Abstract
Objectives: Uganda has made some progress in maternal and neonatal health but is still far from meeting the Sustainable Development Goals on maternal and neonatal mortality with a maternal mortality ratio of 383/100,000 live births. The neonatal mortality ratio is 29/1000 live births and 96 stillbirths occur every day due to placental abruption, eclampsia – preeclampsia and other unknown causes. It is possible that these deaths could be reduced with access to timely cesarean sections; if the Comprehensive Emergency Obstetric and Newborn Care services (CEmONC) and appropriate post-operative intensive care are implemented. We, therefore, set out to assess government and private hospitals in Uganda to investigate the operative care for obstetric patients.
Highlights
Uganda is far from meeting the sustainable development goals on maternal and neonatal mortality with a maternal mortality ratio of 383/100,000 live births, and 33% of the women gave birth by 18 years
12% of the specialist surgical workforce practice in Africa and Asia, where a third of the world’s population lives. It is this inequality and the lack of access to safe surgical interventions in low- and middle-income countries (LMICs), that leads to unacceptable rates of morbidity and mortality
Surgery and anaesthesia have long been neglected in global health work with the focus on communicable diseases
Summary
Uganda is far from meeting the sustainable development goals on maternal and neonatal mortality with a maternal mortality ratio of 383/100,000 live births, and 33% of the women gave birth by 18 years. The neonatal mortality ratio was 29/1000 live births and 96 stillbirths occur every day due to placental abruption, and/or eclampsia – preeclampsia and other unkown causes. These deaths could be reduced with access to timely safe surgery and safe anaesthesia if the Comprehensive Emergency Obstetric and Newborn Care services (CEmONC), and appropriate intensive care post operatively were implemented. Current estimates of 300,000 maternal deaths every year from pregnancy-related causes translates into a global maternal mortality ratio (MMR) of 216 deaths per 100,000 live births in 2015, a 37% reduction since 2000 [1]. Implementing timely and appropriate evidence-based practices during the peri-operative and immediate postoperative period can improve maternal and fetal health
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