The National Institute for Health and Clinical Excellence (NICE, 2011) recommends that clinical care for women with multiple pregnancies should be provided by a specialist multidisciplinary team involving specialist midwives with experience and knowledge of managing multiple pregnancies. It highlights that current evidence, based on observational studies is of low quality. This systematic revie...

2 We investigate the determinants of antenatal care use in Ghana using a large-scale living standard survey. Most previous studies on the subject have used surveys that focus on demography and fertility, and have used approximate indicators of economic variables such as income and cost of consultation. This leads to an overestimation of effects when explanatory factors pick up the effect of und...

INTRODUCTION Since 2011, the Vietnam's Ministry of Health implemented the ethnic minority midwives (EMMs) scheme in order to increase the utilization of maternal health services by women from ethnic minorities and those living in hard-to-reach mountainous areas. This paper analyzes the utilization of antenatal, delivery, and postpartum care provided by EMMs and reports the key determinants of u...

BACKGROUND There is little data regarding the effect of ramping up new screening interventions on their uptake by target populations into routine care services in developing countries. This study aimed to determine patient-level factors associated with failure of pregnant women to get screened for syphilis during antenatal care, in the context of a national rollout of rapid syphilis point of ca...

BACKGROUND Despite attempts from the government to improve ante- and perinatal care, Afghanistan has once again been labeled "the worst country in which to be a mom" in Save the Children's World's Mothers' Report. This study investigated how pregnant women and health care providers experience the existing antenatal and obstetric health care situation in Afghanistan. METHODS Data were obtained...

A prospective, quasi-experimental study was carried out in 2009 at urban health centres (UHCs) of five townships of Mandalay, Myanmar, to improve the skill of midwives (MWs) in diagnosis and referral of pre-eclampsia (PE) from UHC to the Central Women's Hospital (CWH) and to enhance the supervision of midwives by lady health visitors (LHVs). The intervention was training on quality antenatal ca...

introduction : 99% of 4million neonatal mortality occur in developing countries every year. mortality rate of newborns accounts for 18.3 per 1000 live birth that comprised 69% of imr and 56% of under 5 mortality in iran. a  comparison of statistical trend between infant and newborn rate from 1988 to 2001 revealed a considerable decrease in imr but slightly decrease in nmr. training postnatal mo...

BACKGROUND Mothers who attend antenatal care late miss the opportunity of early detection of HIV and STDs, malaria and anaemia prophylaxis, health education and treatment or prevention of complications. Whereas many women in Mulago hospital make their first antenatal care visit after 20 weeks of gestation, the reasons for coming late are not documented. The objectives were to determine the gest...

The study investigates the effect of wealth on maternal health care utilization in Ghana via its effect on Antenatal care use. Antenatal care serves as the initial point of contact of expectant mothers to maternal health care providers before delivery. The study is pivoted on the introduction of the free maternal health care policy in April 2005 in Ghana with the aim of reducing the financial b...

n In 2012, there were an estimated 122 million births in the developing world. All of these women and newborns needed antenatal, delivery and postnatal care. n Only 55% of developing-country women who gave birth in 2012 made four or more antenatal visits. Many who received antenatal care did not receive screenings and other necessary services they needed to ensure a healthy pregnancy. n Sixty-f...