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.