maternal mortality

Summary

Summary: Maternal deaths resulting from complications of pregnancy and childbirth in a given population.

Top Publications

  1. ncbi Maternal mortality: who, when, where, and why
    Carine Ronsmans
    Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
    Lancet 368:1189-200. 2006
  2. ncbi Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5
    Margaret C Hogan
    Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA 98121, USA
    Lancet 375:1609-23. 2010
  3. ncbi WHO analysis of causes of maternal death: a systematic review
    Khalid S Khan
    Academic Department of Obstetrics and Gynaecology, University of Birmingham, Birmingham, UK
    Lancet 367:1066-74. 2006
  4. ncbi Strategies for reducing maternal mortality: getting on with what works
    Oona M R Campbell
    Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
    Lancet 368:1284-99. 2006
  5. pmc The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity
    Stacy Beck
    Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, USA
    Bull World Health Organ 88:31-8. 2010
  6. ncbi India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation
    Stephen S Lim
    Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA 98121, USA
    Lancet 375:2009-23. 2010
  7. ncbi Effect of a participatory intervention with women's groups on birth outcomes in Nepal: cluster-randomised controlled trial
    Dharma S Manandhar
    Mother and Infant Research Activities MIRA, PO Box 921, Kathmandu, Nepal
    Lancet 364:970-9. 2004
  8. ncbi Maternal mortality from preeclampsia/eclampsia
    Labib Ghulmiyyah
    Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon
    Semin Perinatol 36:56-9. 2012
  9. ncbi Effect of a participatory intervention with women's groups on birth outcomes and maternal depression in Jharkhand and Orissa, India: a cluster-randomised controlled trial
    Prasanta Tripathy
    Ekjut, Chakradharpur, Jharkhand, India
    Lancet 375:1182-92. 2010
  10. ncbi Continuum of care for maternal, newborn, and child health: from slogan to service delivery
    Kate J Kerber
    Saving Newborn Lives, Save the Children, Washington, DC, USA
    Lancet 370:1358-69. 2007

Detail Information

Publications352 found, 100 shown here

  1. ncbi Maternal mortality: who, when, where, and why
    Carine Ronsmans
    Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
    Lancet 368:1189-200. 2006
    ..Such a discrepancy poses a huge challenge to meeting the fifth Millennium Development Goal to reduce maternal mortality by 75% between 1990 and 2015...
  2. ncbi Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5
    Margaret C Hogan
    Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA 98121, USA
    Lancet 375:1609-23. 2010
    b>Maternal mortality remains a major challenge to health systems worldwide...
  3. ncbi WHO analysis of causes of maternal death: a systematic review
    Khalid S Khan
    Academic Department of Obstetrics and Gynaecology, University of Birmingham, Birmingham, UK
    Lancet 367:1066-74. 2006
    ..Evidence-based health policies and programmes aiming to reduce maternal deaths need reliable and valid information. We undertook a systematic review to determine the distribution of causes of maternal deaths...
  4. ncbi Strategies for reducing maternal mortality: getting on with what works
    Oona M R Campbell
    Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
    Lancet 368:1284-99. 2006
    The concept of knowing what works in terms of reducing maternal mortality is complicated by a huge diversity of country contexts and of determinants of maternal health...
  5. pmc The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity
    Stacy Beck
    Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, USA
    Bull World Health Organ 88:31-8. 2010
    ..To analyse preterm birth rates worldwide to assess the incidence of this public health problem, map the regional distribution of preterm births and gain insight into existing assessment strategies...
  6. ncbi India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation
    Stephen S Lim
    Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA 98121, USA
    Lancet 375:2009-23. 2010
    ..We independently assessed the effect of JSY on intervention coverage and health outcomes...
  7. ncbi Effect of a participatory intervention with women's groups on birth outcomes in Nepal: cluster-randomised controlled trial
    Dharma S Manandhar
    Mother and Infant Research Activities MIRA, PO Box 921, Kathmandu, Nepal
    Lancet 364:970-9. 2004
    ..90% of deliveries in the poorest quintile of households happen at home. We postulated that a community-based participatory intervention could significantly reduce neonatal mortality rates...
  8. ncbi Maternal mortality from preeclampsia/eclampsia
    Labib Ghulmiyyah
    Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon
    Semin Perinatol 36:56-9. 2012
    ..During the past 50 years, there has been a significant reduction in the rates of eclampsia, maternal mortality, and maternal morbidity in the developed countries...
  9. ncbi Effect of a participatory intervention with women's groups on birth outcomes and maternal depression in Jharkhand and Orissa, India: a cluster-randomised controlled trial
    Prasanta Tripathy
    Ekjut, Chakradharpur, Jharkhand, India
    Lancet 375:1182-92. 2010
    ..Community mobilisation through participatory women's groups might improve birth outcomes in poor rural communities. We therefore assessed this approach in a largely tribal and rural population in three districts in eastern India...
  10. ncbi Continuum of care for maternal, newborn, and child health: from slogan to service delivery
    Kate J Kerber
    Saving Newborn Lives, Save the Children, Washington, DC, USA
    Lancet 370:1358-69. 2007
    ....
  11. ncbi Maternal near miss--towards a standard tool for monitoring quality of maternal health care
    Lale Say
    Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
    Best Pract Res Clin Obstet Gynaecol 23:287-96. 2009
    b>Maternal mortality is still among the worst performing health indicators in resource-poor settings...
  12. ncbi Maternal health in poor countries: the broader context and a call for action
    Veronique Filippi
    Maternal and Neonatal Health Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
    Lancet 368:1535-41. 2006
    ..Finally, after examining the political and financial context, we call for action. The need for strategic vision, financial resources, human resources, and information are discussed...
  13. ncbi Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study
    Joao Paulo Souza
    UNDP UNFPA UNICEF WHO Word Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland
    Lancet 381:1747-55. 2013
    ....
  14. ncbi Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007-08
    Pisake Lumbiganon
    Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
    Lancet 375:490-9. 2010
    ....
  15. ncbi Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America
    Jose Villar
    UNDP UNFPA WHO World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, 1211 Geneva 27, Switzerland
    Lancet 367:1819-29. 2006
    ..Our aim was to assess the association between caesarean delivery and pregnancy outcome at the institutional level, adjusting for the pregnant population and institutional characteristics...
  16. ncbi Effect of scaling up women's groups on birth outcomes in three rural districts in Bangladesh: a cluster-randomised controlled trial
    Kishwar Azad
    Perinatal Care Project, Diabetic Association of Bangladesh, Shahbagh, Dhaka, Bangladesh
    Lancet 375:1193-202. 2010
    ..We assessed the effectiveness of a scaled-up development programme with women's groups to address maternal and neonatal care in three rural districts of Bangladesh...
