The Maternal and Newborn Health Registry Study of the Global Network for Women's and Children's Health Research.
OBJECTIVE
To implement a vital statistics registry system to register pregnant women and document birth outcomes in the Global Network for Women's and Children's Health Research sites in Asia, Africa, and Latin America.


METHODS
The Global Network sites began a prospective population-based pregnancy registry to identify all pregnant women and record pregnancy outcomes up to 42 days post-delivery in more than 100 defined low-resource geographic areas (clusters). Pregnant women were registered during pregnancy, with 42-day maternal and neonatal follow-up recorded-including care received during the pregnancy and postpartum periods. Recorded outcomes included stillbirth, neonatal mortality, and maternal mortality rates.


RESULTS
In 2010, 72848 pregnant women were enrolled and 6-week follow-up was obtained for 97.8%. Across sites, 40.7%, 24.8%, and 34.5% of births occurred in a hospital, health center, and home setting, respectively. The mean neonatal mortality rate was 23 per 1000 live births, ranging from 8.2 to 48.5 per 1000 live births. The mean stillbirth rate ranged from 13.7 to 54.4 per 1000 births.


CONCLUSIONS
The registry is an ongoing study to assess the impact of interventions and trends regarding pregnancy outcomes and measures of care to inform public health. ClinicalTrial.gov


BACKGROUND
NCT01073475.
Department of Medical Education, Jawaharlal Nehru Medical College, Belgaum, India.
Shivaprasad S
SS
Goudar
Waldemar A
WA
Carlo
Elizabeth M
EM
McClure
Omrana
O
Pasha
Archana
A
Patel
Fabian
F
Esamai
Elwyn
E
Chomba
Ana
A
Garces
Fernando
F
Althabe
Bhalachandra
B
Kodkany
Neelofar
N
Sami
Richard J
RJ
Derman
Patricia L
PL
Hibberd
Edward A
EA
Liechty
Nancy F
NF
Krebs
K Michael
KM
Hambidge
Pierre
P
Buekens
Janet
J
Moore
Dennis
D
Wallace
Alan H
AH
Jobe
Marion
M
Koso-Thomas
Linda L
LL
Wright
Robert L
RL
Goldenberg
D001118:Argentina / Q000453:epidemiology; D005260:Female; D046689:Fetal Mortality; D006166:Guatemala / Q000453:epidemiology; D006801:Humans; D007194:India / Q000453:epidemiology; D007226:Infant Mortality; D007231:Infant, Newborn; D007630:Kenya / Q000453:epidemiology; D008428:Maternal Mortality; D010154:Pakistan / Q000453:epidemiology; D011181:Postnatal Care / Q000706:statistics & numerical data; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011295:Prenatal Care / Q000706:statistics & numerical data; D012042:Registries / Q000706:statistics & numerical data*; D015024:Zambia / Q000453:epidemiology