Guidelines for monitoring the availability and use of obstetric services. 2nd ed.

The World Summit for Children Plan of Action which seeks to reduce maternal mortality by half between 1990 and 2000 directs each country to establish appropriate mechanisms for the regular collection analysis and dissemination of data on program indicators. The conventional approach to monitoring progress uses repeated measurements of maternal mortality rates and ratios to assess trends over time. This manual outlines an alternative approach more applicable to developing countries where no comprehensive vital registration system is available. This approach is based on monitoring the processes or interventions aimed at reducing maternal mortality. Use of process indicators can help program managers identify priority issues and interventions and alert managers of areas that require strengthening. This manual outlines a series of process indicators that assess the availability use and quality of obstetric services and provides guidance on data collection and interpretation. An overall goal of this approach is to strengthen national capacity for data-led decision-making.

[1]  Maternal Mortality in India: A Preliminary Study * Being a paper read at the Medical and Veterinary Section of the Indian Science Congress held at Madras in January 1929. , 1929, The Indian medical gazette.

[2]  M. El-Badry.  Higher female than male mortality in some countries of South Asia: a digest. , 1969, Journal of the American Statistical Association.

[3]  B. Everitt,et al.  Statistical methods for rates and proportions , 1973 .

[4]  Reproductive mortality. , 1979, British medical journal.

[5]  V. J. Hartfield,et al.  Maternal Mortality in Nigeria Compared with Earlier International Experience , 1980, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[6]  R. Rochat,et al.  The risk of childbearing re-evaluated. , 1981, American journal of public health.

[7]  D. Petitti,et al.  In-Hospital Maternal Mortality in the United States: Time Trends and Relation to Method of Delivery , 1982, Obstetrics and gynecology.

[8]  B. M. Dobbie.  An attempt to estimate the true rate of maternal mortality, sixteenth to eighteenth centuries. , 1982, Medical History.

[9]  H. Yadav.  Study of maternal deaths in Kerian (1976 - 1980). , 1982, The Medical journal of Malaysia.

[10]  R. Rochat,et al.  Perinatal and maternal mortality in a religious group avoiding obstetric care. , 1984, American journal of obstetrics and gynecology.

[11]  W. Vanlerberghe,et al.  Antenatal screening for fetopelvic dystocias. A cost-effectiveness approach to the choice of simple indicators for use by auxiliary personnel. The Kasongo Project Team. , 1984, The Journal of tropical medicine and hygiene.

[12]  R. Rochat,et al.  An assessment of the incidence of maternal mortality in the United States. , 1984, American journal of public health.

[13]  E. Nordberg.  Incidence and estimated need of caesarean section, inguinal hernia repair, and operation for strangulated hernia in rural Africa. , 1984, British medical journal.

[14]  Survey on institutional maternal deaths in four regions of Tanzania July 1983-December 1984: preliminary report. , 1984 .

[15]  F. Fowkes,et al.  Epidemiology of maternal mortality in Addis Ababa: a community-based study. , 1985, Ethiopian medical journal.

[16]  B. Janowitz,et al.  Referrals by traditional birth attendants in northeast Brazil. , 1985, American journal of public health.

[17]  Intensive surveillance of pregnancy-related deaths, Puerto Rico, 1978-1979. , 1985, Boletin de la Asociacion Medica de Puerto Rico.

[18]  J. Fortney,et al.  Reproductive mortality in two developing countries , 1986 .

[19]  A. R. Khan,et al.  Maternal mortality in rural Bangladesh: the Jamalpur District. , 1986, Studies in family planning.

[20]  R. Rochat,et al.  Maternal mortality in Addis Ababa, Ethiopia. , 1986, Studies in family planning.

[21]  I. Loudon.  Obstetric care, social class, and maternal mortality. , 1986, British medical journal.

[22]  G. Walker,et al.  MATERNAL MORTALITY IN JAMAICA , 1986, The Lancet.

[23]  M. Alauddin.  Maternal mortality in rural Bangladesh: the Tangail District. , 1986, Studies in family planning.

