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The evidence for emergency obstetric care

Dados Bibliográficos

ID23337274
AutoresAnne Paxton (0000-0003-0491-7564, Columbia University, autor correspondente), Deborah Maine (Columbia University), L Freedman, Lynn P Freedman (0000-0003-4288-605X, Columbia University), Dustin Fry (0000-0001-7992-8984, Columbia University), Samantha Lobis (0009-0006-6302-9427, Columbia University)
Ano2005
Volume88
Fascículo2
Páginas181-193
Data de publicação2005-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Gynecology & Obstetrics (JOURNAL)
Identificadores do periódicoISSN: 0020-7292 • E-ISSN: 1879-3479
EditoraWiley (PUBLISHER • GB)
DOI10.1016/j.ijgo.2004.11.026
PMID15694106
OpenAlexW2171368429
IdiomaEN
Citações recebidas63
Referências citadas33

PURPOSE: We searched for evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality primarily in developing countries. METHODS: We reviewed population-based studies with maternal mortality as the outcome variable and ranked them according to the system for ranking the quality of evidence and strength of recommendations developed by the US Preventive Services Task Force. A systematic search of published literature was conducted for this review, including searches of Medline, PubMed, Cochrane Database of Systematic Reviews, the Cochrane Pregnancy and Childbirth Database and the Cochrane Controlled Trials Register. RESULTS: The strength of the evidence is high in several studies with a design that places them in the second and third tier in the quality of evidence ranking system. No studies were found that are experimental in design that would give them a top ranking, due to the measurement challenges associated with maternal mortality, although many of the specific individual clinical interventions that comprise EmOC have been evaluated through experimental design. There is strong evidence based on studies, using quasi-experimental, observational and ecological designs, to support the contention that EmOC must be a critical component of any program to reduce maternal mortality.

Childbirth · Clinical study design · Clinical trial · Cochrane Library · Environmental health · MEDLINE · Observational study · Population · Pregnancy · Psychological intervention · Randomized controlled trial · Ranking (information retrieval) · Systematic review · Global Maternal and Child Health · Maternal and fetal healthcare · Medicine · Nursing · Surgery · Trauma and Emergency Care Studies

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Obras citantes distintas63
Citações por ano3,15
Intervalo de citações2006 - 2026 (21)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 57
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