A5011182065- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Reproductive Health and Contraception
- Global Maternal and Child Health
- Pregnancy and preeclampsia studies
- Ectopic Pregnancy Diagnosis and Management
- Emergency and Acute Care Studies
- Breastfeeding Practices and Influences
- Birth, Development, and Health
- Assisted Reproductive Technology and Twin Pregnancy
- Maternal Mental Health During Pregnancy and Postpartum
- Reproductive tract infections research
- Pregnancy and Medication Impact
- Prenatal Screening and Diagnostics
- Blood donation and transfusion practices
- Child and Adolescent Health
- Infant Development and Preterm Care
- Family and Patient Care in Intensive Care Units
- Child Nutrition and Water Access
- Grief, Bereavement, and Mental Health
- Reproductive Health and Technologies
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Impact and Responses
- Healthcare Policy and Management
- Clostridium difficile and Clostridium perfringens research
Gynuity Health Projects
2015-2024
University of Washington
2018-2020
Government Medical College
2016-2020
King's College London
2020
RELX Group (United States)
2012-2019
National Wildlife Federation
2019
Liverpool School of Tropical Medicine
2018
Liverpool Women's Hospital
2018
University of Liverpool
2018
RELX Group (United Kingdom)
2012-2017
Objective To explore the clinical practices, risks, and maternal outcomes associated with postpartum haemorrhage ( PPH ). Design Secondary analysis of cross‐sectional data. Setting A total 352 health facilities in 28 countries. Sample 274 985 women giving birth between 1 May 2010 31 December 2011. Methods We used multivariate logistic regression to examine factors among all births, Pearson chi‐square test correlates severe SMO s) . All analyses adjust for facility‐ country‐level clustering....
Child and maternal mortality morbidity are examined in relation to the interval between pregnancies. Most data available pertain child mortality. Very little reliable information links or health detriments short birth spacing. The evidence on suggests that very intervals (conceptions less than six months after a birth) detrimental survival of second child, but these results must be viewed light methodological difficulties studies this subject. Policy implications perhaps clear is sometimes...
BackgroundHypertension is the most common medical disorder in pregnancy, complicating one ten pregnancies. Treatment of severely increased blood pressure widely recommended to reduce risk for maternal complications. Regimens acute treatment severe hypertension typically include intravenous medications. Although effective, these drugs require venous access and careful fetal monitoring might not be feasible busy or low-resource environments. We therefore aimed compare efficacy safety three...
In 2012, the International Federation of Obstetrics and Gynecology (FIGO) produced a chart detailing recommended dosages misoprostol when used alone, for variety gynecologic obstetric indications. light new evidence1-13 through expert deliberation, this has now been revised expanded (Fig. 1). Some areas were particularly challenging to develop given limited, low-quality, or inconsistent evidence. The present commentary is intended explain some changes decisions made. layout categorized...
Abstract Objective To systematically develop evidence‐based bundles for care of postpartum hemorrhage ( PPH ). Methods An international technical consultation was conducted in 2017 to draft clinical interventions taken from the WHO 's 2012 and recommendations based on validated “ GRADE Evidence‐to‐Decision” framework. Twenty‐three global maternal‐health experts participated development process, which informed by a systematic literature search bundle definitions, designs, implementation...
<h3>Importance</h3> Screening for medication abortion eligibility typically includes ultrasonography or pelvic examination. To reduce physical contact during the COVID-19 pandemic, many clinicians stopped requiring tests before and instead screened patients pregnancy duration ectopic risk by history alone. However, few US-based studies have been conducted on outcomes safety of this novel model care. <h3>Objective</h3> evaluate a history-based screening, no-test approach to <h3>Design,...
Objective To assess the effectiveness of 600 μg oral misoprostol on postpartum haemorrhage (PPH) and anaemia in a low income country home birth situation. Design Double blind randomised controlled trial. Setting Twenty‐six villages rural Gambia with 52 traditional attendants (TBAs). Sample One thousand, two hundred twenty‐nine women delivering at under guidance trained TBA. Methods Active management third stage labour using three 200‐μg tablets placebo or four 0.5‐mg ergometrine (standard...
It is widely believed that family planning has important benefits for both maternal and child health. Despite this, little work been done to quantify the potential effect of in reducing mortality. This paper assesses impact averting deaths, discusses overall ability risk strategies address bulk The practical difficulties providing effective contraception populations with high mortality are addressed, need health care services as an adjunct useful programs emphasized. Although cannot by...
OBJECTIVE. We adapted kangaroo mother care for immediate postnatal community-based application in rural Bangladesh, where the incidence of home delivery, low birth weight, and neonatal infant mortality is high intensive unavailable. This trial tested whether reduces overall rate by 27.5%, 25%, weight 30%. METHODS. Half 42 unions 2 Bangladesh divisions with highest rates were randomly assigned to care, half not. One village per union was selected proportionate population size. A baseline...
Objective We aimed to better understand how well postpartum blood loss and common hemorrhage (PPH) definitions (i.e. ≥500ml = PPH, ≥1000ml "severe" PPH) correlate with anemia fall in hemoglobin. Methods Secondary analysis of data from three randomized trials that objectively measured pre- post-delivery hemoglobin among vaginal deliveries: one trial included 1056 home-births Pakistan two multi-country hospital-based 1279 women diagnosed PPH. calculated Spearman's correlation coefficients (rs)...
In Brief Objective: To compare the safety, efficacy, and acceptability of misoprostol manual vacuum aspiration for treatment incomplete abortion in a hospital setting Kampala, Uganda. Methods: Three hundred seventeen women with clinically diagnosed first-trimester abortions were randomized to either or 600 μg orally complete their abortions. All received antibiotics posttreatment followed up 1–2 weeks later. Results: Regardless allocation, nearly all this study successfully completed oral...
ObjectivesWe aimed to document the experience of buying abortion pills from online vendors that do not require a prescription and evaluate active ingredient content received.Study designWe searched internet identify convenience sample websites sold mifepristone misoprostol purchasers in United States attempted order these products. We documented price, shipping time other aspects ordering. sent samples received testing laboratory measured amount individual tablets.ResultsWe identified 18...
A multidimensional approach was taken to understand the constraints breast-feeding in a large municipal hospital. Data were collected through direct observation, chart review, and questionnaires patients staff. Breast-feeding had not yet begun within 24 hours postpartum 37% of women who wanted breast-feed. Chart review revealed that at hospital discharge no woman exclusively: only 16% infants ever been breast-fed all these also formula fed. The most common reason for use supplementary early...