Table 1 Emergency ambulance data for Brikama region from 14/5/07 until 20/2/10

1,52,63

3

Obstructed Labour

IV glucose x3, oxygen x1, normal saline bolus x2, CS x3

3 mothers alive, 1 infant death

8,12,13,18,19,22,25,29,30,31,32,34,37,41,46,56,57,68,99,103,

20

Ante-partum Haemorrhage or miscarriage

CS × 6, IV glucose × 2, IV Normal saline × 19, lateral tilt × 1, oxygen × 2, leg elevation × 2, blood transfusion × 1, IV antibiotics x1

All mothers alive, 7 infant deaths

3,40,43,45,85,91,94,101

8

Eclampsia and 2 cases of severe pre-eclampsia

IM/IV hydralazine × 4, IV magnesium sulphate x6, CS x2, Diazepam × 1, oxygen x1, airway opening x2, oropharyngeal airway, suction x2

7 mothers and infants alive, 1outcome unrecorded

1,2,10, 14,36,45,54,93,100,101,104,

11

Pregnancy Induced Hypertension without severe pre-eclampsia or eclampsia

IV hydralazine × 6, IM hydralazine × 2, CS × 3,

11 mothers and 11 infants alive

4,10,15,16,44,53,59,72,76,77,84,89,

12

Twins × 4, breech × 6, or compound presentation × 2

IV glucose × 5, CS x4, vaginal breech x4, IV normal saline × 5, blood transfusion × 1

11 mothers alive, 1 breech fractured femur, 4 fresh stillbirths (one breech head could not be delivered)

1 outcome unrecorded

7,10,16,17,20,26, 27, 28,33,50,66,69,82,86,87,88,90,101,102

19

Prolonged labour

IV glucose × 16, IV antibiotics x1, IV normal saline × 3, ventouse at home × 2, urinary catheter × 1, CS × 9,

19 mothers alive

1 stillbirth

65,81,83,92,96,97,100,106

8

Postpartum haemorrhage

IV normal saline x5, misoprostol x2, ergometrine × 4, oxytocin IV × 1, blood transfusion × 5, IV antibiotics × 2, repair tear × 1

7 mothers alive

1 outcome unrecorded

39, 53,58, 83,97,

5

Severe anaemia

Oxygen × 1, blood transfusion × 5, IV normal saline × 3, IV antibiotics × 1

5 mothers alive

20,21,36,51,55,62,70,71,73,74,75,87,93,102,107

15

Primagravida

IV 50% glucose × 7, IV normal saline × 4, CS × 4, ventouse × 1

15 mothers alive

1 stillborn infant

38,42,47,49,53,66,67,78,79,80,88,90,106,109

14

4 or more previous births

IV normal saline × 4, IV glucose × 3, blood transfusion × 1

13 mothers alive

1 unrecorded

2 stillborn (twins)

26,75,95

3

Infection in pregnancy

IV 50% glucose x1, IV antibiotics × 3, CS x1

3 mothers alive

1 stillborn infant

5,29,45,64,84

5

Preterm labour

5 mothers alive

1 infant stillborn

9(3 patients),11(2 patients),108

6

Road accident

Airway opening x3, compression for bleeding x1, IV normal saline x2, Pain control,

4 survived and 2 died

6(3 years),24(3 weeks),35(8 days), 61(2 years)

4

Paediatric emergency

Airway opening × 2, oropharyngeal airway × 1, IV Normal saline x2 IV glucose followed by infusion × 1, IV antibiotics × 1, Assisted ventilation with bag-valve-mask and oxygen x1, compression to stop bleeding × 1, blood transfusion x1

4 survived

23,39,48,60,64,98,105

7

Miscellaneous (asthma, loss of consciousness, severe vomiting, retained placenta, dehydration and shock, staff member in labour)

Anti-asthma treatment x2(salbutamol, hydrocortisone, aminophylline), oxygen x1, IV normal saline x2, IV glucose x3, retained placenta removed after urinary catheter x1, IV antibiotics × 1

6 pregnant mothers and their infants survived.

One man with dehydration and shock died