Anne Lee Paxton

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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)
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)
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 The paper reviews the experience with the EmOC process indicators, and evaluates whether the indicators serve the purposes for which they were originally created - to gather and interpret relatively accessible data to design and implement EmOC service programs. METHOD We review experience with each of the 6 process indicators individually, and(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)
n engl j med 364;21 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)
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)
The pattern of gestational weight gain (GWG) reflects general nutrient availability to support growing fetal and maternal compartments and may contribute to later health, but how it relates to changes in maternal body composition is unknown. We evaluated how the pattern of GWG related to changes in maternal body composition during pregnancy and infant size(More)