Document Detail

The evidence for emergency obstetric care.
MedLine Citation:
PMID:  15694106     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We searched for evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality primarily in developing countries. METHODS: We reviewed population-based studies with maternal mortality as the outcome variable and ranked them according to the system for ranking the quality of evidence and strength of recommendations developed by the US Preventive Services Task Force. A systematic search of published literature was conducted for this review, including searches of Medline, PubMed, Cochrane Database of Systematic Reviews, the Cochrane Pregnancy and Childbirth Database and the Cochrane Controlled Trials Register. RESULTS: The strength of the evidence is high in several studies with a design that places them in the second and third tier in the quality of evidence ranking system. No studies were found that are experimental in design that would give them a top ranking, due to the measurement challenges associated with maternal mortality, although many of the specific individual clinical interventions that comprise EmOC have been evaluated through experimental design. There is strong evidence based on studies, using quasi-experimental, observational and ecological designs, to support the contention that EmOC must be a critical component of any program to reduce maternal mortality.
A Paxton; D Maine; L Freedman; D Fry; S Lobis
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't     Date:  2005-01-08
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  88     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-07     Completed Date:  2005-06-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  181-93     Citation Subset:  IM    
Averting Maternal Death and Disability (AMDD) Program, Mailman School of Public Health, Columbia University, 60 Haven Avenue, New York, NY 10032, USA.
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MeSH Terms
Developing Countries*
Emergency Medical Services / standards*
Malaysia / epidemiology
Maternal Health Services / standards*
Maternal Mortality*
Pregnancy Complications / prevention & control
Sri Lanka / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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