  17. pmc Incidence and predictors of severe obstetric morbidity: case-control study
    M Waterstone
    Department of Public Health Medicine, Guy's, King's College, and St Thomas's Hospitals Schools of Medicine and Dentistry, Capital House, London SE1 3QD
    BMJ 322:1089-93; discussion 1093-4. 2001
    ..Caesarean section quadruples the risk of morbidity. Development and evaluation of ways of predicting and reducing risk are required with particular emphasis paid on the management of haemorrhage and pre-eclampsia...
  18. ncbi The evidence for emergency obstetric care
    A Paxton
    Averting Maternal Death and Disability AMDD Program, Mailman School of Public Health, Columbia University, 60 Haven Avenue, New York, NY 10032, USA
    Int J Gynaecol Obstet 88:181-93. 2005
    We searched for evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality primarily in developing countries.
  19. ncbi Alma-Ata: Rebirth and Revision 6 Interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make?
    Zulfiqar A Bhutta
    Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
    Lancet 372:972-89. 2008
    ..Strengthening MNCH at the primary health-care level should be a priority for countries to reach their Millennium Development Goal targets for reducing maternal and child mortality...
  20. ncbi Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial
    Douglas Altman
    Lancet 359:1877-90. 2002
    ..Anticonvulsants are used for pre-eclampsia in the belief they prevent eclamptic convulsions, and so improve outcome. Evidence supported magnesium sulphate as the drug to evaluate...
  21. ncbi Low use of rural maternity services in Uganda: impact of women's status, traditional beliefs and limited resources
    Grace Bantebya Kyomuhendo
    Department of Women and Gender Studies, Makerere University, Kampala, Uganda
    Reprod Health Matters 11:16-26. 2003
    ....
  22. ncbi Countdown to 2015 for maternal, newborn, and child survival: the 2008 report on tracking coverage of interventions
    Jennifer Bryce
    Johns Hopkins School of Public Health, USA
    Lancet 371:1247-58. 2008
    ..We aimed to report on 68 countries which have 97% of maternal and child deaths worldwide, and on 22 interventions that have been proven to improve maternal, newborn, and child survival...
  23. pmc Translating research into policy and practice in developing countries: a case study of magnesium sulphate for pre-eclampsia
    Morten Aaserud
    Norwegian Knowledge Centre for Health Services, Box 7004 St Olavs Plass, N 0130 Oslo, Norway
    BMC Health Serv Res 5:68. 2005
    ..The objective of this study was to examine the factors that might affect the translation of randomised controlled trial (RCT) findings into policies and practice in developing countries...
  24. ncbi Persistence of high maternal mortality in Koppal district, Karnataka, India: observed service delivery constraints
    Asha George
    Indian Institute of Management Bangalore, India
    Reprod Health Matters 15:91-102. 2007
    ..this article highlights service delivery constraints that underlie the persistence of high levels of maternal mortality in Koppal...
  25. pmc A cluster randomised controlled trial of the community effectiveness of two interventions in rural Malawi to improve health care and to reduce maternal, newborn and infant mortality
    Sonia Lewycka
    Centre for International Health and Development, UCL Institute of Child Health, London, UK
    Trials 11:88. 2010
    ..The MaiMwana Project aims to test community-based interventions that tackle maternal and child health problems through increasing awareness and local action...
  26. ncbi Rise in maternal mortality in the Netherlands
    J M Schutte
    Department of Obstetrics and Gynaecology, Isala Klinieken Zwolle, Dr van Heesweg 2, Zwolle, The Netherlands
    BJOG 117:399-406. 2010
    To assess causes, trends and substandard care factors in maternal mortality in the Netherlands. Design Confidential enquiry into the causes of maternal mortality.
  27. pmc Effectiveness of community based Safe Motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania
    Declare Mushi
    Department of Community Health, Tumaini University Kilimanjaro Christian Medical Centre, P O Box, 2240, Moshi, Kilimanjaro, Tanzania
    BMC Pregnancy Childbirth 10:14. 2010
    In Tanzania, maternal mortality ratio remains unacceptably high at 578/100,000 live births. Despite a high coverage of antenatal care (96%), only 44% of deliveries take place within the formal health services...
  28. pmc Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term
    Shiliang Liu
    Health Surveillance and Epidemiology Division, Centre for Health Promotion, Public Health Agency of Canada, Ottawa, Ont
    CMAJ 176:455-60. 2007
    ..The rate of elective primary cesarean delivery continues to rise, owing in part to the widespread perception that the procedure is of little or no risk to healthy women...
  29. ncbi Socio-economic disparities in maternal mortality in China between 1996 and 2006
    X L Feng
    Department of Health Policy and Administration, School of Public Health, Peking University, Beijing, China
    BJOG 117:1527-36. 2010
    China's economic reforms have raised concerns over rising inequalities in maternal mortality, but it is not known whether the gap across socio-economic regions has increased over time.
  30. ncbi Maternal mortality and access to obstetric services in West Africa
    C Ronsmans
    Maternal Health Programme, Department of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK
    Trop Med Int Health 8:940-8. 2003
    ..extent to which indicators measuring access to obstetric services at the population level reflect levels of maternal mortality is uncertain...
  31. pmc Effectiveness of strategies incorporating training and support of traditional birth attendants on perinatal and maternal mortality: meta-analysis
    Amie Wilson
    School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK
    BMJ 343:d7102. 2011
    ..To assess the effectiveness of strategies incorporating training and support of traditional birth attendants on the outcomes of perinatal, neonatal, and maternal death in developing countries...
  32. ncbi Near misses: a useful adjunct to maternal death enquiries
    R C Pattinson
    MRC Maternal and Infant Health Care Strategies Research Unit, University of Pretoria, South Africa
    Br Med Bull 67:231-43. 2003
    ..However, areas with similar health care facilities, medical records and personnel should be able to agree on suitable criteria, making their incorporation into maternal death enquiries feasible...
  33. ncbi Sexual and reproductive health: a matter of life and death
    Anna Glasier
    NHS Lothian and University of Edinburgh, Edinburgh, UK
    Lancet 368:1595-607. 2006
    ....
  34. pmc Maternal health interventions in resource limited countries: a systematic review of packages, impacts and factors for change
    Angelo S Nyamtema
    Tanzanian Training Centre for International Health, Ifakara, Tanzania
    BMC Pregnancy Childbirth 11:30. 2011
    The burden of maternal mortality in resource limited countries is still huge despite being at the top of the global public health agenda for over the last 20 years...
  35. ncbi Maternal mortality in China, 1996-2005
    Juan Liang
    National Office for Maternal and Child Health Surveillance, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
    Int J Gynaecol Obstet 110:93-6. 2010
    To analyze the trend in maternal mortality ratio (MMR), characteristics and causes of maternal deaths, and factors influencing the MMR in China between 1996 and 2005.
