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    2370 results match your criteria BMC Pregnancy and Childbirth [Journal]

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    Successful pregnancy and live birth from a hypogonadotropic hypogonadism woman with low serum estradiol concentrations despite numerous oocyte maturations: a case report.
    BMC Pregnancy Childbirth 2017 Sep 20;17(1):312. Epub 2017 Sep 20.
    Department of Obstetrics and Gynecology, Nihon University School of Medicine, 30-1 Ooyaguchi-kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan.
    Background: The increase in serum estradiol (E2) concentrations during the follicular phase becomes the index of oocyte maturation in vivo. When ovarian stimulation is performed to hypogonadotropic hypogonadism (HH) patients with only follicle stimulating hormone (FSH), proper increase in serum E2 concentrations is not observed. Even if oocytes are obtained, which usually have low fertilization rate. Read More

    Detection and risk stratification of women at high risk of preterm birth in rural communities near Nagpur, India.
    BMC Pregnancy Childbirth 2017 Sep 19;17(1):311. Epub 2017 Sep 19.
    Department of Global Health, Boston University School of Public Health, Boston, MA, USA.
    Background: Presently, preterm birth is globally the leading cause of neonatal mortality. Prompt community based identification of women at high risk for preterm births (HRPB) can either help to avert preterm births or avail effective interventions to reduce neonatal mortality due to preterm births. We evaluated the performance of a package to train community workers to detect the presence of signs or symptoms of HRPB. Read More

    Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered.
    BMC Pregnancy Childbirth 2017 Sep 19;17(1):310. Epub 2017 Sep 19.
    Obstetrics and Gynecology Department, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
    Background: The relation between grand multiparity (GMP) and the possible adverse pregnancy outcomes is not well identified. GMP (parity ≥5 births) frequently occurs in the Arab nations; therefore, this study aimed to identify the correlation between GMP and the different adverse maternal and neonatal outcomes in the Saudi population.

    Method: This cohort study was conducted on a total of 3327 women from the labour ward in King Khaled University Hospital, Riyadh, Saudi Arabia. Read More

    The design and implementation of an obstetric triage system for unscheduled pregnancy related attendances: a mixed methods evaluation.
    BMC Pregnancy Childbirth 2017 Sep 18;17(1):309. Epub 2017 Sep 18.
    Birmingham Women's and Children's NHS Foundation Trust, Mindelsohn Way, Birmingham, B15 2TG, UK.
    Background: No standardised system of triage exists in Maternity Care and local audit identified this to be problematic. We designed, implemented and evaluated an Obstetric Triage System in a large UK maternity unit. This includes a standard clinical triage assessment by a midwife, within 15 min of attendance, leading to assignment to a category of clinical urgency (on a 4-category scale). Read More

    Nurse-midwives' ability to diagnose acute third- and fourth-degree obstetric lacerations in western Kenya.
    BMC Pregnancy Childbirth 2017 Sep 18;17(1):308. Epub 2017 Sep 18.
    Division of Global Health and Human Rights, Department of Emergency Medicine, Massachusetts General Hospital, 125 Nashua Street, Suite 910, Boston, MA, 02114, USA.
    Background: Obstetric fistula devastates the lives of women and is found most commonly among the poor in resource-limited settings. Unrepaired third- and fourth-degree perineal lacerations have been shown to be the source of approximately one-third of the fistula burden in fistula camps in Kenya. In this study, we assessed potential barriers to accurate identification by Kenyan nurse-midwives of these complex perineal lacerations in postpartum women. Read More

    Risk of obstetric anal sphincter injury increases with maternal age irrespective of parity: a population-based register study.
    BMC Pregnancy Childbirth 2017 Sep 15;17(1):306. Epub 2017 Sep 15.
    Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institutet, Retzius väg 13 a-b, 171 77, Stockholm, Sweden.
    Background: Obstetric anal sphincter injury (OASI) is a rare but serious outcome of vaginal birth. Based on concerns about the increasing number of women who commence childbearing later than previous generation, this study aimed at investigating age-related risk of OASI in women of different parity.

