The maternal and newborn health registry study of the global network for women's and children's health research

Shivaprasad S. Goudar, Waldemar A. Carlo, Elizabeth M. McClure, Omrana Pasha, Archana Patel, Fabian Esamai, Elwyn Chomba, Ana Garces, Fernando Althabe, Bhalachandra Kodkany, Neelofar Sami, Richard J. Derman, Patricia L. Hibberd, Edward A. Liechty, Nancy F. Krebs, K. Michael Hambidge, Pierre Buekens, Janet Moore, Dennis Wallace, Alan H. JobeMarion Koso-Thomas, Linda L. Wright, Robert L. Goldenberg

Research output: Contribution to journalArticlepeer-review

75 Scopus citations

Abstract

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

Original languageEnglish (US)
Pages (from-to)190-193
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume118
Issue number3
DOIs
StatePublished - Sep 2012

Keywords

  • Maternal mortality
  • Neonatal mortality
  • Perinatal mortality
  • Pregnancy
  • Registry
  • Stillbirth

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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