Abstract:
BACKGROUND:Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. METHODS:We present results from an experimental study in rural Pakistan. Village clusters were randomly assigned to intervention and control arms (16 clusters each). In the intervention clusters, women were provided information on safe motherhood through pictorial booklets and audiocassettes; traditional birth attendants were trained in clean delivery and recognition of obstetric and newborn complications; and emergency transportation systems were set up. In eight of the 16 intervention clusters, husbands also received specially designed education materials on safe motherhood and family planning. Pre- and post-intervention surveys on selected maternal and neonatal health indicators were conducted in all 32 clusters. A district-wide survey was conducted two years after project completion to measure any residual impact of the interventions. RESULTS:Pregnant women in intervention clusters received prenatal care and prophylactic iron therapy more frequently than pregnant women in control clusters. Providing safe motherhood education to husbands resulted in further improvement of some indicators. There was a small but significant increase in percent of hospital deliveries but no impact on the use of skilled birth attendants. Perinatal mortality reduced significantly in clusters where only wives received information and education in safe motherhood. The survey to assess residual impact showed similar results. CONCLUSIONS:We conclude that providing safe motherhood education increased the probability of pregnant women having prenatal care and utilization of health services for obstetric complications.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Midhet F,Becker Sdoi
10.1186/1742-4755-7-30subject
Has Abstractpub_date
2010-11-05 00:00:00pages
30issn
1742-4755pii
1742-4755-7-30journal_volume
7pub_type
杂志文章abstract:BACKGROUND:Recent studies have demonstrated that it is common for women to report inconsistent fertility motivations and family planning behaviors. This study examines these inconsistencies among urban Honduran women interviewed at two points in time and presents reasons for inconsistent fertility motivations and contr...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-6-19
更新日期:2009-11-19 00:00:00
abstract:BACKGROUND:A cultural preference for sons has been well documented in India, resulting in skewed sex ratios, especially exhibited in northwest India. Previous research has shown that family sex composition is associated with family planning (FP) use and couples' desire for more children. This study examines family sex ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-48
更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:Postpartum haemorrhage (PPH) is the leading cause of maternal mortality in low-income countries and is a significant contributor to severe maternal morbidity and long-term disability. Carbetocin may be an underused uterotonic for prevention of PPH. A number of studies are being conducted that may challenge t...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-018-0529-0
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:To find out about the prenatal diagnosis rate of myelomeningocele (MMC) by ultrasound scan in patients referred to the Children's Hospital Medical Center in Tehran, Iran from July 2004 to July 2005. METHODS:We included 140 children born with MMC and who were referred for management, surgery and treatment of...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-3-6
更新日期:2006-07-18 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-020-00926-7
更新日期:2020-05-26 00:00:00
abstract:BACKGROUND:Obstetric fistula (OF) is a maternal morbidity associated with high rates of stillbirth, amenorrhea, and sexual dysfunction. Limited data exists on the reproductive outcomes of women in the years following a fistula repair. The objective of this study is to describe the fertility outcomes and family planning...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0415-1
更新日期:2017-11-28 00:00:00
abstract:BACKGROUND:Men in northern Nigeria are considered the leaders and ultimate decision makers, including decisions about health-related behaviours of their wives and children. Yet many men in the region consider pregnancy and childbirth to be in the woman's domain (even if she cannot make related decisions), and may not s...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0761-2
更新日期:2019-07-15 00:00:00
abstract:BACKGROUND:After the 1968 United Nations International Conference on Human Rights, access to family planning services became a human right. Such a service is of central importance to women's empowerment and is empirically needed to provide adequate healthcare. For registered refugees and asylum seekers in Germany compl...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00962-3
更新日期:2020-07-29 00:00:00
abstract:BACKGROUND:Pregnancy and parenthood are known to be high-risk times for mental health. However, less is known about the mental health of pregnant adolescents or adolescent parents. Despite the substantial literature on the risks associated with adolescent pregnancy, there is limited evidence on best practices for preve...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00913-y
更新日期:2020-05-14 00:00:00
abstract:BACKGROUND:There are few rigorous studies evaluating the benefits of vertical versus integrated delivery of healthcare services, and limited published studies describing conceptual models of integration at service-delivery level in public healthcare facilities. This article seeks to fill this gap, by describing the dev...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0633-1
更新日期:2018-11-15 00:00:00
abstract:BACKGROUND:To identify all the records within the Brazilian Hospital Information System (HIS) that contained information suggestive of severe maternal morbidity (near miss); to describe the diagnoses and procedures used; to identify variables associated with maternal death. METHODS:A descriptive population study with ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-6
更新日期:2008-10-28 00:00:00
abstract:BACKGROUND:Despite global improvements in maternal and newborn health (MNH), maternal, fetal and newborn mortality rates in Pakistan remain stagnant. Using data from the Global Network's Maternal Newborn Health Registry (MNHR) the objective of this study is to compare the rates of maternal mortality, stillbirth and new...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-12-S2-S15