    Methods: A population-based register study including 959,559 live singleton vaginal births recorded in the Swedish Medical Birth Register 1999 to 2011. Read More

    "Love me, parents!": impact evaluation of a national social and behavioral change communication campaign on maternal health outcomes in Tanzania.
    BMC Pregnancy Childbirth 2017 Sep 15;17(1):305. Epub 2017 Sep 15.
    Johns Hopkins Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD, 21202, USA.
    Background: Despite marked improvements over the last few decades, maternal mortality in Tanzania remains among the world's highest at 454 maternal deaths per 100,000 live births. Many factors contribute to this disparity, such as a lack of attendance at antenatal care (ANC) services and low rates of delivery at a health facility with a skilled provider. The Wazazi Nipendeni (Love me, parents) social and behavioral change communication campaign was launched in Tanzania in 2012 to improve a range of maternal health outcomes, including individual birth planning, timely ANC attendance, and giving birth in a healthcare facility. Read More

    Determinants of pre-eclampsia/Eclampsia among women attending delivery Services in Selected Public Hospitals of Addis Ababa, Ethiopia: a case control study.
    BMC Pregnancy Childbirth 2017 Sep 15;17(1):307. Epub 2017 Sep 15.
    School of Nursing, College of Health Sciences, Aksum University, Aksum, Ethiopia.
    Background: Pre-eclampsia is a pregnancy-specific hypertensive disorder usually occurs after 20 weeks of gestation. It is one of the leading causes of maternal and perinatal morbidity and mortality worldwide. In Ethiopia, the major direct obstetric complications including pre-eclampsia/eclampsia account for 85% of the maternal deaths. Read More

    Antenatal magnesium sulphate administration for fetal neuroprotection: a French national survey.
    BMC Pregnancy Childbirth 2017 Sep 13;17(1):304. Epub 2017 Sep 13.
    INSERM U1245, Team "Genetics and Pathophysiology of Neurodevelopmental Disorders", Rouen University, Normandie University, Faculty of Medicine, 22 Boulevard Gambetta, 76183, Rouen Cedex, France.
    Background: Magnesium sulphate (MgSO4) is the only treatment approved for fetal neuroprotection. No information on its use is available in the absence of a national registry of neonatal practices. The objective of our study was to evaluate the use of MgSO4 for fetal neuroprotection in French tertiary maternity hospitals (FTMH). Read More

    Epidemiological profile and obstetric outcomes of patients with peripartum congestive heart failure in Taiwan: a retrospective nationwide study.
    BMC Pregnancy Childbirth 2017 Sep 12;17(1):302. Epub 2017 Sep 12.
    Department of Anesthesiology, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan.
    Background: During pregnancy, the hyperdynamic physiology of circulation can exacerbate many cardiovascular disorders. Congestive heart failure (CHF) usually occurs during late pregnancy, which is significantly associated with a high level of maternal and neonatal morbidities and mortalities. The profile of women who develop peripartum CHF (PCHF) is unknown. Read More

    Cesarean section to prevent mother-to-child transmission of hepatitis B virus in China: A meta-analysis.
    BMC Pregnancy Childbirth 2017 Sep 12;17(1):303. Epub 2017 Sep 12.
    Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan, 430030, China.
    Background: Hepatitis B virus (HBV) is predominantly transmitted through mother-to-child transmission (MTCT). To date, it remains unclear whether the method of parturition affects MTCT of HBV. In order to clarify whether cesarean section, when compared with vaginal delivery, could reduce the risk of MTCT of HBV in China, we conducted this meta-analysis. Read More

    Quality of antenatal care services and completion of four or more antenatal care visits in Ethiopia: a finding based on a demographic and health survey.
    BMC Pregnancy Childbirth 2017 Sep 11;17(1):300. Epub 2017 Sep 11.
    Epidemiology and Biostatistics Department, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
    Background: Antenatal care (ANC) is one of the core interventions for improving maternal outcomes. The average annual decline of maternal mortality rate from 1990 to 2013 was 5% in Ethiopia. This figure was below the least expected 5. Read More

    Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage: an educational intervention study in a low-resource setting.
    BMC Pregnancy Childbirth 2017 Sep 11;17(1):301. Epub 2017 Sep 11.
    Department of Obstetrics and Gynaecology, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934 AD, Leeuwarden, The Netherlands.
    Background: Postpartum haemorrhage (PPH) is a major cause of maternal mortality. Prevention and adequate treatment are therefore important. However, most births in low-resource settings are not attended by skilled providers, and knowledge and skills of healthcare workers that are available are low. Read More

    Safety and effectiveness of oral misoprostol for induction of labour in a resource-limited setting: a dose escalation study.
    BMC Pregnancy Childbirth 2017 Sep 8;17(1):298. Epub 2017 Sep 8.
    Department of Paediatrics, Modilon General Hospital, Madang, Papua New Guinea.
    Background: Oral misoprostol as an induction of labour (IOL) agent is rapidly gaining popularity in resource-limited settings because it is cheap, stable at ambient temperatures, and logistically easier to administer compared to dinoprostone and oxytocin. We aim to investigate the safety and effectiveness of a regimen of oral misoprostol in Papua New Guinean women undergoing IOL.

    Methods: As part of a prospective dose escalation study conducted at Modilon Hospital in Papua New Guinea, women with a singleton pregnancy in cephalic presentation and an unfavourable cervix who gave written informed consent were administered oral misoprostol, commencing at 25mcg once every 2 h for 4 doses and increased to 50mcg once every 2 h for 8 doses within 24 h. Read More

    Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? Process evaluation of the DALI study.
    BMC Pregnancy Childbirth 2017 Sep 7;17(1):293. Epub 2017 Sep 7.
    Department of Public and Occupational Health and, Amsterdam Public Health research institute, VU University Medical Centre, Van der Boechorststraat 7, 1081BT Amsterdam, Amsterdam, The Netherlands.
    Background: Process evaluation is an essential part of designing and assessing complex interventions. The vitamin D and lifestyle intervention study (DALI) study is testing different strategies to prevent development of gestational diabetes mellitus among European obese pregnant women with a body mass index ≥29 kg/m(2). The intervention includes guidance on physical activity and/or healthy eating by a lifestyle coach trained in motivational interviewing (MI). Read More

    An evaluation of Interprofessional group antenatal care: a prospective comparative study.
    BMC Pregnancy Childbirth 2017 Sep 7;17(1):297. Epub 2017 Sep 7.
    Department of Biological Sciences Simon Fraser University, 8888 University Drive, Burnaby, V5A 1S6, Canada.
    Background: Maternal and neonatal outcomes are influenced by the nature of antenatal care. Standard pregnancy care is provided on an individual basis, with one-on-one appointments between a client and family doctor, midwife or obstetrician. A novel, group-based antenatal care delivery model was developed in the United States in the 1990s and is growing in popularity beyond the borders of the USA. Read More

    Institutional maternal and perinatal deaths: a review of 40 low and middle income countries.
    BMC Pregnancy Childbirth 2017 Sep 7;17(1):295. Epub 2017 Sep 7.
    MEASURE Evaluation, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27516, USA.
    Background: Understanding the magnitude and clinical causes of maternal and perinatal mortality are basic requirements for positive change. Facility-based information offers a contextualized resource for clinical and organizational quality improvement. We describe the magnitude of institutional maternal mortality, causes of death and cause-specific case fatality rates, as well as stillbirth and pre-discharge neonatal death rates. Read More

    Prevalence and predictors of early gestational weight gain associated with obesity risk in a diverse Australian antenatal population: a cross-sectional study.
    BMC Pregnancy Childbirth 2017 Sep 7;17(1):296. Epub 2017 Sep 7.
    Women's and Babies, Royal Prince Alfred Hospital, Missenden Road, Camperdown, Sydney, NSW, 2050, Australia.
    Background: Excess gestational weight gain (GWG) leads to adverse short- and long-term consequences for women and their offspring. Evidence suggests that excess GWG in early pregnancy may be particularly detrimental, contributing to the intergenerational cycle of obesity. The primary outcome was to investigate the prevalence and predictors of excess GWG in early pregnancy, and if women understand the risks to themselves and their offspring stratified by maternal body mass index (BMI). Read More

