Prenatal screening in rural Bangladesh: from prediction to care

摘要: The role of antenatal care is being increasingly questioned particularly in resource-poor environments. low predictability markers for adverse maternal outcomes has led some to reject as an efficient strategy the fight against and perinatal mortality. Few studies however have assessed other than dystocia or death most been hospital based. This population-based cohort study was undertaken assess whether prenatal screening can identify women at risk severe labor delivery complications a rural area Bangladesh. Antenatal signs symptoms were their association with including malpresentation hemorrhage hypertensive diseases twin death. results suggest that by trained midwives fails adequately distinguish who will need special during from those not such care. large majority had no warning pregnancy. A single blood pressure measurement assessment fundal height on hand may detect substantial number pregnancies. In addition visit four times more likely deliver midwife visit. be obstetric service but if promoted concurrence effective emergency delivered skilled hands it become instrument facilitate better use services. (authors)