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Why do women not use antenatal services in low- and middle-Income countries? a meta-synthesis of qualitative studies

FINLAYSON, Kenneth
DOWNE, Soo
January 2013

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This article aims to inform the development of future antenatal care programmes through a synthesis of findings in all relevant qualitative studies. The findings suggest that there may be a misalignment between current antenatal care provision and the social and cultural context of some women in low and middle income countries
PLoS Med, Vol 10, Issue 1

Facts for life

UNITED NATIONS CHILDREN'S FUND (UNICEF)
et al
2010

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This resource consists of 14 chapters filled with practical information about how to ensure children’s rights to survival, growth, development and well-being. The topics address pregnancy, childbirth, major childhood illnesses, child development, early learning, parenting, protection, and care and support of children. The messages it contains are based on human rights, particularly the Convention on the Rights of the Child and the Convention on the Elimination of All Forms of Discrimination against Women. The resource aims to provide families and communities with the information they need to save and improve the lives of children. Parents, grandparents, other caregivers and young people can refer to this practical source of information for answers to their questions related to childbearing and getting children off to the best start in life. The website includes a link to an interactive site for posting comments, sharing experiences and materials and discussing relevant issues

A book for midwives : care for pregnancy, birth and women's health|Un libro para parteras : atencion del embarazo, el parto y la salud de la mujer

KLEIN, Susan
MILLER, Suellen
THOMPSON, Fiona
2009

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Originally published in 1995, A Book for Midwives has been a comprehensive resource for practicing midwives and midwifery training programmes around the world. This new edition has been extensively updated and revised to reflect new WHO/UNICEF guidelines and standards for mothers and newborn children.This book covers the essentials of care before, during, and after birth, providing a variety of designs for low-cost equipment and training materials. It includes new information on helping women stay healthy during pregnancy; helping mothers have safer labors and births; preventing, managing, and treating obstetric emergencies; breastfeeding; the health needs of new babies; and involving the community in improving the health of mothers and pregnant women. It also includes new information about treatment and medications for HIV and other sexually transmitted infectons; vaccinations, medicines, and drug interactions; infection prevention; improved methods for dealing with complicated deliveries; and new and updated information on family planning

The state of the world's children 2009

UNITED NATIONS CHILDREN'S FUND (UNICEF)
December 2008

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The 2009 report ..."examines critical issues in maternal and newborn health, underscoring the need to establish a comprehensive continuum of care for mothers, newborns and children. "The report outlines the latest paradigms in health programming and policies for mothers and newborns, and explores policies, programmes and partnerships aimed at improving maternal and neonatal health. Africa and Asia are a key focus for this report, which complements the previous year's issue on child survival." The report can be downloaded as a PDF or a multi-media version is also available in four languages

Early initiation of breastfeeding - Indonesia

2008

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This is a clinical training video for midwives on the protocols for early initiation of breastfeeding. The clinical protocols covered in the video include: 1. injection of oxytocin within one minute after delivery 2. delayed cutting of the umbilical cord 3. placement of the baby in skin-to-skin contact with the mother for one hour after delivery 4. allowing the baby to root out the mother's nipple and breastfeed on its own 5. delivery of the newborn vitamin K and hepatitis B doses. The video is available through YouTube

Early initiation of breastfeeding - Indonesia

2008

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This is a clinical training video for midwives on the protocols for early initiation of breastfeeding. The clinical protocols covered in the video include: 1. injection of oxytocin within one minute after delivery 2. delayed cutting of the umbilical cord 3. placement of the baby in skin-to-skin contact with the mother for one hour after delivery 4. allowing the baby to root out the mother's nipple and breastfeed on its own 5. delivery of the newborn vitamin K and hepatitis B doses. The video is available through YouTube

A report card on maternal mortality

UNITED NATIONS CHILDREN'S FUND (UNICEF)
2008

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‘Progress for Children’ is a series that monitors progress towards the Millennium Development Goals. This edition focuses on maternal health and, in particular, maternal mortality. It considers general progress and then examines particular regions. The report card acknowledges progress in improving maternal health, but argues that it is not sufficient to meet the MDG target of reducing maternal mortality by three quarters between 1990 and 2015

