Book contents
- Frontmatter
- Contents
- Participants
- Declaration of personal interests
- Preface
- The Millennium Development Goals
- SECTION 1 THE SIZE OF THE PROBLEM
- SECTION 2 CLINICAL PROBLEMS AND SOLUTIONS – MATERNAL
- SECTION 3 CLINICAL PROBLEMS AND SOLUTIONS – NEONATAL
- SECTION 4 TRAINING AND DEVELOPMENT
- SECTION 5 SPECIFIC CHALLENGES IN SPECIFIC COUNTRIES
- SECTION 6 CONSENSUS VIEWS
- 21 Consensus views arising from the 58th Study Group: Maternal and Infant Deaths: Chasing Millennium Development Goals 4 and 5
- Index
21 - Consensus views arising from the 58th Study Group: Maternal and Infant Deaths: Chasing Millennium Development Goals 4 and 5
from SECTION 6 - CONSENSUS VIEWS
Published online by Cambridge University Press: 05 February 2014
- Frontmatter
- Contents
- Participants
- Declaration of personal interests
- Preface
- The Millennium Development Goals
- SECTION 1 THE SIZE OF THE PROBLEM
- SECTION 2 CLINICAL PROBLEMS AND SOLUTIONS – MATERNAL
- SECTION 3 CLINICAL PROBLEMS AND SOLUTIONS – NEONATAL
- SECTION 4 TRAINING AND DEVELOPMENT
- SECTION 5 SPECIFIC CHALLENGES IN SPECIFIC COUNTRIES
- SECTION 6 CONSENSUS VIEWS
- 21 Consensus views arising from the 58th Study Group: Maternal and Infant Deaths: Chasing Millennium Development Goals 4 and 5
- Index
Summary
The study group identified many gaps in the evidence required to achieve the Millenium Development Goals 4 and 5. The three most important pieces of research in each area that would address these deficiencies are described below.
Assessing the problem
Audit of maternal deaths
1. All countries should actively enumerate and audit maternal and perinatal deaths.
Disease issues
Postpartum haemorrhage
Prophylaxis
2. Research is needed into the most appropriate components of the active management of the third stage of labour, including the role of controlled cord traction, the role of universal prophylaxis with oxytocics and the most appropriate prophylactic drug in each healthcare setting.
Management of retained placenta
3. Research is needed into the optimal management of retained placenta, including timing of therapeutic interventions.
Treatment of postpartum haemorrhage
4. Research is needed into the most clinically and cost-effective combination of medical and surgical therapy for the management of postpartum haemorrhage, including the role of the non-pneumatic shock garment.
Puerperal sepsis
Disease burden
5. Research is needed to quantify the disease burden related to puerperal sepsis.
Interventions
6. The effectiveness of interventions, particularly those that comprise multiple components related to influencing behaviour and creating improvements in the health system, should be rigorously tested. Research should ideally be conducted in settings where the risk of introducing infection is high.
Cost effectiveness
7. Evaluation of interventions should include analysis of cost effectiveness.
- Type
- Chapter
- Information
- Maternal and Infant DeathsChasing Millennium Development Goals 4 and 5, pp. 319 - 322Publisher: Cambridge University PressPrint publication year: 2010