Basic Emergency Obseteric and Newborn Care (BEmONC) must be provided at the health center level to address the main complications of childbirth, including newborn complications. If these are not available, stabilize the mother and/or newborn before referral to hospital. “Signal functions” are key medical interventions that are used to treat the direct obseteric complications that cause the vast majority of maternal deaths around the globe. This includes: treatment of complications from unsafe and/or incomplete abortion. For example, conducting caesarean surgeries implies that anesthesia is provided. THe insufficient supply of high quality lifesaving commodities is a persistent bottleneck in efforts to end preventable maternal deaths and the provision of signal functions (1-3) are dependent on the continuous availablity of essential drugs.
With specific reference to managing post partum hemorrhage (PPH), misoprostol/oxytocin should also be available as an essential lifesaving commodity at facilities as it can be used to prevent and manage PPH, with minimal training of providers needed.
Magnesium sulfate (MgSO4 is the drug of choice for the prevention and treatment of eclamsia. Caesarean surgery may be necessary when vaginal birth could pose a risk to the woman or baby, for example due to prolonged labor, fetalgency distress, or because of fetus has.
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