Sabah Obstetrics Shared Care Guidelines
−Sabah is a state in East Malaysia rich with cultural and biodiversity. This is the place where you can find Mount Kinabalu and also the most beautiful diving spots in the world. Sabah is also the second largest state in Malaysia.
−Having said that, Sabah is one of the states with the highest delivery rates reaching up to 16,000 deliveries in a year.
−There are 23 Klinik Kesihatan throughout Sabah providing primary care to pregnant mothers. Of course, given the vast number of patients and variable geographical landscape of Sabah, management and coordination of care can sometimes be difficult.
−The first edition of the Sabah Obstetrics Shared Care Guidelines was published in 2011 and many new updates have been included in the new second edition guidelines to keep up with the advances in obstetrics.
−It is devised for front line primary health care providers as an evidence based reference in the management of obstetrics cases, not only for doctors in the primary health care centre but also for Midwifes working deep in the rural areas far away from referral centres.
−There are a total of 17 chapters in the book, covering common medical conditions in pregnancy such as diabetes in pregnancy, hypertensive disorder in pregnancy as well as pre-pregnancy care and antenatal care.
−The book serves as a guide on shared care between district clinics and referral centres. This ensures that even mothers living in rural areas will have access to specialist-level care.
−Shared Materinity Care represents an opportunity to practice collaborative holistic obstetric care by combining the varied skills of Midwife, Family Medicine Physician and Obstetrician to the benefit of the community and mutual understanding between colleagues.
−An obstetric shared care arrangement should be recommended for all low risk women who have access to an accredited maternal health care centre and a participating public hospital.
−In addition, it also provides guidance on when to make referrals to a tertiary centre. This is vital to provide continuation of care for pregnant women regardless of their cultural background and origin.
−Hopefully with this Sabah Obstetrics Shared Care Guidelines, we can improve and strengthen the obstetrics health services in Sabah and work towards achieving the national sustainable development goal number 3 which is good health and wellbeing, particularly for maternal and child health.