  36. ncbi The continuum of maternal morbidity and mortality: factors associated with severity
    Stacie E Geller
    Department of Obstetrics and Gynecology, College of Medicine, University of Illinois at Chicago, 60612, USA
    Am J Obstet Gynecol 191:939-44. 2004
    ..The goal of this study was to examine whether sociodemographic, clinical, and other service-related factors, as well as preventability issues affect a woman's progression along the continuum of morbidity and mortality...
  37. ncbi Mothers infected with HIV
    James Mcintyre
    Perinatal HIV Research Unit, University of the Witwatersrand, Johannesburg, South Africa
    Br Med Bull 67:127-35. 2003
    The HIV/AIDS epidemic intersects with the problem of maternal mortality in many circumstances...
  38. pmc Improved access to comprehensive emergency obstetric care and its effect on institutional maternal mortality in rural Mali
    Pierre Fournier
    Unité de santé internationale, Centre de Recherche, Centre Hospitalier, Universite de Montreal, Montreal, Quebec, Canada
    Bull World Health Organ 87:30-8. 2009
    To evaluate the effect of a national referral system that aims to reduce maternal mortality rates through improving access to and the quality of emergency obstetric care in rural Mali (sub-Saharan Africa).
  39. ncbi How increased contraceptive use has reduced maternal mortality
    John Stover
    Futures Institute, Glastonbury, CT, 06033, USA
    Matern Child Health J 14:687-95. 2010
    It is widely recognized that family planning contributes to reducing maternal mortality by reducing the number of births and, thus, the number of times a woman is exposed to the risk of mortality...
  40. pmc Risk factors for early infant mortality in Sarlahi district, Nepal
    Joanne Katz
    Division of Disease Prevention and Control, Center for Human Nutrition, Sight and Life Research Institute, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Bull World Health Organ 81:717-25. 2003
    ..Early infant mortality has not declined as rapidly as child mortality in many countries. Identification of risk factors for early infant mortality may help inform the design of intervention strategies...
  41. ncbi An analysis of anemia and pregnancy-related maternal mortality
    B J Brabin
    Liverpool School of Tropical Medicine, Liverpool, England
    J Nutr 131:604S-614S; discussion 614S-615S. 2001
    The relationship of anemia as a risk factor for maternal mortality was analyzed by using cross-sectional, longitudinal and case-control studies because randomized trials were not available for analysis...
  42. pmc Reduction of severe acute maternal morbidity and maternal mortality in Thyolo District, Malawi: the impact of obstetric audit
    Thomas van den Akker
    Thyolo District Health Office, Ministry of Health, Thyolo, Malawi
    PLoS ONE 6:e20776. 2011
    ..the effect of audit at district level in Thyolo, Malawi, we assessed the incidence of facility-based severe maternal complications (severe acute maternal morbidity (SAMM) and maternal mortality) during two years of audit and feedback.
  43. ncbi Maternal mortality and the consequences on infant and child survival in rural Haiti
    Frank W J Anderson
    Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA
    Matern Child Health J 11:395-401. 2007
    ..To determine the odds of death of children when a woman of reproductive age dies from maternal or non maternal causes in rural Haiti...
  44. ncbi Skilled birth attendance-lessons learnt
    A A Adegoke
    Maternal and Newborn Health Unit, Child and Reproductive Health Group, Liverpool School of Tropical Medicine, Liverpool
    BJOG 116:33-40. 2009
    To reduce the horrific maternal mortality figures that we have globally especially in resource poor countries, there was a global commitment to reduce maternal mortality by three-quarters by 2015 using 1990 as a baseline...
  45. ncbi Going to scale with professional skilled care
    Marge Koblinsky
    ICDDR, B, Centre for Health and Population Research, Dhaka, Bangladesh
    Lancet 368:1377-86. 2006
    ..is needed to move forward from apparent global stagnation in provision and use of maternal health care where maternal mortality is high...
  46. pmc Systematic review of the magnitude and case fatality ratio for severe maternal morbidity in sub-Saharan Africa between 1995 and 2010
    Dan K Kaye
    Department of Obstetrics and Gynecology, School of Medicine, Makerere University College of Health Sciences, PO Box 7072, Kampala, Uganda
    BMC Pregnancy Childbirth 11:65. 2011
    ..We assessed the prevalence/incidence of maternal near miss, maternal mortality and case fatality ratio through systematic review of studies on severe maternal morbidity in sub-Saharan ..
  47. pmc QUARITE (quality of care, risk management and technology in obstetrics): a cluster-randomized trial of a multifaceted intervention to improve emergency obstetric care in Senegal and Mali
    Alexandre Dumont
    Department of Obstetrics and Gynecology, Universite de Montreal, Canada
    Trials 10:85. 2009
    ..of this trial is to evaluate the effectiveness of the ALARM International Program (AIP) in reducing maternal mortality in referral hospitals in Senegal and Mali...
  48. ncbi Maternal mortality and severe morbidity from sepsis in the Netherlands
    Hannah M C Kramer
    Department of Obstetrics and Gynaecology, Medical Centre Haaglanden, Hague, The Netherlands
    Acta Obstet Gynecol Scand 88:647-53. 2009
    To assess incidence and risk factors of maternal mortality and severe morbidity from sepsis in the Netherlands.
  49. ncbi New estimates of maternal mortality and how to interpret them: choice or confusion?
    Carla AbouZahr
    Reprod Health Matters 19:117-28. 2011
    Two independent exercises to estimate levels of maternal mortality took place during 2010, one published by the Institute for Health Metrics and Evaluation in Seattle, USA, the other published by four UN agencies (UNICEF, UNFPA, World ..
  50. ncbi Criterion-based clinical audit in obstetrics: bridging the quality gap?
    W J Graham
    Immpact, School of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK
    Best Pract Res Clin Obstet Gynaecol 23:375-88. 2009
    The Millennium Development Goal 5 - reducing maternal mortality by 75% - is unlikely to be met globally and for the majority of low-income countries...
  51. pmc Preventable maternal mortality: geographic/rural-urban differences and associated factors from the population-based Maternal Mortality Surveillance System in China
    Juan Liang
    National Office for Maternal and Child Health Surveillance, West China Second University Hospital, Sichuan University, No 17 Section 3 Ren Min Nan Lu, Chengdu, Sichuan, China
    BMC Public Health 11:243. 2011
    ..is among the 13 countries with the most maternal deaths; however, there has been a marked decrease in the maternal mortality ratio (MMR) over the last 3 decades...
  52. ncbi High maternal mortality and stillbirth in the Wad Medani Hospital, Central Sudan, 2003-2007
    Elhassan M Elhassan
    University of Geizera, Wad Medani, Khartoum, Sudan
    Trop Doct 39:238-9. 2009
    ..There were 146 maternal deaths and 33034 live births, giving a maternal mortality ratio of 442/100,000 live births. The age range was 18-42 years with a mean (standard deviation) of 30.57 (5...