    THISTLE: trial of hands-on Interprofessional simulation training for local emergencies: a research protocol for a stepped-wedge clustered randomised controlled trial.
    BMC Pregnancy Childbirth 2017 Sep 7;17(1):294. Epub 2017 Sep 7.
    PROMPT Maternity Foundation: registered charity in England & Wales, No:1140557, London, UK.
    Background: Many adverse pregnancy outcomes in the UK could be prevented with better intrapartum care. Training for intrapartum emergencies has been widely recommended but there are conflicting data about their effectiveness. Observational studies have shown sustained local improvements in perinatal outcomes associated with the use of the PRactical Obstetric Multi-Professional Training - (PROMPT) training package. Read More

    Obstetric care providers' knowledge, practice and associated factors towards active management of third stage of labor in Sidama Zone, South Ethiopia.
    BMC Pregnancy Childbirth 2017 Sep 7;17(1):292. Epub 2017 Sep 7.
    School of Public and Environmental Health, College of Medicine and health sciences, Hawassa University, Hawassa, Ethiopia.
    Background: Active management of third stage of labor played a great role to prevent child birth related hemorrhage. However, maternal morbidity and mortality related to hemorrhage is high due to lack of knowledge and skill of obstetric care providers 'on active management of third stage of labor. Our study was aimed to assess knowledge, practice and associated factors of obstetric care providers (Midwives, Nurses and Health officers) on active management of third stage of labor in Sidama Zone, South Ethiopia. Read More

    Maternal body mass index and access to antenatal care: a retrospective analysis of 619,502 births in England.
    BMC Pregnancy Childbirth 2017 Sep 6;17(1):290. Epub 2017 Sep 6.
    Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
    Background: Late access to antenatal care increases risks of adverse outcomes including maternal and perinatal mortality. There is evidence that BMI influences patient engagement with health services, such as cancer screening services and delayed access to treatment; this association has not been fully explored in the context of antenatal care. This study investigated the association between the stage of pregnancy women access antenatal care, BMI, and other socio-demographic factors. Read More

    Signal functions for emergency obstetric care as an intervention for reducing maternal mortality: a survey of public and private health facilities in Lusaka District, Zambia.
    BMC Pregnancy Childbirth 2017 Sep 6;17(1):288. Epub 2017 Sep 6.
    Department of Public Health, School of Medicine, University of Zambia, P.O Box 32379, Lusaka, Zambia.
    Background: Zambia's maternal mortality ratio was estimated at 398/100,000 live births in 2014. Successful aversion of deaths is dependent on availability and usability of signal functions for emergency obstetric and neonatal care. Evidence of availability, usability and quality of signal functions in urban settings in Zambia is minimal as previous research has evaluated their distribution in rural settings. Read More

    Health professional's knowledge and use of the partograph in public health institutions in eastern Ethiopia: a cross-sectional study.
    BMC Pregnancy Childbirth 2017 Sep 6;17(1):291. Epub 2017 Sep 6.
    Department of Public Health, College of Health and Medical Sciences, Haramaya University, Po. Box, 235, Harar, Ethiopia.
    Background: The partograph is a vital tool for health professionals who need to be able to identify pathological labor. It is used to recognize complications in childbirth on time and to take appropriate actions. We aimed to assess the knowledge and utilization of the partograph and associated factors among health professionals at public health institutions in eastern Ethiopia. Read More

    Impact of multi-professional, scenario-based training on postpartum hemorrhage in Tanzania: a quasi-experimental, pre- vs. post-intervention study.
    BMC Pregnancy Childbirth 2017 Sep 5;17(1):287. Epub 2017 Sep 5.
    Department of Obstetrics and Gynecology, University Hospital of North Norway, Tromsø, Norway.
    Background: Tanzania has a relatively high maternal mortality ratio of 410 per 100,000 live births. Severe postpartum hemorrhage (PPH) is a major cause of maternal deaths, but in most cases, it is preventable. However, most pregnant women that develop PPH, have no known risk factors. Read More

