- Pregnancy and preeclampsia studies
- Global Maternal and Child Health
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Birth, Development, and Health
- Gestational Diabetes Research and Management
- Infant Development and Preterm Care
- Pregnancy and Medication Impact
- Neonatal and fetal brain pathology
- Migration, Health and Trauma
- Maternal and Neonatal Healthcare
- Neonatal Respiratory Health Research
- Assisted Reproductive Technology and Twin Pregnancy
- Global Public Health Policies and Epidemiology
- HIV-related health complications and treatments
- Emergency and Acute Care Studies
- Global Health Care Issues
- HIV/AIDS Research and Interventions
- Ethics in Clinical Research
- Preterm Birth and Chorioamnionitis
- Global Health Workforce Issues
- Global Health and Surgery
- Health disparities and outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Chronic Disease Management Strategies
University Medical Center Utrecht
2016-2025
Utrecht University
2016-2025
Wilhelmina Children's Hospital
2024
Leidsche Rijn Julius Health Centers
2023
Korle Bu Teaching Hospital
2023
University of Ghana
2023
University of Botswana
2022
Aga Khan University
2022
Royal Tropical Institute
2019
Nederlandse Vereniging voor Tropische Geneeskunde
2019
Objective This study aims to evaluate the effect of maternal health insurance status on utilisation antenatal, skilled delivery and postnatal care. Design A population-based cross-sectional study. Setting participants We utilised 2008 Demographic Health Survey data Ghana, which included 2987 women who provided information status. Primary outcomes Utilisation Statistical analyses Multivariable logistic regression was applied determine independent association between Results After adjusting...
The objective of this study was to evaluate perinatal outcomes pregnancies complicated by hypertensive disorders in pregnancy an urban sub-Saharan African setting.A prospective cohort 1010 women less than 17 weeks gestation conducted at two antenatal clinics Accra, Ghana, between July 2012 and March 2014. Information about available for analysis on 789 pregnancies. main were pre-term birth, birthweight, Apgar scores, small gestational age mortality. Relative risk (RR, 95% confidence interval...
To evaluate if pre-pregnancy body mass index (BMI) determines blood pressure throughout pregnancy and to explore the role of gestational weight gain in this association. In addition, effects BMI on occurrence hypertension pre-eclampsia were investigated.Prospective cohort study.Maternal child health primary care referral centre, Jakarta, Indonesia.2252 pregnant women visiting Budi Kemuliaan Hospital its branch for regular antenatal visits from July 2012 April 2015. Pre-pregnancy (kg/m(2))...
Abstract Background Accruing epidemiological evidence suggests that prenatal exposure to emissions from cooking fuel is associated with increased risks of adverse maternal and perinatal outcomes including hypertensive disorders pregnancy, low birth weight, stillbirth infant mortality. We aimed investigate the relationship between use various pregnancy related in a cohort urban women Accra region Ghana. Methods Self-reported was divided into “polluting” (wood, charcoal, crop residue kerosene)...
Abstract Purpose This study aimed to estimate the prevalence of perinatal depression in rural Kakamega, Kenya while exploring risk and protective factors context COVID-19 pandemic. Methods The mixed method approach employed i) quantitative data collected a longitudinal maternal health evaluation conducted from October 2019 May 2021 ii) an ethnographic March July 2022, which provided detailed insights on depression. sample 135 Pregnant postpartum women was screened monthly for (>13) using...
Prediction models can be used as simple evidence-based tools to identify fetuses at risk of perinatal death. Payne et al developed a prognostic model for death in women with hypertensive disorders pregnancy, leading cause maternal/fetal morbidity and mortality. This study aimed externally validate the predictive performance this pregnant pregnancy admitted between 26 34 weeks gestation Ghana. The was applied SPOT (Severe Pre-eclampsia adverse Outcome Triage) study, cohort referral facilities...
Objective To examine the association between maternal weight at <17 weeks gestation and infant outcomes of pregnancy, delivery, postpartum period in pregnant Ghanaian women. Methods A prospective cohort study 1,000 women Accra, Ghana (2012‐2014), was conducted. Women were classified as having overweight (BMI 25‐30) obesity ≥ 30), their obstetric analyzed using multivariate logistic regression. Results The analysis included 824 women, average 28 years (SD 5.1); 313 (31.3%) had 169 (16.9%)...
Background and objective Coffee tea are commonly consumed during pregnancy. While several of their components, like caffeine, have strong pharmacological effects, the effect on unborn fetus remains unclear. Caffeine intake has been associated with abortion, preterm birth fetal growth restriction, but a general consensus caffeine restriction is still lacking. We aimed to investigate antenatal coffee, consumption weight length, gestational age at hypertensive disorders in Methods A total 936...
Anaemia is common among pregnant women, especially in low- and middle-income countries (LMICs). While body mass index (BMI) relates to many risk factors for anaemia pregnancy, little known about the direct relation with itself. This particularly relevant Southeast Asia Sub-Saharan Africa where prevalence of pregnancy associated adverse outcomes highest worldwide. study aimed assess association between early BMI at first antenatal care visit Indonesian Ghanaian women. In addition,...
Abstract Background The majority of the world’s perinatal deaths occur in low- and middle-income countries. A substantial proportion occurs intrapartum is avoidable with better care. At a low-resource tertiary hospital, this study assessed quality care adherence to locally-tailored clinical guidelines. Methods non-participatory, structured, direct observation was held at Mnazi Mmoja Hospital, Zanzibar, Tanzania, between October November 2016. Women active labour were followed structure,...
Background Pre-eclampsia is a leading cause of maternal and perinatal mortality morbidity. Early identification women at risk needed to plan management. Objectives To assess the performance existing pre-eclampsia prediction models develop validate for using individual participant data meta-analysis. We also estimated prognostic value markers. Design This was an meta-analysis cohort studies. Setting Source from secondary tertiary care. Predictors identified predictors systematic reviews,...
The global increase in Cesarean section rate is associated with short- and long-term complications, including adhesions potential serious maternal fetal consequences. This study investigated the prevalence of association between postoperative complications a tertiary referral hospital Accra, Ghana. In this prospective cohort study, 335 women scheduled for cesarean at Korle-Bu Teaching Hospital Ghana were included from June to December 2015. Presence or absence was recorded severity scored...
Background Maternal near-miss (MNM) is an important maternal health quality-of-care indicator.To facilitate comparison between countries, the World Health Organization (WHO) developed "MNM-tool".However, several low-and middle-income countries have proposed adaptations to prevent underreporting, ie, Namibian and Sub-Sahara African (SSA)-criteria.This study aims assess MNM associated factors in country Suriname by applying three different tools.Methods A nationwide prospective...