João Paulo Dias de Souza

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OBJECTIVE To assess the effects of audit and feedback on the practice of professionals in obstetrics. DESIGN Before-after intervention study. SETTING Obstetric unit of a university hospital in Brazil. METHODS Before the intervention the prevalence rates of six evidence-based interventions were assessed. Seminars and workshops were administered, with(More)
Maternal mortality is still among the worst performing health indicators in resource-poor settings. For deaths occurring in health facilities, it is crucial to understand the processes of obstetric care in order to address any identified weakness or failure within the system and take corrective action. However, although a significant public health problem,(More)
BACKGROUND There has been concern about rising rates of caesarean section worldwide. This Article reports the third phase of the WHO global survey, which aimed to estimate the rate of different methods of delivery and to examine the relation between method of delivery and maternal and perinatal outcomes in selected facilities in Africa and Latin America in(More)
BACKGROUND Despite growing recognition of neglectful, abusive, and disrespectful treatment of women during childbirth in health facilities, there is no consensus at a global level on how these occurrences are defined and measured. This mixed-methods systematic review aims to synthesize qualitative and quantitative evidence on the mistreatment of women(More)
BACKGROUND Macrosomia is a risk factor for adverse delivery outcomes. We investigated the prevalence, risk factors, and delivery outcomes of babies with macrosomia in 23 developing countries in Africa, Asia, and Latin America. METHODS We analysed data from WHO's Global Survey on Maternal and Perinatal Health, which was a facility-based cross-sectional(More)
BACKGROUND We report the main findings of the WHO Multicountry Survey on Maternal and Newborn Health (WHOMCS), which aimed to assess the burden of complications related to pregnancy, the coverage of key maternal health interventions, and use of the maternal severity index (MSI) in a global network of health facilities. METHODS In our cross-sectional(More)
High-quality obstetric delivery in a health facility reduces maternal and perinatal morbidity and mortality. This systematic review synthesizes qualitative evidence related to the facilitators and barriers to delivering at health facilities in low- and middle-income countries. We aim to provide a useful framework for better understanding how various factors(More)
OBJECTIVE To describe the prevalence of labour induction, together with its risk factors and outcomes in Latin America. DESIGN Analysis of the 2005 WHO global survey database. SETTING Eight selected Latin American countries. POPULATION All women who gave birth during the study period in 120 participating institutions. METHODS Bivariate and(More)
BACKGROUND Severe maternal morbidity or 'near miss' is a promising indicator to improve quality of obstetric care. OBJECTIVES To systematically review all available studies on 'near miss'. SEARCH STRATEGY Following a pre-defined protocol, our review covered articles between January 2004 and December 2010. We used a combination of the following terms:(More)
OBJECTIVE To explore the clinical practices, risks, and maternal outcomes associated with postpartum haemorrhage (PPH). DESIGN Secondary analysis of cross-sectional data. SETTING A total of 352 health facilities in 28 countries. SAMPLE A total of 274 985 women giving birth between 1 May 2010 and 31 December 2011. METHODS We used multivariate(More)