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

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Pereira<br />

(1996)<br />

(-)/(-)<br />

Saleem<br />

(2007)<br />

(+)/(+)<br />

Taha (1997)<br />

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

Women with<br />

Caesarean section<br />

Assistant medical officers were employed<br />

to support EmOC and the study compares<br />

outcomes of Caesareans by medical officers<br />

with those per<strong>for</strong>med by obstetricians.<br />

Women in general Antisepsis intervention administered by<br />

TBAs in home deliveries to improve<br />

perinatal outcomes consisting of 0.6%<br />

chlorhexidine vaginal and neonatal wipes.<br />

Maternal<br />

mortality<br />

Early neonatal<br />

mortality<br />

Stillbirth<br />

Maternal<br />

mortality<br />

Early neonatal<br />

mortality<br />

Neonatal<br />

mortality<br />

Women in general Cleansing birth canal with antiseptic. Neonatal<br />

mortality<br />

Perinatal<br />

mortality<br />

Stillbirth<br />

Appendix 4.1<br />

No significant differences in the number<br />

of maternal deaths, in the duration of<br />

post-operative hospital stay, in the<br />

indications <strong>for</strong> Caesarean delivery, or<br />

the surgical interventions associated<br />

with Caesarean delivery between the<br />

two groups. The only significant<br />

difference was in superficial wound<br />

separation due to haematoma, which<br />

was slightly more common (0.35% vs<br />

0.05%) in the group operated on by<br />

assistant medical officers (odds ratio<br />

2.2; 95% confidence interval 1.3-3.9).<br />

Use of 0.6% chlorhexidine vaginal and<br />

neonatal wipes <strong>for</strong> the prevention of<br />

neonatal infection is well tolerated and<br />

seems safe. Not powered to show<br />

differences in mortality.<br />

Perinatal mortality showed a significant<br />

but transient change during the<br />

observation period 1982-1991.<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 />

207

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