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 newborn mortality and levels of putative risk factors between the Pakistani site and those in other countries. METHODS:Using data collected through a multi-site, prospective, ongoing, active surveillance system to track pregnancies and births in communities in discrete geographical areas in seven sites across six countries including Pakistan, India, Kenya, Zambia, Guatemala and Argentina from 2010 to 2013, the study compared MNH outcomes and risk factors. The MNHR captures more than 60,000 deliveries annually across all sites with over 10,000 of them in Thatta, Pakistan. RESULTS:The Pakistan site had a maternal mortality ratio almost three times that of the other sites (313/100,000 vs 116/100,000). Stillbirth (56.5 vs 22.9/1000 births), neonatal mortality (50.0 vs 20.7/1000 livebirths) and perinatal mortality rates (95.2/1000 vs 39.0/1000 births) in Thatta, Pakistan were more than twice those of the other sites. The Pakistani site is the only one in the Global Network where maternal mortality increased (from 231/100,000 to 353/100,000) over the study period and fetal and neonatal outcomes remained stagnant. The Pakistan site lags behind other sites in maternal education, high parity, and appropriate antenatal and postnatal care. However, facility delivery and skilled birth attendance rates were less prominently different between the Pakistani site and other sites, with the exception of India. The difference in the fetal and neonatal outcomes between the Pakistani site and the other sites was most pronounced amongst normal birth weight babies. CONCLUSIONS:The increase in maternal mortality and the stagnation of fetal and neonatal outcomes from 2010 to 2013 indicates that current levels of antenatal and newborn care interventions in Thatta, Pakistan are insufficient to protect against poor maternal and neonatal outcomes. Delivery care in the Pakistani site, while appearing quantitatively equivalent to the care in sites in Africa, is less effective in saving the lives of women and their newborns. By the metrics available from this study, the quality of obstetric and neonatal care in the site in Pakistan is poor. TRIAL REGISTRATION:The study is registered at clinicaltrials.gov [NCT01073475].
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Pasha O,Saleem S,Ali S,Goudar SS,Garces A,Esamai F,Patel A,Chomba E,Althabe F,Moore JL,Harrison M,Berrueta MB,Hambidge K,Krebs NF,Hibberd PL,Carlo WA,Kodkany B,Derman RJ,Liechty EA,Koso-Thomas M,McClure EM,Goldedoi
10.1186/1742-4755-12-S2-S15subject
Has Abstractpub_date
2015-01-01 00:00:00pages
S15issn
1742-4755pii
1742-4755-12-S2-S15journal_volume
12 Suppl 2pub_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:South Africa faces numerous reproductive challenges that include high rates of unplanned and adolescent pregnancies. The uptake and utilization of family planning services and modern contraception methods depend on numerous factors. The male partner plays a key role in reproductive health but data on this to...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0749-y
更新日期:2019-06-25 00:00:00
abstract:OBJECTIVE:Access to comprehensive and culturally appropriate reproductive life planning is essential to women's health. Although many strategies and tools exist, few are designed for longitudinal use or provide visual aids. Our objective is to present the Family Planning Quotient (FPQ) and Reproductive Life Index (RepL...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0787-5
更新日期:2019-08-19 00:00:00
abstract:BACKGROUND:Despite a variety of mainly school-driven prevention strategies, the number of adolescent pregnancies in Rwanda is worryingly high and is even expected to increase. The aim of this study is to empower Kirehe secondary school students aged 15-19 years old in sexual and reproductive health (SRH) by developing ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00986-9
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:Sub-Saharan Africa has the highest maternal mortality ratio at 500 deaths per 100,000 live births. In Mozambique maternal mortality is estimated at 249-480 per 100,000 live births and eclampsia is the third leading cause of death. The objective of this study was to describe the community understanding of pre...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0135-y
更新日期:2016-06-08 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: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:It is well-established that couples' fecundities vary widely. Each couple has a relatively constant monthly probability of conceiving, which can vary from zero to quite high. This underlying probability is usually expressed as the time (number of menstrual cycles) the couple requires to conceive. Couples wit...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0754-1
更新日期:2019-06-24 00:00:00
abstract:BACKGROUND:Despite improved health facility access relative to rural areas, distance and transportation remain barriers in some urban areas. Using household and facility data linked to residential and transportation geographic information we describe availability of health facilities offering long-acting reversible con...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0828-0
更新日期:2019-11-08 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:In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation is allowed to induce menstruation and return to non-pregnancy after a missed period. MR services are typically provided through the Directorate General of Family Planning, while postabortion care services for i...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0298-1
更新日期:2017-03-11 00:00:00
abstract:BACKGROUND:Accruing epidemiological evidence suggests that prenatal exposure to emissions from cooking fuel is associated with increased risks of adverse maternal and perinatal outcomes including hypertensive disorders of pregnancy, low birth weight, stillbirth and infant mortality. We aimed to investigate the relation...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-0878-3
