Thesis (M.S.P.H.)--University of Michigan, 1938.

Thesis (M.P.H.)--University of Michigan, 1946.

Thesis (M.P.H.)--University of Michigan, 1946.

Thesis (M.P.H.)--University of Michigan, 1946.

Thesis equivalent (M.P.H.)--University of Michigan, 1947.

Thesis (Ph.D.)--Aberdeen University, 2009. / Lacks published articles. Includes bibliographical references.

Research has shown that there is a problem in the delivery of quality care in maternal and child health services in Zambia. The 1996 Zambia demographic and health survey estimated maternal mortality rate as high as 649 per 100,000 live birth, with this reason among others, human resource constraints and low number of supervised antenatal clinics, deliveries and postnatal clinics by skilled personnel as some of the reasons for the high maternal mortality. Selected studies identify the role of a clinical nurse specialist in advanced midwifery and neonatology who has acquired the knowledge and practical skills to bring about the desired impact of quality care in safe mother hood in order to bring down the high maternal mortality rates. In order to achieve this, the government needs to integrate the advanced midwifery and neonatology clinical nurse specialist in the health system. It was the purpose of the study to inquire into the feasibility of integration of the advanced midwifery and neonatology clinical nurse specialist in the Ndola District Health system .

Increasing adverse birth outcome are a major concern in South African maternal care and globally In South Africa, perinatal mortality rate of 40/1000 and maternal mortality ratio of 150/100 000 are poor considering the fact that 95.1 percent of women attend antenatal care and 83.7 percent of women deliver in a medical facility. This study focuses on the effect of lack of adequate antenatal care on adverse birth outcome using data from the 1998 South African Demographic and Health Survey. The analysis is based on univariate and bivariate analysis to examine the effect of socio- demographic characteristics on adverse birth outcomes. In addition, binary logistic regression is used to examine the impact of antenatal and sociodemographic characteristics on adverse birth outcome. The results show majority of women reporting adverse birth outcome are those who delivered though caesarean section (53 percent) and that most of these women are likely to be educated and have better socio economic status and that they are likely to be Non African. It is also shows that the proportion of women attending antenatal care adequately is very high in South Africa. The results show that the use of antenatal care is determined by a range of socio demographic factors including the level of education and the economic status of the mother. Only timing of antenatal care, place of delivery and race had a significant effect on adverse birth outcome. All other variables were not significant. Results from the binary regression analysis show that women who started their antenatal care during second and third trimester (95%CI: 0.211-0.975), were Non African (95%CI: 1.082 to 2.098) and delivered in a private health facilities (95%CI: 0.28 to 0.73) were more likely to have adverse birth outcome compared to their counterparts. Most women choosing caesarean section do so without adequate information on the disadvantages of delivering through caesarean section. Therefore, there is a need to focus maternal health education to all women in South Africa regardless of their socio- economic status background / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2007.

Maternal health care services are one of the health interventions to reduce maternal and infant morbidity and mortality. The health of mothers of childbearing age and of the unborn babies is influenced by many factors some of which include the availability and accessibility of health services for pregnant women. Low quality of health services being provided, and limited access to health facilities is correlated with increases maternal morbidity and mortality. This situation is caused by long distances between facilities as well as the people's own beliefs in traditional practices. This study was about the assessment of the women's knowledge on benefits of delivery in a hospital, the barriers to delivery services, and the perception of the delivery services rendered in the maternity ward of Okakarara hospital.

The aim of this study was to explore the factors that influenced women to choose care in a birth centre in the South Wales Valleys, and to ascertain their expectations and experiences of care in the antenatal period and during labour. The possibility of complications arising during normal pregnancy is a well-known phenomenon, leading to a woman‘s care being transferred from a midwife to an obstetrician. For women intending to give birth in the birth centre, this also meant having care transferred to the District General Hospital eight miles distant. Experiences of those women who had care transferred were of a particular interest. Even though transfer is a common occurrence, little research exploring the effects of this from the woman‘s perspective has been carried out. The study was qualitative, using thematic analysis based on Gadamerian phenomenological principles. Semi-structured interviews were carried out with a purposeful sample of twenty women who described their antenatal experiences. Five of the women were later transferred from midwifery-led to obstetric-led care in the obstetric unit, with three of the transfers occurring during labour. A second interview was held with these five women to explore their experiences further. Key findings indicate that women choose the birth centre for its friendly, welcoming environment and woman-centred midwifery care. The influence and importance of family around the time of birth was a notable feature. Women transferred in labour subsequently experienced a different model of care, which for one woman meant that she remained empowered to make choices and decisions about her labour, whilst two other women felt some aspects of care to be mechanistic and impersonal. Recommendations from the study include further, larger scale research into women‘s experiences of transfer. Areas where specific guidance and education may be beneficial are suggested, to give a better understanding of those aspects of transfer that might affect women.