  53. pmc Ethics in public health research: minding the gaps: a reassessment of the challenges to safe motherhood
    Wendy J Graham
    Maternal Mortality Programme Assessment IMMPACT, University of Aberdeen, Aberdeen, Scotland
    Am J Public Health 97:978-83. 2007
    ..Capitalizing on current global policy interests and generating demand-driven evidence is a priority for enabling documentation of progress toward reaching the United Nations Millennium Development Goals for 2015...
  54. ncbi Lack of antenatal care, education, and high maternal mortality in Kassala hospital, eastern Sudan during 2005-2009
    Abdel Aziem A Ali
    Department of Obstetrics and Gynecology, Faculty of Medicine, Kassala University, Sudan
    J Matern Fetal Neonatal Med 24:1077-8. 2011
    ..Septicemia, preeclampsia/eclampsia, hemorrhage, anemia, viral hepatitis, and malaria were the causes for maternal mortality. Primipare (OR = 3.3, CI = 1.6-6.9, p = 0.001), lack of antenatal care (OR = 3.9, CI = 1...
  55. pmc Transition to skilled birth attendance: is there a future role for trained traditional birth attendants?
    Lynn M Sibley
    Center for Research on Maternal and Newborn Survival, Emory University, 1520 Clifton Road, Suite 436, Atlanta, GA 30322, USA
    J Health Popul Nutr 24:472-8. 2006
    ....
  56. pmc Double blind, cluster randomised trial of low dose supplementation with vitamin A or beta carotene on mortality related to pregnancy in Nepal. The NNIPS-2 Study Group
    K P West
    Johns Hopkins School of Hygiene and Public Health, Division of Human Nutrition, Room 2041, 615 N Wolfe Street, Baltimore, MD 21205, USA
    BMJ 318:570-5. 1999
    ..To assess the impact on mortality related to pregnancy of supplementing women of reproductive age each week with a recommended dietary allowance of vitamin A, either preformed or as beta carotene...
  57. pmc Cost effectiveness analysis of strategies for maternal and neonatal health in developing countries
    Taghreed Adam
    Health Systems Financing, Evidence and Information for Policy, World Health Organization, Switzerland
    BMJ 331:1107. 2005
    ..To determine the costs and benefits of interventions for maternal and newborn health to assess the appropriateness of current strategies and guide future plans to attain the millennium development goals...
  58. ncbi Generation of political priority for global health initiatives: a framework and case study of maternal mortality
    Jeremy Shiffman
    Department of Public Administration, Maxwell School of Syracuse University, Syracuse, NY 13244 1020, USA
    Lancet 370:1370-9. 2007
    ..We apply this framework to the case of a global initiative to reduce maternal mortality, which was launched in 1987...
  59. pmc A prospective key informant surveillance system to measure maternal mortality - findings from indigenous populations in Jharkhand and Orissa, India
    Sarah Barnett
    UCL Centre for International Health and Development, Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK
    BMC Pregnancy Childbirth 8:6. 2008
    In places with poor vital registration, measurement of maternal mortality and monitoring the impact of interventions on maternal mortality is difficult and seldom undertaken...
  60. ncbi An intervention involving traditional birth attendants and perinatal and maternal mortality in Pakistan
    Abdul Hakeem Jokhio
    Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan
    N Engl J Med 352:2091-9. 2005
    ..There are approximately 4 million neonatal deaths and half a million maternal deaths worldwide each year. There is limited evidence from clinical trials to guide the development of effective maternity services in developing countries...
  61. ncbi Challenges to the reproductive-health needs of African women: on religion and maternal health utilization in Ghana
    Stephen Obeng Gyimah
    Department of Sociology, Kingston, Ont, Canada
    Soc Sci Med 62:2930-44. 2006
    ..the overriding influence of religion on the social fabric of Africans and the unacceptably high levels of maternal mortality in the region...
  62. ncbi Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes
    Zohra S Lassi
    Division of Women and Child Health, Aga Khan University Hospital, Stadium Road, PO Box 3500, Karachi, Pakistan, 74800
    Cochrane Database Syst Rev 11:CD007754. 2010
    ....
  63. ncbi Global patterns in availability of emergency obstetric care
    A Paxton
    Mailman School of Public Health, Columbia University, New York, NY, USA
    Int J Gynaecol Obstet 93:300-7. 2006
    ..There are eight key interventions, six constitute basic EmOC and all eight comprehensive EmOC...
  64. pmc Using audit to enhance quality of maternity care in resource limited countries: lessons learnt from rural Tanzania
    Angelo S Nyamtema
    Saint Francis Designated District Hospital, Ifakara, Tanzania
    BMC Pregnancy Childbirth 11:94. 2011
    ..yet been adequately taken on board in rural settings in most resource limited countries where the problem of maternal mortality is immense...
  65. ncbi Where giving birth is a forecast of death: maternal mortality in four districts of Afghanistan, 1999-2002
    Linda A Bartlett
    Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA
    Lancet 365:864-70. 2005
    b>Maternal mortality in Afghanistan is uniformly identified as an issue of primary public-health importance...
  66. pmc Maternal near miss and maternal death in the World Health Organization's 2005 global survey on maternal and perinatal health
    Joao Paulo Souza
    Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
    Bull World Health Organ 88:113-9. 2010
    ..To develop an indicator of maternal near miss as a proxy for maternal death and to study its association with maternal factors and perinatal outcomes...
  67. pmc What you count is what you target: the implications of maternal death classification for tracking progress towards reducing maternal mortality in developing countries
    Suzanne Cross
    Immpact, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, Scotland
    Bull World Health Organ 88:147-53. 2010
    The first target of the fifth United Nations Millennium Development Goal is to reduce maternal mortality by 75% between 1990 and 2015. This target is critically off track...
  68. pmc Measuring maternal mortality: an overview of opportunities and options for developing countries
    W J Graham
    Department of Obstetrics and Gynaecology, University of Aberdeen, UK
    BMC Med 6:12. 2008
    There is currently an unprecedented expressed need and demand for estimates of maternal mortality in developing countries...
  69. pmc Organizing delivery care: what works for safe motherhood?
    M A Koblinsky
    MotherCare JSI, Arlington, Virginia 22209 3100, USA
    Bull World Health Organ 77:399-406. 1999
    The various means of delivering essential obstetric services are described for settings in which the maternal mortality ratio is relatively low...
  70. pmc Factors associated with maternal mortality in Sub-Saharan Africa: an ecological study
    Jose Luis Alvarez
    Area of Preventive Medicine and Public Health, University Rey Juan Carlos, Madrid, Spain
    BMC Public Health 9:462. 2009
    Maternal health is one of the major worldwide health challenges. Currently, the unacceptably high levels of maternal mortality are a common subject in global health and development discussions...
