Maternal Morbidity and Mortality

Noursi, Samia; Clayton, Janine Austin; Bianchi, Diana W.; Fink, Dorothy

doi:10.1089/jwh.2020.8851

Cited by 21 publications

(21 citation statements)

References 4 publications

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“…The value of birth companions in improving delivery outcomes is well documented (Bohren et al 2017 ) and current WHO recommendations promote offering all women the choice of birth companions before and during labor (Tunçalp et al 2015 ; WHO 2018a ). Our study findings also highlight the important role they might play in postpartum monitoring during a critical period when the majority of maternal deaths occur (Nour 2008 ). Engaging birth companions in postpartum monitoring for complications such as PPH may improve health outcomes at both home and facility births.…”

Section: Discussionsupporting

confidence: 54%

The Safety and Feasibility of a Family First Aid Approach for the Management of Postpartum Hemorrhage in Home Births: A Pre-post Intervention Study in Rural Pakistan

Mary

Jafarey

Dabash

et al. 2020

Matern Child Health J

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Objective To evaluate the safety and feasibility of a Family First Aid approach whereby women and their families are provided misoprostol in advance to manage postpartum hemorrhage (PPH) in home births. Methods A 12-month prospective, pre-post intervention study was conducted from February 2017 to February 2018. Women in their second and third trimesters were enrolled at home visits. Participants and their families received educational materials and were counseled on how to diagnose excessive bleeding and the importance of seeking care at a facility if PPH occurs. In the intervention phase, participants were also given misoprostol and counselled on how to administer the four 200 mcg tablets for first aid in case of PPH. Participants were followed-up postpartum to collect data on use of misoprostol for Family First Aid at home deliveries (primary outcome) and record maternal and perinatal outcomes. Results Of the 4008 participants enrolled, 97% were successfully followed-up postpartum. Half of the participants in each phase delivered at home. Among home deliveries, the odds of reporting PPH almost doubled among in the intervention phase (OR 1.98; CI 1.43, 2.76). Among those reporting PPH, women in the intervention phase were significantly more likely to have received PPH treatment (OR 10.49; CI 3.37, 32.71) and 90% administered the dose correctly. No maternal deaths, invasive procedures or surgery were reported in either phase after home deliveries. Conclusions The Family First Aid approach is a safe and feasible model of care that provides timely PPH treatment to women delivering at home in rural communities.

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Section: Discussionsupporting

confidence: 54%

The Safety and Feasibility of a Family First Aid Approach for the Management of Postpartum Hemorrhage in Home Births: A Pre-post Intervention Study in Rural Pakistan

Mary

Jafarey

Dabash

et al. 2020

Matern Child Health J

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“…In most developing countries, the dearth of good-quality healthcare, proper family planning, access to trained labor, and emergency care contribute to the risk of maternal death. To address this problem, there are interventions focused toward abating maternal mortality and improving the conditions of mothers in the intrapartum and postpartum periods [63]. The Partnership for Global Health Technologies, for instance, connects students from Boston University and universities abroad to create affordable and innovative healthcare solutions for pressing health challenges.…”

Section: E Biomedical Engineering Solutions To Preventable Maternalmentioning

confidence: 99%

The Need for the Establishment of Biomedical Engineering (BME) as an Academic and Professional Discipline in the Philippines — A Quantitative Argument

Tan¹,

Fermin²

2020

Preprint

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Background: This article quantitatively presents the relationship between volume of BME publications produced from 1990 to 2019 in the member states of the ASEAN and 12 indicators of overall and physical health. The objective was to show that ASEAN states that recognize BME as an academic and professional discipline have been successful in producing research in the field, and thus, have advanced the provision of high-quality healthcare for their people. Results: Acceptable relationships [Pearson correlation coefficients (PCC) > 0.6000] were found between BME publication volume and all indicators. Stronger relationships (PCC > 0.7000) were found between BME publication volume and the natural logarithm of the indicators. Brunei data behaved anomalously and was removed to check for any improvements in PCC. Indeed, PCCs for all indicators improved significantly upon exclusion of Brunei data [PCC > 0.8000 for six indicators (linear scale), PCC > 0.9000 for five indicators (log scale)]. These PCCs signify especially strong relationships between BME research yield and healthcare quality in a country. To visualize the relationships, BME publication volume was plotted against GDP per capita, while the remaining 11 indicators were each plotted against BME publication volume. Linear, logarithmic, and exponential regression curves were overlaid on the datapoints. Coefficients of determination (R2) were calculated to measure the aptness of the fits. R2 > 0.9000 for two indicators, R2 > 0.8000 for five indicators, R2 > 0.7000 for four indicators, and R2 < 0.7000 for only one indicator were calculated from the curve fits overlaid on the datapoints excluding Brunei data. Conclusion: We believe that it is time for the Philippines to adopt BME as an academic and professional discipline, so that it may one day enjoy the benefits brought about by advancements in the provision of healthcare, which are experienced by its neighbors that have gone ahead with movements to cultivate the highly essential discipline.

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“…Besides, maternal mortality in Korea is still high 2 . The leading causes of maternal mortality are postpartum hemorrhage and cardiovascular conditions 3 , 4 . Therefore, early detection and management of postpartum cardiopulmonary failure is highly essential in reducing postpartum mortality.…”

Section: Introductionmentioning

confidence: 99%

Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure

Chung

Yang

et al. 2021

Sci Rep

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Although extracorporeal membrane oxygenation (ECMO) is increasingly utilized, only a limited level of experience has been reported in postpartum cardiopulmonary failure. Ten critically ill postpartum patients who received ECMO were included between January 2010 and December 2018 in this retrospective observational study. The main indication for ECMO support was peripartum cardiomyopathy (n = 5), followed by postpartum hemorrhage (n = 2). Nine patients initially received veno-arterial ECMO, and one patient received veno-venous ECMO. Major bleeding occurred in six patients. The median number of units of red blood cells (RBC) transfused during ECMO was 14.5 units (interquartile range 6.8–37.8 units), and most RBC transfusions occurred on the first day of ECMO. The survival-to-discharge rate was 80%. Compared to the survival outcomes in female patients of similar age who received ECMO, the survival outcomes were significantly better in the study population (56% versus 80%, P = 0.0004). Despite the high risk of major bleeding, ECMO for patients with postpartum cardiac or respiratory failure showed excellent survival outcomes. ECMO is feasible in these patients and can be carried out with good outcomes in an experienced centre.

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Maternal Morbidity and Mortality

Cited by 21 publications

References 4 publications

The Safety and Feasibility of a Family First Aid Approach for the Management of Postpartum Hemorrhage in Home Births: A Pre-post Intervention Study in Rural Pakistan

The Safety and Feasibility of a Family First Aid Approach for the Management of Postpartum Hemorrhage in Home Births: A Pre-post Intervention Study in Rural Pakistan

The Need for the Establishment of Biomedical Engineering (BME) as an Academic and Professional Discipline in the Philippines — A Quantitative Argument

Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure

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