{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T15:27:12Z","timestamp":1779895632552,"version":"3.53.1"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T00:00:00Z","timestamp":1630713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T00:00:00Z","timestamp":1630713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In Haiti where there are high rates of maternal and neonatal mortality, efforts to reduce mortality and improve maternal newborn child health (MNCH) must be tracked and monitored to measure their success. At a rural Haitian hospital, local surveillance efforts allowed for the capture of MNCH indicators. In March 2018, a new stand-alone maternity unit was opened, with increased staff, personnel, and physical space. We aimed to determine if the new maternity unit brought about improvements in maternal and neonatal outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted an interrupted time series analysis using data collected between July 2016 and October 2019 including 20\u2009months before the opening of the maternity unit and 20\u2009months after. We examined maternal-neonatal outcomes such as physiological (vaginal) births, caesarean birth, postpartum hemorrhage (PPH), maternal deaths, stillbirths and undesirable outcomes (eclampsia, PPH, perineal laceration, postpartum infection, maternal death or stillbirth).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Immediately after the opening of the new maternity, the number of physiological births decreased by 7.0% (\u03b2\u2009=\u2009\u2212\u20090.070; 95% CI: \u2212\u20090.110 to \u2212\u20090.029; <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and there was an increase of 6.7% in caesarean births (\u03b2\u2009=\u20090.067; 95% CI: 0.026 to 0.107; <jats:italic>p<\/jats:italic>\u2009=\u20090.002). For all undesirable outcomes, preintervention there was an increasing trend of 1.8% (\u03b2\u2009=\u20090.018; 95% CI: 0.013 to 0.024; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), an immediate 14.4% decrease after the intervention (\u03b2\u2009=\u2009\u2212\u20090.144; 95% CI: \u2212\u20090.255 to \u2212\u20090.033; <jats:italic>p<\/jats:italic>\u2009=\u20090.012), and a decreasing trend of 1.8% through the postintervention period (\u03b2\u2009=\u2009\u2212\u20090.018; 95% CI: \u2212\u20090.026 to \u2212\u20090.009; <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.001). No other significant level or trend changes were noted.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The new maternity unit led to an upward trend in caesarean births yet an overall reduction in all undesirable maternal and neonatal outcomes. The new maternity unit at this rural Haitian hospital positively impacted and improved maternal and neonatal outcomes.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12884-021-04062-3","type":"journal-article","created":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T10:02:43Z","timestamp":1630749763000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The effect of a new maternity unit on maternal outcomes in rural Haiti: an interrupted time series study"],"prefix":"10.1186","volume":"21","author":[{"given":"Tonya","family":"MacDonald","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ol\u00e8s","family":"Dorcely","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joycelyne E.","family":"Ewusie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth K.","family":"Darling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Moll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Mbuagbaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,4]]},"reference":[{"key":"4062_CR1","volume-title":"Sustainable development goals (SDGs): SDG 3: Ensure healthy lives and promote wellbeing for all at all ages: WHO","author":"World Health Organization (WHO)","year":"2019","unstructured":"World Health Organization (WHO). 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Approval and formal consent were received from Centre M\u00e9dical B\u00e9raca (CMB) (of the organization Union Evang\u00e9lique Baptistes d\u2019Ha\u00efti (UEBH)) prior to the collection of publicly available data for this quality improvement study. A CMB Ad Hoc Ethics Committee of their Institutional Review Board reviewed the study and provided a formal letter of approval before research began. There were no active participants in the study. Data were from administrative monthly reports, were aggregated and contained no personal data or personal identifiers. We had no contact with patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication is not applicable since this article does not contain any individual patient details.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"601"}}