Highlights
Sekyiwa is a Nullip who lives in a rural coastal town in Ghana. She attended all her scheduled antenatal appointments at the local health centre and experienced an uneventful pregnancy. During labour, the midwife dutifully monitored her with a partogram. Her labour progress was slow which eventually crossed the action line by midnight. Upon reassessment, she exhibited classical signs of obstructed labour, hence the need for an emergency caesarean section. However, the facility operated a theatre which closed after 8pm and any emergency afterwards would require the surgery team being called in. Sekyiwa developed a uterine rupture due to delay in mobilizing the surgery team.
As written in the handbook, I scenario to be used as an example. This is the scenario I agreed upon with my lecturer. It should begin the essay and is part of the 3000 words count.
The case study represents too little too small (TLTS) so my essay should focus on that. On tutorials with my lecturer, I must consider the following in my writing.
Facts and figures (Compare data from Ghana to other countries)
Impact on Maternal mortality and neonatal mortality rate
Discuss why and how the case study causes a problem.
Discuss epidemiology of maternal health e.g.: why women are dying (age, economic status, marginalisation etc.).
International issues eg. Policy drivers, policies in ghana, guigelines,
Critical discussion on the challenges in ghana that influences maternal health care eg politics, poor service, midwives shortage, ambulances, poor roads etc.
Global health initiatives eg M SDGs and why the MDGs failed
Recommendations and suggestions eg, mhealth etc.
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