Analgesia during Labor and Vaginal Birth among Women with Severe Maternal Morbidity: Secondary Analysis from the WHO Multicountry Survey on Maternal and Newborn Health
Marcio A Souza, Jose PS Guida, Jose G Cecatti, Joao P Souza, Ahmet M Gulmezoglu, Ana P Betran, Maria R Torloni, Joshua P Vogel, Maria L Costa
BIOMED RESEARCH INTERNATIONAL | HINDAWI LTD | Published : 2019
Aim: To evaluate the use of analgesia for vaginal birth, in women with and without severe maternal morbidity (SMM) and to describe sociodemographic, clinical, and obstetric characteristics and maternal and perinatal outcomes associated with labor analgesia. Methods: Secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health (WHO-MCS), a global cross-sectional study performed between May 2010 and December 2011 in 29 countries. Women who delivered vaginally and had an SMM were included in this analysis and were then divided into two groups: those who received and those who did not receive analgesia for labor/delivery. We further compared maternal characteristics and mater..View full abstract
The WHO Multi-Country Survey on Maternal and Newborn Health was financially supported by the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction; WHO; USAID; the Ministry of Health, Labour and Welfare of Japan; and Gynuity Health Projects. The authors thank all members of the WHO Global Survey on Maternal and Perinatal Health Research Network and the WHO Multi-Country Survey on Maternal and Newborn Health Research Network, including regional and country coordinators, data collection coordinators, facility coordinators, data collectors, and all staff of the participating facilities who made the surveys possible.