{"id":"https://openalex.org/W7223548935","doi":"https://doi.org/10.2147/ijwh.s647888","title":"From Gaps in Maternity Care to Maternal Rescue: An Interprofessional Implementation Agenda for Anesthesia and Maternal Critical Care in Somalia","display_name":"From Gaps in Maternity Care to Maternal Rescue: An Interprofessional Implementation Agenda for Anesthesia and Maternal Critical Care in Somalia","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223548935","doi":"https://doi.org/10.2147/ijwh.s647888","pmid":"https://pubmed.ncbi.nlm.nih.gov/42964988","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13720899"},"language":"en","primary_location":{"id":"doi:10.2147/ijwh.s647888","doi":"https://doi.org/10.2147/ijwh.s647888","is_oa":true,"landing_page_url":"https://doi.org/10.2147/ijwh.s647888","pdf_url":"https://www.dovepress.com/article/download/121366","source":{"id":"https://openalex.org/S2754457614","display_name":"International Journal of Women s Health","issn_l":"1179-1411","issn":["1179-1411"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Women's Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.dovepress.com/article/download/121366","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5139008487","display_name":"Hamdi Abdi Ali","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127735","display_name":"SIMAD University","ror":"https://ror.org/03dynh639","country_code":"SO","type":"education","lineage":["https://openalex.org/I4210127735"]}],"countries":["SO"],"is_corresponding":true,"raw_author_name":"Hamdi Abdi Ali","raw_affiliation_strings":["Department of Anesthesia and Critical Care, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesia and Critical Care, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia","institution_ids":["https://openalex.org/I4210127735"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5130941121","display_name":"Nasteho Mohamud Mudei","orcid":"https://orcid.org/0009-0002-2744-9230","observed_orcids":["https://orcid.org/0009-0002-2744-9230"]},"institutions":[{"id":"https://openalex.org/I4210127735","display_name":"SIMAD University","ror":"https://ror.org/03dynh639","country_code":"SO","type":"education","lineage":["https://openalex.org/I4210127735"]}],"countries":["SO"],"is_corresponding":false,"raw_author_name":"Nasteho Mohamud Mudei","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia"],"raw_orcid":"https://orcid.org/0009-0002-2744-9230","affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia","institution_ids":["https://openalex.org/I4210127735"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5139008487"],"corresponding_institution_ids":["https://openalex.org/I4210127735"],"apc_list":{"value":2836,"currency":"USD","value_usd":2836},"apc_paid":{"value":2836,"currency":"USD","value_usd":2836},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85024931,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"Volume 18","issue":null,"first_page":"1","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.48069998621940613,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.48069998621940613,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11731","display_name":"Global Health and Surgery","score":0.329800009727478,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.1096000000834465,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstetric-anesthesia","display_name":"obstetric anesthesia","score":0.8600000143051147},{"id":"https://openalex.org/keywords/maternal-critical-care","display_name":"maternal critical care","score":0.8629999756813049},{"id":"https://openalex.org/keywords/somalia","display_name":"Somalia","score":0.4860000014305115},{"id":"https://openalex.org/keywords/obstetric-emergencies","display_name":"obstetric emergencies","score":0.5720000267028809},{"id":"https://openalex.org/keywords/early-warning-systems","display_name":"early warning systems","score":0.5860000252723694},{"id":"https://openalex.org/keywords/crisis-resource-management","display_name":"crisis resource management","score":0.9760000109672546},{"id":"https://openalex.org/keywords/obstetric-hemorrhage","display_name":"obstetric hemorrhage","score":0.777999997138977},{"id":"https://openalex.org/keywords/eclampsia","display_name":"eclampsia","score":0.9309999942779541},{"id":"https://openalex.org/keywords/obstetric-sepsis","display_name":"obstetric