Reference

Location

Time Period

Study Design

Study Population

Results

Magnesium sulphate therapy for eclampsia

(Adewole et al., 2000)

Nigeria

06/1997-10/1998

Before and after study

n = 21 Pregnant women with eclampsia

Magnesium sulphate was an effective therapy for eclampsia, resulting in no maternal deaths and two complications : one case of oliguria and another case of respiratory distress

Oral misoprostol therapy for postpartum hemorrhage

(Derman et al., 2006)

India

09/2002-12/2005

Randomized, placebo- controlled trial

n = 1620 pregnant women. Oral misoprostol group (n = 812) Placebo group (n = 808)

Oral misoprostol significantly reduced the rate of acute postpartum hemorrhage (from 12% to 6.4%, p < 0.0001)

Effectiveness of UADV (uterine artery Doppler velocimetry) and maternal plasma PIGF (placental growth factor) and sVEGFR-1 (soluble vascular endothelial growth factor receptor-1) concentrations as risk markers for the development of severe and/or early onset pre-eclampsia

(Espinoza et al., 2007)

Chile

01/1998-04/2004

Prospective observational cohort study

n = 3348 pregnant women

Abnormal UADV together with maternal plasma PIGF concentration of <280 pg/mL in the 2nd trimester are risk markers for the development of pre-eclampsia and early onset and/or severe pre-eclampsia. They were associated with an “odds ratio (OR) of 43.8 (95% CI, 18.48 - 103.89) for the development of early onset pre- eclampsia, an OR of 37.4 (95% CI, 17.64 - 79.07) for the development of severe pre-eclampsia, an OR of 8.6 (95% CI, 5.35 - 13.74) for the development of pre-eclampsia” (Espinoza et al., 2007)

Impact of effective EmOC (emergency obstetric care) on maternal mortality

(Kayongo et al., 2006)

Peru

2000-2004

Before and after study

5 health facilities in Ayacucho, Peru

There was a yearly average of 2980 deliveries among the 5 participating health facilities. Strengthened EmOC resulted in over 50% increased met need for EmOC, lower case fatality rates (1.7% in 2000 to 0.1% in 2004), and reduced maternal deaths (2 deaths in 2004 compared to 9 deaths in 2000)

Magnesium sulphate therapy for pre-eclampsia and eclampsia

(Noor et al., 2004)

Pakistan

01/2000-12/2000

Descriptive study using historical data

n = 133 Pregnant women with pre-eclampsia (n = 80) and eclampsia (n = 53)

Magnesium sulphate reduced maternal deaths. There was one death from severe pre-eclampsia and 8 deaths from eclampsia

Accuracy of drape versus visual estimation of postpartum blood loss

(Patel et al., 2006)

India

09/2003-12/2003

Randomized controlled study

n = 123 Drape estimation group (n = 62); Visual estimation group (n = 61); Pregnant women having vaginal delivery

Visual estimation of blood loss was 33% less than drape estimation, a significant difference (p < 0.001)

Impact of trained TBAs (traditional birth attendants) on maternal mortality

(Schaider et al., 1999)

Angola

1994-1998

Quasi- experimental study using historical comparisons

n = 23,569 TBAs assisted home deliveries. Total of 1133 trained TBAs

Trained TBAs-assisted home deliveries led to a reduction in maternal mortality (maternal mortality associated with trained TBAs = 293 per 100,000 live births. Maternal mortality rate from historical comparisons = 1241 per 100,000 live births)

Effects of vitamin A supplementation on maternal mortality (West Jr. et al., 1999)

Nepal

04/1994-09/1997

Double blind, cluster randomized, placebo controlled trial

n = 20,119 women became pregnant in the duration of the study. Placebo group (n = 6580 pregnant women) Vitamin A group (n = 7045 pregnant women)

B carotene (n = 6494 pregnant women)

Maternal mortality: Placebo group = 704 deaths per 100,000 pregnancies Vitamin A group = 426 deaths per 100,000 pregnancies B carotene group = 361 deaths per 100,000 pregnancies Vitamin A and B carotene groups = 40% (p < 0.04) and 49% (p < 0.01) reduction in maternal mortality respectively