Roles of Midwife to Establish Safe Motherhood

Definition of Safe Motherhood:

Safe motherhood encompasses a series of initiatives, practices, protocols and service delivery guidelines designed to ensure that women receive high-quality gynecological, family planning, prenatal, delivery and postpartum care, in order to achieve optimal health for the mother, fetus and infant during pregnancy, childbirth and postpartum. Safe motherhood d means ensuring that all women receive the care they need to be safe and healthy throughout pregnancy and childbirth.

Safe motherhood
Fig: Safe motherhood

Safe motherhood means a suitable environment to save the life of the mothers. That means-

  • Woman will decide whether she will be pregnant or not.
  • If she is pregnant she should get facilities related to pregnancy problem.
  • She should get trained midwifery person during delivery.
  • Emergency obstetric care during need.
  • Relevant care during puerperium.

Importance of Safe Motherhood:

Safe motherhood is so important due to the below reasons:

  • Every minute of every day take away another life of a mother.
  • Every year more than half a million women die from complications in pregnancy and childbirth.
  • Over 300 million suffer from avoidable illness and disability.
  • Nearly all maternal deaths (99%) occur in the developing world.

Roles of Midwife to Establish Safe Motherhood:

Roles of a midwife to establish safe motherhood initiative are:

  • Help to promote basic maternal health services by taking active participation.
  • Provide quality antenatal care to the pregnant mother.
  • Preparation for healthy family life.
  • Standard record keeping.
  • Care during pregnancy.
  • Identification of pregnant women.
  • Identify high risk pregnancies and take immediate measures.
  • Provide primary care in hypertension in pregnancy and anemia in pregnancy.
  • Antenatal mother’s monitoring and examination.
  • Abdominal palpation.
  • Provide domiciliary maternal health care, services.
  • Identify the cases for admission in secondary and tertiary hospitals.
  • Provide EOC.
  • Management of prolonged second stage of labour with foetal distress.
  • Care after delivery.
  • Immediate care of the new born first 2 hours after delivery.
  • Care of mother and baby in the post natal period.
  • Provide essential care during delivery and ensure safe delivery.
  • Life-saving management of bleeding in pregnancy and after delivery.
  • Life-saving management of eclampsia.
  • Counsel people to adopt family planning.

Maternal Conditions in Bangladesh:

Current maternal conditions in Bangladesh are-

  • Maternal death: 320 per 100000 live birth.
  • About 11,000 to 12,000 women dying from pregnancy or childbirth complications every year in Bangladesh.
  • The estimated life time risk of dying from pregnancy and childbirth related causes in Bangladesh is 1 in 21 compared to 1 in over 4,000 in 6 industrialized countries.
  • High rates of maternal morbidity and mortality continue to be important challenges for Bangladesh health systems are three million mothers become pregnant each year.
  • Out of which 600,000 are expected to develop complications.
  • About nine million women suffer from lasting complications such as Fistula, Prolapse, inability in controlling urination, or painful intercourse.

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