In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Jean R. Anderson and Grace Chen bring their considerable expertise to the topic of Global Women’s Health. The goal of this unique issue is to explore some of the challenging health problems that affect women worldwide and to make a positive impact on the global health of women. Multinational authors provide up-to-date reviews that address key clinical issues and critical topics in the field. Contains 13 practice-oriented topics including contraception and preconception care; interpersonal violence; quality care for women; interprofessional care in obstetrics and gynecology; surgical burden of disease in women; nonmedical factors that impact women’s health; and more. Provides in-depth clinical reviews on global women’s health, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Author: WHO Regional Office for the Western Pacific
Publisher: World Health Organization
Target 5A of the United Nations Millennium Development Goals (MDGs) was to reduce maternal deaths by 75% between 1990 and 2015. The Maternal Mortality Estimation Inter-Agency Group comprising the World Health Organization (WHO) the United Nations Children?s Fund (UNICEF) the United Nations Population Fund (UNFPA) the World Bank Group and the United Nations Population Division assessed the 95 countries with an MMR higher than 100 in 1990. The report notes Cambodia the Lao People?s Democratic Republic and Mongolia have achieved this target in the Western Pacific Region. However maternal mortality remains higher than the Sustainable Development Goal (SDG) target in five countries in the Region. WHO has developed evidence-based maternal health recommendations for reducing maternal mortality and morbidity. This review compares national guidelines and protocols implementation and health system standards to WHO recommendations for eight countries that account for 96% of maternal deaths in the Western Pacific Region.
The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.
This up-to-date comprehensive and consolidated guideline on essential intrapartum care brings together new and existing WHO recommendations that when delivered as a package will ensure good-quality and evidence-based care irrespective of the setting or level of health care. The recommendations presented in this guideline are neither country nor region specific and acknowledge the variations that exist globally as to the level of available health services within and between countries. The guideline highlights the importance of woman-centred care to optimize the experience of labour and childbirth for women and their babies through a holistic human rights-based approach. It introduces a global model of intrapartum care which takes into account the complexity and diverse nature of prevailing models of care and contemporary practice. The recommendations in this guideline are intended to inform the development of relevant national- and local-level health policies and clinical protocols. Therefore the target audience includes national and local public health policy-makers implementers and managers of maternal and child health programmes health care facility managers nongovernmental organizations (NGOs) professional societies involved in the planning and management of maternal and child health services health care professionals (including nurses midwives general medical practitioners and obstetricians) and academic staff involved in training health care professionals.
The United Nations Convention on the Rights of the Child is the most extensive and widely ratified international human rights treaty. This Commentary offers a comprehensive analysis of each of the substantive provisions in the Convention and its Optional Protocols on Children and Armed Conflict and the Sale of Children, Child Prostitution and Pornography. It offers a detailed insight into the drafting history of these instruments, the scope and nature of the rights accorded to children and the obligations imposed on states to secure the implementation of these rights. In doing so, it draws on the work of the Committee on the Rights of the Child, international, regional and domestic courts, academic and interdisciplinary scholarly analyses. It is of relevance to anyone working on matters affecting children including government officials, policy makers, judicial officers, lawyers, educators, social workers, health professionals, academics, aid and humanitarian workers, and members of civil society.
The Global Strategy for Women’s, Children’s and Adolescents’ Health calls for the transformative change necessary to shape a more prosperous, sustainable future for children and adolescents. To implement the Strategy and contribute to Sustainable Development Goals, strategic shifts are necessary in maternal, newborn, child and adolescent health programming. It is no longer sufficient to save lives: health and other sectors must contribute to improving their health and well-being, and unlocking their full potential. An approach to health and development that supports a continuum of care throughout life is therefore essential to promote survival, enhance well-being and protect children and adolescents against risks and disease. Programmes to improve their health and well-being must be universal, while identifying those at risk or who are vulnerable and giving them extra support and protection required. This Framework outlines the rationale, highlights the areas for action and calls for a shift in redesigning child and adolescent programming. It calls for whole of government and whole of society approach to life course programming to achieve a shared goal and integrated coordinated response to ensuring health and well-being of children and adolescents.
World Patient Safety Day is observed on 17 September each year with the objectives of increasing public awareness and engagement, enhancing global understanding, and spurring global solidarity and action to promote patient safety. Each year a campaign is launched on a selected patient safety-related theme. The overall goal of World Patient Safety Day is to improve globally patient safety at the point of care. To support this endeavour, World Patient Safety Day goals are released every year. The goals aim to achieve tangible and measurable improvements at the point of health service delivery. Each goal is accompanied by suggested actions based on existing WHO guidance, which could facilitate improvement in the focused safety practice domain. Links to available WHO resources on the subject are provided with each goal. The World Patient Safety Day goals 2021–2022 are aimed at making maternal and newborn care safer. Target audiences are; health care facilities and health service providers, point of care health workers, patient groups, professional associations, policy makers, health administrators.
The health of women during pregnancy, childbirth and the postpartum period is known as maternal health. It also includes other dimensions of health care, including prenatal care, postnatal care, preconception and family planning. It aims to reduce maternal morbidity and mortality in women, and facilitate a positive and fulfilling experience for them. The field of medicine dealing with the care of newborn infants is known as neonatology. Neonatal intensive care units (NICUs) are the units of intensive care, which deal with the care of ill or premature newborn. The field of medicine that is focused on the management of the health issues related to the mother and fetus at the time of pregnancy is called perinatology. This book includes some of the vital pieces of work being conducted across the world, on various topics related to maternal health. It attempts to understand the multiple branches that fall under maternal health and how such concepts have practical applications. The extensive content of this book provides the readers with a thorough understanding of the subject.