Nepal Safer Motherhood Project - Working to improve the Utilisation of Quality Midwifery and Essential Obstetric Care Services in Nepal Visit the DFID Website HMGN logo

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Definitions

Over the past two decades, a variety of definitions for terms and approaches in safe motherhood have been coined and used. In order to minimise misinterpretation, below are listed definitions of key terms as NSMP has understood and used them.

 
     
 

Abortion :

The termination of a pregnancy before the fetus is capable of extra-uterine life.

 

Basic Essential Obstetric Care (BEOC):

BEOC encompasses the management of normal and complicated pregnancy, delivery and the postpartum period for mothers and newborns. Services at the health centre level include at least the following:

  • Administration of parenteral antibiotics
  • Administration of parenteral oxytocic drugs
  • Administration of parenteral anticonvulsants
  • Intravenous therapy including fluid replacement;

And the following surgical procedures:

  • Assisted delivery (vacuum extraction)
  • Removal of placenta
  • Removal of retained products of conception

 

Comprehensive Abortion Care :

Elective abortion performed at the request of the woman, along with counseling for contraceptive use, medical after-care, and issues relevant to the woman's condition.

 

Comprehensive Essential Obstetric Care (CEOC):

CEOC includes BEOC plus the following additional services:

  • Anaesthesia
  • Blood transfusion
  • Surgical obstetrics including Caesarean delivery and repair of high vaginal or cervical tears
 

DfID :

UK Government's Department for International Development, who have worked in Nepal supporting health services for over seven years (see Safe Motherhood Links page for contact details).

 

Emergency Obstetric Care (EmOC):

EmOC is that part of EOC which deals with emergency services for women who are pregnant, in labour, delivering or postpartum.

 

Essential Obstetric Care (EOC):

EOC describes the elements of obstetric care for the mother an newborn needed for the management of normal and complicated pregnancy, delivery and the postpartum period. It is defined at two different levels of the health care system: basic EOC and comprehensive EOC.


Essential Obstetric Care is a package of interventions, usually provided in hospitals, that reduces the number of deaths and the severity and long-term consequences of any complications.

 

Increasing Access :

Improving the availability of services and information so that they are at a level of effort and cost that this acceptable to, and within the means of, even the most vulnerable women.

 

Key Informant Monitoring Tool :

The tool provides the means by which to gain an understanding of the social context in which pregnancy and childbirth are experienced. Use of the tool will allow the programme to monitor progress towards creating an enabling environment, from the perspective of those affected by it.

 

NSMP :

Nepal Safer Motherhood Project, working in Nepal since 1997. NSMP has a central office in the Department of Health Services (MoH) in Kathmandu. It is managed by Options Consultancy Services, London.

 

Options Consultancy Services :

Applying expertise and effective management in health with a focus on reproductive, sexual and maternal health including HIV/AIDS (contact info@options.co.uk).

 

Policy Development :

Maternal health policy development and implementation, usually here with reference to the Ministry of Health, Nepal.

 

Postabortion Care :

A package of critical reproductive health services consisting of emergency treatment for abortion complications, postabortion family planning counseling and services, and links between emergency treatment and other reproductive health services.

 

Safe Motherhood Programme :

His Majesty's Government of Nepal's (HMGN) 15-year Safe Motherhood Programme/Plan.

 

Service Provision :

EOC services in hospitals and primary health care centres in Nepal (NSMP supports service provision in 10 districts in Nepal).

 

Unsafe Abortion:

The termination of an unwanted pregnancy either by persons lacking the necessary skills or in an environment lacking the minimal medical standards, or both. Regardless of whether an abortion is spontaneous or induced, subsequent events and the care received determine whether the abortion is safe or unsafe.

 
     
 

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