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Midlevel providers and the Fifth Millennium Goal of reducing maternal mortality
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
2010 (English)In: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, ISSN 1877-5764, Vol. 1, no 1, 3-5 p.Article in journal (Refereed) Published
Abstract [en]

The implementation of community midwifery, characterized by a health system approach, political commitment, task-shifting, close supervision and complimentary roles of midwives and doctors, was a major contributor to the decline in maternal and neonatal mortality in Sweden during the late 19th century. In respect of the MDG5 a causal inference between skill birth attendants and decline in maternal mortality might not be straight forward but more a matter of skilled birth attendance, i.e. obstetricians, professional midwives, other midlevel providers and nurse-aides working in an enabling environment. A health system approach, commitment and mobilization, is a necessity to achieve safe abortions and safe deliveries by full coverage and equity.

Place, publisher, year, edition, pages
2010. Vol. 1, no 1, 3-5 p.
Keyword [en]
Reducing maternal mortality; Childbirth; Obstetric complications; Midwifery
URN: urn:nbn:se:umu:diva-39834DOI: 10.1016/j.srhc.2009.11.002PubMedID: 21122589OAI: diva2:396593
Available from: 2011-02-10 Created: 2011-02-10 Last updated: 2011-04-07Bibliographically approved

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