    "Engaging with birth stories in pregnancy: a hermeneutic phenomenological study of women's experiences across two generations".
    BMC Pregnancy Childbirth 2017 Sep 4;17(1):283. Epub 2017 Sep 4.
    Research in Childbirth and Health (ReaCH) Group, University of Central Lancashire, PR12HE, Preston, Lancashire, UK.
    Background: The birth story has been widely understood as a crucial source of knowledge about childbirth. What has not been reported is the effect that birth stories may have on primigravid women's understandings of birth. Findings are presented from a qualitative study exploring how two generations of women came to understand birth in the milieu of other's stories. Read More

    Determinants of physical activity frequency and provider advice during pregnancy.
    BMC Pregnancy Childbirth 2017 Sep 5;17(1):286. Epub 2017 Sep 5.
    Perelman School of Medicine at the University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
    Background: Our aims were to (1) describe the frequency of physical activity and prenatal healthcare provider advice about physical activity during pregnancy and (2) examine determinants and correlates of 3rd trimester physical activity and receipt of physical activity advice.

    Methods: We analyzed data from the 2008 Pregnancy Risk Assessment Monitoring System. We studied 2669 women from North Carolina and Colorado with data on physical activity frequency in the 3 months prior to pregnancy and during the 3rd trimester and 1584 women from Oklahoma with data on provider advice regarding physical activity during pregnancy. Read More

    Obstetric professionals' perceptions of non-invasive prenatal testing for Down syndrome: clinical usefulness compared with existing tests and ethical implications.
    BMC Pregnancy Childbirth 2017 Sep 5;17(1):285. Epub 2017 Sep 5.
    Division of Public Health and Primary Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
    Background: While non-invasive prenatal testing (NIPT) for fetal aneuploidy is commercially available in many countries, little is known about how obstetric professionals in non-Western populations perceive the clinical usefulness of NIPT in comparison with existing first-trimester combined screening (FTS) for Down syndrome (DS) or invasive prenatal diagnosis (IPD), or perceptions of their ethical concerns arising from the use of NIPT.

    Methods: A cross-sectional survey among 327 obstetric professionals (237 midwives, 90 obstetricians) in Hong Kong.

    Results: Compared to FTS, NIPT was believed to: provide more psychological benefits and enable earlier consideration of termination of pregnancy. Read More

    Pessary or Progesterone to Prevent Preterm delivery in women with short cervical length: the Quadruple P randomised controlled trial.
    BMC Pregnancy Childbirth 2017 Sep 4;17(1):284. Epub 2017 Sep 4.
    Department of Obstetrics and Gynaecology, Academic Medical Center (AMC), Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
    Background: Preterm birth is in quantity and in severity the most important topic in obstetric care in the developed world. Progestogens and cervical pessaries have been studied as potential preventive treatments with conflicting results. So far, no study has compared both treatments. Read More

    Midwives' experiences of performing maternal observations and escalating concerns: a focus group study.
    BMC Pregnancy Childbirth 2017 Sep 2;17(1):282. Epub 2017 Sep 2.
    Public Health Institute of Applied Health Research, University of Birmingham, Birmingham, B15 2TT, UK.
    Background: For the past decade, Maternal Mortality Reports, published in the United Kingdom every three years, have consistently raised concerns about maternal observations in maternity care. The reports identify that observations are not being done, not being completed fully, are not recorded on Early Warning Score systems, and/or are not escalated appropriately. This has resulted in delays in referral, intervention and increases the risk of maternal morbidity or mortality. Read More

    Neonatal alloimmune thrombocytopenia caused by anti-HPA antibodies in pregnant Chinese women: a study protocol for a multicentre, prospective cohort trial.
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):281. Epub 2017 Aug 31.
    Department of Blood Transfusion, The Second Affiliated Hospital, The Third Military Medical University, Chongqing, People's Republic of China.
    Background: Neonatal alloimmune thrombocytopenia (NAIT), caused by maternal antibodies raised against alloantigens carried on foetal platelets, is a very common haematological abnormality in newborns worldwide. However, baseline data on NAIT in China are lacking. Therefore, this study seeks to explore the incidence of alloantibody against the human platelet antigen (HPA) in pregnant women and its associations with NAIT in China. Read More

