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Published on: June 6, 2020
The evidence for emergency obstetric care
A Paxton1, D Maine, L Freedman
1Averting Maternal Death and Disability (AMDD) Program, Mailman School of Public Health, Columbia University, 60 Haven Avenue, New York, NY 10032, USA. ap428@columbia.edu
Summary
Emergency obstetric care (EmOC) interventions are crucial for reducing maternal mortality in developing countries. Evidence from various study designs strongly supports EmOC
Area of Science:
- Public Health
- Obstetrics & Gynecology
- Global Health
Background:
- Maternal mortality remains a significant global health challenge, particularly in developing nations.
- Effective interventions are needed to address preventable causes of maternal death.
Purpose of the Study:
- To evaluate the evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality.
- Focus on evidence primarily from developing countries.
Main Methods:
- Systematic review of population-based studies with maternal mortality as the outcome.
- Studies were ranked using the US Preventive Services Task Force quality of evidence system.
- Searches included major databases like Medline, PubMed, and Cochrane.
Main Results:
- High-quality evidence exists from quasi-experimental, observational, and ecological studies.
- No experimental studies were found due to measurement challenges with maternal mortality.
- Individual EmOC clinical interventions have been evaluated experimentally.
Conclusions:
- Emergency obstetric care (EmOC) is a critical component for maternal mortality reduction programs.
- Strong evidence supports the integration of EmOC into healthcare systems.
- Further research on experimental designs for maternal mortality outcomes may be beneficial.
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