Practice Makes Perfect and Saves Lives: The Case for Obstetric Emergency Drills

Posted on

By: Katie Millar, Senior Project Manager, Women and Health Initiative, Harvard T.H. Chan School of Public Health

Luckily, devastating, obstetric emergencies are rare. But due to their rarity, pregnant women are at risk of not receiving the care they need when they face life-threatening complications if clinicians don’t have a way to maintain knowledge and skills in managing obstetric emergencies. Stepping outside of the classroom, obstetric emergency drills—a simulation of managing a woman with the most common obstetric emergencies—allows both midwives and physicians to gain and maintain knowledge, build skills, develop teamwork and improve communication to safely manage these complications… read more

Taking a Walk in Her Shoes: How a Midwife Exchange Program Improved Maternal Health in Ethiopia

Posted on

By: Katie Millar, Senior Project Manager, Women and Health Initiative, Harvard T.H. Chan School of Public Health

Hospital leaders and the Ethiopian Ministry of Health recognized a complicated problem in obstetric care in Addis Ababa. Primary health centers saw few patients and referred many unnecessarily to overcrowded tertiary hospitals. To help fix the problem, they created a midwife exchange program… read more

Lauri Romanzi on Rethinking Maternal Morbidity Care in a Historical Context

Posted on

By: Josh Feng, Intern, Environmental Change and Security Program, Wilson Center

In May 1855, Dr. James Marion Sims opened the first obstetric fistula hospital in New York City. Just 40 years later, it closed, reflecting a sharp decline in maternal morbidity rates in the United States and other Western countries. The Waldorf Astoria Hotel now stands on the site of the former hospital. “We know that we have eradicated obstetric fistula in high income countries; it happened at the turn of the 20th century,” says Dr. Lauri Romanzi, project director of Fistula Care Plus, in this week’s podcast. That timing is crucial, says Romanzi, because there is a narrative that argues certain social determinants must be changed to eradicate fistula in developing countries today, such as forced marriage, teen pregnancy, women’s education and suffrage, antenatal care, and gender-based violence… read more