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Population Council

1991

Safe Motherhood

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Full-Text Articles in Medicine and Health Sciences

Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff Jan 1991

Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff

Reproductive Health

In a presentation at the 1991 Berzelius Symposium in Sweden, a Population Council researcher described the limitations of healthcare systems, specifically during pregnancy, in terms of their effect on maternal health status. These limitations stem from an inability to improve health because of social conditions—poverty and illiteracy, overwork, inequality in sexual relationships—that cannot be solved by medical interventions. Maternal ill health originates before pregnancy and endures beyond it, whereas the window of contact with women during pregnancy is small. Nevertheless, recent evaluations suggest that the impact of prenatal care is in the caring process more than any specific aspect of …


Maternal Risk, Beverly Winikoff Jan 1991

Maternal Risk, Beverly Winikoff

Reproductive Health

This presentation to the 1991 Berzelius Symposium, Stockholm, Sweden, explores the issue of maternal risk—the probability or chance of dying or being seriously injured in pregnancy—as it is used in maternal health care. This concept of risk has been a useful tool for research and medical and epidemiological education, but its use as a tool for service delivery design has been more problematic. In order to construct a risk system, one has to have reliable data on the relationships between individual characteristics and the outcome being studied—something that is difficult to develop with regard to maternal health. Furthermore the system …