    Companion of choice at birth: factors affecting implementation.
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):265. Epub 2017 Aug 31.
    Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.
    Background: Two recent recommendations made by the World Health Organization confirm the benefits of companion of choice at birth on labour outcomes; however institutional practices and policies do not always support its implementation in different settings around the world. We conducted a review to determine factors that affect implementation of this intervention considering the perspectives and experiences of different stakeholders and other institutional, systemic barriers and facilitators.

    Methods: Forty one published studies were included in this review. Read More

    Factors influencing implementation of interventions to promote birth preparedness and complication readiness.
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):270. Epub 2017 Aug 31.
    Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
    Background: The recent WHO report on health promotion interventions for maternal and newborn health recommends birth preparedness and complications readiness interventions to increase the use of skilled care at birth and to increase timely use of facility care for obstetric and newborn complications. However, these interventions are complex and relate strongly to the context in which they are implemented. In this article we explore factors to consider when implementing these interventions. Read More

    Interventions to provide culturally-appropriate maternity care services: factors affecting implementation.
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):267. Epub 2017 Aug 31.
    Department of Social Policy, London School of Economics and Political Science, London, UK.
    Background: The World Health Organization recently made a recommendation supporting 'culturally-appropriate' maternity care services to improve maternal and newborn health. This recommendation results, in part, from a systematic review we conducted, which showed that interventions to provide culturally-appropriate maternity care have largely improved women's use of skilled maternity care. Factors relating to the implementation of these interventions can have implications for their success. Read More

    Development of a questionnaire for assessing the childbirth experience (QACE).
    BMC Pregnancy Childbirth 2017 Aug 30;17(1):279. Epub 2017 Aug 30.
    University of Applied Sciences and Arts, Western Switzerland, 47 Avenue de Champel, 1206, Geneva, Switzerland.
    Background: Due to its potential impact on women's psychological health, assessing perceptions of their childbirth experience is important. The aim of this study was to develop a multidimensional self-reporting questionnaire to evaluate the childbirth experience.

    Methods: Factors influencing the childbirth experience were identified from a literature review and the results of a previous qualitative study. Read More

    Principles and processes behind promoting awareness of rights for quality maternal care services: a synthesis of stakeholder experiences and implementation factors.
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):264. Epub 2017 Aug 31.
    Health Systems Program, Department of International Health, Johns Hopkins School of Public Health, 615 North Wolfe Street, Baltimore, MD, 21205, USA.
    Background: Promoting awareness of rights is a value-based process that entails a different way of thinking and acting, which is at times misunderstood or deemed as aspirational.

    Methods: Guided by the SURE framework, we undertook a secondary analysis of 26 documents identified by an earlier systematic review on promoting awareness of rights to increase use of maternity care services. We thematically analysed stakeholder experiences and implementation factors across the diverse initiatives to derive common elements to guide future efforts. Read More

    Factors affecting effective community participation in maternal and newborn health programme planning, implementation and quality of care interventions.
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):268. Epub 2017 Aug 31.
    World Health Organization Department of Maternal, Newborn, Child and Adolescent Health, 20 Avenue Appia, 1211, Geneva, Switzerland.
    Background: Community participation in in health programme planning, implementation and quality improvement was recently recommended in guidelines to improve use of skilled care during pregnancy, childbirth and the postnatal period for women and newborns. How to implement community participation effectively remains unclear. In this article we explore different factors. Read More

    Understanding the implementation of maternity waiting homes in low- and middle-income countries: a qualitative thematic synthesis.
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):269. Epub 2017 Aug 31.
    Department of Maternal, Newborn, Child, Adolescent Health, World Health Organization, 20, Avenue Appia, 1211, Geneva, Switzerland.
    Background: Maternity waiting homes (MWHs) are accommodations located near a health facility where women can stay towards the end of pregnancy and/or after birth to enable timely access to essential childbirth care or care for complications. Although MWHs have been implemented for over four decades, different operational models exist. This secondary thematic +analysis explores factors related to their implementation. Read More

