Hospital care for mothers
Guidelines for Management of Common Maternal Conditions
Pocket book of Hospital care for mothers
There has been a significant decline in maternal mortality in the Member States of the WHO South-East Asia Region over the past two decades. In comparison with 1990, there were 149,000 fewer maternal deaths in 2015 – an unprecedented feat in maternal survival in the history of the Region. Despite this sharp reduction by 69 per cent, maternal mortality continues to be high in the many Member States. To accelerate further reductions in maternal mortality, ‘Ending preventable maternal, newborn and child deaths with focus on neonatal deaths’ in 2014 was declared one of the eight Flagship Priorities for the WHO South-East Asia Region by Regional Director. The Pocket Book of Hospital Care for Mothers: Guidelines for Management of Common Maternal Conditions brought out by World Health Organisation (WHO)-Regional Office South East Asia, is a compilation of updated WHO guidelines for the management of pregnancy and common pregnancy-related or associated complications and diseases at the first referral level or even higher levels in low-resource countries. It presents relevant, up-to-date, evidence-based clinical guidelines that can be used by clinicians in their daily work in hospitals with basic laboratory facilities and inexpensive medicines. The guidelines focus on outpatient and inpatient management of normal pregnancy, labour and postpartum along with conditions associated or caused by pregnancy like gestational diabetes, hypertension, anaemia, heart disease, malposition and mal-presentation as well as emergency conditions like abnormal antenatal and postnatal bleeding. Most of these conditions are major causes of maternal and neonatal morbidity and mortality. It includes guidance on the management of infections in pregnancy, and abnormal labour and puerperium. The book also covers information on drugs that can be used in pregnancy along with neonatal resuscitation and appropriate supportive care of common neonatal problems. The pocket book attempts to provide basic information for optimizing the quality of care for pregnant women. It is for use by doctors, senior nurses, midwives and other senior health workers responsible for the antenatal, natal and postnatal care of women at the first referral level in developing countries.
The regional expert group comprising representatives of technical partners and the Member States contributed to the development of this pocket book. The process was coordinated by the WHO Collaborating Centre for Human Reproduction at the Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, India.