Obstetric ectoscopy: an eye-opener for hospital-based clinicians

Authors

  • Staffan Bergström

    Corresponding author
    1. From the Division of International Health (IHCAR), Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.
      *Staffan Bergström
      Division of International Health (IHCAR)
      Dpt of Public Health Sciences
      Karolinska Institute
      SE-171 76 Stockholm
      Sweden
      e-mail: staffan.bergstrom@phs.ki.se
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*Staffan Bergström
Division of International Health (IHCAR)
Dpt of Public Health Sciences
Karolinska Institute
SE-171 76 Stockholm
Sweden
e-mail: staffan.bergstrom@phs.ki.se

Abstract

Obstetricians show a disproportionately small or even insignificant interest in alarming maternal mortality and maternal ill health in underserved and impoverished countries. We keep silent or are indifferent in areas of our expertise instead of reminding politicians of the ‘scandal of our time’, the maternal mortality. The historical roots of this fallacy is discussed. An outward-looking attitude (‘ectoscopy’) is needed in undergraduate and postgraduate training in obstetrics and gynecology, incorporating skills in auditing various aspects of quality care in community obstetrics. Programming to reduce maternal and perinatal ill-health should be given emphasis in specialist training in obstetrics and gynecology.

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