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May 8, 2018
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MNCH e-Post

Issue No. 61

Dear Reader, welcome to our Issue No. 61 with great news, features, blogs, latest research publications and much more. May 5 was International Day of the Midwife and we have very interesting stories and resources on midwifery.
Enjoy your reading!
News & Features
Health worker Tales: “Pronto training revitalised my midwifery skills”
Nancy is no longer the timid midwife who joined St Francis Hospital Buluba in Eastern Uganda about one and a half years ago. She now exudes confidence and loves what she does, thanks to the Pronto In-Situ simulation based obstetrics and newborn emergency training and clinical mentorship under the auspices of the East Africa Preterm Birth Initiative (PTBi-EA) project. In her own words, Nancy says she was “quite raw” because she had forgotten many things she learnt in midwifery school after staying for close to two years at a clinic where she hardly practiced midwifery. Read story.
From across Uganda’s South Western border, read about Georgetta Dusingizuhoraho, the Rwandan midwife mentor who is taking the lead in providing lifesaving care. Dusingizuhoraho is one of the 107 midwives trained and equipped by the Maternal and Child Survival Program to mentor their peers to manage maternal and newborn complications during pregnancy and delivery.
Latest Research
Measurement error of mean sac diameter and crown-rump length among pregnant women at Mulago hospital, Uganda
“Intra- and inter-observer error of crown-rump length and mean sac diameter measurements among pregnant women at Mulago hospital were within acceptable limits. This provides assurance that the error in the estimates of gestational age obtained are within acceptable margins of ±3 days in first trimester.”
Maternal bleeding complications following early versus delayed umbilical cord clamping in multiple pregnancies
“No differences in maternal bleeding complications were found with delayed cord clamping in multiple pregnancies compared to early cord clamping. Delayed cord clamping can be done safely in multiple pregnancies without any increased maternal risk.”
Mode of delivery after a previous cesarean birth, and associated maternal and neonatal morbidity
“Attempted vaginal birth after cesarean delivery is associated with low absolute rates of severe maternal and infant morbidity and mortality, although relative rates of such adverse outcomes are higher than for elective repeat cesarean delivery.”
Blogs & Commentaries
Reports, Tools & Guidelines
This “WHO handbook for national quality policy and strategy” outlines an approach for the development of national policies and strategies to improve the quality of care. Such policy and strategy can help clarify the structures, roles and responsibilities within national quality efforts, support the institutionalization of a culture of quality, and secure buy-in from health system leaders and stakeholders.
 
On May 5th we celebrated International Day of the Midwife under the theme – “Midwives Leading with Quality Care”. Midwives are at the heart of Quality, Equity and Dignity in healthcare provision and can provide up to 87% of childbirth-related services, making them the ideal health professional to support women and babies through the continuum of care. Find resources on midwifery in this special edition of the HNN Newsletter.
Opportunities & Events
Date: May 17, 2018 | Time: 16:00 CET
 
Contributing to the webinar will be:
  • Erica Nelson (IDS, UK) – lead editor of Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage
  • Denise Namburete (N'weti Health Communication, Mozambique)
  • Walter Flores (Centre for the Study of Equity in Governance in Health Systems, Guatemala)
  • Chair: Amy Boldosser-Boesch (Civil Society Engagement Mechanism for UHC2030) 
 
Find details here.
 
Editor’s Note: For any comments or if you have any advice to us or information you would like to share on our email network of over 1300 stakeholders, send us an email on cmnhr.epost@gmail.com We are open to collaborations and hosting post doc as well as masters students with interest in research on maternal and newborn health.
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Copyright © 2018 Makerere University Centre of Excellence for Maternal Newborn & Child Health, All rights reserved.


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