Challenges to improve antenatal and intrapartum care in South Africa

dc.contributor.authorPattinson, Robert Clive
dc.contributor.authorHlongwane, T.M.A.G. (Tsakane)
dc.date.accessioned2020-06-02T09:13:07Z
dc.date.available2020-06-02T09:13:07Z
dc.date.issued2019-11
dc.description.abstractThe major causes of maternal and perinatal deaths have been well described in South Africa. These causes are related to HIV infection, placental insufficiency and intrapartum asphyxia. The health system failures that most commonly lead to preventable mortality are related to managing hypertensive disorders in pregnancy (HDP), detecting fetal growth restriction antenatally and managing labour effectively by providing caesarean delivery to those who need it and avoiding it in those who do not. Improving antenatal and intrapartum care are vital aspects in efforts to improve survival, but to achieve this the following challenges need to be overcome: managing the increased antenatal care contacts needed to detect HDP creating a next level of expertise, and access for women to high-risk care creating the environment for respectful care and companionship in labour managing labour as physiologically as possible detecting and managing placental insufficiency. This article provides some exciting solutions to these health system barriers.en_ZA
dc.description.departmentMusicen_ZA
dc.description.departmentObstetrics and Gynaecologyen_ZA
dc.description.librarianpm2020en_ZA
dc.description.urihttp://www.samj.org.zaen_ZA
dc.identifier.citationPattinson, R.C. & Hlongwane, T.M.A.G. 2019, 'Challenges to improve antenatal and intrapartum care in South Africa', South African Medical Journal, vol. 109, no. 11, pp. 15-19.  en_ZA
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.other10.7196/SAMJ.2019.v109i11b.14248
dc.identifier.urihttp://hdl.handle.net/2263/74824
dc.language.isoenen_ZA
dc.publisherHealth and Medical Publishing Group en_ZA
dc.rights© 2019, South African Medical Association. This article is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0).en_ZA
dc.subjectPregnancyen_ZA
dc.subjectPrenatal careen_ZA
dc.subjectIntrapartum careen_ZA
dc.subjectFetal monitoringen_ZA
dc.subjectPlacental insufficiencyen_ZA
dc.subjectPerinatal mortalityen_ZA
dc.subjectSouth Africa (SA)en_ZA
dc.subjectHuman immunodeficiency virus (HIV)en_ZA
dc.subjectHypertensive disorders in pregnancy (HDP)en_ZA
dc.subject.otherMusic articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.titleChallenges to improve antenatal and intrapartum care in South Africaen_ZA
dc.typeArticleen_ZA

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