Promoting Mother's Psychological Health after Fetal Loss-Descriptive Case Reports-Global Journal of Reproductive Medicine-Juniper Publishers

JUNIPER PUBLISHERS-Global Journal of Reproductive Medicine


Promoting Mother's Psychological Health after Fetal Loss-Descriptive Case Reports


Authored by Shaheena Salman Alwani*

Life is the biggest gift of God and the process of giving birth is praise-worthy. Therefore, maternal mortality and morbidity is alarming and need extensive interventions. The psychosocial and psychological perspectives of childbirth need attention and vigorous trainings for health- care workers. Many countries are working to improve standards of their living and to curtail subsequent life threatening illness associated with pregnancy and birth. For that, different reporting, evaluating and practicing guidelines made to check the present practices that have greater impact on health-care industries and on patients. One of the widely eminent is CEMACH (Confidential Enquiry into Maternal and Child Health). According to Weindling, CEMACH was established in April 2003. Previously it worked as CESDI (the Confidential Enquiry into Stillbirths and deaths in infancy) and CEMD (the Confidential Enquiry into Maternal Deaths). Formerly, the ministry of health had not reported adequately and timely about the maternal deaths but it started its formalized reporting in the year 1952. In the first 2 years of CEMD, about 77% of maternal deaths were captured and later for the United Kingdom, in years 1985-87 onwards reports were published. CEMD's motive was to assess the causes of maternal deaths and to indentify avoidable causes to reduce it. It recommended improvements in clinical setup and care provision. Moreover, future research and way forward to audits were indicated. Later, it was facilitated by department of health that all 14 regions of England should embark on perinatal mortality survey reports and thus CESDI, established in 1992, aimed to reduce mortality by finding practice gaps and its improvement especially cases that encountered less than 20 weeks post-conception to 1 year of birth. Confidential enquiries aim was to improve practices and care. Weindling reported that six permanent staff with allotted managers were assigned in each of the regions of England and Wales. Further, the United Kingdom's MMR (maternal mortality rate) can be determined by routine death-certificate data and by the results of in-depth enquiry. CMACE illustrates that the use of routine death-certificate data is consistently under-reported therefore; the most accurate numbers are acquire via Enquiry.

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