sepsis","score":0.8360000252723694},{"id":"https://openalex.org/keywords/interprofessional-collaboration","display_name":"interprofessional collaboration","score":0.7039999961853027},{"id":"https://openalex.org/keywords/workforce-capacity","display_name":"workforce capacity","score":0.47099998593330383},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.4749999940395355},{"id":"https://openalex.org/keywords/severe-maternal-morbidity","display_name":"severe maternal morbidity","score":0.7269999980926514},{"id":"https://openalex.org/keywords/referral-pathways","display_name":"referral pathways","score":0.5580000281333923}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8907999992370605},{"id":"https://openalex.org/C2992232542","wikidata":"https://www.wikidata.org/wiki/Q20862341","display_name":"Maternity care","level":3,"score":0.7989000082015991},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.7944999933242798},{"id":"https://openalex.org/C3018031340","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal morbidity","level":3,"score":0.6000000238418579},{"id":"https://openalex.org/C2983493262","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal health","level":4,"score":0.4481000006198883},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.4478999972343445},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.43220001459121704},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.427700012922287},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.4169999957084656},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.41690000891685486},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.38190001249313354},{"id":"https://openalex.org/C3020128735","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Cesarean delivery","level":3,"score":0.3783999979496002},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.36010000109672546},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.3540000021457672},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.33390000462532043},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.33000001311302185},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3278999924659729},{"id":"https://openalex.org/C2908892503","wikidata":"https://www.wikidata.org/wiki/Q1339474","display_name":"Maternal death","level":3,"score":0.3165999948978424},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.3050999939441681},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.2752000093460083},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.2639999985694885},{"id":"https://openalex.org/C2780283434","wikidata":"https://www.wikidata.org/wiki/Q7705274","display_name":"Tertiary referral hospital","level":3,"score":0.26190000772476196},{"id":"https://openalex.org/C206713868","wikidata":"https://www.wikidata.org/wiki/Q1674639","display_name":"Near miss","level":2,"score":0.25099998712539673}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.2147/ijwh.s647888","doi":"https://doi.org/10.2147/ijwh.s647888","is_oa":true,"landing_page_url":"https://doi.org/10.2147/ijwh.s647888","pdf_url":"https://www.dovepress.com/article/download/121366","source":{"id":"https://openalex.org/S2754457614","display_name":"International Journal of Women s Health","issn_l":"1179-1411","issn":["1179-1411"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Women's Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13720899","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13720899/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13720899/pdf/IJWH-18-647888.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Womens Health","raw_type":"Text"},{"id":"pmid:42964988","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42964988","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of women's health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:7f76de53ed6347bb98ff7970dae9a369","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7f76de53ed6347bb98ff7970dae9a369","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"International Journal of Women's Health, Vol Volume 18, Iss Issue 1, Pp 1-6 (2026)","raw_type":"article"},{"id":"pmh:oai:dovepress.com/121366","doi":null,"is_oa":true,"landing_page_url":"https://www.dovepress.com/from-gaps-in-maternity-care-to-maternal-rescue-an-interprofessional-im-peer-reviewed-fulltext-article-IJWH","pdf_url":null,"source":{"id":"https://openalex.org/S4306401012","display_name":"Dove