CLINICAL PRACTICE GUIDELINES ON INTRAPARTUM AND IMMEDIATE POSTPARTUM CARE 2012

A collaboration of the Department of Health and the Philippine Obstetrical and Gynecological Society

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The mention of specific product brands is not meant to suggest that they are endorsed or recommended by the Department of Health (DOH) and the Philippine Obstetrical and Gynecological Society (POGS) in preference to other products of a similar nature that are not mentioned. All reasonable precautions have been taken by DOH and POGS to ensure that the information contained in this publication is accurate. However, this guideline is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the guideline lies with the end user. In no event shall DOH and POGS be liable for damages arising from its use.

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MESSAGE The primary aim of MDG 5 is to reduce by three quarters by between 1990 an 2015, the maternal mortality ratio,especially among less developed countries. The Philippines is among those with high maternal mortality rate (MMR). In 2006, our MMR was 162 deaths/100,000 live births, however, the Family Health Survey in 2011 showed that the MMR has increased to 221 deaths/100,000 live births. It is therefore important that we mobilize our efforts together to avert further deaths of our pregnant mothers. The Philippine Obstetrical and Gynecological Society (Foundation), Inc. (POGS) stood up to the challenge of World Health Organization (WHO) in 2011 to undertake the development of an updated, evidence based national guideline on intrapartum and immediate postpartum care. The preparation of the current guideline involved various individuals from different sectors. POGS created a Taskforce for the purpose. The Steering Committee, composed of POGS Fellows, was tasked to appraise existing clinical practice