Rmc dr. gadappa
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This document summarizes the experience of implementing respectful maternity care (RMC) at the Government Medical College & Hospital in Aurangabad, India. It provides statistics on deliveries, sex ratios, C-sections, abortions, and more from 2011-2017. It acknowledges challenges like a high patient volume and lack of resources but a strength in willingness to improve care. The presentation outlines how integrating RMC into medical education and establishing standards and protocols can help promote women's rights like informed consent, dignity, and freedom from discrimination during childbirth. The overarching goal is to pursue universal RMC for all childbearing women.
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Rmc dr. gadappa
- 1. Respectful Maternity Care : Experience at GMCH, Aurangabad Dr. Shrinivas Gadappa Professor & HOD, Government Medical College & Hospital, Aurangabad.
- 2. 12330 15034 15812 15807 15688 16817 6735 6357 8178 8352 8570 8649 5749 5906 8650 7707 7381 8179 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 Statistics April 2011 to March2017 Number of Delivery And Sex Ratio at GMCH,Aurangabad (M.S.) Delivery Male Female
- 3. 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 12330 15034 15812 15807 15688 16817 2342 2456 2944 2648 3810 4144 DELIVERY LSCS Statistics Record of Normal delivery Vs Cesarean section April 2011 to March2017 At GMCH, Aurangabad(M.S.)
- 4. 0 100 200 300 400 500 600 700 800 900 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 429 570 758 818 633 375 157 552 550 252 449 362 Abortion MTP Statistics Record April 2011 to March2017 of Abortion &MTP
- 5. Disclaimer This presentation is created solely for academic purpose and to shed light on our beginning & challenges in implementing RMC at GMCH,Aurangabad(M.S.) I ACKNOWELEDGE & THANK
- 6. Conflict of interest We have no conflict of interest related to this presentation. We have no relevant financial relationships with any commercial interest relative to the subject of this presentation.
- 7. Respectful Maternity Care: Tackling Disrespect & Abuse During Facility-Based Childbirth
- 8. The Charter Category of Disrespect and Abuse i Corresponding Right 1. Physical abuse Freedom from harm and ill treatment 2. Non-consented care Right to information, informed consent and refusal, and respect for choices and preferences, including companionship during maternity care 3. Non-confidential care Confidentiality, privacy 4. Non-dignified care (including verbal abuse) Dignity, respect 5. Discrimination based on specific attributes Equality, freedom from discrimination, equitable care 6. Abandonment or denial of care Right to timely healthcare and to the highest attainable level of health 7. Detention in facilities Liberty, autonomy, self-determination, and freedom from coercion RESPECTFUL MATERNITY CARE: THE UNIVERSAL RIGHTS OF CHILDBEARING WOMEN
- 10. HOW I CAME TO KNOW RMC? INTEGRATING GME IN MBBS CURRICULUM
- 12. Why doctors should be aware ? • a relationship that is characterized by caring, • Empathy, • Support, • Trust, • Confidence, • Empowerment, • Gentle, respectful, effective, communication.
- 14. Postgraduates • Restricting ambulation/different positions during labor and choice of birth position • Lack of companion/family during labor • Over-use of anesthesia/analgesia • Administration of oxytocin at any time before delivery in such a way that the effect cannot be controlled • Restricting food and fluids • Separation of mother and baby • Early cord clamping • Routine episiotomy
- 17. While medicalization of childbirth is only one aspect of RMC, the failure to regard the well-being of the woman and newborn by imposing unnecessary, routine or even harmful practices can be considered to be abusive and disrespectful. Addressed in book
- 18. For Hospital staff • In Ward Rounds, • They were told regarding privacy of woman, patients rights , how to give psychological support. • Identify special needs of patient. • See for any signs s/o domestic voilence
- 19. Institutional level • Domestic violence Proforma • Burn in pregnancy Proforma • Using latest format for examination of survivors of sexual assault. • A well illuminated room is specially reserved for examination survivors of sexual assault where 24 hours hospital staff is present to handle this emergency.
- 36. Maternal positions and mobility during first stage of labour Enemas during labour Maternal positions and mobility during first stage of labour Respectful Maternity Care Seek women's involvement in decision making
- 38. Challenges • Number of deliveries more than 16000/year • Only three units • Human resource • supplies • Funds • Time for training • Study SOPS Willingness to work Experimenting smart work plans Recent dissertation on DV & SV Strength
- 39. THANK YOU OUR MOTTO TO PERSUE THE GOAL OF...... RESPECTFUL MATERNITY CARE: THE UNIVERSAL RIGHTS OF CHILDBEARING WOMEN
Editor's Notes
- In every country and community around the world, pregnancy and childbirth are hugely important events in the lives of women and families. They are also a time of great vulnerability. The relationship with maternity caregivers and the maternity care system during this time is incredibly important. In addition to bringing vital, possibly lifesaving health services, women's experiences with maternity caregivers have the power to give strength and comfort… or to cause lasting damage and emotional trauma. Either way, women's memories of their childbearing experiences stay with them for a lifetime. Imagine the personal treatment you would expect from a maternity care provider entrusted to help you or a woman you love give birth. Naturally, we want good judgment and clinical competence, and we imagine a relationship that is characterized by caring, empathy, support, trust, confidence, empowerment, and gentle, respectful, effective communication. Unfortunately, too many women experience care that does not match this image. This presentation is about disrespect and abuse of women during maternity care, and what we can do to tackle this problem.
- Human rights are due to all people, have been recognized by societies and governments and held up in international declarations and conventions. To date, no universal charter or instrument shows how human rights apply to the childbearing process. To promote Respectful Maternity Care, WRA facilitated the development of a rights charter, with broad input from its project partners and representatives from the network of WRA National Alliances and international NGOs around the globe who contributed to this consensus document. Seven rights are included, drawn from the categories of disrespect and abuse identified by Bowser and Hill (2010) in their landscape analysis. All these rights are based on international or multinational human rights instruments. The Charter demonstrates the legitimate place of maternal health rights within the broader context of human rights.