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Midwife-assisted planned home birth: An essential component of improving the safety of childbirth in Sub-Saharan Africa

Dayyabu A. L., Murtala Y., Grünebaum A., McCullough L. B., Arabin B., Levene M. I., Brent R. L., Monni G., Sen C., Makatsariya A. D., Chervenak F. A.
Journal of Perinatal Medicine
Vol.47, Issue1, P. 16-21
Опубликовано: 2019
Тип ресурса: Статья

DOI:10.1515/jpm-2018-0066

Аннотация:
Hospital births, when compared to out-of-hospital births, have generally led to not only a significantly reduced maternal and perinatal mortality and morbidity but also an increase in certain interventions. A trend seems to be emerging, especially in the US where some women are requesting home births, which creates ethical challenges for obstetricians and the health care organizations and policy makers. In the developing world, a completely different reality exists. Home births constitute the majority of deliveries in the developing world. There are severe limitations in terms of facilities, health personnel and deeply entrenched cultural and socio-economic conditions militating against hospital births. As a consequence, maternal and perinatal mortality and morbidity remain the highest, especially in Sub-Saharan Africa (SSA). Midwife-assisted planned home birth therefore has a major role to play in increasing the safety of childbirth in SSA. The objective of this paper is to propose a
Ключевые слова:
home birth; midwife; prenatal care; Sub-Saharan Africa
misoprostol; Africa south of the Sahara; Article; cerebral palsy; community participation; cost effectiveness analysis; cultural factor; follow up; health care cost; health care facility; health care organization; health care policy; health service; home delivery; human; intervention study; laceration; maternal death; midwife; obstetrician; perinatal morbidity; perinatal mortality; postpartum hemorrhage; pregnant woman; prenatal care; priority journal; resuscitation; risk factor; social status; United States; uterine atony; adult; epidemiology; female; mortality; newborn; pregnancy; prenatal care; procedures; standards; total quality management; Adult; Africa South of the Sahara; Female; Home Childbirth; Humans; Infant, Newborn; Midwifery; Perinatal Mortality; Pregnancy; Prenatal Care; Quality Improvement
Язык текста: Английский
ISSN: 1619-3997
Dayyabu A. L.
Murtala Y.
Grünebaum A.
McCullough L. B.
Arabin B.
Levene M. I.
Brent R. L.
Monni G.
Sen C.
Makatsariya A. D. Aleksandr Davidovich 1944-
Chervenak F. A.
Дайябу А. Л.
Муртала Y.
Грüнебаум А.
МcCуллоугх Л. Б.
Арабин Б.
Левене М. И.
Брент Р. Л.
Монни Г.
Сен C.
Макацария А. Д. Александр Давидович 1944-
Червенак Ф. А.
Midwife-assisted planned home birth: An essential component of improving the safety of childbirth in Sub-Saharan Africa
Текст визуальный непосредственный
Journal of Perinatal Medicine
Walter de Gruyter GmbH
Vol.47, Issue1 P. 16-21
2019
Статья
home birth midwife prenatal care Sub-Saharan Africa
misoprostol Africa south of the Sahara Article cerebral palsy community participation cost effectiveness analysis cultural factor follow up health care cost health care facility health care organization health care policy health service home delivery human intervention study laceration maternal death midwife obstetrician perinatal morbidity perinatal mortality postpartum hemorrhage pregnant woman prenatal care priority journal resuscitation risk factor social status United States uterine atony adult epidemiology female mortality newborn pregnancy prenatal care procedures standards total quality management Adult Africa South of the Sahara Female Home Childbirth Humans Infant, Newborn Midwifery Perinatal Mortality Pregnancy Prenatal Care Quality Improvement
Hospital births, when compared to out-of-hospital births, have generally led to not only a significantly reduced maternal and perinatal mortality and morbidity but also an increase in certain interventions. A trend seems to be emerging, especially in the US where some women are requesting home births, which creates ethical challenges for obstetricians and the health care organizations and policy makers. In the developing world, a completely different reality exists. Home births constitute the majority of deliveries in the developing world. There are severe limitations in terms of facilities, health personnel and deeply entrenched cultural and socio-economic conditions militating against hospital births. As a consequence, maternal and perinatal mortality and morbidity remain the highest, especially in Sub-Saharan Africa (SSA). Midwife-assisted planned home birth therefore has a major role to play in increasing the safety of childbirth in SSA. The objective of this paper is to propose a