In order to lower the maternal mortality rate to about half, the Pune Zilla Parishad has begun training medical officers about antenatal care. This initiative is being implemented with the help of doctors from the gynaecology department of Bharati Hospital. Over 60 medical doctors have received training under this programme till date. Around 1,800 deliveries take place at 96 primary health centres (PHCs) in the ZP every month.
Problems faced by the ZP at the PHCs while carrying out deliveries have been long-standing. The matter started to ebb after Bharati Hospital and Pune Obstetric and Gynaecological Society (POGS) lent a helping hand. “The programme was started around a month ago, as POGS displayed interest to help ZP in a meeting and the training session was planned at the time. Till date, two batches comprising 27 medical officers, have undergone training,” informed ND Deshmukh, district health officer, Pune. “About 70-75 deliveries are carried out in Loni area every month. The PHC at Wagholi too sees around 35 deliveries in a month. Considering all the numbers, we are aiming for 50% deliveries to be carried out at PHCs, and we will achieve it soon.”
Considering the complexity of cases at the PHCs, doctors felt the dire need to get updated knowledge, which is being provided by POGS members. “There are myriad issues like postpartum haemorrhage (PPH), severe anaemic condition etc that are hard to deal with. Experts from POGS are not only providing training to our doctors, but also guiding them in emergency cases,” Deshmukh said.
Informing about the guidance provided to the physicians, Dr Girija Wagh, secretary at POGS, said, “We are carrying out a training programme, during which we teach them to deal with various complications during deliveries. Doctors come across many cases of severe anaemia and PPH. With the help of a simulator we gave them a demonstration, followed by discussions on various cases. We have also asked them to call us when they come across hitches during deliveries in their respective PHCs.”
Last year, 14 maternal deaths were registered with the district health officer. The number is five for this year so far. “Maternal mortality Rate (MMR) is decreasing and this training would help bring it down further. We are aiming for the figure to reduce to 40 per lakh live births,” Deshmukh opined.
1,800 Approximate number of deliveries that take place at 96 primary health centres under the Zilla Parishad every month