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The role of delays in severe maternal morbidity and mortality

Expanding the Conceptual Framework

Datos Bibliográficos

ID4904972
AutoresRodolfo De Carvalho Pacagnella (0000-0002-5739-0009, Universidade Federal de São Carlos), Jose Guilherme Cecatti (0000-0003-1285-8445, Universidade Estadual de Campinas (UNICAMP)), Maria José Duarte Osis (0000-0003-3625-1525, Universidade Estadual de Campinas (UNICAMP)), Maria José Osis, Juliano P Souza (0000-0002-2288-4244, World Health Organization - Pakistan), João Paulo Souza (0000-0002-1583-7933)
Año2012
Volumen20
Número39
Páginas155-163
Fecha de publicación2012-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaReproductive Health Matters (JOURNAL)
Identificadores de la revistaISSN: 0968-8080 • E-ISSN: 1460-9576
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1016/s0968-8080(12)39601-8
PMID22789093
OpenAlexW2077974251
IdiomaEN
Citas recibidas15
Referencias citadas52

Maternal mortality has gained importance in research and policy since the mid-1980s. Thaddeus and Maine recognized early on that timely and adequate treatment for obstetric complications were a major factor in reducing maternal deaths. Their work offered a new approach to examining maternal mortality, using a three-phase framework to understand the gaps in access to adequate management of obstetric emergencies: phase I--delay in deciding to seek care by the woman and/or her family; phase II--delay in reaching an adequate health care facility; and phase III--delay in receiving adequate care at that facility. Recently, efforts have been made to strengthen health systems' ability to identify complications that lead to maternal deaths more rapidly. This article shows that the combination of the "three delays" framework with the maternal "near-miss" approach, and using a range of information-gathering methods, may offer an additional means of recognizing a critical event around childbirth. This approach can be a powerful tool for policymakers and health managers to guarantee the principles of human rights within the context of maternal health care, by highlighting the weaknesses of systems and obstetric services

Childbirth · Conceptual framework · Economic growth · Environmental health · Geography · Health care · Health services · Maternal death · Maternal health · Maternal morbidity · Medical emergency · Population · Pregnancy · Sociology · Global Maternal and Child Health · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing

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Obras citantes distintas15
Citas por año1,36
Intervalo de citas2015 - 2026 (12)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 12
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