Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh.

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  • Author(s): Ronsmans C;Ronsmans C; Chowdhury ME; Koblinsky M; Ahmed A
  • Source:
    Bulletin Of The World Health Organization [Bull World Health Organ] 2010 Apr; Vol. 88 (4), pp. 289-96. Date of Electronic Publication: 2009 Oct 14.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: World Health Organization Country of Publication: Switzerland NLM ID: 7507052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1564-0604 (Electronic) Linking ISSN: 00429686 NLM ISO Abbreviation: Bull. World Health Organ. Subsets: MEDLINE
    • Publication Information:
      Original Publication: Geneva : World Health Organization,
    • Subject Terms:
    • Abstract:
      Objective: To examine the nature of the relationship between the use of skilled attendance around the time of delivery and maternal and perinatal mortality.
      Methods: We analysed health and demographic surveillance system data collected between 1987 and 2005 by the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) in Matlab, Bangladesh.
      Findings: The study recorded 59 165 pregnancies, 173 maternal deaths, 1661 stillbirths and 1418 early neonatal deaths in its service area over the study period. During that time, the use of skilled attendance during childbirth increased from 5.2% to 52.6%. More than half (57.8%) of the women who died and one-third (33.7%) of those who experienced a perinatal death (i.e. a stillbirth or early neonatal death) had sought skilled attendance. Maternal mortality was low among women who did not seek skilled care (160 per 100,000 pregnancies) and was nearly 32 times higher (adjusted odds ratio, OR: 31.66; 95% confidence interval, CI: 22.03-45.48) among women who came into contact with comprehensive emergency obstetric care. Over time, the strength of the association between skilled obstetric care and maternal mortality declined as more women sought such care. Perinatal death rates were also higher for those who sought skilled care than for those who did not, although the strength of association was much weaker.
      Conclusion: Given the high maternal mortality ratio and perinatal mortality rate among women who sought obstetric care, more work is needed to ensure that women and their neonates receive timely and effective obstetric care. Reductions in perinatal mortality will require strategies such as early detection and management of health problems during pregnancy.
    • Comments:
      Erratum in: Bull World Health Organ. 2010 May;88(5):400.
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    • Publication Date:
      Date Created: 20100501 Date Completed: 20100806 Latest Revision: 20181113
    • Publication Date:
      20181210
    • Accession Number:
      10.2471/BLT.09.069385
    • Accession Number:
      20431793
  • Citations
    • ABNT:
      RONSMANS, C. et al. Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh. Bulletin Of The World Health Organization, [s. l.], v. 88, n. 4, p. 289–296, 2010. DOI 10.2471/BLT.09.069385. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=20431793&authtype=sso&custid=s5834912. Acesso em: 6 abr. 2020.
    • AMA:
      Ronsmans C, Chowdhury ME, Koblinsky M, Ahmed A. Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh. Bulletin Of The World Health Organization. 2010;88(4):289-296. doi:10.2471/BLT.09.069385.
    • APA:
      Ronsmans, C., Chowdhury, M. E., Koblinsky, M., & Ahmed, A. (2010). Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh. Bulletin Of The World Health Organization, 88(4), 289–296. https://doi.org/10.2471/BLT.09.069385
    • Chicago/Turabian: Author-Date:
      Ronsmans, Carine, Mahbub Elahi Chowdhury, Marge Koblinsky, and Anisuddin Ahmed. 2010. “Care Seeking at Time of Childbirth, and Maternal and Perinatal Mortality in Matlab, Bangladesh.” Bulletin Of The World Health Organization 88 (4): 289–96. doi:10.2471/BLT.09.069385.
    • Harvard:
      Ronsmans, C. et al. (2010) ‘Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh’, Bulletin Of The World Health Organization, 88(4), pp. 289–296. doi: 10.2471/BLT.09.069385.
    • Harvard: Australian:
      Ronsmans, C, Chowdhury, ME, Koblinsky, M & Ahmed, A 2010, ‘Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh’, Bulletin Of The World Health Organization, vol. 88, no. 4, pp. 289–296, viewed 6 April 2020, .
    • MLA:
      Ronsmans, Carine, et al. “Care Seeking at Time of Childbirth, and Maternal and Perinatal Mortality in Matlab, Bangladesh.” Bulletin Of The World Health Organization, vol. 88, no. 4, Apr. 2010, pp. 289–296. EBSCOhost, doi:10.2471/BLT.09.069385.
    • Chicago/Turabian: Humanities:
      Ronsmans, Carine, Mahbub Elahi Chowdhury, Marge Koblinsky, and Anisuddin Ahmed. “Care Seeking at Time of Childbirth, and Maternal and Perinatal Mortality in Matlab, Bangladesh.” Bulletin Of The World Health Organization 88, no. 4 (April 2010): 289–96. doi:10.2471/BLT.09.069385.
    • Vancouver/ICMJE:
      Ronsmans C, Chowdhury ME, Koblinsky M, Ahmed A. Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh. Bulletin Of The World Health Organization [Internet]. 2010 Apr [cited 2020 Apr 6];88(4):289–96. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=20431793&authtype=sso&custid=s5834912