Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
1988-9-21
|
| pubmed:abstractText |
It is suggested that improved maternity care in the developing world depends primarily on the increased provision of cost-effective, basic, easily accessible maternity care services. Expensive new technologies should be judged by their effectiveness, safety, technical feasibility, cost (including operating and maintenance expenses) and local need. After identifying the major causes of morbidity and mortality, priority should be given to interventions applicable at the local level and which do not require highly or specially trained educated personnel.
|
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Cost Benefit Analysis,
http://linkedlifedata.com/resource/pubmed/keyword/Critique,
http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Economic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Evaluation,
http://linkedlifedata.com/resource/pubmed/keyword/Evaluation Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Health Services,
http://linkedlifedata.com/resource/pubmed/keyword/Maternal Health Services,
http://linkedlifedata.com/resource/pubmed/keyword/Maternal-child Health Services,
http://linkedlifedata.com/resource/pubmed/keyword/Medicine,
http://linkedlifedata.com/resource/pubmed/keyword/Needs,
http://linkedlifedata.com/resource/pubmed/keyword/PRENATAL CARE,
http://linkedlifedata.com/resource/pubmed/keyword/PREVENTIVE MEDICINE,
http://linkedlifedata.com/resource/pubmed/keyword/Primary Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Quantitative Evaluation,
http://linkedlifedata.com/resource/pubmed/keyword/Recommendations,
http://linkedlifedata.com/resource/pubmed/keyword/TECHNOLOGY
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
0020-7292
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
26
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
349-54
|
| pubmed:dateRevised |
2011-11-17
|
| pubmed:otherAbstract |
PIP: Improved maternity care in the developing world depends primarily on the increased provision of cost-effective, basic, easily accessible maternity care services. Expensive new technologies should be judged by their effectiveness, safety, technical feasibility, cost (including operating and maintenance expenses) and local need. After identifying the major causes of morbidity and mortality, priority should be given to interventions applicable at the local level and which do not require highly or specially trained educated personnel. Given the lack of access to any prenatal and intrapartum care for a majority of women in many settings, it should be clear that expenditures on costly monitoring and ultrasonographic equipment are an unacceptable investment until a majority of women have access to basic prenatal and intrapartum care. Simpler clinical diagnostic tools, which can be applied at the primary health care level, together with provision of prenatal and delivery, nutrition, immunization and fertility regulation services are the most relevant technologies for maternity care for the present health situation in most LDCs. Complicated technologies should be limited to a few tertiary level centers within a well-structured tiered health care system. A recent meeting of the International Federation of Gynecologists and Obstetricians (FIGO), unfortunately revealed the popularity of special high technology displays and sessions and lack of interest in the essential issue of rural health care accessibility. An example of an appropriate technology is the foam test described by Clements detecting fetal lung maturation; inappropriate technology, for LDCs includes electronic fetal monitoring (EFM). Even in the US, EFM as a routine part of labor care has been controversial. It is certainly inappropriate where 40-90% of women deliver at home without professional assistance. The cost of EFM for 289 women in Brazil during a 13-month period would have paid for 5.5 prenatal clinics at the basic health level for 1 year which could provide 13,200 visits of assistance to 1886 women and would have averted 8 times more perinatal deaths.
|
| pubmed:meshHeading |
pubmed-meshheading:2900161-Brazil,
pubmed-meshheading:2900161-Costs and Cost Analysis,
pubmed-meshheading:2900161-Developing Countries,
pubmed-meshheading:2900161-Female,
pubmed-meshheading:2900161-Home Childbirth,
pubmed-meshheading:2900161-Humans,
pubmed-meshheading:2900161-Maternal Health Services,
pubmed-meshheading:2900161-Maternal Mortality,
pubmed-meshheading:2900161-Medical Laboratory Science,
pubmed-meshheading:2900161-Pregnancy,
pubmed-meshheading:2900161-Prenatal Care,
pubmed-meshheading:2900161-Technology Assessment, Biomedical
|
| pubmed:year |
1988
|
| pubmed:articleTitle |
Maternity care in developing countries: relevance of new technological advances.
|
| pubmed:affiliation |
Department of Obstetrics and Gynecology, Faculty of Medicine, University of the State of Campinas, Brazil.
|
| pubmed:publicationType |
Journal Article
|