  71. ncbi Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity
    Antonio F Oliveira Neto
    Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas UNICAMP, Campinas, Sao Paulo, Brazil
    Int J Gynaecol Obstet 105:252-6. 2009
    ..To identify factors associated with maternal death among women with severe maternal morbidity...
  72. ncbi Maternal mortality and associated near-misses among emergency intrapartum obstetric referrals in Mulago Hospital, Kampala, Uganda
    D Kaye
    Department of Obstetrics and Gynaecology, Makerere University, P O Box 7072, Kampala, Uganda
    East Afr Med J 80:144-9. 2003
    ..Many maternal deaths (as well as related severe morbidity) are of women who do not attend antenatal care in a given health unit but are referred there when they develop life-threatening obstetric complications...
  73. pmc Human immunodeficiency virus and AIDS and other important predictors of maternal mortality in Mulago Hospital Complex Kampala Uganda
    Julius N Wandabwa
    Department of Obstetrics and Gynaecology, Walter Sisulu University Private Bag X1 Mathatha, South Africa
    BMC Public Health 11:565. 2011
    ..The objective of the study was to identify the direct and indirect causes of severe maternal morbidity, predictors of progression from severe maternal morbidity to maternal mortality in Mulago hospital, Kampala, Uganda.
  74. ncbi Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study
    Bimal Kanti Paul
    Department of Geography, Kansas State University, Manhattan 66506, USA
    Soc Sci Med 54:1755-65. 2002
    ..We conclude that quick response to delivery complications and improved access to hospitals and TTBAs can reduce the risk of infant and maternal mortality and morbidity in rural Bangladesh.
  75. ncbi Socio-economic improvements and health system strengthening of maternity care are contributing to maternal mortality reduction in Cambodia
    Jerker Liljestrand
    University Research Co, LLC, Phnom Penh, Cambodia
    Reprod Health Matters 20:62-72. 2012
    b>Maternal mortality has been falling significantly in Cambodia since 2005 though it had been stagnant for at least 15 years before that...
  76. ncbi The partograph for the prevention of obstructed labor
    Matthews Mathai
    Department of Making Pregnancy Safer, World Health Organization, Geneva, Switzerland
    Clin Obstet Gynecol 52:256-69. 2009
    ..However, challenges to implementation exist and these should be addressed urgently...
  77. ncbi Strategies for reducing maternal mortality in developing countries: what can we learn from the history of the industrialized West?
    V de Brouwere
    Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
    Trop Med Int Health 3:771-82. 1998
    Ten years of Safe Motherhood Initiative notwithstanding, many developing countries still experience maternal mortality levels similar to those of industrialized countries in the early 20th century...
  78. pmc Reduction of maternal mortality with highly active antiretroviral therapy in a large cohort of HIV-infected pregnant women in Malawi and Mozambique
    Giuseppe Liotta
    Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy
    PLoS ONE 8:e71653. 2013
    HIV infection is a major contributor to maternal mortality in resource-limited settings...
  79. ncbi Trends in maternal mortality in resident vs. migrant women in Shanghai, China, 2000-2009: a register-based analysis
    Li Du
    Shanghai Women s Health Institute, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China
    Reprod Health Matters 20:73-80. 2012
    ..has good maternal health indicators, it also has a large in-migrating population, which has made control of maternal mortality a major challenge...
  80. pmc Understanding global trends in maternal mortality
    Sarah Zureick-Brown
    Emory University
    Int Perspect Sex Reprod Health 39:32-41. 2013
    Despite the fact that most maternal deaths are preventable, maternal mortality remains high in many developing countries...
  81. pmc Improving the measurement of maternal mortality: the sisterhood method revisited
    Leena Merdad
    Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, United States of America
    PLoS ONE 8:e59834. 2013
    ..several decades the efforts to improve maternal survival and the consequent demand for accurate estimates of maternal mortality have increased...
  82. ncbi Perioperative morbidity and mortality among human immunodeficiency virus infected women undergoing cesarean delivery
    Judette Louis
    Wayne State University, Detroit, MI, USA
    Obstet Gynecol 110:385-90. 2007
    ..To determine whether human immunodeficiency virus (HIV)-infected women have a higher rate of postcesarean morbidity and mortality compared with women without HIV infection...
  83. ncbi Systematic review and meta-analysis: association between water and sanitation environment and maternal mortality
    Lenka Benova
    Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, UK
    Trop Med Int Health 19:368-87. 2014
    To assess whether the lack of water or the lack of sanitation facilities in either the home or in health facilities is associated with an increased risk of maternal mortality and to quantify the effect sizes.
  84. pmc Maternal morbidity: neglected dimension of safe motherhood in the developing world
    Karen Hardee
    Futures Group, Washington, DC, USA
    Glob Public Health 7:603-17. 2012
    ....
  85. ncbi Comparison of maternal mortality and morbidity between trial of labor and elective cesarean section among women with previous cesarean delivery
    Shi Wu Wen
    Division of Health Surveillance and Epidemiology, Centre for Healthy Human Development, Health Canada, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada
    Am J Obstet Gynecol 191:1263-9. 2004
    ..This study was undertaken to assess the safety of trial of labor after previous cesarean delivery...
  86. pmc Severe maternal morbidity from direct obstetric causes in West Africa: incidence and case fatality rates
    A Prual
    , , Paris, France
    Bull World Health Organ 78:593-602. 2000
    ..7% for abruptio placentae. Thus at least 3-9% of pregnant women required essential obstetric care. The high case fatality rates of several complications reflected a poor quality of obstetric care...
  87. pmc Where there are (few) skilled birth attendants
    Ndola Prata
    Bixby Center for Population, Health and Sustainability, University of California Berkeley, 229 University Hall, Berkeley, CA 94720 6390, USA
    J Health Popul Nutr 29:81-91. 2011
    Recent efforts to reduce maternal mortality in developing countries have focused primarily on two long-term aims: training and deploying skilled birth attendants and upgrading emergency obstetric care facilities...
  88. pmc Communities, birth attendants and health facilities: a continuum of emergency maternal and newborn care (the Global Network's EmONC trial)
    Omrana Pasha
    Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
    BMC Pregnancy Childbirth 10:82. 2010
    ..However, the effectiveness of emergency obstetric and neonatal care services has never been proven. Also unproven is the effectiveness of community mobilization and community birth attendant training to improve pregnancy outcomes...
  89. ncbi Does health insurance coverage lead to better health and educational outcomes? Evidence from rural China
    Yuyu Chen
    Guanghua School of Management, Peking University, China
    J Health Econ 31:1-14. 2012
    ..examine whether the introduction of the New Cooperative Medical System (NCMS) has affected child mortality, maternal mortality, and school enrollment of 6-16year olds. Our data cover 5...
