Maternal and Infant Deaths: Chasing Millennium Development Goals 4 and 5

doi:10.1017/CBO9781107784758

Millennium Development Goals (MDGs) 4 and 5, created under the auspices of the United Nations, challenged political, financial, medical and civil society leaders to improve both child and maternal health. The 58th RCOG Study Group brought together a range of experts - including midwives, obstetricians and gynaecologists, anaesthetists and paediatricians - to provide an up-to-date review of progress to date and the challenges around meeting these MDGs. This book presents the findings of the Study Group, with sections covering:the size of the problemclinical problems and solutions - maternalclinical problems and solutions - neonataltraining and developmentspecific challenges in specific countries (Afghanistan, Zimbabwe, Egypt and Sri Lanka).

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Contents

Frontmatter
pp i-iv
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Contents
pp v-vi
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Participants
pp vii-x
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Declaration of personal interests
pp x-x
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Preface
pp xi-xii
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The Millennium Development Goals
pp xiii-xiv
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SECTION 1 - THE SIZE OF THE PROBLEM
pp 1-2
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1 - The geography of maternal death
pp 3-28
- By Wendy Graham, University of Aberdeen, Jacqueline Bell, University of Aberdeen, Ann Fitzmaurice, University of Aberdeen, Sarah Neal, University of Southampton, Siti Nurul Qomariyah, University of Indonesia, Zoë Matthews, University of Southampton
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2 - Delivering on neonatal survival to accelerate progress for Millennium Development Goal 4
pp 29-48
- By Joy E Lawn, Global Evidence and Policy, Saving Newborn Lives/Save the Children, South Africa, Kate Kerber, Newborn Health, Saving Newborn Lives/Save the Children, South Africa, Christabel Enweronu-Laryea, Legon University
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3 - Beyond the Numbers: reviewing maternal deaths and disabilities to make pregnancy safer
pp 49-60
- By Gwyneth Lewis, Department of Health, UK
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4 - Human resource challenges
pp 61-82
- By Soo Downe, University of Central Lancashire
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SECTION 2 - CLINICAL PROBLEMS AND SOLUTIONS – MATERNAL
pp 83-84
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5 - Postpartum haemorrhage
pp 85-98
- By Andrew Weeks, School of Reproductive and Developmental Medicine
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6 - Reducing deaths from hypertensive disorders of pregnancy
pp 99-114
- By Robert Pattinson, University of Pretoria, G Justus Hofmeyr, University of the Witwatersrand, Carine Ronsmans, School of Hygiene & Tropical Medicine
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7 - Obstructed labour (including partograms)
pp 115-130
- By Stephen Munjanja, University of Zimbabwe
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8 - Puerperal sepsis in low- and middle-income settings: past, present and future
pp 131-148
- By Julia Hussein, University of Aberdeen, Leighton Walker, University of Aberdeen
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9 - Unsafe abortion and strategies to reduce its impact on women's lives
pp 149-162
- By Caitlin Shannon, Gynuity Health Projects, USA, Beverly Winikoff, Gynuity Health Projects, USA
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10 - HIV and tuberculosis
pp 163-176
- By James McIntyre, Anova Health Institute, South Africa
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11 - A pragmatic approach to safe anaesthesia
pp 177-184
- By Kate Grady, University Hospital of South Manchester NHS Foundation Trust, Catriona Connolly, Ninewells Hospital, UK
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SECTION 3 - CLINICAL PROBLEMS AND SOLUTIONS – NEONATAL
pp 185-186
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12 - Innovations for improving newborn survival in developing countries: do integrated strategies for maternal and newborn care matter?
pp 187-204
- By Zulfiqar Bhutta, The Aga Khan University, Saad Seth, The Aga Khan University, Noureen Afzal, The Aga Khan University
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13 - Community interventions to reduce maternal and child mortality in low-income countries
pp 205-216
- By Audrey Prost, Institute of Child Health, Christina Pagel, University College London, Anthony Costello, Institute of Child Health
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SECTION 4 - TRAINING AND DEVELOPMENT
pp 217-218
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14 - Capacity development – a midwifery perspective
pp 219-228
- By Frances Day-Stirk, Royal College of Midwives
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15 - Increasing the capacity for essential obstetric and newborn care
pp 229-240
- By Nynke van den Broek, Liver pool School of Tropical Medicine, Jan Hofman, Liver pool School of Tropical Medicine
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16 - The role of the Royal Colleges in training and development
pp 241-254
- By Anthony Falconer, Derriford Hospital, Kate Grady, University Hospital of South Manchester NHS Foundation Trust, Frances Day-Stirk, Royal College of Midwives, Stephen Allen, Swansea University
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SECTION 5 - SPECIFIC CHALLENGES IN SPECIFIC COUNTRIES
pp 255-256
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17 - Challenges faced in Afghanistan
pp 257-272
- By Jacqueline Hill, Oasis|Hospital, Eric Sinclair, Oasis Hospital
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18 - Challenges faced in Zimbabwe
pp 273-286
- By Stephen Munjanja, University of Zimbabwe
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19 - How Egypt has overcome the challenges
pp 287-306
- By Oona Campbell, London School of Hygiene & Tropical Medicine, Lauren Foster Mustarde, London School of Hygiene & Tropical Medicine, Nevine Hassanein, Office 1, 14 Waguih Pacha Street, Genaklees, Alexandria, Egypt, Karima Khalil, Al Galaa Hospital
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Maternal and Infant Deaths

Chasing Millennium Development Goals 4 and 5

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