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van Lonkhuijzen L, Stekelenburg J, van Roosmalen J.
Source: Center for Gynecologic Oncology, AMC, Amsterdam,
Netherlands. luc@vanlonkhuijzen.com
Abstract
BACKGROUND:
A maternity waiting home (MWH) is a facility within easy
reach of a hospital or health centre which provides emergency obstetric care
(EmOC). Women may stay in the MWH at the end of their pregnancy and await
labour. Once labour starts, women move to the health facility so that labour
and giving birth can be assisted by a skilled birth attendant. The aim of the
MWH is to improve accessibility to skilled care and thus reduce morbidity and
mortality for mother and neonate should complications arise. Some studies
report a favourable effect on the outcomes for women and their newborns. Others
show that utilisation is low and barriers exist. However, these data are
limited in their reliability.
OBJECTIVES:
To assess the effects of a maternity waiting facility on
maternal and perinatal health.
SEARCH METHODS:
We searched the Cochrane Pregnancy and Childbirth Group's
Trials Register (27 January 2012), CENTRAL (The Cochrane Library 2011, Issue 4
of 4), MEDLINE (1966 to January 2012), EMBASE (1980 to January 2012), CINAHL
(1982 to January 2012), African Journals Online (AJOL) (January 2012), POPLINE
(January 2012), Dissertation Abstracts (January 2012) and reference lists of
retrieved papers.
SELECTION CRITERIA:
Randomised controlled trials including quasi-randomised and
cluster-randomised trials that compared perinatal and maternal outcome in women
using a MWH and women who did not.
DATA COLLECTION AND ANALYSIS:
There were no randomised controlled trials or
cluster-randomised trials identified from the search.
MAIN RESULTS:
There were no randomised controlled trials or
cluster-randomised trials identified from the search.
AUTHORS' CONCLUSIONS:
There is insufficient evidence to determine the
effectiveness of maternity waiting facilities for improving maternal and
neonatal outcomes.
www.ncbi.nlm.nih.gov
Tags: kumpulan jurnal kebidanan
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