Improving birth outcomes: meeting the challenges in the developing world

✍ Scribed by Judith R. Bale, Barbara J. Stoll, Adetokunbo O. Lucas, Institute of Medicine (U.S.). Committee on Improving Birth Outcomes

• Publisher: National Academies Press
• Year: 2003
• Tongue: English
• Leaves: 374
• Edition: 1
• Category: Library

✦ Synopsis

Birth outcomes have improved dramatically worldwide in the past 40 years. Yet there is still a large gap between the outcomes in developing and developed countries. This book addresses the steps needed to reduce that gap. It reviews the available statistics of low birth weight, prematurity, and birth defects; reviews current knowledge and practices of a healthy pregnancy, identifies cost-effective opportunities for improving birth outcomes and supporting families with an infant handicapped by birth problems, and recommends priority research, capacity building, and institutional and global efforts to reduce adverse birth outcomes in developing countries. The committee has based its study on data and information from several developing countries, and provides recommendations that can assist the March of Dimes, Centers for Disease Control and Prevention, and NIH in tailoring their international program and forging new partnerships to reduce the mortality and morbidity associated with adverse birth outcomes.

✦ Table of Contents

Front Matter......Page 2
Acknowledgments......Page 10
Contents......Page 12
PART I Meeting the Challenge in the Developing World......Page 20
Executive Summary......Page 22
1 Introduction......Page 36
PART II Addressing Maternal, Neonatal, and Fetal Mortality and Morbidity......Page 60
2 Reducing Maternal Mortality and Morbidity......Page 62
3 Reducing Neonatal Mortality and Morbidity......Page 110
4 Reducing Fetal Mortality......Page 154
PART III Improving Health Care Systems......Page 182
5 Improving Birth Outcomes Within Health Care Systems......Page 184
PART IV Additional Causes of Neonatal Mortality and Morbidity......Page 222
6 The Problem of Low Birth Weight......Page 224
7 Reducing Mortality and Morbidity from Birth Defects......Page 256
8 Preventing Perinatal Transmission of HIV......Page 282
9 Summing Up: The Way Forward......Page 312
APPENDIXES......Page 318
Appendix A Workshop Agenda......Page 320
Appendix B Defining Developing Countries......Page 324
Appendix C The Essential Competencies of a Skilled Birth Attendant......Page 329
Appendix D Committee Biographies......Page 333
Appendix E Dissenting Note......Page 339
Glossary......Page 343
Acronyms......Page 353
Index......Page 356