Medical Press (Taylor and Francis Group)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Commentary"}],"best_oa_location":{"id":"doi:10.2147/ijwh.s647888","doi":"https://doi.org/10.2147/ijwh.s647888","is_oa":true,"landing_page_url":"https://doi.org/10.2147/ijwh.s647888","pdf_url":"https://www.dovepress.com/article/download/121366","source":{"id":"https://openalex.org/S2754457614","display_name":"International Journal of Women s Health","issn_l":"1179-1411","issn":["1179-1411"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Women's Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223548935.pdf","grobid_xml":"https://content.openalex.org/works/W7223548935.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W2329188517","https://openalex.org/W2802528871","https://openalex.org/W2899453880","https://openalex.org/W3138191715","https://openalex.org/W4322505765","https://openalex.org/W4391847968","https://openalex.org/W4396967699","https://openalex.org/W4400746840","https://openalex.org/W4413526021","https://openalex.org/W7160647302"],"related_works":["https://openalex.org/W7160647302","https://openalex.org/W7212354995","https://openalex.org/W7203492236","https://openalex.org/W7154386966","https://openalex.org/W7155361982","https://openalex.org/W7202347328","https://openalex.org/W4406267424","https://openalex.org/W4402054772","https://openalex.org/W4225256629","https://openalex.org/W7160138177"],"abstract_inverted_index":{"Somalia's":[0],"maternal":[1,83,98,148,175,199],"health":[2],"system":[3,145],"faces":[4],"a":[5,69,141,192],"dual":[6],"challenge:":[7],"limited":[8],"access":[9],"to":[10,17,59,138,154,195],"skilled":[11],"maternity":[12,73,109],"care":[13],"and":[14,35,47,71,74,91,94,99,123,178,201],"insufficient":[15],"capacity":[16],"rescue":[18],"women":[19],"who":[20],"deteriorate":[21],"during":[22],"or":[23],"after":[24],"obstetric":[25],"emergencies.":[26],"Hemorrhage,":[27],"hypertensive":[28],"emergencies":[29],"including":[30],"eclampsia,":[31],"sepsis,":[32],"obstructed":[33],"labor,":[34],"urgent":[36],"cesarean":[37,79,167],"delivery":[38],"require":[39],"coordinated":[40],"maternity,":[41],"anesthesia,":[42],"nursing,":[43],"resuscitation,":[44],"postoperative":[45],"surveillance,":[46],"critical-care":[48,132],"functions.":[49],"This":[50],"evidence-informed":[51],"commentary":[52],"shifts":[53],"the":[54],"discussion":[55],"from":[56],"documenting":[57],"gaps":[58],"an":[60,77],"interprofessional":[61,188],"implementation":[62],"agenda.":[63],"We":[64],"propose":[65],"five":[66,156],"linked":[67],"priorities:":[68],"regulated":[70],"supported":[72],"obstetric-anesthesia":[75],"workforce;":[76],"evidence-based":[78],"safety":[80,168],"bundle;":[81],"step-up":[82],"high-care":[84],"capacity;":[85],"early-warning,":[86],"crisis":[87],"resource":[88,121],"management,":[89],"escalation,":[90],"referral":[92,108],"pathways;":[93],"routine":[95],"measurement":[96],"through":[97],"perioperative":[100],"quality":[101],"systems.":[102],"The":[103,150],"approach":[104],"emphasizes":[105],"actions":[106],"that":[107,158],"hospitals":[110],"can":[111],"introduce":[112],"progressively,":[113],"with":[114],"named":[115],"local":[116],"accountability,":[117],"team":[118],"training,":[119],"minimum":[120],"requirements,":[122],"measurable":[124],"indicators,":[125],"while":[126],"avoiding":[127],"unsupported":[128],"assumptions":[129],"about":[130],"national":[131],"capacity.":[133],"Somalia":[134],"does":[135],"not":[136],"need":[137],"wait":[139],"for":[140],"fully":[142],"developed":[143],"intensive-care":[144],"before":[146],"improving":[147],"rescue.":[149],"immediate":[151],"opportunity":[152],"is":[153],"connect":[155],"functions":[157,185],"are":[159],"too":[160],"often":[161],"fragmented:":[162],"competent":[163],"anesthesia":[164],"provision,":[165],"reliable":[166],"processes,":[169],"early":[170],"recognition":[171],"of":[172,181],"deterioration,":[173],"monitored":[174],"high":[176],"care,":[177],"accountable":[179],"review":[180],"outcomes.":[182],"Strengthening":[183],"these":[184],"as":[186],"one":[187],"maternal-rescue":[189],"pathway":[190],"offers":[191],"practical":[193],"route":[194],"reducing":[196],"preventable":[197],"severe":[198],"morbidity":[200],"mortality":[202],"in":[203],"Somalia.":[204]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-26T00:00:00"}