Objective: To review the evidence and provide recommendations for the counselling and management of obese parturients. Outcomes: Outcomes evaluated include the impact of maternal obesity on the provision of antenatal and intrapartum care, maternal morbidity and mortality, and perinatal morbidity and mortality. Evidence: Literature was retrieved through searches of Statistics Canada, Medline, an...

OBJECTIVE To explore clinician perspectives on whether they experience difficulty resolving patient-related concerns or observe problems with the performance or behavior of colleagues involved in intrapartum care. DESIGN Qualitative descriptive study of physician, nursing, and midwifery professional association members. PARTICIPANTS AND SETTING Participants (N = 1932) were drawn from the me...

Childbirth is a unique experience for woman’s life and this reason, it necessary to ensure the right conditions have positive childbirth experience. Thus, World Health Organization has developed recommendations aimed at promoting normal better care of mother fetus without unnecessary interventions. This study presents questionnaire that measures quality intrapartum according WHO The was constru...

The 2016 WHO guideline on routine antenatal care (ANC) recommends several health systems interventions to improve quality of care and increase use of services including: Midwife-led continuity of care throughout the antenatal, intrapartum, and postnatal periods Task shifting components of ANC, including promotion of health-related behaviors and distribution of nutrition supplements Recruitment ...

In this second article of the neonatal survival series, we identify 16 interventions with proven efficacy (implementation under ideal conditions) for neonatal survival and combine them into packages for scaling up in health systems, according to three service delivery modes (outreach, family-community, and facility-based clinical care). All the packages of care are cost effective compared with ...

OBJECTIVE To evaluate the maternal and perinatal outcomes of Alberta's regionalized system of care. In particular, to compare the outcomes of communities with limited or no local intrapartum care with those of regional and tertiary care centres. METHODS We conducted a population-based retrospective study of all Alberta deliveries in 1999 and 2000. Maternal outcome measures were rates of patie...