Childbirth in Developing CountriesM. Potts, B.S. Janowitz, J.A. Fortney The need to improve maternal and child health care may be the most important global health need of the remaining years of the twentieth century. It is central to the World Health Organization's (WHO) goal of Health for All by the Year 2000. The vast majority of births occur in developing countries, where maternity care is often rudimentary. The rates of maternal and infant morbidity and death for these countries are extremely high but much of the morbidity and death is preventable, even with the limited resources available for health care in many parts of the world. The resources devoted to maternal and child care should be greatly expanded, but even the most hopeful projections will leave a wide gap between human needs and available services. WHO estimates that two billion deliveries in the remaining two decades of this century will not be attended by a trained person. At a minimum, it is probable that two million of these women will die in childbirth. There were approximately 130 million births in the world in 1980. |
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Its effect on early perinatal | 1 |
J | 14 |
Improving obstetric care by training traditional birth | 27 |
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1000 deliveries abdominal delivery actually sterilized additional children age and parity analysis antepartum Apgar score birth interval Brazil breast-feed breast-feeding breech presentation Campinas cesarean rates cesarean section compared contraceptive contraceptive plans Cumaná delivered by cesarean delivered vaginally desire for additional developing countries difference discharge effect factors false positives Family Health International family planning fetal gestation gravidity Gynecol high mortality hospitals high-risk higher Honduras increase indications infant death less live birth low birth weight low mortality hospitals M-H x² maternal age Maternity Hospital Maternity Record MEAC mothers neonatal deaths obstetric units older women patients percentage of women perinatal mortality placenta previa postpartum pregnancy outcome previous cesarean delivery previous outcomes previous pregnancy outcome proportion rate of contraceptive repeat cesarean group reported Research Triangle Park rule of 80 São Paulo spontaneous abortion stillbirth surviving children Table TBAs Tegucigalpa Total vaginal deliveries variables women delivering women whose last