10.4.2  Primary prevention: getting to a health facility for emergency care before uterine rupture

  • Think back to what you learned in the Antenatal Care Module (Study Session 13) and the discussion there about making a referral. What must you remember to do?

  • You should:

    • Write a referral note with as much detail as possible.
    • Mobilise the community’s emergency transport plan for the mother. Go with her if you can.
    • If possible, warn the health facility to expect her. If there is a choice of health facility at roughly equal distance, check which one has facilities for emergency surgery and blood transfusion and send her there.

10.4.1  Referral criteria for prolonged labour

10.4.3  Secondary prevention: emergency care for a woman in shock