VOLUNTEER RESOURCES
MATERNAL HEALTH ISSUES IN HAITI
Causes of maternal death
- Hemorrhage
- Sepsis
- Complications resulting from unsafe abortion
- Prolonged or obstructed labor
- Hypertensive disorders of pregnancy (eclampsia or pre-eclampsia)
Barriers to Accessing Care
- Delay 1: Delay in recognizing the problem
- Delay 2: Delay in deciding to seek care (inaccessible health facility, fear of costs, lack of resources to pay for services, supplies and medicines)
- Delay 3: Delay in reaching the health facility (no transport available, unaware of appropriate referral facility)
- Delay 4: Delay in receiving adequate treatment once a woman has arrived at the health facility (health facility not adequately equipped, lack of trained personnel, emergency medicines, blood)
When do Maternal deaths occur?
- 20% occur 7 days after delivery
- 50% occur within the first 24 hours after delivery
- 25% occur during pregnancy
- 5% occur 2-6 weeks after delivery
Preparedness and Readiness Saves Lives
- Know what to expect during pregnancy, including the expected date of delivery, danger signs and self-care during pregnancy (nutrition and reduction of workload)
- Plan the appropriate location for the delivery
- Choose a skilled provider
- Have the needed supplies to conduct a clean and safe delivery
- Make a plan for the skilled attendant to reach the woman’s home or for the woman to reach the skilled attendant at the onset of labor
- Plan appropriate care for the postpartum mother and newborn
- Identify support people to help with transportation, care of children/household, and accompany the woman to a health facility in an emergency
- Be able to identify the signs of an obstetric emergency
- Know the importance of seeing care without delay when complications occur
- Have a plan to be able to respond immediately in the event of an emergency to avoid delays in treatment
- Know the location of the nearest health facility where Emergency Obstetric Care is available
- Have a means of traveling to this facility
- Set aside funds for medical care in advance so that the woman can reach appropriate medical facilities as quickly as possible
Six Cleans for Labor and Birth
- Clean hands
- Clean perineum
- Clean delivery surface
- Clean cord-cutting instrument
- Clean cord care (clean cord ties and cutting instrument)
- Nothing unclean introduce into vagina