Evidence-based practices to reduce maternal mortality: a systematic review

Abstract

The dearth of evidence highlights the need for increased focus on clinical and community-based interventions that are feasible in sub-Saharan Africa. This cannot be accomplished without a stronger commitment to reducing maternal mortality by global health practitioners and researchers.

Risiko Gangguan Perkembangan Pada Balita Yang Mengalami Kematian Maternal

“…Mortalitas dan morbiditas pada wanita hamil dan bersalin masih menjadi masalah besar di Indonesia. Penduduk di negara berkembang memiliki risiko mengalami kematian maternal 200 kali lipat lebih besar jika dibandingkan dengan penduduk di Negara Eropa Barat dan Amerika Utara (Piane, 2008). Berdasarkan Survei Demografi dan Kesehatan Indonesia tahun 2012, Angka Kematian Maternal / MMR di Indonesia mencapai 359/100.000 kelahiran hidup (SDKI, 2012), dan menjadikan Indonesia sebagai negara dengan Angka kematian tertinggi di kawasan Asia Tenggara (WHO, 2012).…”

Achieving Millennium Development Goal 5, the Improvement of Maternal Health

“…Chaotic lifestyles, such as the displacement of refugees, may contribute to maternal morbidity and mortality (Bick, 2008). It is essential that global health officials identify best practices, then fund and implement effective programs in the developing world (Piane, 2008). For example, participatory groups of women meeting in rural Malawi identified maternal health problems and ways to address those problems (Rosato et al, 2006).…”

“… Bhutta et al (2008), Bisika (2008), Burchett and Mayhew (2009), Chopra et al (2009), Edwidge (2009), Freedman et al (2007), Koblinsky et al (2008), Piane (2009), Simkhada et al (2007), and UNICEF (2009b). …”

Maternal and Women's Health: Evidence‐Informed Practice on a Global Scale

“…In developed countries, women give birth with minimal risk while in others, particularly African countries, women die regularly from preventable pregnancy‐related risks (Piane 2008). Pregnancy or pregnancy‐related complications in developing countries result in 1,500 deaths daily (WHO 2008b).…”

“…If we are to achieve the defined Millennium target that is a reduction of the maternal mortality ratio by 5.5% each year, evidence‐informed, gender‐specific strategies are required to reduce mortality outcomes. Moving the target to the 5.5% reduction from the current decline of <0.4% (Piane 2008) suggests that significant and focused energy is needed and needed now. But what evidence‐informed strategies should be selected to begin fueling collective energy?…”