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Although abortion is legally available in South Africa, barriers to access exist. Early medical abortion is available to women with a gestational age up to 63 days and timely access is essential. This study aimed to determine women's acceptability and ability to self-assess eligibility for early medical abor...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/s12978-016-0160-x
更新日期:2016-04-16 00:00:00
abstract::Following publication of the original article [1], we have been notified that another author should be added to the team of authors. The Name and affiliation details are below. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-019-0812-8
更新日期:2019-10-30 00:00:00
abstract::District level healthcare serves as a nexus between community and district level facilities. Inputs at the district level can be broadly divided into governance and accountability mechanisms; leadership and supervision; financial platforms; and information systems. This paper aims to evaluate the effectivness of distr...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/1742-4755-11-S2-S3
更新日期:2014-09-04 00:00:00
abstract:BACKGROUND:Many patients use websites, blogs, or online social communities to gain health knowledge, information about disease symptoms, and disease diagnosis opinions. The purpose of this study is to use the online platform of blogs to explore whether the framing effect of information content, situated learning of inf...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-93
更新日期:2014-12-26 00:00:00
abstract:BACKGROUND:Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-13
更新日期:2014-02-03 00:00:00
abstract:BACKGROUND:Sierra Leone has one of the highest maternal mortality rates in the world. Encouraging the use of skilled birth attendance in health facilities is an important step in the endeavor to increase the number of safe deliveries. However, public trust in health facilities has been greatly damaged during the Ebola ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0601-9
更新日期:2018-09-15 00:00:00
abstract:BACKGROUND:Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive us...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0666-0
更新日期:2019-01-21 00:00:00
abstract:BACKGROUND:The introduction of home digital ovulation tests (OTs) has provided a simple solution for women wishing to optimise the timing of intercourse when trying to conceive. However, despite this, very little is understood about women's experiences of using these tests. METHODS:We carried out qualitative, semi-str...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-015-0103-y
更新日期:2015-12-21 00:00:00
abstract:BACKGROUND:Phthalates, a class of endocrine disruptors, have been demonstrated to accelerate loss of ovarian follicle pool via disrupting folliculogenesis, and lead to diminished ovarian reserve. However, human data are limited. Here, we aimed to examine whether urinary phthalate metabolites are correlated with markers...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0469-8
更新日期:2018-02-23 00:00:00
abstract:BACKGROUND:Up-to-date, genuine sexual and reproductive health (SRH) education programmes have been possible in Romania only since communism collapsed in 1990. Since 2006, Romania has had no national strategy in this field. Under current global circumstances (high labour mobility, internationally mixed marriages), issue...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-48
更新日期:2014-06-23 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0328-z
更新日期:2017-05-30 00:00:00
abstract:BACKGROUND:Mother-to-child transmission of HIV (MTCT) accounts for over 95% of all paediatric HIV infections worldwide. Several studies have shown that male participation in the antenatal care of their spouses together with couple counselling and testing for HIV, increases use of the interventions for HIV prevention. T...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-12
更新日期:2010-06-23 00:00:00
abstract:BACKGROUND:The physical and psychological impact of female genital mutilation / cutting (FGM/C) can be substantial, long term, and irreversible. Parts of the health sector in Australia have developed guidelines in the management of FGM/C, but large gaps exist in community and professional knowledge of the consequences ...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-017-0324-3
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:Swedish national guidelines for pregnancy dating were published in 2010. Follow-up is needed to assess adherence and to identify whether any clinical topics are not covered in the guidelines. METHODS:All units in Sweden that performed ultrasound-based pregnancy dating were asked to complete a web-based ques...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0760-3
更新日期:2019-07-04 00:00:00
abstract::The ICPD agenda of reproductive health was declared as the most comprehensive one, which had actually broadened the spectrum of reproductive health and drove the states to embark upon initiatives to improve reproductive health status of their populations. However, like all other countries, Pakistan also seems to have ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-4
更新日期:2008-09-10 00:00:00
abstract:BACKGROUND:An ultrasound examination is an important confirmation of the pregnancy and is accepted without reflection to any prenatal diagnostic aspects. An abnormal finding often comes unexpectedly and is a shock for the parents. The aim was to generate a theoretical understanding of parents' experiences of the situat...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-10
更新日期:2010-06-14 00:00:00
abstract:BACKGROUND:Previous studies in developing countries suggest that a husband plays an influential role in a woman's contraceptive use. The influence of a husband/partner's healthcare decision making power on a woman's intention to use contraceptives in Mozambique has not been studied. The present study examined this rela...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0010-2
更新日期:2015-04-23 00:00:00
abstract:BACKGROUND:More women are accessing modern contraceptive use in Kenya, however, contraceptive discontinuation has stagnated over the decades. Any further increase in contraceptive use will most likely be from past users, hence understanding the dynamics of discontinuation while addressing quality of family planning ser...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0797-3
更新日期:2019-09-05 00:00:00