Misclassified maternal deaths among East African immigrants in Sweden.

Abstract:

:Western countries have reported an increased risk of maternal mortality among African immigrants. This study aimed to identify cases of maternal mortality among immigrants from the Horn of Africa living in Sweden using snowball sampling, and verify whether they had been classified as maternal deaths in the Cause of Death Registry. Three "locators" contacted immigrants from Somalia, Eritrea, and Ethiopia to identify possible cases of maternal mortality. Suspected deaths were scrutinised through verbal autopsy and medical records. Confirmed instances, linked by country of birth, were compared with Registry statistics. We identified seven possible maternal deaths of which four were confirmed in medical records, yet only one case had been classified as such in the Cause of Death Registry. At least two cases, a significant number, seemed to be misclassified. The challenges of both cultural and medical competence for European midwives and obstetricians caring for non-European immigrant mothers should be given more attention, and the chain of information regarding maternal deaths should be strengthened. We propose a practice similar to the British confidential enquiry into maternal deaths. In Sweden, snowball sampling was valuable for contacting immigrant communities for research on maternal mortality; by strengthening statistical validity, it can contribute to better maternal health policy in a multi-ethnic society.

journal_name

Reprod Health Matters

authors

Elebro K,Rööst M,Moussa K,Johnsdotter S,Essén B

doi

10.1016/S0968-8080(07)30322-4

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

153-62

issue

30

eissn

0968-8080

issn

1460-9576

pii

S0968-8080(07)30322-4

journal_volume

15

pub_type

杂志文章
  • Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia.

    abstract::Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabo...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1402670

    authors: Chukwumalu K,Gallagher MC,Baunach S,Cannon A

    更新日期:2017-11-01 00:00:00

  • Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda.

    abstract::The unmet need for family planning in Uganda is among the world's highest. Injectable contraceptives, the most available method, were used by only 14.1% of married women in 2011. Recent data suggest that the main reason for unmet need is not lack of access, but fear of and unacceptability of side effects. In this qual...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)40654-1

    authors: Hyttel M,Rasanathan JJ,Tellier M,Taremwa W

    更新日期:2012-12-01 00:00:00

  • Emerging changes in reproductive behaviour among married adolescent girls in an urban slum in Dhaka, Bangladesh.

    abstract::Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contr...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(06)27221-5

    authors: Rashid SF

    更新日期:2006-05-01 00:00:00

  • Sex workers in Kenya, numbers of clients and associated risks: an exploratory survey.

    abstract::In Kenya in 1999, an estimated 6.9% of women nationally said they had exchanged sex for money, gifts or favours in the previous year. In 2000 and 2001, in collaboration with sex workers who had formed a network of self-help groups, we conducted an exploratory survey among 475 sex workers in four rural towns and three ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)23125-1

    authors: Elmore-Meegan M,Conroy RM,Agala CB

    更新日期:2004-05-01 00:00:00

  • Unsafe abortion and abortion care in Khartoum, Sudan.

    abstract::Unsafe abortion in Sudan results in significant morbidity and mortality. This study of treatment for complications of unsafe abortion in five hospitals in Khartoum, Sudan, included a review of hospital records and a survey of 726 patients seeking abortion-related care from 27 October 2007 to 31 January 2008, an interv...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(09)34476-6

    authors: Kinaro J,Ali TE,Schlangen R,Mack J

    更新日期:2009-11-01 00:00:00

  • "Sexuality? A million things come to mind": reflections on gender and sexuality by Chilean adolescents.

    abstract::Although Chile is a traditionally conservative country, considerable legal advances in sexual and reproductive rights over the past decade have brought discourses on sexuality into mainstream political, social and media agendas. In light of these changes it is important to explore how adolescents conceptualize sexuali...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.11.003

    authors: Macintyre AK,Montero Vega AR,Sagbakken M

    更新日期:2015-11-01 00:00:00

  • Politics, policies, pronatalism, and practice: availability and accessibility of abortion and reproductive health services in Turkey.

    abstract::Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We ai...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2016.11.002

    authors: MacFarlane KA,O'Neil ML,Tekdemir D,Çetin E,Bilgen B,Foster AM

    更新日期:2016-11-01 00:00:00

  • Female genital mutilation as sexual disability: perceptions of women and their spouses in Akure, Ondo State, Nigeria.

    abstract::Disability encompasses the limitations on an individual's basic physical activities, and the consequent social oppressions such individual faces in society. In this regard, the limitation on the use of some parts of the genitals in a patriarchal system is considered a form of disability. This paper describes the perce...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1331685

    authors: Owojuyigbe M,Bolorunduro ME,Busari D

    更新日期:2017-05-01 00:00:00

  • Sexual health in the International Classification of Diseases (ICD): implications for measurement and beyond.