  90. ncbi Severe acute maternal morbidity in high-income countries
    Jos van Roosmalen
    Department of Obstetrics, Leiden University Medical Centre, The Netherlands
    Best Pract Res Clin Obstet Gynaecol 23:297-304. 2009
    b>Maternal mortality in high income countries has become low in recent years and therefore analysis of severe acute maternal morbidity has been added to confidential enquiries into the causes of maternal deaths...
  91. ncbi Obstetric vesicovaginal fistula as an international public-health problem
    L Lewis Wall
    Department of Obstetrics Gynecology, Washington University School of Medicine, St Louis, MO 63110, USA
    Lancet 368:1201-9. 2006
    ....
  92. ncbi Determinants for high maternal mortality in multiethnic populations in western China
    Qing Du
    National Center for Women and Children s Health, Chinese Center for Disease Control and Prevention, Beijing, China
    Health Care Women Int 30:957-70. 2009
    Our purpose of this study was to investigate determinants and patterns of associations with high maternal mortality in poor and multiethnic populations from the Xinjiang Uigur autonomous region of Western China...
  93. ncbi Detours and shortcuts on the road to maternal mortality reduction
    Deborah Maine
    Department of International Health, Boston University School of Public Health, Boston, MA 02118, USA
    Lancet 370:1380-2. 2007
  94. ncbi Impact of traditional birth attendant training in Mozambique: a controlled study
    S Gloyd
    Health Alliance International, Seattle, WA 98105, USA
    J Midwifery Womens Health 46:210-6. 2001
    ..Efforts to promote TBA training should be balanced with support for birthing services based in health facilities...
  95. ncbi The quality of emergency obstetrical surgery by assistant medical officers in Tanzanian district hospitals
    Colin McCord
    Columbia University, New York, NY, USA
    Health Aff (Millwood) 28:w876-85. 2009
    ..There were significant differences between mission and government hospitals...
  96. ncbi Decline in maternal mortality in Matlab, Bangladesh: a cautionary tale
    C Ronsmans
    Maternal and Child Epidemiology Unit, London School of Hygiene and Tropical Medicine, UK
    Lancet 350:1810-4. 1997
    ..3 years of this programme coincided with a significant reduction in direct obstetric mortality compared with the 3 years before the programme. We have examined whether the effects of the programme are sustained over time...
  97. ncbi Female education and maternal mortality: a worldwide survey
    Chryssa McAlister
    Faculty of Medicine, Dalhousie University, Halifax, NS
    J Obstet Gynaecol Can 28:983-90. 2006
    ..We examined the relationship between women's status and human development and maternal mortality.
  98. ncbi Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care?
    M Philibert
    INSERM, Epidemiological Research Unit on Perinatal Health and Women s health, Hopital Tenon, Paris, France
    BJOG 115:1411-8. 2008
    ....
  99. ncbi Can enquiries into severe acute maternal morbidity act as a surrogate for maternal death enquiries?
    R C Pattinson
    MRC Maternal and Infant Health Care Strategies Research Unit and Obstetrics and Gynaecology Department, University of Pretoria, South Africa
    BJOG 110:889-93. 2003
    ..To assess whether severe acute maternal morbidity (SAMM, 'near misses') can be used as a surrogate of an analysis of maternal deaths to describe the pattern of severe maternal disease and avoidable factors related to it...
  100. pmc Reproductive health, and child health and nutrition in India: meeting the challenge
    Vinod Kumar Paul
    All India Institute of Medical Sciences, New Delhi, India
    Lancet 377:332-49. 2011
    ..This agenda needs political commitment of the highest order and the development of a people's movement...
  101. pmc Systematic review of effect of community-level interventions to reduce maternal mortality
    Elaine Kidney
    Dept of Public Health and Epidemiology, University of Birmingham, Edgbaston, Birmingham, UK
    BMC Pregnancy Childbirth 9:2. 2009
    The objective was to provide a systematic review of the effectiveness of community-level interventions to reduce maternal mortality.

Research Grants62

  1. Severe H1N1 Influenza Infection During Pregnancy: Pathophysiologic Mechanisms
    Mark Phillippe; Fiscal Year: 2010
    ..It has been speculated that the increased maternal mortality is the result of 1) a depressed immune response to infection during pregnancy, 2) an excessive innate immune ..
  2. The Role of Complement in the Pathogenesis of Preeclampsia
    MICHAEL PAUL TRIEBWASSER; Fiscal Year: 2013
    ..Preeclampsia is a disease that affects up 10% of pregnancies globally and is the leading cause of maternal mortality and morbidity...
  3. IUD, implant, and condoms: sexual and perinatal HIV prevention in Rwandan couples
    Susan A Allen; Fiscal Year: 2013
    ..and non-Catholic clinics with a focus on: 1) Preventing unplanned pregnancy, perinatal HIV, and HIV-related maternal mortality through provision of LARC to couples;2) Optimizing condom use in discordant couples who do not want to ..
  4. Pathways of Maternal Anemia
    Andrew V Oleinikov; Fiscal Year: 2013
    ..Project Narrative In malaria endemic areas, pregnancy malaria is a risk factor for maternal mortality due to anemia...
  5. Incidence and Natural History of Hepatitis E Virus in Pregnant Bangladeshi Women
    ALAIN BERNARD LABRIQUE; Fiscal Year: 2010
    ..We will clarify the burden of this under recognized contributor to maternal mortality and morbidity in endemic areas, based on large population- based data, providing important information for ..
  6. Regulation of Trophoblast Proliferation and Invasion by Pluripotency Factor LIN28
    QUINTON ALEXANDER WINGER; Fiscal Year: 2012
    ..Preeclampsia effects between 4-8% of all pregnancies and is a major cause of maternal mortality, contributing to 20% of maternal deaths in the United States...
  7. Clinically enhanced multi-purpose administrative dataset for comparative effectiv
    Hamisu Salihu; Fiscal Year: 2010
    ..in-patient hospital discharge data, ambulatory and emergency department data, financial data and Florida maternal mortality data...
  8. Professional Dilemmas:Health Workers'Perceptions of Postabortion Care in Senegal
    JULIA SIRI SUH; Fiscal Year: 2012
    ..Ultimately, this study hopes to contribute to the development of policies and interventions that improve access to post abortion care in order to reduce maternal mortality and morbidity in Senegal.
  9. The contribution of anatomic pathology to the health of women and children
    Drucilla J Roberts; Fiscal Year: 2011
    ..These mortality rates are especially untenable in sub-Saharan Africa where the maternal mortality rate is estimated at from 50 to 100 times that of the United States...
  10. Point of Care Ultrasound for Maternal Health
    LOWELL SCOTT SMITH; Fiscal Year: 2010
    ..for Maternal Health thereby reducing healthcare disparities, and enabling substantial reductions in maternal mortality worldwide...
