Current strategies for the reduction of maternal mortality


Bullough, C; Meda, N; Makowiecka, K; Ronsmans, C; Achadi, EL; Hussein, J; (2005) Current strategies for the reduction of maternal mortality. BJOG, 112 (9). pp. 1180-1188. ISSN 1470-0328 DOI: https://doi.org/10.1111/j.1471-0528.2005.00718.x

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Abstract

The purpose of this article is to review current strategies for the reduction of maternal mortality and the evidence pertinent to these strategies. Historical, contextual and current literature were examined to identify the evidence base upon which recommendations on current strategies to reduce maternal mortality are made. Current safe motherhood strategies are designed based mostly on low grade evidence which is historical and observational, as well as on experience and a process of deductive reasoning. Safe motherhood strategies are complex public health approaches which are different from single clinical interventions. The approach to evidence used for clinical decision making needs to be reconsidered to fit with the practicalities of research on the effectiveness of strategies at the population level. It is unlikely that any single strategy will be optimal for different situations. Strengthening of the knowledge base on the effectiveness of public health strategies to reduce maternal mortality is urgently required but will need concerted action and international commitment.

Item Type: Article
Keywords: Randomized-trial, antenatal care, birth, metaanalysis, bangladesh, pregnancy, supplementation, hypertension, worldwide, outcomes
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Maternal Health Group
PubMed ID: 16101594
Web of Science ID: 230992300006
URI: http://researchonline.lshtm.ac.uk/id/eprint/13214

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