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Obstetric haemorrhage in Gimbie, Ethiopia

^1. Maternity Worldwide, Unit 9 Level 4 New England House, New England Street, Brighton, BN1 4GH, UK Email: shanepduffy{at}maternityworldwide.org (corresponding author)

Key content:

• The leading cause of maternal death in developing countries is obstetric haemorrhage.
  
• The developing world has benefited little from the many medical advances of the last century.
  
• Health interventions in developing countries need to involve community as well as health facility interventions (the ‘three delays’ model).
  

Learning objectives:

• To understand the challenges of improving maternal health globally, especially in Ethiopia.
  
• To understand how developed countries can take the lead by funding change and by ethical recruitment from developing countries.
  
• To understand how a small charity, Maternity Worldwide, has started to address maternal inequalities in developing countries.
  

Ethical issues:

• Safe motherhood is not a charity issue: it is a call for justice.
  
• Developed countries have a responsibility not to actively recruit the scarce numbers of health care staff from developing countries.
  

Please cite this article as: Duffy S. Obstetric haemorrhage in Gimbie, Ethiopia. The Obstetrician & Gynaecologist 2007;9:121–126.

Keywords Ethiopia / maternal mortality / obstetric haemorrhage / three delays model