International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Sep 2002
ReviewACOG practice bulletin. Obstetric analgesia and anesthesia. Number 36, July 2002. American College of Obstetrics and Gynecology.
Labor results in severe pain for many women. There is no other circumstance in which it is considered acceptable for a person to experience untreated severe pain, amenable to safe intervention, while under a physician's care. ⋯ Pain management should be provided whenever it is medically indicated. The purpose of this document is to help obstetrician-gynecologists understand the available methods of pain relief to facilitate communication with their colleagues in the field of anesthesia, thereby, optimizing patient comfort while minimizing the potential for maternal and neonatal morbidity and mortality.
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Int J Gynaecol Obstet · Sep 2002
ReviewConcepts and techniques for planning and implementing a program for renovation of an emergency obstetric care facility.
As emergency obstetric care (EmOC) services are being upgraded, many health planners are considering structural changes to the health facility. Preparing for a renovation is a long process which involves three phases: assessment, planning and implementation. ⋯ In this paper we discuss some of the critical aspects (based on published literature) in assessing, planning and implementing renovations at an EmOC facility. The actual in-the-field experience of renovations and repairs will be explored in a second paper in this issue.