A feasible, acceptable and effective way to teach health care workers in low- and middle-income countries a method to manage acutely ill obstetric women

Rose McCarthy; Lucie Byrne-Davis; Jo Hart; Gordon Yuill; Helen Slattery; Matthew Jackson; Gerard J Byrne

doi:10.1016/j.midw.2014.04.009

A feasible, acceptable and effective way to teach health care workers in low- and middle-income countries a method to manage acutely ill obstetric women

Midwifery. 2015 Jan;31(1):19-24. doi: 10.1016/j.midw.2014.04.009. Epub 2014 May 9.

Authors

Rose McCarthy¹, Lucie Byrne-Davis², Jo Hart³, Gordon Yuill⁴, Helen Slattery⁵, Matthew Jackson⁶, Gerard J Byrne⁷

Affiliations

¹ School of Nursing, Midwifery & Social Work, Mary Seacole Building, University of Salford, Frederick Rd Campus, Salford M6 6PU, UK. Electronic address: R.McCarthy@salford.ac.uk.
² Manchester Medical School, ATR4, Education Research Centre, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, UK. Electronic address: lucie.byrne-davis@manchester.ac.uk.
³ Manchester Medical School, Stopford Building, Oxford Rd, Manchester, Greater Manchester M13 9PT, UK. Electronic address: Jo.hart@manchester.ac.uk.
⁴ Stepping Hill Hospital, Poplar Grove, Stockport, Cheshire SK2 7JE, UK. Electronic address: gordonyuill@gmail.com.
⁵ University Hospital of South Manchester NHS FT, Southmoor Road, Manchester M23 9LT, UK. Electronic address: Helen.slattery@UHSM.NHS.uk.
⁶ University Hospital of South Manchester NHS FT, Southmoor Road, Manchester M23 9LT, UK. Electronic address: doc_matt_jacko@yahoo.co.uk.
⁷ University Hospital of South Manchester NHS FT, Southmoor Road, Manchester M23 9LT, UK. Electronic address: gedjbyrne@btinternet.com.

PMID: 24878358
DOI: 10.1016/j.midw.2014.04.009

Abstract

Maternal mortality is unacceptably high in Sub Saharan Africa, which accounts for 56% of all maternal deaths (WHO, 2012). Most maternal deaths are avoidable but with prompt recognition and timely intervention it is not inevitable that acute or critical maternal illness deteriorates to fatality (Firth and Ttendo, 2012). This paper discusses a project to provide multidisciplinary training in Maternal-Acute Illness Management (M-AIM) in a low resource setting in order to actively address the third delay to women accessing emergency obstetric care: prompt receipt of effective care on reaching a medical facility.

Keywords: Educational intervention; Low resource setting; Maternal mortality; Maternal-Acute Illness Management (M-AIM); Multidisciplinary training.

MeSH terms

Acute Disease / therapy*
Africa South of the Sahara
Emergency Medical Services / methods
Emergency Medical Services / standards
Female
Health Personnel / education*
Health Services Accessibility*
Humans
Maternal Health Services / standards*
Maternal Mortality
Pregnancy