During emergencies it is particularly important to consider the prevention of
pregnancy complications and to avoid childbirth in unsafe conditions
that could lead to disease or death in women of childbearing age. This
holds true both during the immediate emergency phase, and the
The activities mentioned below should be included among the chief points to consider in preparing emergency responses:
a census or registry for the identification of women who are pregnant
or have just given birth, in each geographical jurisdiction; classify
pregnant women according to gestation and risk status.
Promote and confirm the detection of women involved in prenatal check-up and who have problems that imply High Obstetric Risk.
whether conditions at primary and secondary health care units in each
jurisdiction are appropriate for safe operations, and verify the status
of equipment and supplies.
Confirm that prenatal care is being provided, particularly for women with high obstetric risk.
the volume of deliveries expected over the next 30 days in the
emergency area, and the volume of resources needed to provide care
under the best conditions possible.
needs for supplies and equipment to attend deliveries and newborns,
both by professional staffs and traditional midwives. Ensure that
medical units attending deliveries and the shelters designated for this
purpose have intravenous and plasma solutions to replenish blood volume
in case of hemorrhage.
that it is possible to ensure delivery care in sanitary conditions, and
to resuscitate newborns. The fact that a large number of deliveries can
be attended in the home environment should be taken into account.
sites where at-risk patients, obstetric emergencies, complicated
deliveries, and general cases requiring surgical care may be referred.
For each site, identify different potential access routes from the
medical units with lesser complexity and response capacities.
the population of the medical units closest to them, how to reach them,
and when necessary of what is needed for pregnant women and newborns to
receive care before, during, and after the emergency.
knowledge among the population of warning signs to watch out for during
pregnancy, childbirth, and post-childbirth (bleeding, pain, persistent
fever, foul-smelling discharges, etc.) so that they may seek care in a
as possible establish obstetric/gynecological health care services,
with trained staffs, in the shelters and temporary refuges.
Expand the application of tetanus toxoid to all pregnant women.
Encourage the preferential supply of food and food supplements, where indicated, to pregnant women and those who are nursing.
the supply of containers for water and disinfection supplies to the
shelters and temporary refuges, so they can be used for female personal
Intensify activities to promote the early adoption of exclusive breast-feeding.
and register births in the area, and locate newborns with any of the
following problems: deficient thermoregulation, neonatal respiratory
insufficiency, and low birthweight. Assign daily special surveillance
to these cases.
Take all necessary precautions to ensure the safe supply of blood for obstetric emergencies and traumas
the preparation and dissemination of messages directed to the general
population, geared at the protection of women during pregnancy,
childbirth, and post-childbirth, and the proper care of newborns.
the availability, at all times, of educational supplies on reproductive
health activities that the population should conduct in emergencies, so
they can be drawn on for health promotion activities when necessary.