| Autor: |
Holmer, H, Oyerinde, K, Meara, JG, Gillies, R, Liljestrand, J, Hagander, L |
| Předmět: |
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| Zdroj: |
BJOG: An International Journal of Obstetrics & Gynaecology; Jan2015, Vol. 122 Issue 2, p183-189, 7p |
| Abstrakt: |
Background Of the 287 000 maternal deaths every year, 99% happen in low- and middle-income countries. The vast majority could be averted with timely access to appropriate emergency obstetric care ( Em OC). The proportion of women with complications of pregnancy or childbirth who actually receive treatment is reported as ' Met need for Em OC'. Objective To estimate the global met need for Em OC and to examine the correlation between met need, maternal mortality ratio and other indicators. Search strategy A systematic review was performed according to the PRISMA guidelines. Searches were made in Pub Med, EMBASE and Google Scholar. Selection criteria Studies containing data on met need in Em OC were selected. Data collection and analysis Analysis was performed with data extracted from 62 studies representing 51 countries. World Bank data were used for univariate and multiple linear regression. Main results Global met need for Em OC was 45% ( IQR: 28-57%), with significant disparity between low- (21% [12-31%]), middle- (32% [15-56%]), and high-income countries (99% [99-99%]), ( P = 0.041). This corresponds to 11.4 million (8.8-14.8) untreated complications yearly and 951 million (645-1174 million) women without access to Em OC. We found an inverse correlation between met need and maternal mortality ratio ( r = −0.42, P < 0.001). Met need was significantly correlated with the proportion of births attended by skilled birth attendants ( β = 0.53 [95% CI 0.41-0.65], P < 0.001). Authors' conclusions The results suggest a considerable inadequacy in global met need for Em OC, with vast disparities between countries of different income levels. Met need is a powerful indicator of the response to maternal mortality and strategies to improve Em OC act in synergy with the expansion of skilled birth attendance. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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