Acceleration Program reduction in maternal mortality

Indonesian Association for Obstetrics and Gynaecology

West Java

Zero mOther mOrtality PreeclaMpsia

(ZOOM)

Adhi pribadi
Maternalfetal Dept Obgin dr Hasan Sadikin general hospital
Medical school of Padjadjaran University
POGI Jabar 1
Why Preeclampsia no 1 to handle?
1. Early Detection
2. Cheap and affordable preventative medicine (Calcium, Acetosal)
3. National Clinical Guide (PNPK 2016)
4. Many Hospital in West Java
- 70 general
- 258 private
5. Many health workers in West java
- Specialist: 1.063
- GP: 18.182
- Midwives: 17.629
 REEDUCATION & SOCIALIZATION
1. ANC Integrated
2. Prevention
Screening -Calcium
-Low Dose Aspirin
High Risk 3. Early Detection
- Doppler a.uterine

1. Direct
2. Prevention
Referral -Anti Hypertensive
System -Anti convulsan
3. Elective Refferal

1. Severe cases
- Termination ≥ 34 w
Hospitals 2. Corticosteroid
3. Inpatient Case

Three Point Strategy ZOOM Program

 steps
1. SPECIALIST
- Symposium: Reeducation prevention, early detection & Management
- Training: Doppler a.Uterine

2. General Practitioner & Midwives

- Symposium
- Training General Practitioner:
- General Life Support training
- Training Midwives:
- Obstetric Neonatal Emergency Training
- Midwifery update