Journal article

Obstetric transition in the World Health Organization Multicountry Survey on Maternal and Newborn Health: Exploring pathways for maternal mortality reduction

S Da Cruz Chaves, JG Cecatti, G Carroli, P Lumbiganon, CJ Hogue, R Mori, J Zhang, K Jayaratne, G Togoobaatar, C Pileggi-Castro, M Bohren, JP Vogel, Ö Tunçalp, OT Oladapo, AM Gülmezoglu, M Temmerman, JP Souza

Revista Panamericana De Salud Publica Pan American Journal of Public Health | PAN AMER HEALTH ORGANIZATION | Published : 2015

Abstract

Objective. To test whether the proposed features of the Obstetric Transition Model-a theoretical framework that may explain gradual changes that countries experience as they eliminate avoidable maternal mortality-are observed in a large, multicountry, maternal and perinatal health database; and to discuss the dynamic process of maternal mortality reduction using this model as a theoretical framework. Methods. This was a secondary analysis of a cross-sectional study by the World Health Organization that collected information on more than 300 000 women who delivered in 359 health facilities in 29 countries in Africa, Asia, Latin America, and the Middle East, during a 2-4-month period in 2010-2..

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University of Melbourne Researchers