    Demand-side financing for maternal and newborn health: what do we know about factors that affect implementation of cash transfers and voucher programmes?
    BMC Pregnancy Childbirth 2017 Aug 31;17(1):262. Epub 2017 Aug 31.
    King's College London, Department of International Development, The Strand, London, WC2R 2LS, UK.
    Background: Demand-side financing (DSF) interventions, including cash transfers and vouchers, have been introduced to promote maternal and newborn health in a range of low- and middle-income countries. These interventions vary in design but have typically been used to increase health service utilisation by offsetting some financial costs for users, or increasing household income and incentivising 'healthy behaviours'. This article documents experiences and implementation factors associated with use of DSF in maternal and newborn health. Read More

    Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study.
    BMC Pregnancy Childbirth 2017 Aug 29;17(1):276. Epub 2017 Aug 29.
    Tanzania Field Epidemiology and Laboratory Training Programme (TFELTP), Dar Es Salaam, Tanzania.
    Background: Low knowledge of danger signs has been shown to delay seeking obstetric care which leads to high maternal mortality and morbidity worldwide. In Tanzania about half of pregnant women are informed about obstetric danger signs during antenatal care, but the proportion of those who have full knowledge of these obstetric danger signs is not known. This study assessed the knowledge of obstetric danger signs and its associated factors among recently-delivered women in Chamwino District, Tanzania. Read More

    Patterns and determinants of pathways to reach comprehensive emergency obstetric and neonatal care (CEmONC) in South Sudan: qualitative diagrammatic pathway analysis.
    BMC Pregnancy Childbirth 2017 Aug 29;17(1):278. Epub 2017 Aug 29.
    National University of Ireland Galway, Galway, Ireland.
    Background: Maternity referral systems have been under-documented, under-researched, and under-theorised. Responsive emergency referral systems and appropriate transportation are cornerstones in the continuum of care and central to the complex health system. The pathways that women follow to reach Emergency Obstetric and Neonatal Care (EmONC) once a decision has been made to seek care have received relatively little attention. Read More

    The Birth Satisfaction Scale-Revised Indicator (BSS-RI).
    BMC Pregnancy Childbirth 2017 Aug 29;17(1):277. Epub 2017 Aug 29.
    Policy Research Unit in Maternal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, OX3 7LF, UK.
    Background: The current study sought to develop a short birth satisfaction indicator utilising items from the Birth Satisfaction Scale-Revised (BSS-R) for use as a brief measure of birth satisfaction and as a possible key performance indicator for perinatal service delivery evaluation. Building on the recently developed BSS-R, the study aimed to develop a simplified version of the instrument to assess birth satisfaction easily that could work as a short evaluative measure of clinical service delivery for labour and birth that is consistent with policy documents, placing women at the centre of the birth experience.

    Methods: The six item Birth Satisfaction Scale-Revised Indicator (BSS-RI) was embedded within the 2014 National Maternity Survey for England. Read More

    Maternal mortality audit in Suriname between 2010 and 2014, a reproductive age mortality survey.
    BMC Pregnancy Childbirth 2017 Aug 29;17(1):275. Epub 2017 Aug 29.
    Department of Obstetrics, Birth Centre Wilhelmina's Children Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
    Background: The fifth Millennium Development Goal (MDG-5) aimed to improve maternal health, targeting a maternal mortality ratio (MMR) reduction of 75% between 1990 and 2015. The objective of this study was to identify all maternal deaths in Suriname, determine the extent of underreporting, estimate the reduction, audit the maternal deaths and assess underlying causes and substandard care factors.

    Methods: A reproductive age mortality survey was conducted in Suriname (South-American upper-middle income country) between 2010 and 2014 to identify all maternal deaths in the country. Read More

    The role of Community Mobilization in maternal care provision for women in sub-Saharan Africa- A systematic review of studies using an experimental design.
    BMC Pregnancy Childbirth 2017 Aug 29;17(1):274. Epub 2017 Aug 29.
    Department of Health Services Research. Room 0.073, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
    Background: While the role of community mobilization in improving maternal health outcomes of HIV positive women in sub-Saharan Africa is continuously emphasized, little is known about how legitimate these claims are. The aim of this study is to systematically review the empirical evidence on this issue.

