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Pregnancy and Obstetric Emergencies Handled by Emergency Medical Response Services in the Dadra and Nagar Haveli: A Brick-by-Brick Analysis

Published online by Cambridge University Press:  25 July 2022

Vikram Khan Open the ORCID record for Vikram Khan [Opens in a new window] ,
Ankush A. Sanghai ,
D.B. Zala  and
V.K. Das
Vikram Khan*
Affiliation:
Directorate of Medical & Health Services, UT of Dadra & Nagar Haveli and Daman & Diu, Silvassa, India
Ankush A. Sanghai
Affiliation:
Directorate of Medical & Health Services, UT of Dadra & Nagar Haveli and Daman & Diu, Silvassa, India
D.B. Zala
Affiliation:
School of Applied Sciences and Technology, Gujarat Technological University, Ahmedabad, India
V.K. Das
Affiliation:
Directorate of Medical & Health Services, UT of Dadra & Nagar Haveli and Daman & Diu, Silvassa, India
*
Correspondence: Vikram Khan, Directorate of Medical & Health Services, UT of Dadra & Nagar Haveli and Daman & Diu, Silvassa, India, Pin-396230 E-mail: [email protected]
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Abstract

Background:

The access of pregnant women to an appropriate health facility plays a crucial role in preventing maternal deaths. In the last decade, many new steps have been taken in the direction of making motherhood safe, one of them being the availability of free Emergency Medical Response Services (EMRS). In the present investigation, various variables were analyzed of the EMRS which provides services to pregnant women of the tribal district of Western India.

Methods:

This study is a descriptive analysis of EMRS provided to pregnant women from January 1, 2013 through December 31, 2020. The number of expected pregnancies was obtained from the state data center and the variables related to the benefitted pregnant women were generated with the EMRS tracking software.

Results:

The results of this study showed that 93.59% of pregnant women benefitted from these services in the last six years as compared to the estimated number of pregnancies. Whereas in the case of obstetric emergencies, 85.02% of pregnant women benefitted. Most of the beneficiaries were tribal, in the age group of 20-35 years, with lower socio-economic strata. More than 98.0% of pregnant women decided to take the delivery facility in the public hospitals. Across the district, ambulances had to travel less than 10km to cater to 89.0% of pregnant women.

Conclusion:

The convenient access of EMRS to pregnant women can improve the indicators of maternal and child health and reduce the risk of maternal death and home delivery.

Keywords

ambulanceemergency medical response servicesobstetric emergencypregnant women
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 37 , Issue 5 , October 2022 , pp. 645 - 650
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Kesterton, AJ, Cleland, J, Sloggett, A, et al. Institutional delivery in rural India: the relative importance of accessibility and economic status. BMC Pregnancy Childbirth. 2010;10:30.CrossRefGoogle ScholarPubMed
World Health Organization (WHO). The World Health Report 2005: Make Every Mother and Child Count. Geneva, Switzerland: WHO; 2005.Google Scholar
Holmes, W, Kennedy, E. Reaching emergency obstetric care: overcoming the ‘second delay.’ Burnet Institute on behalf of Compass, the Women’s and Children’s Health Knowledge Hub: Melbourne, Australia; 2010.Google Scholar
Ganatra, BR, Coyaji, KJ, Rao, VN. Too far, too little, too late: a community-based case–control study of maternal mortality in rural west Maharashtra, India. Bull World Health Organ. 1998;76(6):591–598.Google ScholarPubMed
Iyengar, K, Iyengar, SD, Suhalka, V, Dashora, K. Pregnancy-related deaths in rural Rajasthan, India: exploring causes, context, and care-seeking through verbal autopsy. J Health Popul Nutr. 2009;27(2):293–302.CrossRefGoogle ScholarPubMed
Singh, S, Murthy, GV, Thippaiah, AT, et al. Community-based maternal death review: lessons learned from ten districts in Andhra Pradesh, India. Matern Child Health J. 2015;19(7):1447–1454.CrossRefGoogle ScholarPubMed
United Nations Population Fund (UNFPA). The UNFPA Emergency Obstetric Care Checklist for Planners. New York USA: UNFPA; 2002.Google Scholar
Thaddeus, S, Maine, D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38(8):1091–1110.CrossRefGoogle ScholarPubMed
Ministry of Health and Family Welfare (MOHFW). Directory of Innovations Implemented in Health Sectors. In: Development of International Development. New Delhi, India: MOHFW; 2009: 29–34.Google Scholar
Ministry of Health and Family Welfare (MOHFW). NRHM-Meeting People’s Health Needs in Partnership with States: The Journey So Far, 2005-2010. New Delhi, India: MOHFW; 2011.Google Scholar
United Nations Children’s Fund (UNICEF). Operating Perinatal Referral Transport Services in Rural India: A Toolkit. New Delhi, India: UNICEF; 2010.Google Scholar
Prinja, S, Bahuguna, P, Lakshmi, PVM, et al. Evaluation of publicly financed and privately delivered model of emergency referral services for maternal and child health care in India. Plos ONE. 2014;9(10):e109911.CrossRefGoogle ScholarPubMed
Sharma, M, Brandler, E. (2014). Emergency Medical Services in India: the present and future. Prehosp Disaster Med. 2014;29(3):307–310.CrossRefGoogle ScholarPubMed
Raj, SS, Manthri, S, Sahoo, PK. Emergency referral transport for maternal complication: lessons from the community based maternal death audits in Unnao district, Uttar Pradesh, India. Int J Health Policy Manag. 2015;4:99–106.CrossRefGoogle ScholarPubMed
Hussein, J, Kanguru, L, Astin, M, Munjanja, S. The effectiveness of emergency obstetric referral interventions in developing country settings: a systematic review. Plos Med. 2012;9(7):e1001264.CrossRefGoogle ScholarPubMed
Singh, S, Doyle, P, Campbell, OMR, et al. Pregnant women who requested a ‘108’ ambulance in two states of India. BMJ Glob Health. 2018;3:e000704.CrossRefGoogle ScholarPubMed
Narzary, PK, Kumar, D, Jadhav, A, et al. Home deliveries and risk of morbidity among children during neonatal period in Gujarat. Journal of Family Welfare. 2019;64(Special Issue):146–156.Google Scholar
Strehlow, MC, Newberry, JA, Bills, CB, et al. Characteristics and outcomes of women using emergency medical services for third trimester pregnancy-related problems in India: a prospective observational study. BMJ Open. 2016;6:e011459.CrossRefGoogle ScholarPubMed
Moore, AM, Singh, S, Ram, U, et al. Adolescent Marriage and Childbearing in India: Current Situation and Recent Trends. New York USA: Guttmacher Institute; 2009.Google Scholar
Mavalankar, D, Singh, A, Patel, SR, Desai, A, Singh, PV. Saving mothers and newborns through an innovative partnership with private sector obstetricians: Chiranjeevi scheme of Gujarat, India. Int J Gynecol Obstet. 2009;107:271–276.CrossRefGoogle ScholarPubMed