Although most pregnancies and births are
uneventful, approximately 15% of all pregnant women develop a potentially
life-threatening complication that calls for skilled care and some will
require a major obstetrical intervention to survive. The main causes of
maternal death and disability are complications arising from hemorrhage,
unsafe abortion, eclampsia, sepsis and obstructed labor. This training
course is, therefore, designed to train doctors, midwives and/or nurses
with midwifery skills who, as team members, will provide basic and
comprehensive Emergency Obstetric Care (EmOC) at district hospitals to
avert maternal death and disability.
The course follows a symptom-based approach
to the management of life-threatening obstetric emergencies. The emphasis
in this course is on rapid assessment and decision-making and clinical
action steps based on clinical assessment with limited reliance on
laboratory or other tests, suitable for district hospital and health
centers in low resource settings. In addition, throughout the training
course emphasis is placed on recognition of and respect for the right of
women to life, health, privacy and dignity. Finally, the setting up and
effective day-to-day management of EmOC services at district hospitals are
included as an integral part of the course.