ArticleGlobalization and health2011
A review of health system infection control measures in developing countries: what can be learned to reduce maternal mortality.
Article in Globalization and health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- Routine antibiotic prophylaxis after normal vaginal birth for reducing maternal infectious morbidity.The Cochrane database of systematic reviews · 2017Pooled it
- The effect of surveillance and appreciative inquiry on puerperal infections: a longitudinal cohort study in India.PloS one · 2014Trial
- Determinants of puerperal sepsis among postpartum women at public hospital in Gedeo Zone, southern Ethiopia, 2023: unmatched case-control study.BMC pregnancy and childbirth · 2026Article
- Importance of hospital-specific antibiotic policy for ensuring maternal quality of care in India: A narrative review.Journal of family medicine and primary care · 2025Review
- Determinants of puerperal sepsis among post-partum mothers in Mekelle city public hospitals, Tigray, Ethiopia, 2021: a case control study.BMC women's health · 2023Article
- The contributions of parental lactation on offspring development: It's not udder nonsense!Hormones and behavior · 2023Review
- The mediating role of incentives in association between leadership attention and self-perceived continuous improvement in infection prevention and control among medical staff: A cross-sectional survey.Frontiers in public health · 2023Article
- Incidence of postpartum infections and outcomes associated with antibiotic prophylaxis after normal vaginal birth.Frontiers in medicine · 2022Article
- A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility.Scientific reports · 2021Article
- Infection prevention and control (IPC) implementation in low-resource settings: a qualitative analysis.Antimicrobial resistance and infection control · 2021Article
- Hygiene along the continuum of care in the early post-natal period: an observational study in Nigeria.BMC pregnancy and childbirth · 2020Observational
- Challenges regarding the control of environmental sources of contamination in healthcare settings in low-and middle-income countries - a narrative review.Antimicrobial resistance and infection control · 2020Review
- Determinants and aetiologies of postpartum pyrexia; a retrospective analysis in a tertiary health facility in the Littoral Region of Cameroon.BMC pregnancy and childbirth · 2020Article
- Determinants of puerperal sepsis among post partum women at public hospitals in west SHOA zone Oromia regional STATE, Ethiopia (institution BASEDCASE control study).BMC pregnancy and childbirth · 2019Article
- A Randomized, Open-labelled, Interventional Study to Evaluate the Incidence of Infection with or Without Use of Prophylactic Antibiotics in Patients of Episiotomy in a Normal Vaginal Delivery.Journal of obstetrics and gynaecology of India · 2018Article
- Composite measures of women's empowerment and their association with maternal mortality in low-income countries.BMC pregnancy and childbirth · 2017Article
- Nurse Mentors to Advance Quality Improvement in Primary Health Centers: Lessons From a Pilot Program in Northern Karnataka, India.Global health, science and practice · 2015Article
- Staff perspectives of barriers to women accessing birthing services in Nepal: a qualitative study.BMC pregnancy and childbirth · 2015Article
- Using 'appreciative inquiry' in India to improve infection control practices in maternity care: a qualitative study.Global health action · 2015Article
- Basic newborn care and neonatal resuscitation: a multi-country analysis of health system bottlenecks and potential solutions.BMC pregnancy and childbirth · 2015Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A functional health system is a necessary part of efforts to achieve maternal mortality reduction in developing countries. Puerperal sepsis is an infection contracted during childbirth and one of the commonest causes of maternal mortality in developing countries, despite the discovery of antibiotics over eighty years ago. Infections can be contracted during childbirth either in the community or in health facilities. Some developing countries have recently experienced increased use of health facilities for labour and delivery care and there is a possibility that this trend could lead to rising rates of puerperal sepsis. Drug and technological developments need to be combined with effective health system interventions to reduce infections, including puerperal sepsis. This article reviews health system infection control measures pertinent to labour and delivery units in developing country health facilities. Organisational improvements, training, surveillance and continuous quality improvement initiatives, used alone or in combination have been shown to decrease infection rates in some clinical settings. There is limited evidence available on effective infection control measures during labour and delivery and from low resource settings. A health systems approach is necessary to reduce maternal mortality and the occurrence of infections resulting from childbirth. Organisational and behavioural change underpins the success of infection control interventions. A global, targeted initiative could raise awareness of the need for improved infection control measures during childbirth.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.