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Preventing deaths from complications of labour and delivery

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Best_practice_final_24_May_2016.pdf (467.1Kb)
Date
10/2016
Author
Buchmann, Eckhart
Stones, William
Thomas, Niranjan
Keywords
Maternal mortality
Perinatal mortality
Low-resource settings
Intrapartum care
Neonatal care
RG Gynecology and obstetrics
NDAS
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Abstract
The process of labour and delivery remains an unnecessary and preventable cause of death for women and babies around the world. Although rates of maternal and perinatal death are declining, there are large disparities between rich and poor countries, and sub-Saharan Africa has not seen the scale of declines shown elsewhere. In many areas, maternity services remain sparse and under-equipped, with insufficient and poorly trained staff. Priorities for reducing the mortality burden are provision of safe caesarean section, prevention of sepsis, and appropriate care of women in labour in line with current best practices, appropriately and affordably delivered. A concern is that large-scale recourse to caesarean delivery has its own dangers and may present new dominant causes for maternal mortality. An area of current neglect is newborn care. However, innovative training methods and appropriate technologies offer opportunities for affordable and effective newborn resuscitation and follow-up management in low-income settings.
Citation
Buchmann , E , Stones , W & Thomas , N 2016 , ' Preventing deaths from complications of labour and delivery ' , Best Practice & Research: Clinical Obstetrics & Gynaecology , vol. 36 , pp. 103-115 . https://doi.org/10.1016/j.bpobgyn.2016.05.012
Publication
Best Practice & Research: Clinical Obstetrics & Gynaecology
Status
Peer reviewed
DOI
https://doi.org/10.1016/j.bpobgyn.2016.05.012
ISSN
1521-6934
Type
Journal article
Rights
© 2016, Elsevier. This work is made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at www.sciencedirect.com / https://dx.doi.org/10.1016/j.bpobgyn.2016.05.012
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/11090

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