Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: WFRF:(Costa Mario) > (2010-2014) > Moving beyond essen...

Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health) : a cross-sectional study

Souza, João Paulo (författare): UNDP/UNFPA/UNICEF/WHO/Word Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland

Gülmezoglu, Ahmet Metin (författare): UNDP/UNFPA/UNICEF/WHO/Word Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland

Vogel, Joshua (författare): UNDP/UNFPA/UNICEF/WHO/Word Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland

visa fler...

Carroli, Guillermo (författare): Centro Rosarino de Estudios Perinatales, Rosario, Argentina

Lumbiganon, Pisake (författare): Khon Kaen University, Khon Kaen, Thailand

Qureshi, Zahida (författare): University of Nairobi, Nairobi, Kenya

Costa, Maria José (författare): WHO Angola, Luanda, Angola

Fawole, Bukola (författare): University of Ibadan, Ibadan, Nigeria

Mugerwa, Yvonne (författare): Makerere University, Makerere, Uganda

Nafiou, Idi (författare): Université Abdou Moumouni de Niamey, Niamey, Niger

Neves, Isilda (författare): Delegação Provincial de Saúde de Luanda, Luanda, Angola

Wolomby-Molondo, Jean-José (författare): Cliniques Universitaires de Kinshasa, Kinshasa, DR Congo

Bang, Hoang Thi (författare): WHO, Hanoi, Vietnam

Cheang, Kannitha (författare): WHO, Phnom Penh, Cambodia

Chuyun, Kang (författare): Peking University, Beijing, China

Jayaratne, Kapila (författare): Ministry of Health, Government of Sri Lanka, Colombo, Sri Lanka

Jayathilaka, Chandani Anoma (författare): WHO, Colombo, Sri Lanka

Mazhar, Syeda Batool (författare): Pakistan Institute of Medical Sciences, Islamabad, Pakistan

Mori, Rintaro (författare): Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan

Mustafa, Mir Lais (författare): Afghan Public Health Institute, Kabul, Afghanistan

Pathak, Laxmi Raj (författare): Ministry of Health and Population, Government of Nepal, Kathmandu, Nepal

Perera, Deepthi (författare): Ministry of Health, Government of Sri Lanka, Colombo, Sri Lanka

Rathavy, Tung (författare): National Maternal and Child Health Center, Phnom Penh, Cambodia

Recidoro, Zenaida (författare): National Center for Disease Prevention and Control, Manila, Philippines

Roy, Malabika (författare): Indian Council of Medical Research, New Delhi, India

Ruyan, Pang (författare): Peking University, Beijing, China

Shrestha, Naveen (författare): Central Institute of Science and Technology (CIST) College, Pokhara University, Kathmandu, Nepal

Taneepanichsku, Surasak (författare): Chulalongkorn University, Bangkok, Thailand

Tien, Nguyen Viet (författare): National Obstetrics and Gynaecology Hospital, Hanoi, Vietnam

Ganchimeg, Togoobaatar (författare): The University of Tokyo, Tokyo, Japan

Wehbe, Mira (författare): American University of Beirut, Beirut, Lebanon

Yadamsuren, Buyanjargal (författare): Ministry of Health, Government of Mongolia, Ulaanbaatar, Mongolia

Yan, Wang (författare): Peking University, Beijing, China

Yunis, Khalid (författare): American University of Beirut, Beirut, Lebanon

Bataglia, Vicente (författare): Hospital Nacional de Itauguá, Itauguá, Paraguay

Cecatti, José Guilherme (författare): University of Campinas, Campinas, SP, Brazil

Hernandez-Prado, Bernardo (författare): Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA

Nardin, Juan Manuel (författare): Centro Rosarino de Estudios Perinatales, Rosario, Argentina

Narváez, Alberto (författare): Colegio Medico de Pichincha and Fundación Salud, Ambiente y Desarollo, Pichincha, Ecuador

Ortiz-Panozo, Eduardo (författare): Instituto Nacional de Salud Pública, Cuernavaca, Mexico

Pérez-Cuevas, Ricardo (författare): Social Protection and Health Division, Inter American Development Bank, Mexico City, Mexico

Valladares, Eliette (författare): Universidad Nacional Autónoma de Nicaragua, León, Nicaragua

Zavaleta, Nelly (författare): Instituto de Investigación Nutricional, Lima, Peru

Armson, Anthony (författare): Dalhousie University, Halifax, Canada

Crowther, Caroline (författare): University of Adelaide, Adelaide, Australia

Hogue, Carol (författare): Emory University, Atlanta, GA, USA

Lindmark, Gunilla, 1941- (författare): Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Internationell kvinno- & mödrahälsovård/Essén

Mittal, Suneeta (författare): All India Institute of Medical Sciences, New Delhi, India

Pattinson, Robert (författare): University of Pretoria, Pretoria, South Africa

Stanton, Mary Ellen (författare): United States Agency for International Development, Washington, DC, USA

Campodonico, Liana (författare): Centro Rosarino de Estudios Perinatales, Rosario, Argentina

Cuesta, Cristina (författare): Centro Rosarino de Estudios Perinatales, Rosario, Argentina

Giordano, Daniel (författare): Centro Rosarino de Estudios Perinatales, Rosario, Argentina

Intarut, Nirun (författare): Chulalongkorn University, Bangkok, Thailand

Laopaiboon, Malinee (författare): Khon Kaen University, Khon Kaen, Thailand

Bahl, Rajiv (författare): WHO, Geneva, Switzerland

Martines, Jose (författare): WHO, Geneva, Switzerland

Mathai, Matthews (författare): WHO, Geneva, Switzerland

Merialdi, Mario (författare): UNDP/UNFPA/UNICEF/WHO/Word Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland

Say, Lale (författare): UNDP/UNFPA/UNICEF/WHO/Word Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland

visa färre...

