Saving mother's lives: Programs that work

Judith A. Fortney, Madeline Leong

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Maternal mortality is a complex problem requiring complex responses. Nevertheless, every intervention must operate through one of 3 pathways: preventing pregnancy, preventing complications, or preventing death when obstetric complications occur. We describe interventions following each pathway and assess their evidence base. In general, the more specific the intervention (such as procedures) the stronger the evidence. Broad interventions ("programs" for example) have a weaker evidence base although evidence is accumulating. The potential for robust evidence for effective programs is limited by epidemiologic design-the logistic difficulties of randomization, blinding, and single impact variables.

Original languageEnglish (US)
Pages (from-to)224-236
Number of pages13
JournalClinical obstetrics and gynecology
Issue number2
StatePublished - Jun 1 2009


  • Complication avoidance
  • Maternal mortality
  • Mortality reduction
  • Pregnancy prevention

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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