This study is a secondary analysis of surveillance data on 119 244 pregnancies from two large population-based cluster-randomised controlled trials in Brong Ahafo, Ghana. Findings suggest that facility birth does not necessarily convey a survival benefit for women or babies and should only be recommended in facilities capable of providing emergency obstetric and newborn care and capable of safe-guarding uncomplicated births.
Lawn JE, Blencowe H, Oza S. Every Newborn: progress, priorities, and potential beyond survival. Lancet. 2014;384:189–205.
Baqui AH, Mitra DK, Begum N. Neonatal mortality within 24 hours of birth in six low- and lower-middle-income countries. Bull World Health Organ. 2016;94:752. 78b.
Lawn JE, Blencowe H, Waiswa P. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016;387:587–603.