Maternal deaths from bleeding associated with caesarean delivery : a national emergency

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dc.contributor.authorFawcus, S.en_ZA
dc.contributor.authorPattinson, R. C.en_ZA
dc.contributor.authorMoodley, J.en_ZA
dc.contributor.authorMoran, N. F.en_ZA
dc.contributor.authorSchoon, M. G.en_ZA
dc.contributor.authorMhlanga, R. E.en_ZA
dc.contributor.authorBaloyi, S.en_ZA
dc.contributor.authorBekker, E.en_ZA
dc.contributor.authorGebhardt, G. S.en_ZA
dc.date.accessioned2017-10-18T12:31:51Z
dc.date.available2017-10-18T12:31:51Z
dc.date.issued2016
dc.descriptionCITATION: Fawcus, S., et al. 2016. Maternal deaths from bleeding associated with caesarean delivery : a national emergency. South African Medical Journal, 106(5):472-476, doi:10.7196/SAMJ.2016.v106i5.10821.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractENGLISH ABSTRACT: Maternal deaths associated with caesarean deliveries (CDs) have been increasing in South Africa over the past decade. The objective of this report is to bring national attention to this increasing epidemic of maternal deaths due to bleeding associated with CD in the majority of provinces of the country. Individual chart reviews of women who died from bleeding at or after CD show that 71% had avoidable factors. Among the steps we can take are to improve surgical skills and experience, especially in rural hospitals, to improve clinical observations in the immediate postoperative period and in the postnatal wards, and to ensure that appropriate oxytocic agents are given to prevent postpartum haemorrhage. CEOs and medical managers of health facilities, district clinical specialists, heads of obstetrics and gynaecology, and midwifery training institutions must show leadership and accountability in providing an appropriate environment to ensure that women who require CD receive the procedure for the correct indications and in a safe manner to minimise risks.en_ZA
dc.description.versionPublisher's version
dc.format.extent5 pages
dc.identifier.citationFawcus, S., et al. 2016. Maternal deaths from bleeding associated with caesarean delivery : a national emergency. South African Medical Journal, 106(5):472-476, doi:10.7196/SAMJ.2016.v106i5.10821
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJ.2016.v106i5.10821
dc.identifier.urihttp://hdl.handle.net/10019.1/102354
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Group
dc.rights.holderSouth African Medical Journal
dc.subjectCaesarean deliveryen_ZA
dc.subjectMaternal health careen_ZA
dc.subjectDelivery, Caesarean -- Bleedingen_ZA
dc.titleMaternal deaths from bleeding associated with caesarean delivery : a national emergencyen_ZA
dc.typeArticleen_ZA
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