Abstract：
:The objective was to determine the levels of maternal morbidity from no complications to near miss and describe factors associated with different levels of morbidity. We conducted an observational study of all women delivering at a tertiary hospital in Accra, Ghana between October 2010 and March 2011. We examined the factors associated with the continuum of maternal outcomes in terms of severity using multinomial logistic regression. Data were extracted from women's maternal care files with the main outcome measures of no complications, non-life threatening complications, potentially life-threatening conditions (PLTC), and near miss as defined by World Health Organization. Our study includes 1,586 women with no complications, 1,205 women with non-life threatening complications, 516 women with PLTC, and 94 near-miss cases. All of the factors associated with PLTC and near-miss cases were similar. None of the socio-demographic variables remained significant in the multivariate analysis comparing different levels of severe morbidity with no complications. Women with no complications shared similar characteristics with women who experienced non-life threatening complications. As compared to women who had no complications, women who had severe morbidity were significantly more likely to have had no antenatal care. Our results underline the concept that morbidity is a continuum and indicate that if the underlying causes of poor maternal health outcomes are addressed, it is likely that changes such as better access to antenatal care will improve health outcomes across the continuum of morbidity. However, by only monitoring near-miss cases and mortality, we underestimate the impact on women who will live with non-life threatening, yet serious maternal morbidities.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Tunçalp O,Hindin MJ,Adu-Bonsaffoh K,Adanu RMdoi
10.1007/s10995-013-1405-8subject
Has Abstractpub_date
2014-09-01 00:00:00pages
1648-57issue
7eissn
1092-7875issn
1573-6628journal_volume
18pub_type
杂志文章abstract：:Our exploratory study examined rural-urban differences in dental care utilization during early childhood among Medicaid-enrolled children aged younger than 4 years in South Carolina. We conducted a secondary data analysis using Medicaid data. Dependent variables included preventive dental visits, use of medical settin...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-010-0725-1
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVES:Evidence of the association between food environment and birth outcomes is limited. This study aimed to examine the association between individual-level food access measures and birth outcomes. METHODS:All birth certificates (N = 15,786) from January 1, 2008 to December 31, 2009 in eight counties in South C...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-015-1818-7
更新日期：2016-01-01 00:00:00
abstract：:The Maternal Mortality Ratio is an important public health indicator that reflects both the quality of a health care system and the role of women within that society. In September 2000 the United Nations Millennium Declaration outlined the eight Millennium Development Goals (MDGs) that set targets to be achieved by 20...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-1043-6
更新日期：2013-05-01 00:00:00
abstract：:The objectives of this study are to characterize methamphetamine (MA) usage patterns during pregnancy, examine whether patterns of MA use are associated with sociodemographic characteristics and prenatal care, and test the hypothesis that persistent or increasing MA use during pregnancy is associated with greater use ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-009-0491-0
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the accuracy of computer-matched records for maternal and child health epidemiologic investigations. METHODS:Using Automatch probabilistic record linkage software, we linked electronic records in Georgia for the 2001 Medicaid paid delivery claims and infant deaths of the 2001 birth cohort to 2001...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-008-0377-6
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To understand the similarities, differences, and relationships between three tools for performance and capacity assessment currently available for Maternal and Child Health (MCH) programs and for state and local health agencies. METHODS:Three tools for performance and capacity assessment currently available...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1023/a:1015468308649
更新日期：2002-06-01 00:00:00
abstract：:Although postnatal care is one of the major interventions recommended for the reduction of maternal and newborn deaths worldwide, almost two-third (56 %) of women in Nigeria do not receive postnatal care. Attempts to explain this situation have focused on individual and household level factors, but the role of communi...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-013-1323-9
更新日期：2014-05-01 00:00:00
abstract：:We describe the validity and reliability of midwife-administered postpartum questionnaires in home and clinic settings. Women identified prospectively before or following hospital delivery (n = 476), September 2004-January 2005, were re-contacted at 6 months postpartum for home interview and medical examination. Relia...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-011-0859-9
更新日期：2012-11-01 00:00:00
abstract：:Objective Appropriate and timely complementary feeding practices are fundamental to a child's growth, health, and development during the first 2 years of life. This study aimed to understand (1) Ghanaian mother's complementary feeding practices, and (2) their perceived and observed impacts of complementary feeding on ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-1994-0
更新日期：2016-09-01 00:00:00
abstract：:The National Center for Health Statistics (NCHS) references were used to analyse anthropometric data from the 1999 National Food Consumption Survey (NFCS) of South Africa. Since then, however, The Centers for Disease Control and Prevention (CDC) 2000 reference and the World Health Organization (WHO) 2006 standards wer...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-010-0685-5
更新日期：2011-11-01 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
pub_type： 杂志文章
doi：10.1007/s10995-012-1178-5
更新日期：2013-11-01 00:00:00
abstract：:We developed and tested a theoretically-based pamphlet entitled 'Influenza in Pregnancy,' specifically designed to increase pregnant women's knowledge, reduce barriers to maternal vaccination, and subsequently improve vaccine uptake. A randomized control trial was conducted on pregnant women (n = 135) at three locatio...
