Maternal deaths from bleeding associated with caesarean delivery : a national emergency

Show simple item record Fawcus, S. Pattinson, Robert Clive Moodley, J. Moran, N.F. Schoon, M.G. Mhlanga, R.E. Baloyi, S. Bekker, E. Gebhardt, G.S. 2016-06-03T05:34:24Z 2016-06-03T05:34:24Z 2016-05
dc.description.abstract Maternal deaths associated with caesarean deliveries (CDs) have been increasing in South Africa over the past decade. The objective of this report is to bring national attention to this increasing epidemic of maternal deaths due to bleeding associated with CD in the majority of provinces of the country. Individual chart reviews of women who died from bleeding at or after CD show that 71% had avoidable factors. Among the steps we can take are to improve surgical skills and experience, especially in rural hospitals; to improve clinical observations in the immediate postoperative period and in the postnatal wards; and to ensure that appropriate oxytocic agents are given to prevent postpartum haemorrhage. CEOs and medical managers of health facilities, district clinical specialists, heads of obstetrics and gynaecology, and midwifery training institutions must show leadership and accountability in providing an appropriate environment to ensure that women who require CD receive the procedure for the correct indications and in a safe manner to minimise risks. en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.librarian am2016 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Fawcus, S, Pattinson, RC, Moodley, J, Moran, NF, Schoon, MG, Mhlanga, RE, Baloyi, S, Bekker, E & Gebhardt, GS 2016, 'Maternal deaths from bleeding associated with caesarean delivery : a national emergency', South African Medical Journal, vol. 106, no. 5, pp. 472-476. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.other 10.7196/SAMJ.2016.v106i5.10821
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2016 Health & Medical Publishing Group. This work is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject Maternal deaths en_ZA
dc.subject Midwifery training institutions en_ZA
dc.subject Bleeding en_ZA
dc.subject Caesarean deliveries (CDs) en_ZA
dc.title Maternal deaths from bleeding associated with caesarean delivery : a national emergency en_ZA
dc.type Article en_ZA

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