Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations]
Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2018-03-01
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| Series: | F1000Research |
| Online Access: | https://f1000research.com/articles/7-365/v1 |
| _version_ | 1818508081943805952 |
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| author | Animesh Biswas Rondi Anderson Sathyanarayanan Doraiswamy Abu Sayeed Md. Abdullah Nabila Purno Fazlur Rahman Abdul Halim |
| author_facet | Animesh Biswas Rondi Anderson Sathyanarayanan Doraiswamy Abu Sayeed Md. Abdullah Nabila Purno Fazlur Rahman Abdul Halim |
| author_sort | Animesh Biswas |
| collection | DOAJ |
| description | Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community. This study evaluates the effect of the referral of pregnancy related complications. Methods: A qualitative case study design by reviewing records retrospectively was used to explore the effect of deploying midwives on referrals of pregnancy related complications from the selected teagardens to the referral health facilities in Moulvibazar district of the Sylhet division during 2016. In depth analyses was also performed on 15 randomly selected cases to understand the facts behind the referral. Results: Out of a total population of 450 pregnant women identified by the midwives, 72 complicated mothers were referred from the five teagardens to the facilities. 76.4% of mothers were referred to conduct delivery at facilities, and 31.1% of them were referred with the complication of prolonged labour. Other major complications were pre-eclampsia (17.8%), retention of the placenta with post-partum hemorrhage (11.1%) and premature rupture of the membrane (8.9%). About 60% of complicated mothers were referred to the primary health care centre, and among them 14% of mothers were delivered by caesarean section. 94% deliveries resulted in livebirths and only 6% were stillbirths. Conclusions: This study reveals that early detection of pregnancy complications by skilled professionals and timely referral to a facility is beneficial in saving the majority of baby’s as well as mother’s lives in resource-poor teagardens with a considerable access barrier to health facilities. |
| first_indexed | 2024-12-10T22:26:54Z |
| format | Article |
| id | doaj.art-32c7b741aaf6492394d1240b6d89eb50 |
| institution | Directory Open Access Journal |
| issn | 2046-1402 |
| language | English |
| last_indexed | 2024-12-10T22:26:54Z |
| publishDate | 2018-03-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj.art-32c7b741aaf6492394d1240b6d89eb502022-12-22T01:31:08ZengF1000 Research LtdF1000Research2046-14022018-03-01710.12688/f1000research.13605.114779Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations]Animesh Biswas0Rondi Anderson1Sathyanarayanan Doraiswamy2Abu Sayeed Md. Abdullah3Nabila Purno4Fazlur Rahman5Abdul Halim6Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, 1206, BangladeshUnited Nations Population Fund (UNFPA), Dhaka, 1207, BangladeshUnited Nations Population Fund (UNFPA), Dhaka, 1207, BangladeshReproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, 1206, BangladeshUnited Nations Population Fund (UNFPA), Dhaka, 1207, BangladeshReproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, 1206, BangladeshReproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, 1206, BangladeshBackground: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community. This study evaluates the effect of the referral of pregnancy related complications. Methods: A qualitative case study design by reviewing records retrospectively was used to explore the effect of deploying midwives on referrals of pregnancy related complications from the selected teagardens to the referral health facilities in Moulvibazar district of the Sylhet division during 2016. In depth analyses was also performed on 15 randomly selected cases to understand the facts behind the referral. Results: Out of a total population of 450 pregnant women identified by the midwives, 72 complicated mothers were referred from the five teagardens to the facilities. 76.4% of mothers were referred to conduct delivery at facilities, and 31.1% of them were referred with the complication of prolonged labour. Other major complications were pre-eclampsia (17.8%), retention of the placenta with post-partum hemorrhage (11.1%) and premature rupture of the membrane (8.9%). About 60% of complicated mothers were referred to the primary health care centre, and among them 14% of mothers were delivered by caesarean section. 94% deliveries resulted in livebirths and only 6% were stillbirths. Conclusions: This study reveals that early detection of pregnancy complications by skilled professionals and timely referral to a facility is beneficial in saving the majority of baby’s as well as mother’s lives in resource-poor teagardens with a considerable access barrier to health facilities.https://f1000research.com/articles/7-365/v1 |
| spellingShingle | Animesh Biswas Rondi Anderson Sathyanarayanan Doraiswamy Abu Sayeed Md. Abdullah Nabila Purno Fazlur Rahman Abdul Halim Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations] F1000Research |
| title | Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations] |
| title_full | Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations] |
| title_fullStr | Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations] |
| title_full_unstemmed | Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations] |
| title_short | Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations] |
| title_sort | timely referral saves the lives of mothers and newborns midwifery led continuum of care in marginalized teagarden communities a qualitative case study in bangladesh version 1 referees 1 approved 2 approved with reservations |
| url | https://f1000research.com/articles/7-365/v1 |
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