Optimizing CS performance is a global health priority, given the maternal and perinatal morbidity mortality associated with both underuse overuse. This study aims to (1) determine facility-based rate in Suriname explore which women are most likely undergo (2) classify all by WHO Robson classification analyze outcomes. An observational, cross-sectional Suriname, using nationwide birth registry data that included hospital births 2020 2021 (≥ 27 weeks of gestation). We used multivariate...

Background Maternal near-miss (MNM) is an important maternal health quality-of-care indicator.To facilitate comparison between countries, the World Health Organization (WHO) developed "MNM-tool".However, several low-and middle-income countries have proposed adaptations to prevent underreporting, ie, Namibian and Sub-Sahara African (SSA)-criteria.This study aims assess MNM associated factors in country Suriname by applying three different tools.Methods A nationwide prospective...

Abstract Background Our study aims to evaluate the current perinatal registry, analyze national childbirth outcomes and ethnic disparities in middle-income country Suriname, South America. Methods A nationwide birth registry was conducted Suriname. Data were collected for 2016 2017 from books of all five hospital maternity wards, covering 86% births country. Multinomial regression analyses used assess maternal deaths, stillbirths, teenage pregnancy, cesarean delivery, low weight preterm with...

The fifth Millennium Development Goal (MDG-5) aimed to improve maternal health, targeting a mortality ratio (MMR) reduction of 75% between 1990 and 2015. objective this study was identify all deaths in Suriname, determine the extent underreporting, estimate reduction, audit assess underlying causes substandard care factors.A reproductive age survey conducted Suriname (South-American upper-middle income country) 2010 2014 country. MMR compared vital statistics previous confidential enquiry...

Background Sepsis was the main cause of maternal mortality in Suriname, a middle-income country. Objective this study to perform qualitative analysis clinical and management aspects sepsis-related deaths with focus on 'golden hour' principle antibiotic therapy. Methods A nationwide reproductive age survey performed from 2010 2014 identify audit all Suriname. All were reviewed by local expert committee assess socio-demographic characteristics, substandard care. Results Of 65 Suriname 29 (45%)...

Background Suriname has one of the highest stillbirth rates in Latin America and Caribbean. To facilitate data comparison perinatal deaths, World Health Organization developed International Classification Diseases-10 Perinatal Mortality (ICD-PM).Objective We aimed to (1) assess characteristics risk indicators women with a stillbirth, (2) determine timing causes stillbirths according ICD-PM critical evaluation its application (3) propose recommendations for reduction Suriname.Methods A...

Obstetric guidelines are useful to improve the quality of care. Availability international has rapidly increased, however contextualization enhance feasibility implementation in health facilities low and middle-income settings only been described literature a few instances. This study describes approach lessons learned from 'bottom-up' development process context-tailored national obstetric country Suriname.Local care providers initiated guideline Suriname August 2016 for two common...

Abstract Plain English summary The World Health Organization (WHO) provides a framework (ICD-MM) to classify pregnancy-related deaths systematically, which enables global comparison among countries. We compared the classification of in Suriname by attending physician and national maternal death review (MDR) committee MDR committees Suriname, Jamaica Netherlands. There were 89 possible between 2010 2014. Nearly half (47%) classified differently Surinamese as physicians. All three agreed that...

Background Postpartum hemorrhage (PPH) is the leading cause of direct maternal mortality globally and in Suriname. We aimed to study prevalence, risk indicators, causes, management PPH identify opportunities for reduction. Methods A nationwide retrospective descriptive all hospital deliveries Suriname 2017 was performed. Logistic regression analysis applied indicators (≥ 500ml blood loss). Management severe (blood loss ≥1,000ml or ≥500ml with hypotension at least three transfusions)...

The Sustainable Development Goal target 3.1 aims to reduce the global maternal mortality ratio less than 70 per 100,000 live births. Great disparities reported in between and within countries make this unachievable. To gain more insight into such monitor describe trends, confidential enquiries deaths are crucial.We aimed study trend ratio, causes, delay access quality of care, "lessons learned" Suriname, over almost 3 decades with provide recommendations prevent deaths.The third national...

Latin America and the Caribbean is region with highest prevalence of hypertensive disorders pregnancy worldwide. In Suriname, where stillbirth rate second in region, it not yet known which maternal factors contribute most substantially.The aims this study Suriname were to (1) impact different types morbidity on adverse perinatal outcomes (2) birth among women severe pregnancy.A case-control was conducted between March 2017 February 2018 during time all hospital births (86% total) included....

Determine the eclampsia prevalence and factors associated with recurrent seizures in Suriname evaluate quality-of-care indicator 'magnesium sulfate (MgSO4) coverage'. A two-year prospective nationwide cohort study was conducted included women at home or a healthcare facility. We calculated by number of live births obtained from vital registration. Risk factor denominator data concerned hospital births. Descriptive statistics multivariate regression analysis were performed. Seventy-two...

Abstract Background Maternal death surveillance and response (MDSR) is essential in preventing avoidable maternal deaths. The cycle starts by accurately capturing deaths with a system, followed an audit to give insight into the underlying causes "lessons learned." Subsequently, recommendations are formulated targeted multisectoral responses such as quality of care improvement strategies, including clinical guidelines update, health promotion interventions, research fulfill knowledge gaps,...

<title>Abstract</title> <bold>Background</bold> – Cesarean Section (CS) rates are increasing concerningly. Optimizing CS performance is a global health priority, given the maternal and perinatal morbidity mortality associated with both underuse overuse. This nationwide study in Suriname aims to (1) determine national, facility-based rate explore which women at highest risk (2) use WHO Robson classification enhance understanding drivers outcomes of develop tailored interventions....

Abstract Background Insight into the underlying causes of pregnancy-related deaths is essential to develop policies avert preventable deaths. The WHO International Classification Diseases-Maternal Mortality (ICD-MM) guidelines provide a framework standardize maternal death classifications and enable comparison in among countries over time. However, despite implementation these guidelines, differences classification remain. We evaluated consensus on using ICD-MM guidelines. Methods Suriname...

Abstract Background: Insight into the underlying causes of pregnancy-related deaths is essential to develop policies avert preventable deaths. The WHO International Classification Diseases-Maternal Mortality (ICD-MM) guidelines provide a framework for uniform classifications which enables comparison within and between countries over time. However, despite using guidelines, differences in classifying among remain. We evaluated consensus on maternal death classification ICD-MM. Methods:...