Repositioning postnatal care in a high HIV environment : Swaziland

WARREN, Charlotte
et al
2008

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This report arose from recognition of the need to provide better care and follow up of mothers and infants in the postnatal period in order to improve maternal and neonatal outcomes in Swaziland. The objectives of the study were to determine if changes to the guidelines on postnatal care would result in improvements to provision of of maternal and newborn care in the postnatal period, increase utilization of postnatal care services among all postpartum (PP) women, and improve the care and follow up of HIV-positive postpartum women and their infants. The study confirmed that the introduction of an improved postnatal package with revised timing and content provided key components of maternal, newborn, and HIV care, and increased the utilization of services among postpartum women and their infants. An assessment of the quality of care during client-provider interactions for all postpartum women demonstrated a fourfold increase in the proportion that included all aspects of care: maternal and newborn health, counseling for HIV, family planning, and improved provider-client relationships

Beyond survival : integrated delivery care practices for long-term maternal and infant nutrition, health and development

CHAPARRO, Camila
LUTTER, Chessa
December 2007

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This report reviews current knowledge of the immediate and long-term nutritional and health benefits of: delayed umbilical cord clamping; immediate and continued skin-to-skin contact between mother and infant; and immediate initiation of exclusive breastfeeding and aims to to illustrate that these three practices can be feasibly and safely implemented together for the benefit of both mother and infant

Integrated management of pregnancy and childbirth : WHO recommended interventions for improving maternal and newborn health

WORLD HEALTH ORGANIZATION (WHO), DEPARTMENT OF MAKING PREGNANCY SAFER
2007

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This paper contains five tables listing recommendations to improve maternal and newborn health and survival, through health services, family and community. Table 1. Care in pregnancy, childbirth and postpartum period for mother and newborn infant; Table 2. Place of care, providers, interventions and commodities; Table 3. Home care, family, community and workplace support for the woman during pregnancy and childbirth and for the newborn infant; Table 4. Care for the woman before and between pregancies; Table 5. Pregnant women not wanting child

Key steps for maternal and newborn health care in humanitarian crisis

WORLD HEALTH ORGANIZATION (WHO), DEPARTMENT OF MAKING PREGNANCY SAFER
2007

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This document has been prepared for maternal and newborn health experts as well as reproductive health experts coordinating and assisting with emergency care during the humanitarian crisis. It describes the ways to estimate the number of pregnant women and those who are about to deliver, highlights some important aspects of emergency care related to pregnancy, childbirth and newborn care, and describes the content of UN kits for such care in three different scenarios

Practical mother, newborn and child care in developing countries

EBRAHIM, G J
2007

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This CD comprises electronic editions of 'Practical Mother, Newborn and Child Care in Developing Countries' by Prof G J Ebrahim, Emeritus Professor, Institute of Child Health, London. 'An autorun CD with over 260 images/figures, 430 PowerPoint slides, an index of over 90 tables and an index

Healthy babies, happy mothers : prevention of mother-to-child transmission of HIV (PMTCT). Training manual

CAMEROON BAPTIST CONVENTION HEALTH BOARD
May 2006

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This is a comprehensive manual on prevention of mother to child transmission of HIV. It is designed to help meet the needs of both the mother and the child in all critical stages of maternity and perinatal care. Places a great emphasis on psychological support and counselling, to enable HIV-positive mothers to make informed decisions and healthy choices. Include an overview of key mother-to-child transmission issues. Topics discussed also include: basic principles of HIV counseling; voluntary counseling and testing; confidentiality; instructions for nevirapine treatment of HIV-infected mothers and for HIV-infected mothers during antenatal, labor, delivery, and postnatal periods; counseling and support for safer infant feeding; follow-up and care of an infant born to an HIV-positive mother; follow-up and care of an HIV-positive mother; PMTCT support groups; laboratory HIV testing; universal precautions; PMTCT programme supervision and monitoring; reporting and management information system (MIS). This training manual is intended as a tool for health care workers who desire to know more about HIV and to help train counsellors who work in PMTCT centers

