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The Maternal and Newborn Health Registry Study of the Global Network for Women's and Children's Health Research
Author(s) -
Goudar Shivaprasad S.,
Carlo Waldemar A.,
McClure Elizabeth M.,
Pasha Omrana,
Patel Archana,
Esamai Fabian,
Chomba Elwyn,
Garces Ana,
Althabe Fernando,
Kodkany Bhalachandra,
Sami Neelofar,
Derman Richard J.,
Hibberd Patricia L.,
Liechty Edward A.,
Krebs Nancy F.,
Hambidge K. Michael,
Buekens Pierre,
Moore Janet,
Wallace Dennis,
Jobe Alan H.,
KosoThomas Marion,
Wright Linda L.,
Goldenberg Robert L.
Publication year - 2012
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2012.04.022
Subject(s) - medicine , pregnancy , public health , psychological intervention , population , infant mortality , obstetrics , demography , live birth , pediatrics , environmental health , nursing , genetics , sociology , biology
Objective To implement a vital statistics registry system to register pregnant women and document birth outcomes in the Global Network for Women's and Children's Health Research sites in Asia, Africa, and Latin America. Methods The Global Network sites began a prospective population‐based pregnancy registry to identify all pregnant women and record pregnancy outcomes up to 42 days post‐delivery in more than 100 defined low‐resource geographic areas (clusters). Pregnant women were registered during pregnancy, with 42‐day maternal and neonatal follow‐up recorded—including care received during the pregnancy and postpartum periods. Recorded outcomes included stillbirth, neonatal mortality, and maternal mortality rates. Results In 2010, 72 848 pregnant women were enrolled and 6‐week follow‐up was obtained for 97.8%. Across sites, 40.7%, 24.8%, and 34.5% of births occurred in a hospital, health center, and home setting, respectively. The mean neonatal mortality rate was 23 per 1000 live births, ranging from 8.2 to 48.5 per 1000 live births. The mean stillbirth rate ranged from 13.7 to 54.4 per 1000 births. Conclusion The registry is an ongoing study to assess the impact of interventions and trends regarding pregnancy outcomes and measures of care to inform public health. ClinicalTrial.gov Trial Registration: NCT01073475