Perioperative Obstetric Haemorrhage

Perioperative Obstetric Haemorrhage in Mbeya

Vijiji International defines Perioperative obstetric hemorrhage refers to any kind of excessive bleeding (usually related to  pregnancy but not related to any surgical procedure. This could be during pregnancy, childbirth,  or in the postpartum period. Bleeding typically occurs vaginally but rarely in the abdominal  cavity. Available evidence suggests that severe obstetric hemorrhage is the most frequent  cause of maternal mortality and morbidity all over the world. In the year 2015, a total of 8.7  million cases of obstetric hemorrhage have been reported with 83,000 deaths.

African countries including Tanzania, are estimating 33.9% of maternal mortality rates due to  Perioperative obstetric hemorrhage. The majority of these maternal deaths occur within 24  hours of delivery which indicates that they are a consequence of pregnancy and delivery.  In Mbeya, Tanzania only half of pregnant women receive the minimum standard for obstetric  care while maternal deaths are at 776 per 100,000 live births. Obstetric hemorrhage is a  leading cause of maternal deaths at Mbeya Zonal Referral Hospital (MZRH) compounded by the  low numbers of skilled staff able to manage hemorrhage.

The quasi-experiment of pre and post-intervention assessment to determine the impact of  training will be conducted by the team of Obstetricians and Multidisciplinary professionals from  the Institute for Women‟s Health, University College London (UCL) will offer technical support by  a mix of online and face to face training for the Perioperative Management of Obstetric  hemorrhage. The team will run a training program for 25 health workers (15 females and 10  males; 13 nurses and 12 medical doctors) in Tanzania for the Perioperative Management of  obstetric hemorrhage using national and international protocols. Vijiji International is working with the University of Dar Es  Salaam – Mbeya College of Health and Allied Sciences (UDSM-MCHAS) will monitor the  progress of the training agenda and document the final impact with technical support also  offered by co-PI at Queen Mary University of London (QMUL).

Obstetricians from the  department of Obstetrics and Gynaecology of MZRH will facilitate online training. The project  will use 4 research coordinators from the Department of Epidemiology of UDSM-MCHAS for  monitoring and evaluation. The project will be conducted in four hospitals of Mbeya Zonal  Referral Hospital (MZRH), Mbeya Regional Referral Hospital (MRRH), and the two district  hospitals (Igawilo D.H and Ifisi D.H). A lead from Tanzania – UK Healthcare Education Diaspora  Association will provide professional mentorship to the trainee.