8/12/2019 1.17.3 WCF Appendix2

http://slidepdf.com/reader/full/1173-wcf-appendix2 1/2

1.  BEmOC and CEmOC defnitions

Basic Emergency Obstetric Care Centre (BEmOC)

BEmOCs should provide the following services:

1. Parenteral administration of Antbiotics2. reatments for eclampsia !provision of anticonvulsants"#. Parenteral administration of O$%tocics&. Assisted 'aginal deliver% !vacuum e$traction"(. )anual removal of Placenta and removal of retained products ofconception !)'A"

Comprehensive Emergency Obstetric Care Services (CEmOC)

CEmOCs should provide all the above si$ services along with the following2&*hour services throughout the %ear:1. Availabilit% of blood and blood transfusion facilit%2. +acilit% for Caesarian section for deliver% of foetus in emergenc% cases.

,B - see /O paper Obstetric fstula: Guiding principles or clinicalmanagement and programme development at 

http://www.who.int/making_pregnancy_safer/publications/obstetric_fistula.pdf  

! "eplacing "eerence to the #armi Study $ith the %a&$anpur

Study

 he )a0wanpur tud% is described and referenced in the omens 3roupspaper4 which formed the appendi$ to the C+ submission as follows:

Makwanpur Study, Nepal  o evaluate rigorousl% the e5ects of the armi womens group approach4 astud% was underta0en to improve the health of pregnant mothers and theirnewborn infants among 1674777 villagers living in rural )a0wanpurdistrict4 central ,epal.   he stud% was conducted b% the 8nternationalPerinatal Care 9nit !8P9" in ondon and the )other and 8nfant ;esearch

Activities !)8;A" in ,epal. Building on the armi approach and )8;Ase$perience4 the% e$amined the potential of womens groups to bring aboutimprovements in perinatal health outcomes in a randomised controlledtrial. 8t demonstrated a #7 per cent reduction in newborn mortalit% and athree <uarters reduction in maternal mortalit% over a two*%ear period.econdar% outcomes included changes in care provided for the motherand newborn at home and improved health see0ing and referral patterns.omen who attended womens groups were more li0el% than non groupmembers to have had antenatal care4 given birth in a health facilit% with atrained attendant or a government health wor0er4 used a clean homedeliver% 0it or a boiled blade to cut the umbilical cord4 and for the birthattendant to have washed her hands. 8n addition4 the women were more

li0el% to attend a health facilit% if the% or their infant was ill.

8/12/2019 1.17.3 WCF Appendix2

http://slidepdf.com/reader/full/1173-wcf-appendix2 2/2

“Efect o a Participatory Intervention with Women’s Groups on BirthOutcomes in Nepal: luster!ran"omise" controlle" trial#$  B% )anandhar etal. %ancet  277&= #>&: ?67*?6?

“Women’s health &roups to improve perinatal care in rural Nepal#$   B%)orrison et al. B' Pre&nancy an" hil"(irth 277(= (:>

“Economic assessment o a women’s &roup intervention to improve (irthoutcomes in rural Nepal#$  B% Borghi et al. %ancet  277(=#>>:1@@2*1@@&

'! Evidence o $omens economic contribution and $hy it is $orthinvesting in $omens reproductive health

e didnt discuss this at the teering Committee meeting4 but it would be

worth drawing on the bac0 ground paper for the omen eliverConference. !attached as Appendi$ #".