Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda

Most maternal and perinatal deaths could be prevented through timely access to skilled birth attendants. Women should access appropriate obstetric care during pregnancy, labor, and puerperium. Maternity waiting homes (MWHs) permit access to emergency obstetric care when labor starts. This study comp...

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Autores principales:	Edwin Tayebwa, Richard Kalisa, Amedee Fidele Ndibaza, Lisa Cornelissen, Eefje Klein Teeselink, Young-Mi Kim, Jeroen van Dillen, Jelle Stekelenburg
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	maternity waiting home maternal mortality maternal morbidity stillbirth prior caesarean section Medicine R
Acceso en línea:	https://doaj.org/article/2694c635d5f5478793be14fca57f9848
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spelling	oai:doaj.org-article:2694c635d5f5478793be14fca57f98482021-11-11T16:21:46ZMaternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda10.3390/ijerph1821112111660-46011661-7827https://doaj.org/article/2694c635d5f5478793be14fca57f98482021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11211https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Most maternal and perinatal deaths could be prevented through timely access to skilled birth attendants. Women should access appropriate obstetric care during pregnancy, labor, and puerperium. Maternity waiting homes (MWHs) permit access to emergency obstetric care when labor starts. This study compared maternal and perinatal outcomes among MWH users and non-users through a retrospective cohort study. Data were collected through obstetric chart reviews and analyzed using STATA version 15. Of the 8144 deliveries reported between 2015 and 2019, 1305 women had high-risk pregnancies and were included in the study. MWH users had more spontaneous vaginal deliveries compared to non-users (38.6% versus 16.8%) and less cesarean sections (57.7% versus 76.7%). Maternal morbidities such as postpartum hemorrhage occurred less frequently among users than non-users (2.13% versus 5.64%). Four women died among non-users while there was no death among users. Non-users had more stillbirths than users (7.68% versus 0.91%). The MWH may have contributed to the observed differences in outcomes. However, many women with high risk pregnancies did not use the MWH, indicating a probable gap in awareness, usefulness, or their inability to stay due to other responsibilities at home. Use of MWHs at scale could improve maternal and perinatal outcomes in Rwanda.Edwin TayebwaRichard KalisaAmedee Fidele NdibazaLisa CornelissenEefje Klein TeeselinkYoung-Mi KimJeroen van DillenJelle StekelenburgMDPI AGarticlematernity waiting homematernal mortalitymaternal morbiditystillbirthprior caesarean sectionMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11211, p 11211 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	maternity waiting home maternal mortality maternal morbidity stillbirth prior caesarean section Medicine R
spellingShingle	maternity waiting home maternal mortality maternal morbidity stillbirth prior caesarean section Medicine R Edwin Tayebwa Richard Kalisa Amedee Fidele Ndibaza Lisa Cornelissen Eefje Klein Teeselink Young-Mi Kim Jeroen van Dillen Jelle Stekelenburg Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
description	Most maternal and perinatal deaths could be prevented through timely access to skilled birth attendants. Women should access appropriate obstetric care during pregnancy, labor, and puerperium. Maternity waiting homes (MWHs) permit access to emergency obstetric care when labor starts. This study compared maternal and perinatal outcomes among MWH users and non-users through a retrospective cohort study. Data were collected through obstetric chart reviews and analyzed using STATA version 15. Of the 8144 deliveries reported between 2015 and 2019, 1305 women had high-risk pregnancies and were included in the study. MWH users had more spontaneous vaginal deliveries compared to non-users (38.6% versus 16.8%) and less cesarean sections (57.7% versus 76.7%). Maternal morbidities such as postpartum hemorrhage occurred less frequently among users than non-users (2.13% versus 5.64%). Four women died among non-users while there was no death among users. Non-users had more stillbirths than users (7.68% versus 0.91%). The MWH may have contributed to the observed differences in outcomes. However, many women with high risk pregnancies did not use the MWH, indicating a probable gap in awareness, usefulness, or their inability to stay due to other responsibilities at home. Use of MWHs at scale could improve maternal and perinatal outcomes in Rwanda.
format	article
author	Edwin Tayebwa Richard Kalisa Amedee Fidele Ndibaza Lisa Cornelissen Eefje Klein Teeselink Young-Mi Kim Jeroen van Dillen Jelle Stekelenburg
author_facet	Edwin Tayebwa Richard Kalisa Amedee Fidele Ndibaza Lisa Cornelissen Eefje Klein Teeselink Young-Mi Kim Jeroen van Dillen Jelle Stekelenburg
author_sort	Edwin Tayebwa
title	Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
title_short	Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
title_full	Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
title_fullStr	Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
title_full_unstemmed	Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
title_sort	maternal and perinatal outcomes among maternity waiting home users and non-users in rural rwanda
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2694c635d5f5478793be14fca57f9848
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Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda

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