Abstract：
OBJECTIVE:The goal of this study was to assess and improve the management of postpartum haemorrhage (PPH) in maternity units in Malawi. The main objective was to determine whether criteria-based audit can improve adherence to standards for the management of PPH. METHODS:We used a before-and-after design and univariate statistics for data analysis. A retrospective review of 40 consecutive cases of PPH was conducted in eight hospitals and the results compared with standards for PPH, established based on World Health Organisation manuals. RESULTS:of the audit were presented to healthcare providers who made and implemented recommendations for improvement. A re-audit (45 cases) was conducted 3 months later. RESULTS:There was a significant improvement in adherence to three standards: typing and cross-match carried out (65.0% vs. 84.4%; P = 0.034), patient's hematocrit or haemoglobin established (67.5% vs. 86.7%; P = 0.029), and fluid intake/output chart maintained (0.0% vs 33.3%; P < 0.001). There was no significant change in close monitoring of vital signs (32.5% vs. 53.3%, P = 0.065) and case fatality rate (10.0% vs. 6.7%, P = 0.702), intravenous access achieved and intravenous fluids administered (100.0% vs. 97.8%; P = 0.735), and oxytocic drugs administered (100.0% vs. 95.6%; P = 0.357). CONCLUSION:Introduction of criteria-based audit can improve the management of postpartum haemorrhage in countries with limited resources. Future studies should consider using larger sample size to evaluate the effect of criteria-based audit on mortality.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Kongnyuy EJ,Mlava G,van den Broek Ndoi
10.1007/s10995-008-0408-3subject
Has Abstractpub_date
2009-11-01 00:00:00pages
873-8issue
6eissn
1092-7875issn
1573-6628journal_volume
13pub_type
杂志文章abstract：INTRODUCTION:Many women seek lactation consultant support in the postpartum period. Lactation consultant support in community or clinical settings is often assumed to extend breastfeeding duration, improve breastfeeding experiences, and be well-received. Few studies have assessed women's perceptions of the support they...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-020-03056-5
更新日期：2020-11-26 00:00:00
abstract：:To examine breastfeeding outcomes and factors associated with breastfeeding <8 weeks among preterm infants. Pregnancy Risk Assessment Monitoring System (PRAMS) data for seven sites from 2004 to 2007 were used. Logistic regression was used to identify correlates of short breastfeeding duration among preterm infants. Am...
journal_title：Maternal and child health journal
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更新日期：2013-11-01 00:00:00
abstract：:To describe and evaluate recruitment techniques used to enroll 152 healthy pregnant women fewer than 15 weeks gestation into a prospective study of environmental chemical exposure during pregnancy. Posters, a website, online and print advertising, recruitment emails, media coverage, recruitment from clinic waiting roo...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-010-0739-8
更新日期：2012-02-01 00:00:00
abstract：:Objectives Folate plays a vital role in biologic functions yet women often do not meet the recommended dietary intake in pregnancy. It has been suggested that high folic acid intake during pregnancy may increase the risk of respiratory diseases in offspring. However, findings from observational studies in human popula...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-017-2360-6
更新日期：2018-01-01 00:00:00
abstract：:Objectives Congenital infection with Toxoplasma gondii is known to result in neurological and brain disorders including ophthalmic disorders later in life. Research in Ghana revealed high sero-prevalence among pregnant women and eye patients. This study determines the risk of congenital transmission of T. gondii infec...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-2084-z
更新日期：2016-12-01 00:00:00
abstract：:Patriarchal traditions and a history of armed conflict in Timor-Leste provide a context that facilitates violence against women. More than a third of ever-married Timorese women report physical and/or sexual domestic violence (DV) perpetrated by their most recent partner. DV violates women's rights and may threaten th...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-014-1638-1
更新日期：2015-06-01 00:00:00
abstract：:Objectives This study aimed to identify predictors of cranial asymmetry. We hypothesize that among infants diagnosed with cranial asymmetry in the sampled region, there is an association between exposure to more time in baby gear and less awake time in prone and side-lying than in infants who do not present with this ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-017-2344-6
更新日期：2017-12-01 00:00:00
abstract：:Research on the effect of family structure on childhood obesity is scarce. This study examines the effect of number of parents and number of siblings on US children's body mass index (BMI) and risk of obesity. We conducted a secondary data analysis of the Early Childhood Longitudinal Study-Kindergarten Cohort (ECLS-K)...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-013-1422-7
更新日期：2014-09-01 00:00:00
abstract：:To estimate initiation of HPV vaccination among adolescent girls and examine the relationship between receiving care consistent with the medical home model in a population-based sample. We used the National Survey of Children's Health 2007, a nationally representative sample of children in the United States, to study ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-0975-1
更新日期：2013-02-01 00:00:00
abstract：INTRODUCTION:Depression is a common morbidity of the perinatal period (during pregnancy and up to one year postpartum). There is evidence for an association between diet and physical activity, and depression in the non-pregnant population but this association has been relatively less explored during the perinatal perio...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-020-02933-3
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVES:Advanced maternal age at first birth, but not at subsequent births, may have detrimental health implications for both mother and child, such as a poor birth outcome and an increased risk of maternal breast cancer. However, positive outcomes may also result such as an improvement in economic measures and offs...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1023/a:1026218322723
更新日期：1997-06-01 00:00:00
abstract：:Latino toddlers fall behind White peers at 24 months of age in oral language and interactive skills with their mothers in English or Spanish. But Latino children enter kindergarten with social skills that rival White peers, despite social-class disparities. We ask whether cognitive trajectories widen during the 24-48 ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-1184-7
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVES:The study seeks to improve understanding of maternity health seeking behaviors in resource-deprived urban settings. The objective of this paper is to identify the factors which influence the choice of place of delivery among the urban poor, with a distinction between sub-standard and "appropriate" health fac...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-008-0326-4