journal_title：Maternal and child health journal
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s10995-013-1352-4
更新日期：2014-07-01 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 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：:Identifying the educational and resource needs of new mothers is of paramount importance in developing programs to improve maternal and child health outcomes. The primary purpose of this study was to explore the educational needs of new mothers and identify opportunities to enhance healthcare providers' current educat...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-013-1308-8
更新日期：2014-05-01 00:00:00
abstract：:Objective Low birth weight (LBW) is a significant health problem in the United States, and the incidence is higher in women with low socioeconomic status. Observational and epidemiological studies have revealed that social support reduces the risk of adverse pregnancy outcomes. However, the current literature lacks re...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-019-02789-2
更新日期：2019-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the safety and feasibility of a Family First Aid approach whereby women and their families are provided misoprostol in advance to manage postpartum hemorrhage (PPH) in home births. METHODS:A 12-month prospective, pre-post intervention study was conducted from February 2017 to February 2018. Women...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-020-03047-6
更新日期：2021-01-01 00:00:00
abstract：:Background While there is considerable variability with respect to attendance at the postpartum visit, not much is known about women's preferences with respect to postpartum care. Likewise, there is also limited information on providers' practices regarding the postpartum visit and care including the delivery of contr...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-2044-7
更新日期：2016-11-01 00:00:00
abstract：:The increasing prevalence of overweight and obesity among women of childbearing age is a growing public health concern in the United States. The average body mass index (BMI) is increasing among all age categories and women enter pregnancy at higher weights. Women are also more likely to retain gestational weight with...
journal_title：Maternal and child health journal
pub_type： 杂志文章,评审
doi：10.1007/s10995-006-0115-x
更新日期：2006-09-01 00:00:00
abstract：:Objective WHO and UNICEF recommend cup feeding for neonates unable to breastfeed in low-resource settings. In developed countries, cup feeding in lieu of bottle feeding in the neonatal period is hypothesized to improve breastfeeding outcomes for those initially unable to breastfeed. Our aim was to synthesize the entir...
journal_title：Maternal and child health journal
pub_type： 杂志文章,评审
doi：10.1007/s10995-016-1961-9
更新日期：2016-08-01 00:00:00
abstract：:The article discusses Arizona's strategic implementation and evaluation of the first time motherhood initiative grant (FTMI) to understand preconception health among African American men and women in Arizona. Longitudinal focus groups assessed whether African American men and women in the targeted areas comprehended a...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-1206-5
更新日期：2013-12-01 00:00:00
abstract：:The aim of this paper was to investigate the association between birthweight and prevalence of food allergies using a national sample of US children. Adult report of birthweight and child food allergies were obtained for years 2005-2009 from the National Health Interview Survey (NHIS), a cross-sectional household surv...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-0960-8
更新日期：2013-01-01 00:00:00
abstract：:The aim of the study was to evaluate the role of physical activity before and during pregnancy on health-related quality of life (HRQoL). Data from the cluster-randomised gestational diabetes mellitus primary prevention trial conducted in maternity clinics were utilised in a secondary analysis. The cases considered we...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-014-1457-4
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To understand racial/ethnic differences in prenatal care receipt among Pacific Islanders and Asians, who are often combined into a single A/PI category. METHODS:Retrospective, population-based data were collected by the Vital Statistics branch of the California Department of Health Services. Approximately 2....
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-009-0494-x
更新日期：2010-07-01 00:00:00
abstract：:Objective To characterize cumulative physiologic dysfunction (CPD) in pregnancy as a measure of the biological effects of chronic stress and to examine its associations with gestational age and birth weight. Methods Women ≤28 weeks gestation were enrolled from obstetric clinics in Rochester, NY and followed through th...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-2103-0
更新日期：2017-01-01 00:00:00
abstract：:This paper examines the net effect of women's autonomy on their health seeking behavior in Ethiopia. We hypothesize that women with higher autonomy are more likely to seek health care during pregnancy and delivery than those with lower autonomy. The paper also examines whether the autonomy-health utilization relations...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-009-0535-5
更新日期：2010-11-01 00:00:00
abstract：:In the US, the prevalence of three-generation households, where a grandparent, parent and child coreside, has increased in the last decade. Three-generation coresidence during infancy is particularly common and as many as 15 % of infants live in a three-generation household shortly after birth. Although prior research...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-014-1441-z
更新日期：2014-10-01 00:00:00
abstract：:Middle-income countries in the intermediate stages of the nutrition transition are facing a complex picture of nutrition-related diseases with child stunting and maternal obesity coexisting within single households (SCOB). A debate exists as to whether SCOB is a true phenomenon or a statistical artefact. In this study...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-014-1634-5
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVES:To assess the impact of "This Side Up" T-shirts on parental practices in Nebraska. METHODS:A random sample of 3,210 Nebraska women who gave birth in 2004, stratified by race/ethnicity, was mailed a brief questionnaire on their receipt of a T-shirt and SIDS risk reduction materials at their birthing hospital...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-006-0124-9
更新日期：2007-01-01 00:00:00
abstract：:While witnessing violence between parents is one of the most consistent correlates of experiencing intimate partner violence (IPV) in later life, little research exists in developing countries on the effects of witnessing interparental IPV on young adults' involvement with family violence. This study examines the rela...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-014-1544-6
更新日期：2015-03-01 00:00:00