[24]  J. Fortney.  The importance of family planning in reducing maternal mortality. , 1987, Studies in family planning.

[25]  P. Byass,et al.  A prospective survey of the outcome of pregnancy in a rural area of the Gambia. , 1987, Bulletin of the World Health Organization.

[26]  J. Fortney,et al.  Management of Breech Presentations in Developing Country Hospitals , 1987, Tropical doctor.

[27]  J. Fortney,et al.  Maternal mortality in Indonesia and Egypt , 1988, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[28]  R. Snow,et al.  Indirect estimation of maternal mortality: the sisterhood method. , 1988 .

[29]  R. Snow,et al.  ESTIMATING MATERNAL MORTALITY IN DEVELOPING COUNTRIES , 1988, The Lancet.

[30]  J. Ross,et al.  Family planning and child survival : 100 developing countries , 1988 .

[31]  J. Chakraborty,et al.  Maternal mortality in Matlab, Bangladesh: 1976-85. , 1988, Studies in family planning.

[32]  R. Snow,et al.  Estimating maternal mortality: the sisterhood method. , 1989, Studies in family planning.

[33]  Yan Ry.  Maternal mortality in China. , 1989 .

[34]  J. T. Boerma,et al.  Identifying maternal mortality through networking: results from coastal Kenya. , 1989, Studies in family planning.

[35]  R. Yan.  Maternal mortality in China. , 1989, World health forum.

[36]  J. Ashley,et al.  Report on Confidential Enquiries into Maternal Deaths in England and Wales 1982-1984. , 1989, Reports on health and social subjects.

[37]  F. Notzon.  International differences in the use of obstetric interventions. , 1990, JAMA.

[38]  J. Fortney.  Implications of the ICD-10 definitions related to death in pregnancy, childbirth or the puerperium. , 1990, World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales.

[39]  Complications of pregnancy and delivery , 1990 .

[40]  Graham Wj,et al.  Measuring maternal mortality and morbidity: levels and trends. , 1991 .

[41]  E. Royston,et al.  Obstetric fistulae: a review of available information. , 1991 .

[42]  J. Chakraborty,et al.  Effect on mortality of community-based maternity-care programme in rural Bangladesh , 1991, The Lancet.

[43]  S. Harlap,et al.  Preventing pregnancy protecting health: a new look at birth control choices in the United States. , 1991 .

[44]  Enhanced maternal mortality surveillance--North Carolina, 1988 and 1989. , 1991, MMWR. Morbidity and mortality weekly report.

[45]  I. Loudon.  Death in childbirth , 1992 .

[46]  D. Woodward,et al.  World Bank's world development report , 1993, The Lancet.

[47]  R. Laurenti.  Maternal mortality in Latin American urban areas: the case of São Paulo, Brazil. , 1993, Bulletin of the Pan American Health Organization.

[48]  S. Lock.  Death in childbirth: an international study of maternal care and maternal mortality 1800–1950 , 1994, Medical History.

[49]  D. Maine,et al.  Too far to walk: maternal mortality in context. , 1991, Social science & medicine.

[50]  M. Koblinsky,et al.  Beyond maternal mortality — magnitude, interrelationship and consequences of women's health, pregnancy‐related complications and nutritional status on pregnancy outcomes , 1995, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[51]  The role of emergency obstetric care in preventing maternal deaths: an historical perspective on European figures since 1751 , 1995, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[52]  S. Nirupam,et al.  Emergency obstetric care: measuring availability and monitoring progress , 1995, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[53]  J. Cleland,et al.  Self-reported symptoms of gynecological morbidity and their treatment in south India. , 1995, Studies in family planning.

[54]  A. de Francisco,et al.  Why did maternal mortality decline in Matlab? , 1996, Studies in family planning.

[55]  J. Hanley,et al.  Confidence intervals and sample-size calculations for the sisterhood method of estimating maternal mortality. , 1996, Studies in family planning.

[56]  M. McDonagh.  Is antenatal care effective in reducing maternal morbidity and mortality? , 1996, Health policy and planning.

[57]  Complications of Pregnancy and Delivery , 1999 .