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Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay
- Source :
- International Journal of Gynecology & Obstetrics; Aug2010, Vol. 110 Issue 2, p175-180, 6p
- Publication Year :
- 2010
-
Abstract
- <bold>Objective: </bold>To review the use of evidence-based practices in the care of mothers who died or had severe morbidity attending public hospitals in two Latin American countries.<bold>Methods: </bold>This study is part of a multicenter intervention to increase the use of evidence-based obstetric practice. Data on maternal deaths and women admitted to intensive care units whose deliveries occurred in 24 hospitals in Argentina and Uruguay were analyzed. Primary outcomes were use rates of effective interventions to reduce maternal mortality (MM) and severe maternal morbidity (SMM).<bold>Results: </bold>A total of 106 women were included: 26 maternal deaths and 80 women with SMM. Some effective interventions for severe acute hemorrhage had a high use rate, such as blood transfusion (91%) and timely cesarean delivery (75%), while active management of the third stage of labor (25%) showed a lower rate. The overall use rate of effective interventions was 58% (95% CI, 49%-67%). This implies that 42% of the women did not receive one of the effective interventions to reduce MM and SMM.<bold>Conclusion: </bold>This study shows a low use of effective interventions to reduce MM and SMM in public hospitals in Argentina and Uruguay. Dissemination and implementation of evidence-based practices must be guaranteed to effectively achieve progress on maternal health. [ABSTRACT FROM AUTHOR]
- Subjects :
- MATERNAL health services
MATERNAL mortality
PHYSICIAN practice patterns
EVIDENCE-based medicine
UTILIZATION review (Medical care)
OBSTETRICAL emergencies
ANTICONVULSANTS
INFECTION prevention
MAGNESIUM sulfate
CESAREAN section
COMPARATIVE studies
INFECTION
LABOR complications (Obstetrics)
RESEARCH methodology
MEDICAL cooperation
MEDICAL protocols
PREECLAMPSIA
PREGNANCY complications
PUBLIC hospitals
PUERPERAL disorders
RESEARCH
RESEARCH funding
UTERINE hemorrhage
EVALUATION research
ANTIBIOTIC prophylaxis
PREVENTION
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 110
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 52207991
- Full Text :
- https://doi.org/10.1016/j.ijgo.2010.05.002