  11. Central nervous system plasticity in sympathoinhibition in pregnancy
    Cheryl M Heesch; Fiscal Year: 2012
    ..Hemorrhage and hypertensive disorders during pregnancy and delivery contribute significantly to maternal mortality (~30% of deaths) and morbidity...
  12. Exclusive Breastfeeding Promotion among HIV+ mothers: A theory-based approach
    EMILY TUTHILL; Fiscal Year: 2013
    ..Over 90% of these infections occurred in South Africa. HIV represents the main cause of maternal mortality in South Africa and accounts for over 50% of deaths in children under 5 years old...
  13. Do Obstetrical Quality Measures Explain Racial Disparities in Perinatal Outcomes
    Elizabeth A Howell; Fiscal Year: 2013
    DESCRIPTION (provided by applicant): Persistent Black/White disparities in neonatal and maternal mortality rates are a major public health concern and the United States continues to rank poorly on these measures when compared to other ..
  14. Access to Care: Determinants of Maternal Health Care Use in Malawi
    LISA WANGERIEN; Fiscal Year: 2013
    ..pregnancy and childbirth for all women as a critical component of ensuring safe motherhood and reducing the maternal mortality ratio...
  15. Developing A Plan to Address Maternal Mortality and Disparities in Ohio
    Cynthia S Shellhaas; Fiscal Year: 2010
    ..Most are because of failures in protecting patient safety. A systematic approach to improving safety will not only decrease the risk of mortality associated with pregnancy but decrease the potential for medical liability claims. ..
  16. LMWH for Post-partum Prophylaxis in Women at Risk of Venous Thrombosis
    Marc Rodger; Fiscal Year: 2012
    ..Pulmonary embolism (PE), the most serious form of venous thromboembolism (VTE), is a leading cause of maternal mortality in the developed world...
  17. Quantifying the health benefits of hospital births
    Edward N Okeke; Fiscal Year: 2013
    ..of delivery and use this variation to study the impact of delivering in a health facility on neonatal and maternal mortality and morbidity...
  18. Mississippi Pregnancy Risk Assessment Monitoring System (MS-PRAMS), Enhanced Acti
    Lei Zhang; Fiscal Year: 2013
    ..the program seeks to discover reasons for outcomes such as low birth weight, infant morbidity, and maternal mortality. The Mississippi PRAMS has the following specific aims: 7 Continue to collect population-based data via the ..
  19. Exploratory Planning for a Proposed GEOHealth Hub in the Alto Mayo Region: - USA
    Paula E North; Fiscal Year: 2013
    ..Infant and maternal mortality are alarmingly high...
  20. FETAL TRACHEAL OCCLUSION FOR SEVERE DIAPHAGMATIC HERNIA
    Craig Albanese; Fiscal Year: 2000
    ..limb closure if statistically significant differences in neonatal mortality occur between the groups or if maternal mortality occurs in the group randomized to fetal intervention...
  21. INCIDENCE AND RISK FACTORS FOR UTERINE RUPTURE
    George Macones; Fiscal Year: 2000
    ..Uterine rupture is a potentially catastrophic complication for both mother and neonate, with estimates of maternal mortality as high as 1.6% and estimates of neonatal mortality as high as 25%...
  22. Dissociating hypoxia from pathology in preeclampsia and*
    Stacy Zamudio; Fiscal Year: 2007
    ..Bolivia has the highest infant mortality in the western hemisphere, a 3-fold increase in maternal mortality from low to high altitude and a 6-fold increase in intrauterine death where preeclampsia is present in the ..
  23. Magnesium's Antihypertensive Effects in Preeclampsia
    CYNTHIA STANDLEY; Fiscal Year: 2003
    Preeclampsia consists of hypertension and proteinuria in pregnancy and is the most common cause of maternal mortality if left untreated...
  24. Training for Evidence-Based Health Care Research, Argentina
    Pierre Buekens; Fiscal Year: 2010
    ..Nations'maternal and child Millennium Development Goals by 2015, Argentina has 10 years to decrease the maternal mortality ratio from 44 to less than 15 per 100,000 live births and to decrease the under five mortality rate from 19 ..
  25. CESAREAN SECTION REDUCTION IN PRIMIGRAVID PATIENTS
    Fredric Frigoletto; Fiscal Year: 1993
    ..c-sections performed in the United States last year, any significant decrease would significantly decrease maternal mortality and morbidity...
  26. PREECLAMPSIA LINKAGE TO PLACENTAL IMPLANTATION-PERFUSION
    Robert Taylor; Fiscal Year: 1992
    Preeclampsia occurs in 7-10% of pregnancies causing extensive fetal and maternal mortality and morbidity. Its etiology is obscure, and therapy empiric...
  27. GENETIC RISK FACTORS OF PREECLAMPSIA AMONG PERUVIAN WOME
    Michelle Williams; Fiscal Year: 2002
    Preeclampsia, the most common complication of pregnancy and a leading cause of maternal mortality world-wide, is an important cause of preterm delivery, fetal growth retardation and perinatal mortality...
  28. HYPERHOMOCYSTEINEMIA IN PREGNANCY AND PREECLAMPSIA
    James Roberts; Fiscal Year: 2001
    Preeclampsia, the leading cause of maternal mortality in developed nations, increases perinatal mortality five fold. The primary defect in the disorder is reduced placental perfusion...
  29. Planning Randomized Controlled Trials Antiretroviral
    Isaac Zulu; Fiscal Year: 2002
    ..HIV prevalence in Lusaka inpatients is 65%, and 29% among pregnant women. TB accounts for 25% of maternal mortality, and is co-diagnosed with HIV in 92% of parturients...
  30. HOMOCYSTEINE, BETA-OXIDATION AND RISK OF PREECLAMPSIA
    Robert Powers; Fiscal Year: 2002
    DESCRIPTION (Adapted from applicant's description): Preeclampsia is the leading cause of maternal mortality in developed nations and increases perinatal mortality five fold...
  31. GLOBAL NETWORK FOR WOMEN'S & CHILDREN'S HEALTH RESEARCH
    Joseph Spinnato; Fiscal Year: 2006
    ..As high as the Sao Paulo maternal mortality rate was, in Brazil for the same year the rate was 140 per 100,000...
  32. CLINICAL TRIAL OF FETAL SURGERY FOR DIAPHRAGMATIC HERNIA
    Michael Harrison; Fiscal Year: 1992
    ..an intention to treat modification and provisions will be made for limb closure if statistically significant differences in primary outcome occur between the groups or if maternal mortality occurs in the group randomized to fetal surgery.
  33. ZINC SUPPLEMENTATION IMPACT ON CHILD MORTALITY--NEPAL
    James Tielsch; Fiscal Year: 2003
    ..studies conducted by the investigators in Nepal have demonstrated large reduction on preschool child and maternal mortality with vitamin A supplementation...