更新日期：2009-01-01 00:00:00
abstract：:Objectives The present study investigates the influence of joint feeding preferences of both the mother and father on initiation and duration of breastfeeding. Methods Data from the Infant Feeding Practices Study II was analyzed. Female participants in a national consumer opinion panel were followed from pregnancy thr...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-018-2566-2
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVES:While the validity of self-reported smoking habits is generally judged as satisfactory, objective markers of secondhand smoke (SHS) exposure may be more useful in validating the causal links between prenatal SHS and health effects. The cohort study in Krakow provided an opportunity for comparative assessment...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-008-0350-4
更新日期：2009-05-01 00:00:00
abstract：:Objective To assess the potential impact of missing data on body mass index (BMI) on the association between prepregnancy obesity and specific birth defects. Methods Data from the National Birth Defects Prevention Study (NBDPS) were analyzed. We assessed the factors associated with missing BMI data among mothers of in...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-1948-6
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to assess the knowledge, attitudes, behaviors and training needs of child care providers on infant feeding practices, specifically breastfeeding. METHODS:Needs assessment surveys for child care directors and infant room teachers were developed, tested and mailed to the 277 Color...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-007-0221-4
更新日期：2008-01-01 00:00:00
abstract：:The purpose of our research is to compare sexual violence prevalence rates from three sources of state level data. Public health officials, legislators and other policymakers often require state-level sexual assault prevalence estimates to justify funding and rationalize both new and ongoing sexual violence prevention...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-010-0565-z
更新日期：2011-01-01 00:00:00
abstract：:Objectives Previous studies have identified racial/ethnic disparities in infertility care, but patterns among American Indian/Alaska Natives (AI/AN) have not been reported. Our objective was to evaluate infertility services use in the US by race/ethnicity using data from the National Survey of Family Growth (NSFG). Me...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-018-2586-y
更新日期：2019-01-01 00:00:00
abstract：:Objectives To ascertain the association between caesarean delivery and breastfeeding practices in China. Methods We conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis Of Observational Studies in Epidemiology (MOOSE...
journal_title：Maternal and child health journal
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s10995-017-2369-x
更新日期：2017-11-01 00:00:00
abstract：:Objectives Obesity before and during pregnancy is associated with adverse effects for mother and child, but little is known about physical activity and consumption patterns among reproductive-aged women. The goal of this study is to identify behaviors of nonpregnant reproductive-aged women associated with normal weigh...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-018-2440-2
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVES:To examine characteristics related to drinking during pregnancy among a population-based sample of women. METHOD:We analyzed data related to third-trimester drinking collected from the Alaska Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS used a population-based, stratified sampling design to su...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1023/a:1026221412765
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVES:To determine if the quality of prenatal care predicts skilled institutional delivery, a primary means of reducing maternal mortality. METHODS:The probability of skilled institutional delivery is predicted among 4173 rural low-income women of reproductive age in seven Mexican states, as a function of materna...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-006-0079-x
更新日期：2006-09-01 00:00:00
abstract：PURPOSE:The impact of programs, policies, and practices developed by professionals in the field of maternal and child health (MCH) epidemiology is highlighted biennially by 16 national MCH agencies and organizations, or the Coalition for Excellence in MCH Epidemiology. DESCRIPTION:In September 2014, multiple leading a...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-015-1916-6
更新日期：2016-04-01 00:00:00
abstract：:The objective of this study was to estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American sociodemographic groups in 2008. To estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American so...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-1048-1
更新日期：2013-05-01 00:00:00
abstract：:Objectives Obstetric fistula is a maternal injury that causes uncontrollable leaking of urine or stool, and most women who develop it live in poverty in low-income countries. Obstetric fistula is associated with high rates of stigma and psychological morbidity, but there is uncertainty about the impact of surgical tre...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-1950-z
更新日期：2016-05-01 00:00:00
abstract：:To report on the design and basic outcomes of three interventions aimed at improving the use and quality of maternity care in rural China: financial interventions, training in clinical skills, and training in health education. Community-based cluster randomized trials were carried out in one central and two western pr...
journal_title：Maternal and child health journal
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10995-012-0962-6
更新日期：2013-02-01 00:00:00
abstract：:We examine the financial and time burdens associated with caring for children with chronic conditions, focusing on disparities across types of conditions. Using linked data from the 2003 to 2006 National Health Interview Survey and 2004-2008 Medical Expenditure Panel Survey, we created measures of financial burden (ou...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-014-1547-3
更新日期：2015-03-01 00:00:00
abstract：:Introduction Sleep-related infant deaths are major contributors to Tennessee's high infant mortality rate. The purpose of this initiative was to evaluate the impact of policy-based efforts to improve modeling of safe sleep practices by health care providers in hospital settings across Tennessee. Methods Safe sleep pol...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-017-2334-8
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:Postpartum depression (PPD) is a significant concern for new mothers and their infants, as well as the health professionals who care for them. Obesity may be a risk factor for depression, and therefore, for PPD specifically. We examined the occurrence and risk factors for PPD in a sample of overweight and obe...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-008-0418-1
更新日期：2009-11-01 00:00:00
