International survey of the active management of the 3 rd stage of labor: Results from Ethiopia,Tanzania & Uganda. 9 July, 2008 AED, Washington, DC Holley Stewart. Acknowledgements. USAID Bureaus for Global Health, for Africa and for East Africa Africa’s Health in 2010 and SARA at AED
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9 July, 2008AED, Washington, DC
The Lifetime Risk of Maternal Death in Africa is Staggering
The chance of a woman dying as a result of pregnancy is 150 x greater in SSA than it is in the US
Source: WHO, UNICEF and UNFPA. Maternal Mortality in 2000; Lancet Neonatal Survival Series, 2005
Khan S et al. WHO analysis of causes of maternal death: a systematic review. The Lancet, 2006, 367: 1066-1074.
Active Management Physiologic Management OR and 95% CI
Bristol Trial 50/846 (5.9%) 152/849 (17.9%) 3.13 (2.3-4.2)
Hinchingbrooke Trial 51/748 (6.8%) 126/764 (16.5%) 2.42 (1.78-3.3)
Part of a global effort to provide stakeholders with information that:
Use of AMTSL
syringe on site
Qualitative findings administration of uterotonic drugs, Tanzania
TBAs physiologically manage the third stage of labor with:
Communities can play a leading role in: