Accurate surveillance of maternal deaths is an international priority

Shennan, Andrew; Green, Marcus; Ridout, Alexandra

doi:10.1136/bmj.o2691

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…Hemorrhage and infections which both mostly occur after delivery, hypertensive disorders of pregnancy, complications from delivery, and unsafe abortions are the major complications that account for 75% of all maternal deaths ( World Health Organization, 2019 ). However, it has been noted that most of these deaths are preventable through evidence-based interventions before, during, and after childbirth even in low-income settings ( Shennan et al, 2022 ; World Health Organization, 2019 ). It is unfortunate that the main factors that prevent women from seeking or accessing care are cultural beliefs and practices, poverty, lack of knowledge, distance from health facilities, and inadequate and poor quality maternity services, most of which can be addressed ( World Health Organization, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Women's Perspectives on Cultural Sensitivity of Midwives During Intrapartum Care at a Maternity Ward in a National Referral Hospital in Zimbabwe

et al. 2023

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Introduction Midwives attend intrapartum women of diverse ethnic backgrounds who each bring their cultural beliefs into the labor and delivery rooms. The International Confederation of Midwives has recommended providing culturally appropriate maternity care in its quest to increase skilled birth attendance and subsequently improve maternal and newborn health. Objective This study aimed to examine midwives’ cultural sensitivity during intrapartum care from women's perspectives, and how this relates to women's satisfaction with maternity care services. Methods A qualitative phenomenological design was employed. Two focus group discussions were conducted with 16 women who had delivered in the labor ward of the selected national referral maternity unit. An interpretive phenomenological approach was used to analyze the data. Results This study revealed ineffective midwife–woman collaboration that excludes the incorporation of women's cultural beliefs in the design of maternity care plans. Emotional, physical, and informational support in the care provided to women during labor and childbirth was found to be incompetent. This suggests that midwives are not sensitive to cultural norms and do not provide woman-centered intrapartum care. Conclusion Various factors implying midwives’ lack of cultural sensitivity in their provision of intrapartum care were identified. Resultantly, women's expectations of labor are not met and this could negatively affect future maternity care-seeking behaviors. This study's findings provide policy makers, midwifery program managers and implementers with better insights for developing targeted interventions to improve cultural sensitivity for the delivery of respectful maternity care. Identifying factors that affect the implementation of culture-sensitive care by midwives could guide the adjustments required in midwifery education and practice.

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Section: Introductionmentioning

confidence: 99%

Women's Perspectives on Cultural Sensitivity of Midwives During Intrapartum Care at a Maternity Ward in a National Referral Hospital in Zimbabwe

et al. 2023

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“…Childbirth at a health facility by a skilled birth attendant is one of the essential parts of the Sustainable Development Goal (SDG), a global key strategy to end preventable maternal and newborn obstetric complications, including deaths that may arise during labour and childbirth (1)(2)(3). However, variations in obstetrics complications, including maternal mortality, remain one of the starkest health injustices in the world (4,5). And this is especially true in low-resource countries, including Ethiopia (6, 7).…”

Section: Introductionmentioning

confidence: 99%

Status, associated factors, and reasons for bypassing the childbirth center among postpartum women in the Dire Dawa Administration, Ethiopia: A Mixed Study

Mohammed

Mosa²,

Hailu

et al. 2023

Preprint

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Background Childbirth in nearby health facilities is an important strategy to reduce complications for mothers and newborns, including death. Bypassing nearby birthing health facilities is common in developing countries. However, there is a lack of data in the study area on the extent and reasons for bypassing. Therefore, this study was aimed at assessing these gaps.Methods A facility-based mixed study was conducted at the Dire Dawa administration, Ethiopia, from December 1–30, 2022. Simple random (quantitative) and purposive (qualitative) sampling techniques were used. Data were collected through interviews using structured (quantitative) and semi-structured (qualitative) questionnaires. Quantitative data were entered and cleaned by Epi DATA (Version 3.1) and analyzed using SPSS (Version 22). A P-value of 0.05 or less at multivariate with 95% confidence intervals was considered statistically significant. Qualitative data were thematically analyzed.Results 635 participants (quantitative) and twelve for the qualitative analysis were included. The overall bypass was 30.9%. Higher age group (AOR = 2.34, 95% CI: 1.43–3.82), rural residence (AOR = 1.89, 95% CI: 1.11–3.22), no formal education (AOR = 2.26, 95% CI: 1.23–4.16), obstetric care needs during antenatal care (AOR = 2.37, 95% CI: 1.33–4.22), and health professionals’ behavior (AOR = 3.10, 95% CI: 1.99–4.78) were associated with a higher likelihood of bypassing.Conclusion Bypassing childbirth health facilities was moderate. Perception, health professionals, and facility-related factors were the main identified themes in the qualitative results. Stakeholders recommended improving obstetrics services and researchers conducting additional research.

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“…Childbirth at a health facility by a skilled birth attendant is one of the essential parts of the Sustainable Development Goal (SDG), a global key strategy to end preventable maternal and newborn obstetric complications, including deaths that may arise during labour and childbirth [1][2][3]. However, variations in obstetrics complications, including maternal mortality, remain one of the starkest health injustices in the world [4,5]. And this is especially true in low-resource countries, including Ethiopia [6,7].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2023

IJP

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Background: Childbirth in nearby health facilities is an important strategy to reduce complications for mothers and newborns, including death. Bypassing nearby birthing health facilities is common in developing countries. However, there is a lack of data in the study area on the extent and reasons for bypassing. Therefore, this study was aimed at assessing these gaps. Methods:A facility-based mixed study was conducted at the Dire Dawa administration, Ethiopia, from December 1-30, 2022. Simple random (quantitative) and purposive (qualitative) sampling techniques were used. Data were collected through interviews using structured (quantitative) and semi-structured (qualitative) questionnaires. Quantitative data were entered and cleaned by Epi DATA (Version 3.1) and analyzed using SPSS (Version 22). A P-value of 0.05 or less at multivariate with 95% confidence intervals was considered statistically significant. Qualitative data were thematically analyzed.Results: 635 participants (quantitative) and twelve for the qualitative analysis were included. The overall bypass was 30.9%.

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Accurate surveillance of maternal deaths is an international priority

Cited by 6 publications

References 9 publications

Women's Perspectives on Cultural Sensitivity of Midwives During Intrapartum Care at a Maternity Ward in a National Referral Hospital in Zimbabwe

Women's Perspectives on Cultural Sensitivity of Midwives During Intrapartum Care at a Maternity Ward in a National Referral Hospital in Zimbabwe

Status, associated factors, and reasons for bypassing the childbirth center among postpartum women in the Dire Dawa Administration, Ethiopia: A Mixed Study

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