Referrals by traditional birth attendants in northeast Brazil.

Janowitz, B; Wallace, Stephanie E; Araújo, Guilherme Neumann de; Araujo, Lorenna Oliveira Fernandes de

doi:10.2105/ajph.75.7.745

Cited by 19 publications

(8 citation statements)

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“…A number of other studies have found positive associations of cesarean delivery with richer wealth quintiles 31 , 32 and higher educational levels. 33 In addition, other studies’ results are consistent with our finding that the place of delivery (ie, public vs private facility) is the most important structural factor in the outcome of birth by vaginal or cesarean delivery. 16 , 34 …”

Section: Discussionsupporting

confidence: 89%

Assessment of Variation in Cesarean Delivery Rates Between Public and Private Health Facilities in India From 2005 to 2016

et al. 2020

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Key Points Question Are private vs public sector health care facilities associated with increases in cesarean delivery rates among pregnant women in India over time, and what is the avoidable burden of cesarean deliveries in private sector facilities? Findings In this cross-sectional study of 217 976 births at public and private sector institutions in India between 2005 and 2016, the likelihood of having a cesarean delivery in a private facility more than doubled over the period examined. A reduction in the percentage of cesarean deliveries in the private sector to the World Health Organization’s recommended threshold of 15% was associated with a potential cost savings of approximately $321 million. Meaning The study’s findings indicated that private sector facilities were associated with increases in the rate of cesarean deliveries; it is important that policy makers address the increasing number of avoidable cesarean deliveries in India.

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Section: Discussionsupporting

confidence: 89%

Assessment of Variation in Cesarean Delivery Rates Between Public and Private Health Facilities in India From 2005 to 2016

et al. 2020

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“…No information is given on how many were referred for investigation or treatment before labour. There were no maternal deaths in this sample and no further information on maternal outcomes 80 . In this setting, TBAs seemed to be able to identify women at high risk of perinatal loss, and to act appropriately.…”

Section: Antenatal Care Programmesmentioning

confidence: 81%

How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence

Carroli

Rooney

Villar

2001

Paediatric Perinatal Epid

390

259

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This is an overview of evidence of the effectiveness of antenatal care in relation to maternal mortality and serious morbidity, focused in particular on developing countries. It concentrates on the major causes of maternal mortality, and traces their antecedent morbidities and risk factors in pregnancy. It also includes interventions aimed at preventing, detecting or treating any stage along this pathway during pregnancy. This is an updated and expanded version of a review first published by the World Health Organization (WHO) in 1992. The scientific evidence from randomised controlled trials and other types of intervention or observational study on the effectiveness of these interventions is reviewed critically. The sources and quality of available data, and possible biases in their collection or interpretation are considered. As in other areas of maternal health, good-quality evidence is scarce and, just as in many aspects of health care generally, there are interventions in current practice that have not been subjected to rigorous evaluation. A table of antenatal interventions of proven effectiveness in conditions that can lead to maternal mortality or serious morbidity is presented. Interventions for which there is some promising evidence, short of proof, of effectiveness are explored, and the outstanding questions formulated. These are presented in a series of tables with suggestions about the types of study needed to answer them.

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“…Where birthing centers are part of a wider maternal health strategy, they have been constructed primarily to attend normal births. For example, numerous countries have experience with such centers, which the community often builds and maintains [10,11]. In theory, the birthing center should facilitate the referral of a woman or her newborn with complications and staff may or may not be able to stabilize a woman prior to referral.…”

Section: Discussionmentioning

confidence: 99%