The WHO Reproductive Health Library

WORLD HEALTH ORGANIZATION (WHO). Special Programme of Research, Development & Research Training in Human Reproduction
2005

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This CD-ROM is targetted at health care professionals and assists them in understanding research evidence, making decisions about best practice, and establishing implementation procedures to assure the change. It contains editorials, articles on research, research synthesis and methodology, summaries of beneficial and harmful forms of care, systematic reviews and commentaries, implementation aids, registers of funding agencies and NGOs involved in reproductive health, and links to websites about research and research synthesis. This edition includes 13 new Cochrane Reviews (bringing the total to 101), and corresponding commentaries and practical recommendations. This issue includes a new video on 'Vacuum extraction for assisted vaginal delivery'.

Community perceptions of pre-term labour in rural Malawi

DUNN, Alison
2004

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This policy brief looks at perceptions of neonatal and infant death. Death in the first four weeks of life accounts for almost 40% of deaths in children under five years of age. The causes of neonatal death in sub-Saharan Africa, particularly the contribution of pre-term birth, are poorly documented. It is vital to understand community perceptions of ill health in pregnancy through a combination of both traditional and biomedical models of health. The Malaria Knowledge Programme (MKP) carried out a qualitative study to investigate the perceptions of women, men and health workers of pre-term labour, its causes and prevention strategies. Although ante-natal clinic attendance was recognised as one way of preventing pre-term labour, constraints to accessing these services included lack of money and poor quality services

Involving men in maternity care in India

VARKEY, Leila Caleb
FRONTIERS IN REPRODUCTIVE HEALTH PROGRAM
et al
2004

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"The Men in Maternity (MiM) study investigated the feasibility, acceptability and cost of a new, more comprehensive, model of maternity care that encouraged husbands' participation in their wives' antenatal and postpartum care. The study specifically assessed the impact of the intervention on family planning in the postpartum period and STI preventitive practices among men and women. The study was conducted in collaboration with the Employees' State Insurance Corporation (ESIC), Delhi Directorate at their primary health facilities called dispensaries"

Involving men in maternity care : South Africa

REPRODUCTIVE HEALTH RESEARCH UNIT (DURBAN), Department of Obstetrics and Gynecology, University of the Witwatersrand
POPULATION COUNCIL. Frontiers in Reproductive Health Program
FAMILY HEALTH INTERNATIONAL (FHI)
2004

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"The Reproductive Health Research Unit (RHRU) University of the Witwatersrand, in partnership with the FRONTIERS Program of the Population Council, and the KwaZulu Natal Department of Health conducted a three-year operations research study titled "Men in Maternity" (MIM) in the Ethekwini district. The study was completed in July 2003...The intervention was clinic-based and included two broad strategies: improving antenatal care services by strengthening the existing antenatal package and service monitoring and supervision; and introducing couple counseling by providing training to health providers, inviting partners of antenatal women to attend counseling twice during pregnancy and once post delivery, and providing information to couples with a new antenatal booklet...At follow-up few differences were found between the control and intervention groups to support the hypothesized effect of the intervention. Significant differences were found only in changing communication, partner assistance during pregnancy emergencies, and knowledge of the condom as a method of dual protection"

Improving birth outcomes : meeting the challenge in the developing world

BALE, Judith R
STOLL, Barbara J
LUCAS, Adetokunbo O
Eds
2003

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This report reviews evidence on key interventions that could greatly improve birth outcomes in developing countries. It reviews the available statistics of low birth weight, prematurity, and birth defects; reviews current knowledge and practices of a healthy pregnancy, identifies cost-effective opportunities for improving birth outcomes and supporting families with an infant handicapped by birth problems

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