  34. HYPERTENSION IN PREGNANCY
    Thomas Benedetti; Fiscal Year: 1990
    ..It is responsible for 6% of premature births and is the second leading cause of maternal mortality. Gant et al, by measuring angiotension sensitivity and dehydroisoandrosterone clearance, demonstrated that ..
  35. GENETIC AND NONGENETIC RISK FACTORS OF PREECLAMPSIA
    Michelle Williams; Fiscal Year: 2000
    ..from Investigator's Abstract) Preeclampsia, the most common complication of pregnancy and a leading cause of maternal mortality world-wide, is an important cause of preterm delivery, fetal growth retardation and perinatal mortality...
  36. Social Networks and Skilled Birth Attendance to Prevent Maternal Mortality
    JOYCE EDMONDS; Fiscal Year: 2010
    ..Use of a SBA to improve identification and management of these conditions is an effective means to reduce maternal mortality. However, SBA services remain underused even in settings where SBAs are available...
  37. Proteomics: A Novel Approach to Predicting Preeclampsia
    MICHAEL ESPLIN; Fiscal Year: 2006
    ..Any advance in the prevention or treatment of PE could result in significant improvement in maternal mortality, in reduced perinatal morbidity and in reduced healthcare costs...
  38. MATERNAL MORTALITY EFFECTS OF ABORTION LEGALIZATION
    William Dow; Fiscal Year: 1999
    ..from applicant's description): This project will analyze the effect of abortion legality and funding on maternal mortality. The effects of the legal availability of abortion is the subject of much on-going debate, yet despite the ..
  39. PROSPECTIVE STUDY OF PREECLAMPSIA AMONG ZIMBABWEAN WOMEN
    Michelle Williams; Fiscal Year: 2000
    ..with proteinuria after the 20th week of gestation, is a serious illness of pregnancy that results in maternal mortality and perinatal morbidity and mortality...
  40. NICHD Maternal Fetal Medicine Units Network
    Margaret Harper; Fiscal Year: 2006
    ..Dr. O?Shea is submitting an application for participation of Wake Forest University in the NICHD Neonatal Network. ..
  41. Partner Violence Norms and HIV Risk-Taking Among Youth in Sub-Saharan Africa
    Ilene Speizer; Fiscal Year: 2008
    ..The information from this study can be used to make recommendations on strategies to reduce youth violence risk with the underlying objective of strengthening HIV prevention programs for youth. [unreadable] [unreadable] [unreadable]..
  42. Antenatal and preschool iron and zinc use and cognition
    Parul Christian; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  43. IRON SUPPLEMENTS AND ZINC IN PREGNANCY AND LACTATION
    Janet King; Fiscal Year: 2001
    ..Results from this comprehensive, longitudinal study will provide new data on the effects of iron supplementation on zinc utilization during pregnancy and lactation. ..
  44. Evaluating the Clinical Impact of Simulation & Team Training on OB Safety
    Jeanne Marie Guise; Fiscal Year: 2007
    ..Our current work evaluates performance in the simulated environment; this proposal focuses on the translation of simulation and team training to the clinical environment. [unreadable] [unreadable] [unreadable]..
  45. International Trace Elements Conference
    Janet King; Fiscal Year: 2002
    ..The purpose of this proposal is to seek funding for the travel of selected speakers, young investigator awards, and publication of the proceedings. ..
  46. CONVENTIONAL INFERTILITY THERAPY VS FAST TRACK TO IVF
    Richard Reindollar; Fiscal Year: 2004
    ..2) Because insurance coverage for infertility is required by Massachusetts law for all participants, the choice of therapeutic alternatives is not affected by the patients' ability to pay for treatment. ..
  47. Randomized Control Trial of Mifepristone for Fibroids
    Kevin Fiscella; Fiscal Year: 2004
    ..The study may also offer valuable insight into a mechanism by which mifepristone reduces fibroid size. ..
  48. Optimal Infertility Therapy RCT: Women 40 and Older
    Richard Reindollar; Fiscal Year: 2007
    ..The choice of therapeutic alternatives is unaffected by the patient's ability to pay for treatment. [unreadable] [unreadable]..
  49. Impact of LEEP on cervical length and secretions
    Audrey Saftlas; Fiscal Year: 2007
    ..Paired statistical techniques, simple and multivariate linear regression, ANOVA, two-way repeated measures ANOVA, and ANCOVA will be used. [unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
  50. Intergenerational Influences on Adolescent Transitions
    Michelle Hindin; Fiscal Year: 2006
    ....
  51. Overweight in Children: A New View Using the Population Attributable Fraction
    Deborah Rosenberg; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
  52. Clinical Relevance of Transient Nevirapine Resistance
    Louise Kuhn; Fiscal Year: 2008
    ..unreadable] [unreadable]..
  53. GENERAL CLINICAL RESEARCH CENTER
    E Reece; Fiscal Year: 2009
    ..During the upcoming grant period, we anticipate the planning and funding of the UM Clinical and Translational Science Center. ..
  54. For-Profit Ownership and End-of-Life Care
    Elizabeth Bradley; Fiscal Year: 2009
    ..Relevance in lay language: We will generate knowledge about the influence of for-profit hospice ownership on the experiences of patients with cancer and their families. ..
  55. Pathogenesis of Essential Tremor: Cerebellar Metabolism
    Elan Louis; Fiscal Year: 2008
    ..abstract_text> ..
  56. GENERAL CLINICAL RESEARCH CENTER
    AUBREY MD HOUGH; Fiscal Year: 2006
    ..In this second funding cycle, the UAMS GCRC will continue expanding campus-wide clinical investigation. Support from all three sister institutions will continue to ensure GCRC success. ..
  57. DIET GLYCEMIC LOAD & METABOLISM IN OBESE PREGNANT WOMEN
    Janet King; Fiscal Year: 2009
    ..In addition, new information on how the source of maternal carbohydrate intake affects carbohydrate and lipid metabolism in pregnancy will be generated. ..
  58. The Impact of HMO's on Disparties
    Kevin Fiscella; Fiscal Year: 2004
    ..If the study hypotheses are confirmed, the findings will underscore the need for HMOs to track and address disparities among their members if the Healthy People 2010 for the elimination of disparities is to be achieved. ..
  59. Do Reporting Biases Mitigate Disparity Estimates?
    Kevin Fiscella; Fiscal Year: 2004
    ..abstract_text> ..
  60. Improving Safety and Quality with Integrated Technology
    Jeanne Marie Guise; Fiscal Year: 2006
    ..The findings, though applied specifically for OB, can be applied to many areas of medicine and surgery. The findings will provide inpatient and outpatient HIT stakeholders needed information to make important decisions. ..