Academic Commons

Articles

Improving pregnancy outcomes in low- and middle-income countries

Goldenberg, Robert L.; McClure, Elizabeth M.; Saleem, Sarah

This paper reviews the very large discrepancies in pregnancy outcomes between high, low and middle-income countries and then presents the medical causes of maternal mortality, stillbirth and neonatal mortality in low-and middle-income countries. Next, we explore the medical interventions that were associated with the very rapid and very large declines in maternal, fetal and neonatal mortality rates in the last eight decades in high-income countries. The medical interventions likely to achieve similar declines in pregnancy-related mortality in low-income countries are considered. Finally, the quality of providers and the data to be collected necessary to achieve these reductions are discussed. It is emphasized that single interventions are unlikely to achieve important reductions in pregnancy-related mortality. Instead, improving the overall quality of pregnancy-related care across the health-care system will be necessary. The conditions that cause maternal mortality also cause stillbirths and neonatal deaths. Focusing on all three mortalities together is likely to have a larger impact than focusing on one of the mortalities alone.

Files

  • thumnail for 12978_2018_Article_524.pdf 12978_2018_Article_524.pdf application/pdf 461 KB Download File

Also Published In

Title
Reproductive Health
DOI
https://doi.org/10.1186/s12978-018-0524-5

More About This Work

Academic Units
Obstetrics and Gynecology
Published Here
September 28, 2018

Notes

Maternal mortality, Stillbirth, Neonatal mortality, Low-middle income countries

Academic Commons provides global access to research and scholarship produced at Columbia University, Barnard College, Teachers College, Union Theological Seminary and Jewish Theological Seminary. Academic Commons is managed by the Columbia University Libraries.