Moving Beyond Essential Interventions for Reduction of Maternal Mortality (the WHO Multicountry Survey on Maternal and Newborn Health)

Souza, João Paulo; Gülmezoglu, A Metin; Vogel, Joshua P.; Carroli, Guillermo; Lumbiganon, Pisake; Qureshi, Zahida; Costa, Maria José Labis da; Fawole, Bukola; Mugerwa, Yvonne; Idi, Nafiou; Neves, Isilda; Wolomby-Molondo, Jean José; Bang, Hoang Thi; Cheang, Kannitha; Kang, Chaogui; Jayaratne, K.; Jayathilaka, Chandani Anoma; Mazhar, Syeda Batool; Mori, Rintaro; Mustafa, Mudasir; Pathak, Laxmi; Perera, Dhammika M.; Rathavy, Tung; Recidoro, Zenaida Dy; Roy, Malabika; Ruyan, P.; Shrestha, Ninadini; Taneepanichsku, Surasak; Tien, Nguyen Viet; Ganchimeg, Togoobaatar; Wehbe, Mira; Yadamsuren, B.; Yan, Wenyun; Yunis, Khalid A; Bataglia, Vicente; Cecatti, José Guilherme; Hernández-Prado, Bernardo; Nardin, Juan Manuel; Cerezo-Narváez, Alberto; Ortíz-Panozo, Eduardo; Pérez‐Cuevas, Ricardo; Valladares, Eliette; Zavaleta, Nelly; Armson, Anthony; Crowther, Caroline A; Hogue, Carol J.; Lindmark, Gunilla; Mittal, S.; Pattinson, Robert Clive; Stanton, Mary Ellen; Campodónico, Liana; Cuesta, Cristina; Giordano, Daniel; Intarut, Nirun; Laopaiboon, Malinee; Bahl, Rajiv; Martines, José; Mathai, Matthews; Merialdi, Mario; Say, Lale

doi:10.1097/01.aoa.0000452166.02624.d8

Cited by 24 publications

(19 citation statements)

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“…[12] They concluded that having the ability to provide lifesaving services is only useful if healthcare providers are skilled in the management of complicated cases. If the healthcare providers are not skilled in managing a complication the result will be poor, even if the resources are available to manage the case.…”

Section: Discussionmentioning

confidence: 99%

Basic and comprehensive emergency obstetric and neonatal care in 12 South African health districts

Pattinson

Makin

Pillay³

et al. 2015

S Afr Med J

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Aim.To assess the functionality of healthcare facilities with respect to providing the signal functions of basic and comprehensive emergency obstetric care in 12 districts. Setting. Twelve districts were selected from the 52 districts in South Africa, based on the number of maternal deaths, the institutional maternal mortality ratio and the stillbirth rate for the district. Methods. All community health centres (CHCs) and district, regional and tertiary hospitals were visited and detailed information was obtained on the ability of the facility to perform the basic (BEmONC) and comprehensive (CEmONC) emergency obstetric and neonatal care signal functions. Results. Fifty-three CHCs, 63 district hospitals (DHs), 13 regional hospitals and 4 tertiary hospitals were assessed. None of the CHCs could perform all seven BEmONC signal functions; the majority could not give parenteral antibiotics (68%), perform manual removal of the placenta (58%), do an assisted delivery (98%) or perform manual vacuum aspiration of the uterus in a woman with an uncomplicated incomplete miscarriage (96%). Seventeen per cent of CHCs could not bag-and-mask ventilate a neonate. Less than half (48%) of the DHs could perform all nine CEmONC signal functions (81% could perform eight of the nine functions), 24% could not perform caesarean sections, and 30% could not perform assisted deliveries. Conclusions. The ability of the CHCs and district hospitals to perform the signal functions (lifesaving services) of basic and comprehensive emergency obstetric care was poor in many of the districts studied. This implies that safe maternity care was not consistently available at many facilities conducting births.

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Section: Discussionmentioning

confidence: 99%

Basic and comprehensive emergency obstetric and neonatal care in 12 South African health districts

Pattinson

Makin

Pillay³

et al. 2015

S Afr Med J

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“…9 Moreover, there is a complex interplay of experiences of mistreatment and lack of support that impact women's childbirth experiences and outcomes. 10,11 Good experiences in the health facilities may encourage the further use of health facilities and bad experiences may discourage the use of health facilities.…”

Section: Experience Dimension Of Quality Of Carementioning

confidence: 99%

The communication and emotional support needs to improve women's experience of childbirth care in health facilities in Southwest Nigeria: A qualitative study

Ojelade

Titiloye

Bohren

et al. 2017

Intl J Gynecology & Obste

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“…1 In addition to being an important cause of maternal mortality, postpartum hemorrhage (PPH) plays a significant part in severe maternal morbidity and maternal near miss. 2,3 Furthermore, there is a fourfold higher incidence of PPH-related maternal near miss as compared with PPH-related maternal death. 4 As a result, it is important to assess why and how PPH occurs, and to identify better and more effective methods for diagnosis and treatment that might be applied globally.…”

Section: Introductionmentioning

confidence: 99%

Case–control study of shock index among women who did and did not receive blood transfusions due to postpartum hemorrhage

Borovac-Pinheiro

Pacagnella

Puzzi-Fernandes

et al. 2017

Intl J Gynecology & Obste

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Objective: To compare shock index (SI) values between women who required blood transfusion due to postpartum hemorrhage (PPH) and women who did not. Methods:In a case-control study, clinical data were assessed from the medical records of women requiring blood transfusion for PPH at a center in Brazil between 2012 and 2015 (n=105). A control group was randomly selected from women who did not receive blood transfusion (n=129). Conclusion:The SI might be useful to identify early vital sign changes due to PPH.Increased SI values were associated with need for transfusion in vaginal deliveries.

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Moving Beyond Essential Interventions for Reduction of Maternal Mortality (the WHO Multicountry Survey on Maternal and Newborn Health)

Cited by 24 publications

References 0 publications

Basic and comprehensive emergency obstetric and neonatal care in 12 South African health districts

Basic and comprehensive emergency obstetric and neonatal care in 12 South African health districts

The communication and emotional support needs to improve women's experience of childbirth care in health facilities in Southwest Nigeria: A qualitative study

Case–control study of shock index among women who did and did not receive blood transfusions due to postpartum hemorrhage

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