The termination of a pregnancy before the fetus is capable of
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.
Essential Obstetric Care (CEOC):
CEOC includes BEOC
plus the following additional services:
- Blood transfusion
- Surgical obstetrics including Caesarean delivery
and repair of high vaginal or cervical tears
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.
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.
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.
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.
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
Maternal health policy development and implementation, usually
here with reference to the Ministry of Health, Nepal.
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.
EOC services in hospitals and primary health
care centres in Nepal (NSMP supports service provision in 10 districts
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.