ArticleJournal of health, population, and nutrition2011
Where there are (few) skilled birth attendants.
Article in Journal of health, population, and nutrition, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 6 syntheses or guidelines pooled it, 112 citations in OpenAlex.
- Clean delivery kit use in low-and middle-income countries: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- The pooled estimate of the total fertility rate in sub-Saharan Africa using recent (2010-2018) Demographic and Health Survey data.Frontiers in public health · 2022Pooled it
- A systematic review and meta-analysis of postpartum contraceptive use among women in low- and middle-income countries.Reproductive health · 2019Pooled it
- Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys.Annals of global health · 2019Pooled it
- Health care seeking for maternal and newborn illnesses in low- and middle-income countries: a systematic review of observational and qualitative studies.F1000Research · 2019Pooled it
- Maternal and perinatal mortality by place of delivery in sub-Saharan Africa: a meta-analysis of population-based cohort studies.BMC public health · 2014Pooled it
- Community boat service to promote institutional delivery in the Philippines: a mixed-methods study of a social innovation.BMJ public health · 2024Article
- Southern Ethiopian skilled birth attendant variations and maternal mortality: A multilevel study of a population-based cross-sectional household survey.PLOS global public health · 2023Article
- Women's Status and its Association With Home Delivery: A Cross-Sectional Study Conducted in Khyber-Pakhtunkhwa, Pakistan.Maternal and child health journal · 2022Article
- Determinants of contraceptive use among women 0-23 months postpartum in Kitui County, Kenya: A cross-sectional study.PLOS global public health · 2022Article
- The Safety and Feasibility of a Family First Aid Approach for the Management of Postpartum Hemorrhage in Home Births: A Pre-post Intervention Study in Rural Pakistan.Maternal and child health journal · 2021Article
- Mass media exposure and maternal healthcare utilization in South Asia.SSM - population health · 2020Article
- Cost-effectiveness of inhaled oxytocin for prevention of postpartum haemorrhage: a modelling study applied to two high burden settings.BMC medicine · 2020Article
- Perceptions of isolation during facility births in Haiti - a qualitative study.Reproductive health · 2019Article
- Scaling up interventions: findings and lessons learned from an external evaluation of Niger's National Initiative to reduce postpartum hemorrhage.BMC pregnancy and childbirth · 2019Article
- Provision of postpartum care to women giving birth in health facilities in sub-Saharan Africa: A cross-sectional study using Demographic and Health Survey data from 33 countries.PLoS medicine · 2019Article
- Increasing health facility deliveries in Cambodia and its influence on child health.International journal for equity in health · 2019Article
- Using Household Socioeconomic Indicators to Predict the Utilization of Maternal and Child Health Services Among Reproductive-Aged Women in Rural Yemen.Global pediatric health · 2019Article
- Implementation of community based advance distribution of misoprostol in Himachal Pradesh (India): lessons and way forward.BMC pregnancy and childbirth · 2018Article
- "My job is to get pregnant women to the hospital": a qualitative study of the role of traditional birth attendants in the distribution of misoprostol to prevent post-partum haemorrhage in two provinces in Mozambique.Reproductive health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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. Given the future population-level benefits, strengthening of health systems makes excellent strategic sense but it does not address the immediate safe-delivery needs of the estimated 45 million women who are likely to deliver at home, without a skilled birth attendant. There are currently 28 countries from four major regions in which fewer than half of all births are attended by skilled birth attendants. Sixty-nine percent of maternal deaths in these four regions can be attributed to these 28 countries, despite the fact that these countries only constitute 34% of the total population in these regions. Trends documenting the change in the proportion of births accompanied by a skilled attendant in these 28 countries over the last 15-20 years offer no indication that adequate change is imminent. To rapidly reduce maternal mortality in regions where births in the home without skilled birth attendants are common, governments and community-based organizations could implement a cost-effective, complementary strategy involving health workers who are likely to be present when births in the home take place. Training community-based birth attendants in primary and secondary prevention technologies (e.g. misoprostol, family planning, measurement of blood loss, and postpartum care) will increase the chance that women in the lowest economic quintiles will also benefit from global safe motherhood efforts.
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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.