地域医療と健康教育

抽象的な

Can Antenatal Care Result in Significant Maternal Mortality Reduction in Developing Countries?

Koyejo Oyerinde

Antenatal screening can only be important as a maternal mortality reduction tool if the main causes of maternal mortality have detectable premorbid states for which there are efficacious and acceptable remedial interventions. Out of the seven major contributors to maternal mortality in developing countries, only malaria, HIV and pre-eclampsia/ eclampsia meet the above screening criteria. Antenatal care services will not identify most women who will develop postpartum hemorrhage, sepsis, obstructed labor and complications of abortion. In countries with low prevalence for HIV and malaria the potential contribution of antenatal screening to maternal mortality reduction is severely limited. Antenatal care services contribute immensely to newborn survival; it is for this reason that they must be strengthened. Maternal mortality reduction strategies must include universal access to family planning, skilled attendance at birth and emergency obstetric care services.