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Incidence of severe pre-eclampsia, postpartum haemorrhage and sepsis as a surrogate marker for severe maternal morbidity in a European population-based study: the MOMS-B survey.

BJOG. 2005 Jan;112(1):89-96

Authors: Zhang WH, Alexander S, Bouvier-Colle MH, Macfarlane A,

OBJECTIVE: To describe the incidence of three conditions of acute severe maternal morbidity in selected regions in nine European countries. DESIGN: A population-based questionnaire survey. SETTING: Eleven regions in nine countries of Europe. POPULATION: All the pregnant women in each region who had delivered during the period covered by the study. METHODS: Standard definitions of three severe obstetric conditions, pre-eclampsia, postpartum haemorrhage and sepsis were established by a steering committee. A common questionnaire was used in each participating country. The incidence of the three obstetric conditions and characteristics of the study women were compared. MAIN OUTCOME MEASURES: Incidence of three severe obstetric conditions: pre-eclampsia, postpartum haemorrhage and sepsis. RESULTS: The study identified 1734 women with at least one of the three conditions, with 847 experiencing severe haemorrhage, 793 experiencing severe pre-eclampsia and 142 experiencing severe sepsis. There were wide variations in incidence of three conditions combined, ranging from 14.7 per thousand deliveries in Brussels, Belgium to 6.0 per thousand deliveries in Upper Austria. CONCLUSIONS: This study sets a simple and straightforward approach to the definition of three severe obstetric conditions and allows population-based comparisons between developed countries in Europe, even though difficulties may have been present with applying the definition across countries. The reported incidence of these severe obstetric conditions in general and severe haemorrhage varied significantly between countries. Overall, severe haemorrhage in particular was the most common of the three conditions, followed closely by severe pre-eclampsia.

PMID: 15663404 [PubMed - indexed for MEDLINE]

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Help breast-feeding moms choose hormonal methods.

Contracept Technol Update. 1997 Oct;18(10):131-2

Authors: Rosenfield A, Schnare S

PMID: 12321214 [PubMed - indexed for MEDLINE]

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HIV-negative moms may present higher transmission risk.

AIDS Alert. 1999 Feb;14(2):suppl 1-3

Authors:

PMID: 11366178 [PubMed - indexed for MEDLINE]

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The New Moms Project: educating mothers about sun protection in newborn nurseries.

Pediatr Dermatol. 1999 May-Jun;16(3):198-200

Authors: Geller AC, Sayers L, Koh HK, Miller DR, Steinberg Benjes L, Crosier Wood M

Sun protection habits should begin early in life and be taught as part of routine preventive health care. Early teaching of parents aims to introduce an easily achieved means of sun protection with the goal of instilling these practices as habits in the parents and their young children. We developed a maternity nurse-led intervention for 187 mothers at newborn nurseries in Falmouth, Massachusetts, combining educational material and personal discussions. One year after the intervention we successfully contacted 73% of the mothers. Nearly 90% recalled the informational program and equal numbers stated that receiving educational materials in the newborn nursery was timely. Nearly two-thirds of mothers reported that this was the only sun protection information received from a provider in the past year.

PMID: 10383774 [PubMed - indexed for MEDLINE]

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