Full Report - Research for Development - Department for ...

Oral contraceptive
Gray (1991)
(+)/(+)
Other clinical management
Abdel (2010)
(+)/(-)
Bakr (2005)
(+)/(-)
Women in general Injectable contraceptive Depo-Provera was
used during pregnancy.
Women in general Uterine massage was used as a means of
preventing postpartum haemorrhage. It was
done shortly after delivery by the research
midwives. Injections of oxytocin were
delayed until after the 30-minute period of
massage and blood collection, unless blood
loss of 500 mL was measured before that
time.
Women in general
Neonates in
general
Antisepsis intervention consisted of
manually wiping the maternal birth canal
with a 0.25% chlorhexidine solution in
sterile water. The cleansing procedure was
done at admission and at every vaginal
examination before delivery. Babies born
during the intervention phase were wiped
all over the body with pads soaked in 0.25%
chlorhexidine immediately after delivery.
Neonatal
mortality
Infant
mortality
Maternal
mortality
Maternal
mortality
Neonatal
mortality
Appendix 4.1
Higher neonatal and infant mortality
rates, but not significant after
adjustment for low birthweight.
Uterine massage alone was associated
with more blood loss within 30 minutes
after delivery compared with treatment
with oxytocin with or without massage.
Cleansing the birth canal with
chlorhexidine reduced neonatal and
maternal postpartum infections.
What are the effects of different models of delivery for improving maternal and infant health outcomes for poor people in urban areas in low income
and lower middle income countries?
204