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

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Iqbal (2004)<br />

(+)/(-)<br />

Miller (2009)<br />

(+)/(++)<br />

Munjanja<br />

(1996)<br />

(++)/(++)<br />

Women with<br />

prolonged<br />

pregnancy (> or =<br />

294 days)<br />

Women with<br />

obstetric<br />

haemorrhage<br />

Group A, Induction of labour was done at<br />

42 weeks of gestation. Intervention was<br />

done if any of the factors became<br />

abnormal. Group B, pregnancies allowed to<br />

run course up to 43 weeks.<br />

To determine whether the non-pneumatic<br />

anti-shock garment (NASG) can improve<br />

maternal outcome.<br />

Women in general Reduced antepartum care visits. In the new<br />

programme, routine maternal weightchange<br />

measurements were not done and<br />

routine urinalysis was done only at the first<br />

visit. Urinalysis was done only at follow-up<br />

visits in the new programme if the blood<br />

pressure was raised, or if there was a<br />

suspected urinary-tract infection.<br />

Perinatal<br />

mortality<br />

Stillbirth<br />

Maternal<br />

mortality<br />

Perinatal<br />

mortality<br />

Appendix 4.1<br />

Active early intervention at 42 weeks is<br />

warranted to reduce perinatal morbidity<br />

and mortality.<br />

The NASG showed potential <strong>for</strong> reducing<br />

blood loss and maternal mortality<br />

caused by obstetric haemorrhagerelated<br />

shock.<br />

An ANC programme with fewer more<br />

objective-oriented visits can be<br />

introduced without adverse effects on<br />

the main intermediate outcome<br />

pregnancy variables. No significant<br />

difference in perinatal or maternal<br />

mortality.<br />

What are the effects of different models of delivery <strong>for</strong> improving maternal and infant health outcomes <strong>for</strong> poor people in urban areas in low income<br />

and lower middle income countries?<br />

206

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