International Childbirth Initiative: A new Paradigm in Maternal Health Care

André Lalonde

Abstract

The International Childbirth Initiative (ICI) Twelve  Steps to Safe and Respectful Maternity Care was developed to promote quality in practice within a broader scope and multidimensional approach to quality that ensures evidence based practice focusing on better (bio)-medical and psychosocial health outcomes for the Mother-Baby-Family unit. It also addresses a number of health system issues that contribute to the achievement of quality of care in practice including working conditions and relationships between health care providers. The ICI Foundational Principles and 12 Steps are building blocks for equitable, Mother-Baby-Family focused, timely, effective and respectful care that can be implemented

by facilities, centres, hospitals and units providing care before, during and after birth to women and their babies throughout the world. The ICI supports organizational implementation and facilitates a learning community of practice for ICI implementers.

As one of the founding organizations with IMBCO, FIGO has embraced this initiative and Dr.

Carlos Fuchtner has declared it as a FIGO Presidential Initiative for the period 2019-2022 and has established a FIGO Working Group for the ICI that will continue to collaborate with partners to support ICI implementation and recognition status.

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References

United Nations. Sustainable Development Goals. 2015. https://sustainabledevelopment.un.org/sdgs (accessed 19

April 2019).

Montagu D, Sudhinaraset M, Diamond-Smith N, Campbell O, Gabrysch S, Freedman L, Kruk ME and Donnay Fl. Where women go to deliver: understanding the changing landscape of childbirth in Africa and Asia. Health Policy Plan 2017; May 25: doi: 10.1093/heapol/czx060. [Epub ahead of print].

Gabrysch S, Nesbitt RC, Schoeps A, Hurt L, Soremekun S, Edmond K, Manu A, Lohela TJ, Danso S, Tomlin K, Kirkwood B and Campbell OMR. Does facility birth reduce maternal and perinatal mortality in Brong Ahafo,

Ghana? A secondary analysis using data on 119 244 pregnancies from two cluster-randomised controlled trials. The Lancet Global Health 2019; 7(8): e1074-e87.

Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, Aguiar C, Saraiva Coneglian F, Diniz AL, Tunçalp Ö, Javadi D, Oladapo OT, Khosla R, Hindin MJ and Gülmezoglu AM . The Mistreatment of Women during Childbirth in Health Facilities Globally: A MixedMethods Systematic Review. PLoS Med 2015; 12(6):

e1001847.

Sando D, Ratcliffe H, McDonald K, Spiegelman D, Lyatuu G, Mwanyika-Sando M, Emil F, Wegner MN, Chalamilla G and Langer A. The prevalence of disrespect and abuse during facility-based childbirth in urban Tanzania . BMC Pregnancy Childbirth. 2016; 16: 236. Published online 2016 Aug 19. doi: 10.1186/s12884-016-1019-4

The International Childbirth Initiative: 12 steps to safe and respectful Mother-Baby -Family maternity care FIGO statement Int J Gynecol Obstet 2019; 146:65-73

WRA What Women Want Study: 2019; Whatwomenwant.org.

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