A systematic review of the Robson Classification for Caesarean Section: What works, doesn’t work and how to improve it
JUNE 2014 - Caesarean section rates continue to increase worldwide, particularly in middle- and high-income countries without evidence indicating substantial maternal and perinatal benefits from the increase and some studies showing negative consequences for maternal and neonatal health. The lack of a standardized internationally-accepted classification system to monitor and compare CS rates in a consistent and action oriented manner is one of the factors that has hindered a better understanding of this trend.
23 May: International Day to End Obstetric Fistula - Obstetric fistula is the result of prolonged, obstructed labour. It leaves women incontinent, ashamed and often isolated from their communities. A debilitating condition affecting approximately 2 million girls across Africa and Asia. There are numerous challenges associated with providing fistula repair services in developing countries, including a dearth of available and motivated surgeons with specialized skills, operating rooms, equipment and funding from local or international donors to support both surgeries and post-operative care. Finding ways of providing services in a more efficient and cost-effective manner is paramount.
6 MAY 2014 - New estimates for maternal mortality analysed by a United Nations Interagency group led by WHO show a 45% reduction in maternal deaths, from 523 000 in 1990 to an estimated 289 000 in 2013. Additionally, a new WHO study published in The Lancet Global Health, looks at why these women are dying. More than 1 in 4 maternal deaths are caused by medical conditions such as diabetes, HIV, malaria and obesity, which can all be aggravated by pregnancy. This is similar to the proportion of deaths from severe bleeding—previously cited as the main cause of maternal deaths.
New findings from the WHO Multicountry Survey on Maternal and Newborn Health
The Multicountry Survey on Maternal and Newborn Health (WHOMCS) is the largest study to date assessing the management of severe maternal complications and the prevalence of maternal near miss. New analyses of the study data set covering a wide range of issues, including the major causes of maternal mortality and severe morbidity and social determinants of health, are presented in this special supplement to BJOG: An International Journal of Obstetrics and Gynaecology and is freely available from the link below.