UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Linking families and facilities for care at birth: What works to avert intrapartum-related deaths?

Lee, ACC; Lawn, JE; Cousens, S; Kumar, V; Osrin, D; Bhutta, ZA; Wall, SN; ... Darmstadt, GL; + view all (2009) Linking families and facilities for care at birth: What works to avert intrapartum-related deaths? INT J GYNECOL OBSTET , 107 S65 - S88. 10.1016/j.ijgo.2009.07.012.

Full text not available from this repository.

Abstract

Background: Delays in receiving effective care during labor and at birth may be fatal for the mother and fetus, contributing to 2 million annual intrapartum stillbirths and intrapartum-related neonatal deaths each year. Objective: We present a systematic review of strategies to link families and facilities, including community mobilization, financial incentives, emergency referral and transport systems, prenatal risk screening, and maternity waiting homes. Results: There is moderate quality evidence that community mobilization with high levels of community engagement can increase institutional births and significantly reduce perinatal and early neonatal mortality. Meta-analysis showed a doubling of skilled birth attendance and a 36% reduction in early neonatal mortality. However, no data are available on intrapartum-specific outcomes. Evidence is limited, but promising, that financial incentive schemes and community referral/transport systems may increase rates of skilled birth attendance and emergency obstetric care utilization; however, impact on mortality is unknown. Current evidence for maternity waiting homes and risk screening is low quality. Conclusions: Empowering communities is an important strategy to reduce the large burden of intrapartum complications. Innovations are needed to bring the poor closer to obstetric care, such as financial incentives and cell phone technology. New questions need to be asked of "old" strategies such as risk screening and maternity waiting homes. The effect of all of these strategies on maternal and perinatal mortality, particularly intrapartum-related outcomes, requires further evaluation. (C) 2009 Published by Elsevier Ireland Ltd. on behalf of International Federation of Gynecology and Obstetrics.

Type: Article
Title: Linking families and facilities for care at birth: What works to avert intrapartum-related deaths?
DOI: 10.1016/j.ijgo.2009.07.012
Keywords: Asphyxia neonatorum, Birth asphyxia, Cash transfers, Community-based health insurance, Community mobilization, Community transport system, Demand for obstetric care, Hypoxia, Maternity waiting homes stillbirth, Neonatal mortality, Risk screening, Vouchers, RANDOMIZED CONTROLLED-TRIAL, EMERGENCY OBSTETRIC CARE, MATERNITY WAITING HOME, PRIMARY-HEALTH-CARE, COMMUNITY LOAN FUNDS, RISK-FACTORS, DEVELOPING-COUNTRIES, PERINATAL-MORTALITY, NEONATAL-MORTALITY, SERVICE-DELIVERY
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
URI: http://discovery.ucl.ac.uk/id/eprint/152506
Downloads since deposit
0Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item