Prenatal control and its impact on reducing maternal deaths
DOI:
https://doi.org/10.18597/rcog.350Keywords:
safe motherhood, safe maternity, quality assessment, prenatal care, maternal death, evaluative researchAbstract
Objective: analysing the statistical data regarding maternal deaths in Cali (Colombia) during two consecutive decades (1985-2004) and correlating outcomes with environmental and social indicators.
Methodology: the Canadian Laframboise conceptual model was used for explaining how health service organisation and other aspects of medical care play a part in decreasing maternal mortality rates.
Results: maternal deaths in Cali have been decreasing since 1994. No significant quantitative variations in environmental and/or social indicators for Cali were detected from 1994-2004. High prenatal control (97%) and institutional delivery coverage (98%) remained stable, together with an efficient referral and counter-referral system. Improving prenatal attention quality through periodic evaluation and adjustment and obstetrician/gynaecologists’ ongoing participation in first-level attention were the highlights of public attention service network intervention.
Discussion: prenatal risk factors, broad institutional coverage for a quality motherhood care programme and an efficient referral system have all contributed towards reducing maternal deaths by nearly 80 (taking Guzmán’s 1986 calculation as reference point).
Author Biographies
Sonia Pazmiño de Osorio
Ney Guzmán-Gómez
References
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