Title: Third Delay in Essential Obstetric & Newborn Care: Fateful to life
Authors: Pandit Sharad B., Boricha B. G., Mhaske Anuradha
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.25
Abstract
The high maternal & neonatal mortality, reveal the truth hidden behind the statistics in India. It is an ironic that in a society where Mother is equated to goddesses, but very little attention is paid to ensure their health in the process of becoming mothers. There is many more scientific evidence shows that the Third delay in essential obstetric and newborn care causes Maternal & Neonatal Mortality. There is a paradigm shift of delays toward the third delay rather than first & second delay, which might be related to inadequate reproductive health services, equipment, supplies, and skilled healthcare workers. There is the strong need for an understanding of the third delay & intervention to reduce maternal and neonatal mortality and improve the quality of care. The country does not lack good policies but is warranted if fewer women are to suffer the fate of the wife of the ‘Shah Jahan’ of India, the Empress ‘Mumtaz’ (Maternal Death).
Keywords- MMR, NMR, Third Delay, Essential Obstetric Newborn Care.
References
1. Tahmeed Contractor. A fateful night and a life- a case study. Indian Journal of Medical Ehics. Ocober-December 2009; Vol.VI (4):Pg 209-210.
2. B. Lalonde, J. Liljestrand, H. Rushwan and P. Okong. Postpartum Hemorrhage Today: Living in the Shadow of the Taj Mahal. A Comprehensive Textbook of Postpartum Hemorrhage 2nd Edition. The Global Library of Women’s Medicin. Sapiens Publishing. 2012. Chapter 8:Pg. 64-70.
3. NDTV. One Woman Loses Her Life Every 5 Minutes During Child Birth: WHO. IANS-June 13, 2016. http://food.ndtv.com/health/one-woman-loses-her-life-every-5-minutes-during-child-birth-who-1418429.
4. Ties Boerma. Director of Information, Evidence and Research, WHO, Geneva. The Sustainable Development Goals: The implications for health post. 2015:Pg. 1-22.
5. Knight H E, Self A, Kennedy S H. Why Are Women Dying When They Reach Hospital on Time? A Systematic Review of the ‘Third Delay’. PLoS ONE. 2013;8(5): e63846. doi:10.1371/journal.pone.0063846.
6. WHO, UNICEF, UNFPA, the World Bank and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2013 Estimates by WHO, UNICEF, UNFPA, the World Bank and the United Nations Population Division. 2014.Pg.1-68. http://www.unfpa.org/sites/default/files/pub-pdf/9789241507226_eng.pdf
7. Leontine Alkema, et.al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The Lancet. Jan. 2016; Vol.387(10017): pg.462–474. DOI: http://dx.doi.org/10.1016/S01406736(15) 00838-7
8. Jadhav Asha Jagdish, Rote Priyanvada Govind. Maternal mortality - changing trends. The journal of Obstetrics & Gynecology of India.. September/October 2007; Vol. 57, No. 5: Pg 398-400.
9. Verma A, Minhas S, Sood A. A study on Maternal Mortality. The Journal of Obstetrics & Gynecology of India Vol. 58(3) : May/June 2008. 226-229.
10. Guin Gita • Sahu Bharti • Khare Shashi • Kavishwar Arvind. Trends in Maternal Mortality and Impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio in a Tertiary Referral Hospital. The Journal of Obstetrics and Gynecology of India (May–June 2012) 62(3):307–311. DOI 10.1007/s13224-012-0221-1
11. Muzaffar N. Maternal health care in India: some observations from RSOC, NFHS-3 and DLHS-3. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. Jan. 2016; 5(1):6-12. DOI:http://dx.doi.org/10.18203/2320-1770.ijrcog 2015159.
12. Levels and Trends in Child Mortality. Report 2015. The Inter-agency Group for Child Mortality Estimation (UN IGME). UNICEF, WHO, The World Bank, United Nations Population Division. New York, USA, UNICEF, 2015.
13. Myriam Khlat and Carine Ronsmans. Deaths Attributable to Childbearing in Matlab, Bangladesh: Indirect Causes of Maternal Mortality Questioned. American Journal of Epidemiology. 2000; Vol. 151, No. 3:300-6.
14. Ratan Das, Soumya Biswas and Amitava Mukherjee. Maternal Mortality at a Teaching Hospital of Rural India: A Retrospective Study. International Journal of Biomedical And Advance Research. 2014; 05 (02): Pg.114-117.
15. Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, Vos T, Ferguson J, Mathers CD. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet, 2009, 374:881–892.
16. Konar Hiralal, Chakraborty Asit Baran. Maternal Mortality: A FOGSI Study (Based on Institutional Data). The Journal of Obstetrics and Gynecology of India. March–April 2013. 63(2):88–95 DOI 10.1007/s13224-012-0258-
17. Puri Alka, Yadav Indra, Jain Nisha. Maternal Mortality in an Urban Tertiary Care Hospital of North India. The Journal of Obstetrics and Gynecology of India May / June 2011 pg 280-285.
18. Pathak Dinesh, Chakraborty Barunoday, Goswami Sebanti, Adhikari Sudhir. Changing Trends of Maternal Mortality: A Comparative Study. The Journal of Obstetrics and Gynecology of India March / April 2011 pg 161 -165.
19. Anju Taly, Shashi Gupta, Neeta Jain. Maternal Intensive Care and 'Near-miss' Mortality in Obstetrics. Journal Obstetrics Gynecology lndia. Vol. 54, No.5: September/October 2004. Pg 478- 482.
20. WHO. Maternal Mortality Fact Sheet. November 2016. http://www.who.int/mediacentre/factsheets/fs348/en/
21. Nusrat Shah, Nusrat H. Khan. Third delay of Maternal Mortality in a tertiary hospital. Rawal Med Journal. 2007;32(2):163-167.
22. Savitha MR, Sanjee SS. Morbidity and mortality profile of late preterm neonates as compared to term neonates from a tertiary care centre in Mysore, India. International Journal of Contemporary Pediatrics. Mar. 2016;3(1):164-8.
23. Gelany SE, Mansour MM, Hassan MM. The Three delays of maternal mortality in a public-sector tertiary teaching hospital: is there a paradigm shift? Gynecology Obstetrics Research Open Journal. 2015; 2(2): 52-56.
24. Thaddeus S, Maine D, Too far to walk: maternal mortality in context, Social Science and Medicine, 1994; 38(8): 1091-110.
25. Peter Waiswa1,2,3, Karin Kallander1,2, Stefan Peterson1,2,4, Goran Tomson1,5 and George W. Pariyo2. Using the three delays model to understand why newborn babies die in eastern Uganda. Tropical Medicine and International Health. August 2010; volume 15 no 8 pp 964–972.
26. Luwei Pearson, Margareta Larsson,Vincent Fauveau, Judith Standley. Childbirth care. Opportunities for Africa’s Newborns. http://www.who.int/pmnch/media/publications/aonsectionIII_3.pdf
27. Pacagnella et al.: Delays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional study. BMC Pregnancy and Childbirth 2014 14:159. doi:10.1186/1471-2393-14-159
28. Nikhil Purandare, Amarbaj Singh Chandock, Sangeeta Upadhya, SM Sanjanwala, RM Saraogi. Maternal mortality at a referral centre: a five year study. The Journal of Obstetrics and Gynecology of India. Vol. 57, No. 3: May/June 2007 Pg 248-250.
29. USAID, MCHIP. PROGRAM IMPLEMENTATION GUIDANCE- Essential Obstetric and Newborn Care. Jhpiego Corporation. 2012: 1-12. https://www.k4health.org/sites/default/files/EONC%20Program%20Implementation%20Guide%20v1.1.pdf
30. John Snow. Reducing the burden of the three delays on maternal health in TIMOR-LESTE: Research Report.JSI Research & Training Institute. November 2015.
31. Singh JK, Rauniyar P, Acharya D et. al. Pattern of Clean Practices during Intra-natal Care at Home Delivery in Rural Nepal. Int J Health Sci Res. 2013;3(11):31-37.