SOS-MAMAS

SETTING UP OF A MEDICAL DEVICE FOR MONITORING VITAL PARAMETERS AND DETECTION/ ALERT SIGNS OF DANGER IN WOMEN PREGNANT.

The surveillance system managed by a health facility. It is simple and portable: The monitoring information is received on a touch interface (computer tablet) which displays a surveillance board consisting of small squares each representing a patient connected to the application. These squares are arranged on a page with multiple sheets exactly like an Excel workbook based on the number of connected patients. A connection capacity will be defined for each structure of monitoring to avoid overloading the interface. Small squares will have three colors conventional to display the status of the patient. Green color, orange and red according to vital signs or danger signs detected. Of course, green means the normal state in the pregnant woman and the orange a state of vigilance and the red, the alert requiring an intervention. All these parameters will be managed by a computer program. The interface will also be able to receive and interpret text messages. The application that the pregnant woman has since the third trimester the NPC. It should be able to record vital signs, and this via a small display screen and numeric keys and symbol needed to dial and send alerts. 

In the world, maternal mortality is a major public health problem.

Therefore, most countries have engaged in the dynamic search for adequate
responses to this issue. The importance of prenatal consultation has been
demonstrated in many studies, to contribute, it must be effective to start at a near stage of pregnancy and continue with regularity until delivery. WHO recommends at least four Prenatal Consultations at regular intervals throughout the pregnancy? Unfortunately, in most developing countries, irregularities in monitoring are observed; the majority of pregnant women consult prenatal services after the third month of pregnancy. In Europe, the proportion of pregnant women using prenatal services is 100%. All these women start NPC in the first three months of pregnancy. In Africa, however, the situation is quite different because a large majority of pregnant women do not use of antenatal care according to standards.
In the DRC, taking antenatal care into account poses a serious problem

for women pregnant, especially if she is still a teenager. However, taking it into account is of importance in capital to allow caregivers and the baby's mother to learn about the evolution of the baby in the breast of his mother. It also reveals that the target population concerned by the NPC programming are all pregnant women within the health center and that the frequency of visits or the number of sessions per month go from 4 to 5 and more in case of necessity. 

A woman X who notices the bleeding can open the SOS-MAMAS application and following a menu, choose the symptoms (swelling of the feet, Lower abdominal pain, Presentation of the SOS-MAMAS project in pregnant women, persistent uterine contractions, bleeding, etc. ...). For example, for the X woman, if she will choose "bleeding" and click send,

automatically this is processed and sent monitoring device that displays a
flashing red on the tablet. The provider will only have to click on the flashing
red (emitting a warning beep) to view the details of the patient and then
the provider will select the support options. The patient or her entourage
can then be reached on the phone for more information. Other functions
such as blood pressure, maternal or fetal heart rate, temperature can be
recorded by sensors embedded in an electronic bracelet and transmitted
in real time to the server of the supplier who shares with the monitoring
system. The choice of the database that will be used by SOS-MAMAS will
be the one that proposes several user authentication systems, but also,
access to the data in the server is only assigned to the authorized and
received persons the necessary permissions. Thus, a system for viewing
users connected to SOS-MAMAS will be available, in order to manage
different activities of each user.

I learned a lot about most of the research that is carried out by the organization in Africa and in the DRC in particular.

According to the WHO Around 830 women die every day worldwide from complications related to pregnancy or childbirth. In 2015, 303,000 women died during or after pregnancy or childbirth. The bulk of these deaths have occurred in low-income countries and most could have been preventable.

With the idea conceived, my team and I were able to design a prototype of the mobile/web application connected to the bracelet for monitoring vital signs, but unfortunately could not move on to the deployment phase due to lack of financial means.