Tetanus immunization and prenatal care in developing countries

Buekens, Pierre; Tsui, Amy O.; Kotelchuck, Milton; deGraft-Johnson, Joseph

doi:10.1016/0020-7292(94)02265-8

Cited by 14 publications

(7 citation statements)

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“…8,[24][25][26][27][28] However intramuscular oxytocics administration and the very high episiotomy rates among primiparous women are not in line with international recommendations 29,30 and raise concerns about potential complications.…”

Section: Discussionmentioning

confidence: 99%

Quality of Normal Delivery Care in Côte d'Ivoire

Thérèse¹,

Odile²,

Valérie³

et al. 2007

African Journal of Reproductive Health

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The aim of this study was to assess the quality of normal delivery care in Côte d'Ivoire. A total of 229 women were included in a cross-sectional study conducted in four urban maternity wards between 2002 and 2003. Observation checklists and exit-interviews were used to examine various dimensions of care. The results showed that the overall quality of care was poor, despite most women giving birth with a professional midwife. A vaginal examination was performed systematically at admission but blood pressure was measured in less than half of the women. The partograph was completed during labour in only 5% of cases. Episiotomy and uterine revision rates were high at 24% and 32%, respectively. There was a lack of universal hygiene precautions and women received little support during labour.

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Section: Discussionmentioning

confidence: 99%

Quality of Normal Delivery Care in Côte d'Ivoire

Thérèse¹,

Odile²,

Valérie³

et al. 2007

African Journal of Reproductive Health

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“…In this study, while only about one-third of mothers of cases had antenatal care, only about one-fifth of them achieved TT2. Thus, health personnel are missing opportunities to provide pregnant women with adequate prenatal immunization (Buekens et al 1995), and maybe other prenatal services and counselling. Three-quarters of our cases were delivered at home.…”

Section: Discussionmentioning

confidence: 99%

Prognostic factors in neonatal tetanus

Davies‐Adetugbo

Torimiro

Ako-Nai

1998

Tropical Med Int Health

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SummaryOBJECTIVE Neonatal tetanus (NNT) is the leading cause of neonatal deaths in developing countries. The objective of this study was to determine prognostic indicators in NNT. METHODS We reviewed the clinical records of all neonates (n ϭ 174) admitted to Ife State Hospital with the diagnosis of NNT from 1991 through 1995. RESULTS Delivery had occurred at home in 73.3% of cases. Only 37/164 of the mothers had had adequate immunization with tetanus toxoid. The umbilical cord appeared to be the portal of entry in 58.6% of cases. Mean age of infants at presentation was 7.2 days. Mortality was 57.5%; non-survivors succumbed after mean stay in the hospital of 5.0 days. Mortality was significantly associated with an incubation period of 6 days or less (P ϭ 0.0026), infant's weight of less than 2.5 kg (P ϭ 0.0113), lack of antenatal care in a health facility (P ϭ 0.0279), birth at home (P ϭ 0.0455), but not with lack of adequate maternal immunization (P = 0.2081; not significant). Multivariable analysis showed that a short (р 6 d) incubation period was the strongest predictor of mortality (OR ϭ 3.11, P ϭ 0.0030) while low infant weight (Ͻ 2.5 kg) was also a significant predictor (OR ϭ 2.46, P ϭ 0.0408). CONCLUSIONS Hygienic deliveries and adequate cord care are very important for the prevention of neonatal tetanus deaths, and universal prenatal care, including education programmes on appropriate perinatal and cord care, can significantly reduce NNT incidence and mortality in developing countries.

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“…Unfortunately, only 33% of the mothers in developing countries have been shown to receive two or more doses of tetanus toxoid 42 . Furthermore, there is some evidence that a large proportion of women who attend antenatal care in developing countries do not receive the recommended tetanus immunisation 230 . One of the priorities in antenatal care is to provide tetanus immunisation to mothers who have not been vaccinated previously.…”

Section: Interventions In Pregnancy Related To Major Causes Of Maternmentioning

confidence: 99%

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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Tetanus immunization and prenatal care in developing countries

Abstract: In many countries the number of pregnant women immunized against tetanus is lower than the number of women attending prenatal care, suggesting that prenatal services are missing opportunities to immunize attending women.

Cited by 14 publications

References 0 publications

Quality of Normal Delivery Care in Côte d'Ivoire

Quality of Normal Delivery Care in Côte d'Ivoire

Prognostic factors in neonatal tetanus

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

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