(creator_code:org_t)

2013
2013
Engelska.
Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 381:9879, s. 1747-1755

Relaterad länk:: https://urn.kb.se/re...; visa fler...; https://doi.org/10.1...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

BACKGROUND: We report the main findings of the WHO Multicountry Survey on Maternal and Newborn Health (WHOMCS), which aimed to assess the burden of complications related to pregnancy, the coverage of key maternal health interventions, and use of the maternal severity index (MSI) in a global network of health facilities.METHODS: In our cross-sectional study, we included women attending health facilities in Africa, Asia, Latin America, and the Middle East that dealt with at least 1000 childbirths per year and had the capacity to provide caesarean section. We obtained data from analysis of hospital records for all women giving birth and all women who had a severe maternal outcome (SMO; ie, maternal death or maternal near miss). We regarded coverage of key maternal health interventions as the proportion of the target population who received an indicated intervention (eg, the proportion of women with eclampsia who received magnesium sulphate). We used areas under the receiver operator characteristic curves (AUROC) with 95% CI to externally validate a previously reported MSI as an indicator of severity. We assessed the overall performance of care (ie, the ability to produce a positive effect on health outcomes) through standardised mortality ratios.RESULTS: From May 1, 2010, to Dec 31, 2011, we included 314,623 women attending 357 health facilities in 29 countries (2538 had a maternal near miss and 486 maternal deaths occurred). The mean period of data collection in each health facility was 89 days (SD 21). 23,015 (7.3%) women had potentially life-threatening disorders and 3024 (1.0%) developed an SMO. 808 (26.7%) women with an SMO had post-partum haemorrhage and 784 (25.9%) had pre-eclampsia or eclampsia. Cardiovascular, respiratory, and coagulation dysfunctions were the most frequent organ dysfunctions in women who had an SMO. Reported mortality in countries with a high or very high maternal mortality ratio was two-to-three-times higher than that expected for the assessed severity despite a high coverage of essential interventions. The MSI had good accuracy for maternal death prediction in women with markers of organ dysfunction (AUROC 0.826 [95% CI 0.802-0.851]).INTERPRETATION: High coverage of essential interventions did not imply reduced maternal mortality in the health-care facilities we studied. If substantial reductions in maternal mortality are to be achieved, universal coverage of life-saving interventions need to be matched with comprehensive emergency care and overall improvements in the quality of maternal health care. The MSI could be used to assess the performance of health facilities providing care to women with complications related to pregnancy.

Hitta via bibliotek

The Lancet (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Av författaren/redakt...: Souza, João Paul ...; Gülmezoglu, Ahme ...; Vogel, Joshua; Carroli, Guiller ...; Lumbiganon, Pisa ...; Qureshi, Zahida; visa fler...; Costa, Maria Jos ...; Fawole, Bukola; Mugerwa, Yvonne; Nafiou, Idi; Neves, Isilda; Wolomby-Molondo, ...; Bang, Hoang Thi; Cheang, Kannitha; Chuyun, Kang; Jayaratne, Kapil ...; Jayathilaka, Cha ...; Mazhar, Syeda Ba ...; Mori, Rintaro; Mustafa, Mir Lai ...; Pathak, Laxmi Ra ...; Perera, Deepthi; Rathavy, Tung; Recidoro, Zenaid ...; Roy, Malabika; Ruyan, Pang; Shrestha, Naveen; Taneepanichsku, ...; Tien, Nguyen Vie ...; Ganchimeg, Togoo ...; Wehbe, Mira; Yadamsuren, Buya ...; Yan, Wang; Yunis, Khalid; Bataglia, Vicent ...; Cecatti, José Gu ...; Hernandez-Prado, ...; Nardin, Juan Man ...; Narváez, Alberto; Ortiz-Panozo, Ed ...; Pérez-Cuevas, Ri ...; Valladares, Elie ...; Zavaleta, Nelly; Armson, Anthony; Crowther, Caroli ...; Hogue, Carol; Lindmark, Gunill ...; Mittal, Suneeta; Pattinson, Rober ...; Stanton, Mary El ...; Campodonico, Lia ...; Cuesta, Cristina; Giordano, Daniel; Intarut, Nirun; Laopaiboon, Mali ...; Bahl, Rajiv; Martines, Jose; Mathai, Matthews; Merialdi, Mario; Say, Lale; visa färre...

Artiklar i publikationen: The Lancet

Av lärosätet: Uppsala universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se

Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health) : a cross-sectional study

Publikations- och innehållstyp

Hitta via bibliotek

Till lärosätets databas

Hitta mer i SwePub

Sök utanför SwePub