更新日期:2020-02-22 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:Intra-partum mistreatment by healthcare providers remains a global public health and human rights challenge. Adolescents, who are typically younger, poorer and less educated have been found to be disproportionately exposed to intra-partum mistreatment. In Ghana, maternal mortality remains a leading cause of ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00977-w
更新日期:2020-08-24 00:00:00
abstract::The practice and timing of routine antenatal visits for healthy pregnant women, introduced arbitrarily and without evidence of effectiveness, have become entrenched in obstetric practice over the last century. In 2001 the large, cluster randomized WHO Antenatal Care Trial concluded that a goal-orientated package of an...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-20
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:Many women in Russia rely on abortion as a primary birth control method. Although refusal to use contraceptives, including condoms, may undermine public health efforts to decrease HIV sexual risk behaviors, few studies have investigated the risk factors associated with abortion among women at high risk for H...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-8-28
更新日期:2011-10-12 00:00:00
abstract:BACKGROUND:Greater paternal engagement is positively associated with improved access to and utilization of maternal services. Despite evidence that male involvement increased uptake of maternal and child services, studies show that few men are participating in MNCH programs. Community leaders have long been engaged in ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0752-3
更新日期:2019-06-21 00:00:00
abstract:BACKGROUND:Humanitarian crises and migration make girls and women more vulnerable to poor sexual and reproductive health (SRH) outcomes. Nevertheless, there is still a dearth of information on SRH outcomes and access to SRH services among refugee girls and young women in Africa. We conducted a mixed-methods study to as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0698-5
更新日期:2019-03-19 00:00:00
abstract:BACKGROUND:Female genital mutilation/cutting (FGM/C) is a common harmful traditional practice in many communities in Africa and to a lesser extent in Middle East and other regions in the world. In order to better understand publishing on this topic, we conducted a bibliometric study on FGM/C. Bibliometric analyses can ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0243-8
更新日期:2016-10-10 00:00:00
abstract:BACKGROUND:Reducing the maternal mortality ratio to less than 70 per 100,000 live births globally is one of the Sustainable Development Goals. Approximately 830 women die from pregnancy- or childbirth-related complications every day. Almost 99% of these deaths occur in developing countries. Increasing antenatal care qu...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0820-8
更新日期:2019-10-22 00:00:00
abstract:BACKGROUND:To study maternal anxiety and perinatal outcomes in pregnant women submitted to a Multidisciplinary Program for Childbirth and Motherhood Preparation (MPCM). METHODS:This is a not randomized controlled trial on 67 nulliparous pregnant women divided into two groups according to participation (MPCM Group; n =...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-28
更新日期:2010-10-29 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:Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS:A two-stage cross sectional sampling d...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0781-y
更新日期:2019-08-27 00:00:00
abstract:BACKGROUND:Ultrasound during antenatal care (ANC) is proposed as a strategy for increasing hospital deliveries for complicated pregnancies and improving maternal, fetal, and neonatal outcomes. The First Look study was a cluster-randomized trial conducted in the Democratic Republic of Congo, Guatemala, Kenya, Pakistan a...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0647-8
更新日期:2018-12-12 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:In order to set research priorities for reproductive health in the occupied Palestinian territory, it is vital to know what current research has been done in the field of reproductive health. The purpose of this scoping review is to examine the range and nature of reproductive health research in the occupied...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-019-0699-4
更新日期:2019-04-03 00:00:00
abstract:BACKGROUND:Maternal mortality in South Africa is high and a cause for concern especially because the bulk of deaths from maternal causes are preventable. One of the proposed reasons for persistently high maternal mortality is HIV which causes death both indirectly and directly. While there is some evidence for the impa...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-12-S1-S5
更新日期:2015-05-06 00:00:00
abstract:BACKGROUND:Turkey hosts the world's largest community of Syrians displaced by the conflict. The Minimum Initial Service Package (MISP) is a coordinated set of priority reproductive health services. There is not any scoping review assessing the RH situation of Syrian refugees in Turkey within the framework of the MISP o...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00948-1
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:Despite the vast literature examining disparities in medical care, little is known about racial/ethnic and mental health disparities in sexual health care. The objective of this study was to assess disparities in safe sex counseling and resultant behavior among a patient population at risk of negative sexual...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-35
更新日期:2012-12-31 00:00:00
abstract:BACKGROUND:The physical environment profoundly affects women's well-being during childbirth in family-centered unit. A LDRP, which is an acronym for labor, delivery, recovery, and postpartum that describes a maternity unit designed for family-centered care. This study aimed to design soothing LDRP healing architecture ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01055-x
更新日期:2020-12-10 00:00:00