    abstract::This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack o...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.11.008

    authors: Chou D,Cottler S,Khosla R,Reed GM,Say L

    更新日期:2015-11-01 00:00:00

  • The business of desire: "Russian" bars in Amman, Jordan.

    abstract::This paper discusses the type of work migrant women from the former Eastern European countries perform in nightclubs in Amman, Jordan. The fieldwork for this qualitative study was conducted in 2010 and is based on in-depth interviews with 13 women. The topic is approached from the perspective of describing women's cho...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1378063

    authors: Beňová L

    更新日期:2017-10-01 00:00:00

  • Reproductive health financing in Kenya: an analysis of national commitments, donor assistance, and the resources tracking process.

    abstract::Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(13)42738-6

    authors: Sidze EM,Pradhan J,Beekink E,Maina TM,Maina BW

    更新日期:2013-11-01 00:00:00

  • Where are we now with hormone replacement therapy?

    abstract::Menopausal symptoms can be grim, and the desire to replace the hormonal "deficit" with exogenous hormones remains strong. Since the 1950s, hormone replacement therapy has been used increasingly, while evidence on the risks of unwanted side effects has accumulated. What have we learned over these decades? Firstly, curr...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24144-1

    authors: Mcpherson K

    更新日期:2004-11-01 00:00:00

  • Abortion law reform in Nepal: women's right to life and health.

    abstract::In Nepal, the effects of the low social status of women and lack of access to health care and family planning have resulted in a maternal mortality ratio that is among the highest in South Asia. By the mid-1990s, the contribution of unsafe abortions to maternal deaths and morbidity was acknowledged by key individuals ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24007-1

    authors: Shakya G,Kishore S,Bird C,Barak J

    更新日期:2004-11-01 00:00:00

  • The right to love: the desire for parenthood among men living with HIV.

    abstract::Drug regimens and procedures now exist that will prevent parents from transmitting HIV to infants, and the ethical and legal obligation to promote and protect the reproductive rights of those living with HIV should form part of training for HIV/AIDS care and prevention. This paper reports a study that investigated iss...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(03)02293-6

    authors: Paiva V,Filipe EV,Santos N,Lima TN,Segurado A

    更新日期:2003-11-01 00:00:00

  • Obstetric violence: a new framework for identifying challenges to maternal healthcare in Argentina.

    abstract::Argentina has recognized women's right to not be subjected to obstetric violence, the violence exercised by health personnel on the body and reproductive processes of pregnant women, as expressed through dehumanizing treatment, medicalization abuse, and the conversion of natural processes of reproduction into patholog...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2016.05.001

    authors: Vacaflor CH

    更新日期:2016-05-01 00:00:00

  • The Copper-T 380A IUD: a ten-year alternative to female sterilisation in India.

    abstract::High unmet need for limiting contraception persists in most states of India despite wide access to sterilisation. Qualitative evidence from a rural community in which child mortality is high and women's autonomy is low suggests that women may seek reversibility in a contraceptive even if they have finished childbearin...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(00)90194-0

    authors: Iyengar K,Iyengar SD

    更新日期:2000-11-01 00:00:00

  • Stigmatisation and commercialisation of abortion services in Poland: turning sin into gold.

    abstract::This paper is about the economic consequences of the stigmatisation and illegality of abortion and its almost complete removal from public health services in Poland since the late 1980s. Once abortion left the public sphere, it entered the grey zone of private arrangements, in which a woman's private worries became so...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(11)37548-9

    authors: Chełstowska A

    更新日期:2011-05-01 00:00:00

  • Rights-based services for adolescents living with HIV: adolescent self-efficacy and implications for health systems in Zambia.

    abstract::A rights-based approach in HIV service delivery for adults is increasingly taking root in sub-Saharan Africa in the context of greater availability of antiretroviral therapy. Yet there has been comparatively little progress in strengthening a rights-based approach to adolescent HIV services, which we learned during a ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(13)41701-9

    authors: Mburu G,Hodgson I,Teltschik A,Ram M,Haamujompa C,Bajpai D,Mutali B

    更新日期:2013-05-01 00:00:00

  • The Global Commission on HIV and the Law: recommendations for legal reform to promote sexual and reproductive health and rights.

    abstract::The Global Commission on HIV and the Law was established in 2010 to identify and analyse the complex framework of international, national, religious and customary law shaping national responses to HIV and the well-being of people living with HIV and key populations. Two years of deliberation, based on an exhaustive re...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(14)44807-9

    authors: El Feki S,Avafia T,Fidalgo TM,Divan V,Chauvel C,Dhaliwal M,Cortez C

    更新日期:2014-11-01 00:00:00

  • Protecting safe abortion in humanitarian settings: overcoming legal and policy barriers.

