Maternal Health

November 2015

October 2015

Review of community-based reproductive health initiatives for young married couples in low- and middle-income countries

This systematic review examined the available evidence on the effectiveness of community-based health interventions to improve the reproductive health status of young married couples in low- and middle-income countries. Most pregnancies among adolescent girls and young women aged 15–24 years in low- and middle-income countries do so within marriage. The mortality rates and pregnancy-related morbidities are significantly higher among the women of younger age group in many South Asian and Sub-Saharan African countries. Read More

Role of the private sector in childbirth care in low- and middle-income countries

This study assessed coverage, equity and quality indicators of maternal delivery care comparing the private and public sectors across 57 low- and middle-income countries, of which 30 were in sub-Saharan Africa, nine in the Middle East/Europe, ten in Asia and eight in Latin America. Findings were drawn from an analysis of delivery care for the most recent birth among more than 337,208 women, using data from the most recent Demographic and Health Surveys (2000–2013). Results were compared across wealth quintiles and use of skilled birth attendant and Caesarean section rates served as proxies for quality of care in cross-sectoral comparisons. Read More

Consequences of severe obstetric complications on women’s health in Morocco

This prospective cohort study compared 76 women who had severe obstetric maternal morbidity ‘near-miss cases’, in three hospitals from February to July 2012, and women with uncomplicated deliveries. The aim of the study was to assess the physical and mental health consequences of near-miss events on Moroccan women eight months after childbirth. Read More

September 2015

August 2015

Cancer risk and assisted reproductive technology, Norway

This large population-based study assessed whether women who give birth after assisted reproductive technology (ART) have an increased risk of cancer compared with women who give birth without ART. The study measured cancer outcomes amongst all women registered in the Medical Birth Registry of Norway as having given birth between 1 January 1984 and 31 December 2010. Read More

The prevalence of mental health morbidity amongst pregnant women, Tanzania

A cross-sectional study interviewed one in five physically well women attending a prenatal-care clinic in Muhimbili National Hospital, Dar es Salaam, between December 2011 and April 2012, for depression and anxiety symptoms. A total of 1,180 women were interviewed, of whom 76.7% had symptoms of anxiety, 78.2% had symptoms of depression and 4.9% had moderate or severe post-traumatic stress disorder symptoms. Read More

Safety of the progesterone-releasing vaginal ring (PVR) among lactating women

This study reviewed published peer-reviewed literature regarding the safety and effectiveness of the progesterone-releasing vaginal ring (PVR), which releases a natural progesterone that suppresses ovulation and is specifically designed for breastfeeding women in the first postpartum year. All studies consistently showed that use of the PVR among breastfeeding women compares favourably to other methods of contraception with regard to effectiveness, does not compromise a woman’s breastfeeding performance, and does not adversely affect infant growth during the first year postpartum. Read More

Global review of mistreatment of women during childbirth in health facilities

This systematic review presents a comprehensive, evidence-based typology of the mistreatment of women during childbirth in health facilities, and demonstrates that mistreatment can occur at the level of interaction between the woman and provider, as well as through systemic failures at the health facility and health system levels. The review aims to synthesise the evidence to inform the development of an evidence-based typology of the phenomenon. Read More