1. COLLABORATIVE APPROACH FOR THE TREATMENT OF POSTPARTUM HAEMORRHAGE FLASOG : May 2005 Betty-Anne Daviss, RM, MA Project Manager, ICM/FIGO, Iniciativa Maternidad Sin Riesgo/Newborn Iniciativa Global en la Prevencion de la hemorragia Post-Parto

3. The Swedish Association of Midwives

4. Centers for Disease Control & Prevention. Achievements in Public Health 1900-1999: Healthier Mothers and Babies; 48(38):849-58; Atlanta, 1999. WHO Maternal Mortality in 2000: estimates developed by WHO, UNICEF & UNFPA; Geneva, 2002 maternal mortality’s unfinished agenda in the Americas HAI BOL PER BRA GUT NIC PAR PAN TRT DOR ELS COL ECU HON VEN BAR JAM MEX ARG BAH COR CUB CHI URU CAN LAC

5. Important measure to reduce maternal mortality In developed countries it has been shown that the development of national midwifery coverage has often been the single most important measure in reducing maternal mortality. In developed countries it has been shown that the development of national midwifery coverage has often been the single most important measure in reducing maternal mortality. Jerker Liljestrand, Jerker Liljestrand, Co-chair, Safe Motherhood Program, FIGO Co-chair, Safe Motherhood Program, FIGO 

6. Women do not always come to the clinics.

7. Key Components of FIGO/ICM Safe Motherhood/Newborn Projects 1. Civil Society 1. Civil Society 2. Midwives’ & Nurses’ Associations 2. Midwives’ & Nurses’ Associations 3. Obstetric Societies 3. Obstetric Societies 4. Ministries of Health 4. Ministries of Health

8. Latin America and the Carribean: Causes of Maternal Mortality Hemorrhage (20%), Hemorrhage (20%), Toxemia (22%) Toxemia (22%) Other complications post partum (15%) Other complications post partum (15%) Other direct causes (17%). Other direct causes (17%). Abortion related deaths 11% (in some countries, abortions leading cause) Abortion related deaths 11% (in some countries, abortions leading cause) Pre-existing diseases (15%) ( tuberculosis, heart disease, and influenza) management. Pre-existing diseases (15%) ( tuberculosis, heart disease, and influenza) management. Based on PAHO data (1995-2000) for reported maternal deaths in 20 countries, using various sources, primarily vital statistics, surveillance, and special country studies. Under-reporting is still a problem in many countries Based on PAHO data (1995-2000) for reported maternal deaths in 20 countries, using various sources, primarily vital statistics, surveillance, and special country studies. Under-reporting is still a problem in many countries

9. Every attendant at birth needs to have the knowledge, skills and critical judgment needed to carry out active management of the third stage of labour and access to needed supplies and equipment. Joint Statement Management of the Third Stage of Labour to Prevent Post-partum Haemorrhage

10. GUATEMALA 2002

11. Parteras Empiricas – Misoprostol

12. Health Clinic Manager -- Afghanistan

13. Learning How to Use Oxytocin

14. Alerta Internacional Asociación de Ginecologia y Obstetricia de Guatemala