    abstract::Women and girls are increasingly the direct and targeted victims of armed conflict and studies show that they are disproportionately and differentially affected. However, humanitarian laws, policies, and protocols have yet to be meaningfully interpreted and adapted to respond to their specific needs, including to sexu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1400361

    authors: Radhakrishnan A,Sarver E,Shubin G

    更新日期:2017-11-01 00:00:00

  • Contextualising sexual harassment of adolescent girls in Bangladesh.

    abstract::Violence against women is a social mechanism confirming women's subordination in many societies. Sexual violence and harassment have various negative psychological impacts on girls, including a persistent feeling of insecurity and loss of self-esteem. This article aims to contextualize a particular form of sexual hara...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(13)41696-8

    authors: Nahar P,van Reeuwijk M,Reis R

    更新日期:2013-05-01 00:00:00

  • Clear and compelling evidence: the Polish tribunal on abortion rights.

    abstract::On 25 July 2001 the Polish Federation for Women and Family Planning organised a Tribunal on Abortion Rights in Warsaw, to publicize the negative consequences of the criminalization of abortion in Poland. A panel of Polish and foreign experts heard the testimonials of seven Polish women's experiences under the 1993 "An...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00023-x

    authors: Girard F,Nowicka W

    更新日期:2002-05-01 00:00:00

  • Adolescent pregnancy in Argentina: evidence-based recommendations for public policies.

    abstract::In Argentina adolescent pregnancy is still regarded as a public health problem or a "social epidemic". However, it is necessary to ask from which perspective and for whom it is a problem, and what type of problem. This article presents the findings of a large quantitative and qualitative study conducted in five Northe...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31358-5

    authors: Gogna M,Binstock G,Fernández S,Ibarlucía I,Zamberlin N

    更新日期:2008-05-01 00:00:00

  • Experiences of sexual harassment of women health workers in four hospitals in Kolkata, India.

    abstract::In 1997, the Supreme Court of India recognised sexual harassment in the workplace as a violation of human rights. However, little is known about the extent or persistence of sexual harassment. To obtain an understanding of women's experiences of sexual harassment in the health sector, an exploratory study was undertak...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(07)30319-4

    authors: Chaudhuri P

    更新日期:2007-11-01 00:00:00

  • A project to improve the quality of abortion services in Moldova.

    abstract::Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to redu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(05)26206-7

    authors: Comendant R

    更新日期:2005-11-01 00:00:00

  • HIV treatment and reproductive health in the health system in Burkina Faso: resource allocation and the need for integration.

    abstract::Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using nation...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(11)38587-4

    authors: Windisch R,de Savigny D,Onadja G,Somda A,Wyss K,Sié A,Kouyaté B

    更新日期:2011-11-01 00:00:00

  • Achieving effective cervical screening coverage in South Africa through human resources and health systems development.

    abstract::South Africa's cervical screening policy recommends three free Pap smears at ten-year intervals for all women over 30 years of age, aiming to achieve 70% coverage by 2010 by targeting the age group most at risk of developing pre-cancerous cervical lesions. Attaining wide coverage requires an adequate supply of motivat...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)32403-3

    authors: Kawonga M,Fonn S

    更新日期:2008-11-01 00:00:00

  • Let's talk about sex work in humanitarian settings: piloting a rights-based approach to working with refugee women selling sex in Kampala.

    abstract::Although it is well known that refugees engage in sex work as a form of livelihood, stigma and silence around this issue persist within humanitarian circles. As a result, these refugees' sexual and reproductive health and rights, and related vulnerabilities, remain overlooked. Their protection and health needs, which ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1405674

    authors: Rosenberg JS,Bakomeza D

    更新日期:2017-11-01 00:00:00

  • Abortion: the Portuguese case.

    abstract::Abortion was completely illegal in Portugal until 1984. Illegal abortion provision was a matter of silence until then and treated as a "black market" issue rather than as a health issue. The first attempts to change the abortion law began in 1982 after two trials and a national campaign for legal abortion and contrace...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00025-3

    authors: Vilar D

    更新日期:2002-05-01 00:00:00

  • Microbicides 2000: report of an international conference, 13-16 March, Washington DC.

    abstract::'Microbicide' is the name for a number of new products currently under research which could become a new class of barrier method for use in the vagina and rectum for protection against HIV, prevention and/or treatment of other sexually transmitted diseases and/or act as a contraceptive. This is a summary report of thi...

    journal_title:Reproductive health matters

    pub_type:

    doi:10.1016/s0968-8080(00)90014-4

    authors: Berer M

    更新日期:2000-05-01 00:00:00