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Emergency obstetric care: Making the impossible possible through task shifting.

Caroline Schneeberger1, Matthews Mathai1

  • 1Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|October 5, 2015
PubMed
Summary

Task shifting for emergency obstetric care (EmOC) improves access to lifesaving interventions. Studies show increased cesarean delivery rates after EmOC training without significant adverse outcomes, benefiting maternal and newborn health.

Keywords:
Cesarean deliveryEmergency obstetric careMaternal mortalityNonphysician clinicianTask shifting

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Healthcare Management

Background:

  • Task shifting, reassigning tasks to healthcare workers with shorter training, is explored for emergency obstetric care (EmOC).
  • Maternal and neonatal morbidity and mortality remain significant global health challenges.
  • Improving access to EmOC is crucial for reducing preventable deaths.

Purpose of the Study:

  • To review existing studies on task shifting for emergency obstetric care (EmOC).
  • To evaluate the impact of task shifting on EmOC provision and outcomes.
  • To discuss the benefits and drawbacks of task shifting in improving maternal and newborn health.

Main Methods:

  • Systematic review of studies on task shifting for EmOC.
  • Analysis of data from Sub-Saharan Africa and South Asia.
  • Focus on task shifting for cesarean deliveries.

Main Results:

  • Task shifting for EmOC was primarily studied in Sub-Saharan Africa and South Asia.
  • Cesarean delivery rates increased following EmOC training.
  • No significant increase in adverse outcomes was observed post-training.

Conclusions:

  • Task shifting can enhance the provision of EmOC, particularly cesarean deliveries.
  • This approach shows potential for improving maternal and newborn health outcomes.
  • Careful consideration of advantages and disadvantages is necessary for successful implementation.