@article{355a39a9b90041b48a8bec207ec4ff3e,
title = "Examining maternal morbidity across a spectrum of delivery locations: An analysis of the Global Network's Maternal and Neonatal Health Registry",
abstract = "Objective: To better understand maternal morbidity, using quality data from low- and middle-income countries (LMICs), including out-of-hospital deliveries. Additionally, to compare to the WHO estimate that maternal morbidity occurs in 15% of pregnancies, which is based largely on hospital-level data. Methods: The Global Network for Women's and Children's Health Research Maternal Newborn Health Registry collected data on all pregnancies from seven sites in six LMICs between 2015 and 2020. Rates of maternal mortality and morbidity and the differences in morbidity across delivery location and birth attendant type were evaluated. Results: Among the 280 584 deliveries included in the present analysis, the overall maternal mortality ratio was 138 per 100 000, while 11.7% of women experienced at least one morbidity. Rates of morbidity were generally higher for deliveries occurring within hospitals (19.8%) and by physicians (23.6%). The lowest rates of morbidity were noted among women delivering in non-hospital healthcare facilities (5.6%) or with non-physician clinicians (e.g. nurses, midwives [5.4%]). Conclusion: The present study shows important differences in reported maternal morbidity across delivery sites, with a trend towards lower morbidity in non-hospital healthcare facilities and among non-physician clinicians.",
keywords = "low- and middle-income countries, maternal, morbidity, mortality, out-of-hospital deliveries, pregnancy",
author = "Austin Oberlin and Jacqueline Wallace and Moore, {Janet L.} and Sarah Saleem and Adrien Lokangaka and Antoinette Tshefu and Melissa Bauserman and Lester Figueroa and Krebs, {Nancy F.} and Fabian Esamai and Edward Liechty and Sheri Bucher and Patel, {Archana B.} and Hibberd, {Patricia L.} and Elwyn Chomba and Carlo, {Waldemar A.} and Shivaprasad Goudar and Derman, {Richard J.} and Marion Koso-Thomas and McClure, {Elizabeth M.} and Goldenberg, {Robert L.}",
note = "Funding Information: The authors thank all those members of the Global Network and RTI International who assisted with data collection and analysis. The study was funded by grants from Eunice Kennedy Shriver National Institute of Child Health and Human Development (U01U01 HD040477, U01 HD043464, U01 HD040657, U01 HD042372, U01 HD040607, U01 HD058322, U01 HD058326, U01 HD040636). The data that support the findings of this study are available from the Global Network Maternal and Neonatal Health Registry, through the NICHD data and specimen monitoring hub (N-DASH). Data are however available from the authors upon reasonable request and with permission of the Global Network. Funding Information: The authors thank all those members of the Global Network and RTI International who assisted with data collection and analysis. The study was funded by grants from Eunice Kennedy Shriver National Institute of Child Health and Human Development (U01U01 HD040477, U01 HD043464, U01 HD040657, U01 HD042372, U01 HD040607, U01 HD058322, U01 HD058326, U01 HD040636). The data that support the findings of this study are available from the Global Network Maternal and Neonatal Health Registry, through the NICHD data and specimen monitoring hub (N‐DASH). Data are however available from the authors upon reasonable request and with permission of the Global Network. Publisher Copyright: {\textcopyright} 2022 International Federation of Gynecology and Obstetrics.",
year = "2023",
month = mar,
doi = "10.1002/ijgo.14391",
language = "English",
volume = "160",
pages = "797--805",
journal = "International Journal of Gynecology and Obstetrics",
issn = "0020-7292",
publisher = "John Wiley and Sons Ltd",
number = "3",
}
