Baby Package



1. WHY The Mother-Baby Package
2. WHAT is The Mother-Baby Package
3. HOW to operationalize
The Mother-Baby Package
WHY ?
The Mother-Baby Package



1. Most maternal deaths have the
same causes
2. Most pregnancy complications can
be prevented or treated
3. Safe motherhood
benefits babies too
4. Safe motherhood is attainable
WHAT IS ?
The Mother-Baby Package



1. Goal and Objectives
2. Family planning
3. Basic maternity care
4. Prevention, early detection and
management of complications
Family Planning Helps Prevent
Unwanted Pregnancy

and therefore Unsafe Abortion

and therefore Maternal Deaths
HOW to operationalize
The Mother-Baby Package



1. Define national policy and guidelines
2. Asses needs
3. Prepare national plan of action
4. Estimate costs
5. Identify sources of financial support
6. Develop detailed implementation plan
7. Implement plan activities
8. Monitor and evaluate
The Mother-Baby Package
Intervention
1. Before and during pregnancy
2. During delivery
3. After delivery for Mother
4. After delivery for newborn


Making Pregnancy Safer (2000)
ALL
Pregnant Women
Are at risk of
Obstetric Complications
ONLY
Emergency
Obstetric Care
SAVES LIVES
Obstetrics Complication
Are Made Fatal
by
The Three Delays
The Three Delays
Delay to SEEK CARE
Delay to FIND CARE
Delay to GET CARE
Every Pregnant Woman
Has a RIGHT
To Special Care
From the Health Services
From Her Family
From Her Community