IMPORTANCE Based on older analyses, the World Health Organization (WHO) recommends that cesarean delivery rates should not exceed 10 to 15 per 100 live births to optimize maternal and neonatal outcomes. OBJECTIVES To estimate the contemporary relationship between national levels of cesarean delivery and maternal and neonatal mortality. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional, ecol...

objectives: mothers’ perception of their ability to parenting (maternal parenting self-efficacy) is a critical issue that influences their interactions with their preterm neonates. for better support of these mothers, a robust tool is needed which can measure mothers’ perception of their ability to understand and care for their preterm neonates as well as being sensitive to the various levels a...

The neonatal mortality rate is still a significant public health problem in Sub-Saharan African countries and an indicator of the quality prenatal perinatal care. This study aimed to determine intra-hospital maternal risk factors associated with Kyeshero Hospital.

OBJECTIVE To assess the association between advanced maternal age (AMA) and adverse pregnancy outcomes. DESIGN Secondary analysis of the facility-based, cross-sectional data of the WHO Multicountry Survey on Maternal and Newborn Health. SETTINGS A total of 359 health facilities in 29 countries in Africa, Asia, Latin America, and the Middle East. SAMPLE A total of 308 149 singleton pregnan...

BACKGROUND Maternal and neonatal morbidities and mortalities have received much attention over the years in sub-Saharan Africa; yet addressing them remains a profound challenge, no more so than in the nation of Ghana. This study focuses on finding explanations to the conditions which lead to maternal and neonatal morbidities and mortalities in rural Ghana, particularly the Upper West Region. ...

Finding ways to leverage the substantial investment in prevention of mother-to-child transmission of HIV to address other maternal, neonatal, and child health threats is a priority. With increased emphasis on health systems strengthening and the integration of disease-specific initiatives within primary care, we propose three areas for consideration: 1) increased integration of service delivery...

INTRODUCTION Progress towards the MDG targets on maternal and child mortality is hindered worldwide by large differentials between poor and rich populations. Using the case of Brazil, we investigate the extent to which policies and interventions seeking to increase the accessibility of health services among the poor have been effective in decreasing neonatal mortality. METHODS With a panel da...

BACKGROUND Perinatal death is a devastating experience for the mother and of concern in clinical practice. Regular perinatal audit may identify suboptimal care related to perinatal deaths and thus appropriate measures for its reduction. The aim of this study was to perform a qualitative perinatal audit of intrapartum and early neonatal deaths and propose means of reducing the perinatal mortalit...

BACKGROUND In 2008, the Indian government introduced financial assistance to encourage health facility deliveries. Facility births have increased, but maternal and neonatal morbidity and mortality have not decreased raising questions about the quality of care provided in facilities and access to a quality referral system. We evaluated the potential role of inter-institutional transfers of women...