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OBJECTIVE This paper examines the availability of basic and comprehensive emergency obstetric care (EmOC), interventions used to treat direct obstetric complications. Determining what interventions are provided in health facilities is the first priority in analyzing a country's capabilities to treat obstetric emergencies. There are eight key interventions,(More)
Objectives: We examined whether data obtained by maternal report could be used for research in clinical settings in place of abstraction of the clinical record. Method: Reported prepregnancy weight, delivery type, and infant's birth date, birth weight, and length were compared to the same information from the clinical record. Results: Reported data,(More)
OBJECTIVE To determine the fat deposited during pregnancy in women gaining according to recommendations of the Institute of Medicine and the relationship of weight gain to fat gain in women of different starting weights (classified by their body mass index). METHODS A cohort study of healthy, nonsmoking women, 18-36 years of age, identified during(More)
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(More)
n engl j med 364;21 nejm.org may 26, 2011 1990 resent a diverse genetic pool that allows for adaptation and evolutionary change. Further insight into how these adaptations occur may enhance our ability to predict the emergence of new, more capable bacterial pathogens, the development of more predictive animal models, and the potential identification of(More)
OBJECTIVE This paper argues for an additional indicator for measuring progress of the Millennium Development Goal for maternal health-the availability of emergency obstetric care. METHODS MDG monitoring will be based on two indicators: the maternal mortality ratio and the proportion of births attended by skilled personnel. Strengths and weaknesses of a(More)
OBJECTIVE This paper examines the frequency with which a set of life-saving interventions or signal functions was performed to treat major obstetric complications. METHODS AND RESULTS The basic signal functions include parenteral antibiotics, anticonvulsants and oxytocics, and the procedures of manual removal of the placenta, removal of retained uterine(More)
OBJECTIVE Our purpose was to determine the relation to infant birth weight of maternal fat and lean tissue during early and late pregnancy. DESIGN Total and net maternal pregnancy weight, fat, and water were determined from measurements of total body water, body density, and bone mineral mass in 200 women, with the use of a multicompartment model for body(More)
The United Nations Process Indicators for emergency obstetric care (EmOC) have been used extensively in countries with high maternal mortality ratios (MMR) to assess the availability, utilization and quality of EmOC services. To compare the situation in high MMR countries to that of a low MMR country, data from the United States were used to determine EmOC(More)