    Methods: A systematic search was conducted in PuBMed, Scopus, Web of Science, MEDLINE, COCHRANE, Allied Health Literature, and Cumulative Index to Nursing. Read More

    Implementing the WHO integrated tool to assess quality of care for mothers, newborns and children: results and lessons learnt from five districts in Malawi.
    BMC Pregnancy Childbirth 2017 Aug 25;17(1):271. Epub 2017 Aug 25.
    Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Liverpool, UK.
    Background: In 2014 the World Health Organization (WHO) developed a new tool to be used to assess the quality of care for mothers, newborns and children provided at healthcare facility level. This paper reports on the feasibility of using the tool, its limitations and strengths.

    Methods: Across 5 districts in Malawi, 35 healthcare facilities were assessed. Read More

    Sociodemographic factors and pregnancy outcomes associated with prepregnancy obesity: effect modification of parity in the nationwide Epifane birth-cohort.
    BMC Pregnancy Childbirth 2017 Aug 25;17(1):273. Epub 2017 Aug 25.
    Centre de Recherche « Epidémiologie, Biostatistique et Recherche clinique », School of Public Health, Université libre de Bruxelles (ULB), Brussels, Belgium.
    Background: In light of the adverse outcomes for mothers and offspring related to maternal obesity, identification of subgroups of women at risk of prepregnancy obesity and its related-adverse issues is crucial for optimizing antenatal care. We aimed to identify sociodemographic factors and maternal and neonatal outcomes associated with prepregnancy obesity, and we tested the effect modification of parity on these associations.

    Methods: In 2012, 3368 mothers who had delivered in 136 randomly selected maternity wards were included just after birth in the French birth cohort, Epifane. Read More

    Maternal and perinatal outcome after previous caesarean section in rural Rwanda.
    BMC Pregnancy Childbirth 2017 Aug 25;17(1):272. Epub 2017 Aug 25.
    Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
    Background: Offering a trial of labor (ToL) after previous caesarean section (CS) is an important strategy to reduce short- and long-term morbidity associated with repeated CS. We compared maternal and perinatal outcomes between ToL and elective repeat caesarean section (ERCS) at a district hospital in rural Rwanda.

    Methods: Audit of women's records with one prior CS who delivered at Ruhengeri district hospital in Rwanda between June 2013 and December 2014. Read More

    Evaluation of the mobile nurse training (MNT) intervention - a step towards improvement in intrapartum practices in Bihar, India.
    BMC Pregnancy Childbirth 2017 Aug 23;17(1):266. Epub 2017 Aug 23.
    CARE India Solutions for Sustainable Development. H No. 14, Patliputra Colony, Patna, Bihar, 800013, India.
    Background: Evidence shows that improving the quality of intrapartum care is critical for maternal survival. However, a significant rise in the proportion of facility-based births over the last decade in India - attributable to a cash transfer program - has not resulted in a corresponding reduction in maternal mortality, thanks, in part, to low-skilled care at facilities. The current study evaluated a mobile knowledge-based intervention aimed at improving quality of care by mentoring in-service staff nurses at public obstetric facilities. Read More

    Midwives' and patients' perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study.
    BMC Pregnancy Childbirth 2017 Aug 22;17(1):263. Epub 2017 Aug 22.
    Touro University California, 1310 Club Dr. Mare Island, Vallejo, CA, 94592, USA.
    Background: It is increasingly recognized that disrespect and abuse of women during labor and delivery is a violation of a woman's rights and a deterrent to the use of life-saving, facility-based labor and delivery services. In Ethiopia, rates of skilled birth attendance are still only 28% despite a recent dramatic national scale up in the numbers of trained providers and facilities. Concerns have been raised that womens' perceptions of poor quality of care and fear of mistreatment might contribute to this low utilization. Read More

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