title: Research results from a registry supporting efforts to improve maternal and child health in low and middle income countries.
abstract: The National Institute of Child Health and Human Development created and continues to support the Global Network for Women's and Children's Health Research, a partnership between research institutions in the US and low-middle income countries. This commentary describes a series of 15 papers emanating from the Global Network's Maternal and Newborn Health Registry. Using data from 2010 to 2013, the series of papers describe nearly 300,000 pregnancies in 7 sites in 6 countries - India (2 sites), Pakistan, Kenya, Zambia, Guatemala and Argentina. These papers cover a wide range of topics including several dealing with efforts made to ensure data quality, and others reporting on specific pregnancy outcomes including maternal mortality, stillbirth and neonatal mortality. Topics ranging from antenatal care, adolescent pregnancy, obstructed labor, factors associated with early initiation of breast feeding and maintenance of exclusive breast feeding and contraceptive usage are presented. In addition, case studies evaluating changes in mortality over time in 3 countries - India, Pakistan and Guatemala - are presented. In order to make progress in improving pregnancy outcomes in low-income countries, data of this quality are needed.
authors.affiliation: Department of Obstetrics and Gynecology, Columbia University, New York, NY, USA. rlg88@columbia.edu.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Goldenberg
authors.affiliation: RTI International, Durham, NC, USA. mcclure@rti.org.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: McClure
authors.affiliation: Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA. carl_bose@med.unc.edu.
authors.forename: Carl L
authors.initials: CL
authors.lastname: Bose
authors.affiliation: Cincinnati Children's Hospital, Cincinnati, OH, USA. ALAN.JOBE@cchmc.org.
authors.forename: Alan H
authors.initials: AH
authors.lastname: Jobe
authors.affiliation: Editor-in-Chief of Reproductive Health, Institute for Clinical Effectiveness, Buenos Aires, Argentina. belizanj@gmail.com.
authors.forename: José M
authors.initials: JM
authors.lastname: Belizán
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000639:trends*; D008427:Maternal Health Services / Q000592:standards*; D008428:Maternal Mortality / Q000639:trends*; D011247:Pregnancy; D011787:Quality of Health Care; D012042:Registries; D012959:Socioeconomic Factors