{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T21:04:14Z","timestamp":1694466254308},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To design and examine the feasibility of a sustainable training program to build local capacity and improve obstetric outcomes in Kampong Chhnang, Cambodia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A \u201ctrain\u2010the\u2010trainers\u201d model was used to conduct an obstetrics course between 2012 and 2015, its aim to reduce maternal mortality and morbidity. All Cambodian healthcare providers trained by the program were included in the study. The obstetric outcomes of all patients under the care of the trained healthcare providers were analyzed retrospectively to assess the feasibility of the program. Data from all three hospitals and 42 health centers in the province that the trainees worked at were collected from case logs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant increased trend in recognition of cases of postpartum hemorrhage and pre\u2010eclampsia, and occurrence of difficult deliveries and cesarean deliveries (<jats:italic>P<\/jats:italic>&lt;0.001). The maternal mortality ratio decreased from 64.7 per 100\u00a0000 deliveries in 2012 to 40.8 per 100\u00a0000 deliveries in 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This sustainable model has the potential to positively impact obstetric education and maternal outcomes and could be adopted in other resource\u2010poor countries, particularly in Southeast Asia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12811","type":"journal-article","created":{"date-parts":[[2019,3,29]],"date-time":"2019-03-29T09:51:46Z","timestamp":1553853106000},"page":"350-353","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A sustainable model to improve maternal health and promote early obstetric care in resource\u2010poor regions"],"prefix":"10.1002","volume":"145","author":[{"given":"Sharon","family":"Foo","sequence":"first","affiliation":[{"name":"Department of General Obstetrics and Gynecology KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shephali","family":"Tagore","sequence":"additional","affiliation":[{"name":"Department of Maternal and Fetal Medicine KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of General Obstetrics and Gynecology KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keorany","family":"Poun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kampong Chhnang Hospital  Kampong Chhnang Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maly","family":"Sam","sequence":"additional","affiliation":[{"name":"Department of Midwifery Provincial Health Department  Kampong Chhnang Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kok Hian","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Maternal and Fetal Medicine KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anette","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Kwek","sequence":"additional","affiliation":[{"name":"Department of Maternal and Fetal Medicine KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,15]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"United Nations.Resolution Adopted by the General Assembly. 55\/2. United Nations Millennium Declaration; 8 September2000.http:\/\/www.un.org\/millennium\/declaration\/ares552e.htm. Accessed March 28 2019."},{"key":"e_1_2_8_3_1","unstructured":"United Nations.Resolution adopted by the General Assembly on 25 September2015.http:\/\/www.un.org\/en\/development\/desa\/population\/migration\/generalassembly\/docs\/globalcompact\/A_RES_70_1_E.pdf. Accessed March 28 2019."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czq014"},{"key":"e_1_2_8_5_1","volume-title":"Existential Challenges to Global Health","author":"Garrett L","year":"2013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/tog.12088"},{"key":"e_1_2_8_7_1","first-page":"34","article-title":"Providing hope: Midwifery teaching in Bangladesh","volume":"18","author":"Kent A","year":"2015","journal-title":"Pract Midwife"},{"key":"e_1_2_8_8_1","unstructured":"World Bank Group.Cambodia total population.http:\/\/data.worldbank.org\/country\/cambodia. 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Accessed March 28 2019."},{"key":"e_1_2_8_14_1","unstructured":"ConnellSE.Maternal Mortality in Cambodia: Efforts to Meet the Millennium Development Goal for Maternal Health. Thesis. Georgia State University USA.2011."},{"key":"e_1_2_8_15_1","first-page":"90","article-title":"Cultural perceptions of maternal illness among Khmer Women in Krong Kep, Cambodia","volume":"11","author":"Montesanti S","year":"2011","journal-title":"Explorations Anthropol"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4505-3-3"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.12811","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T21:10:16Z","timestamp":1694380216000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,15]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1002\/ijgo.12811"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12811","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,15]]},"assertion":[{"value":"2018-03-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}