Essential childbirth and postnatal interventions for improved maternal and neonatal health

Rehana A. Salam, Tarab Mansoor, Dania Mallick, Zohra Lassi, Jai K. Das, Zulfiqar A. Bhutta

Research output: Contribution to journalReview article

26 Citations (Scopus)

Abstract

Childbirth and the postnatal period, spanning from right after birth to the following several weeks, presents a time in which the number of deaths reported still remain alarmingly high. Worldwide, about 800 women die from pregnancy- or childbirth-related complications daily while almost 75% of neonatal deaths occur within the first seven days of delivery and a vast majority of these occur in the first 24 hours. Unfortunately, this alarming trend of mortality persists, as287,000 women lost their lives to pregnancy and childbirth related causes in 2010. Almost all of these deaths were preventable and occurred in low-resource settings, pointing towards dearth of adequate facilities in these parts of the world. The main objective of this paper is to review the evidence based childbirth and post natal interventions which have a beneficial impact on maternal and newborn outcomes. It is a compilation of existing, new and updated interventions designed to help physicians and policy makers and enable them to reduce the burden of maternal and neonatal morbidities and mortalities. Interventions during the post natal period that were found to be associated with a decrease in maternal and neonatal morbidity and mortality included: advice and support of family planning, support and promotion of early initiation and continued breastfeeding; thermal care or kangaroo mother care for preterm and/or low birth weight babies; hygienic care of umbilical cord and skin following delivery, training health personnel in basic neonatal resuscitation; and postnatal visits. Adequate delivery of these interventions is likely to bring an unprecedented decrease in the number of deaths reported during childbirth.

Original languageEnglish
Article numberS3
JournalReproductive Health
Volume11
DOIs
Publication statusPublished - 21 Aug 2014

Keywords

  • childbirth
  • essential interventions
  • immediate newborn care
  • infections
  • small and sick babies

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Salam, R. A., Mansoor, T., Mallick, D., Lassi, Z., Das, J. K., & Bhutta, Z. A. (2014). Essential childbirth and postnatal interventions for improved maternal and neonatal health. Reproductive Health, 11, [S3]. https://doi.org/10.1186/1742-4755-11-S1-S3