A5037699289- Maternal and Perinatal Health Interventions
- Global Maternal and Child Health
- Maternal and fetal healthcare
- Pregnancy and preeclampsia studies
- Maternal and Neonatal Healthcare
- Gestational Diabetes Research and Management
- Birth, Development, and Health
- Pregnancy-related medical research
- Preterm Birth and Chorioamnionitis
- COVID-19 Impact on Reproduction
- Assisted Reproductive Technology and Twin Pregnancy
- Breastfeeding Practices and Influences
- Maternal Mental Health During Pregnancy and Postpartum
- Reproductive Health and Contraception
- Neonatal Respiratory Health Research
- Injury Epidemiology and Prevention
- Obesity, Physical Activity, Diet
- Ectopic Pregnancy Diagnosis and Management
- Child Nutrition and Water Access
- Women's cancer prevention and management
- Emergency and Acute Care Studies
- Global Cancer Incidence and Screening
- Cardiovascular Issues in Pregnancy
- Adolescent Sexual and Reproductive Health
- Pelvic floor disorders treatments
Universidade Estadual de Campinas (UNICAMP)
2016-2025
Hospital Israelita Albert Einstein
2023-2024
The University of Adelaide
2023
Universidade Federal de São Paulo
2023
UNSW Sydney
2023
Universidade do Estado do Rio de Janeiro
2023
King's College London
2016-2021
Instituto de Medicina Integral Professor Fernando Figueira
2021
University of British Columbia
2021
Hospital de Clínicas da Unicamp
1998-2021
Background Perinatal mortality and morbidity continue to be major global health challenges strongly associated with prematurity reduced fetal growth, an issue of further interest given the mounting evidence that growth in general is linked degrees risk common noncommunicable diseases adulthood. Against this background, WHO made it a high priority provide present charts for estimated weight (EFW) ultrasound biometric measurements intended worldwide use. Methods Findings We conducted...
Objective We aimed to determine the prevalence and risks of late fetal deaths ( LFD s) early neonatal END in women with medical obstetric complications. Design Secondary analysis WHO Multicountry Survey on Maternal Newborn Health WHOMCS ). Setting A total 359 participating facilities 29 countries. Population 308 392 singleton deliveries. Methods reported perinatal indicators determined death presence severe maternal complications (haemorrhagic, infectious, hypertensive disorders, other...
The vast majority of maternal deaths in low-and middle-income countries are preventable. Delay obtaining access to appropriate health care is a fairly common problem which can be improved. objective this study was explore the association between delay providing obstetric and severe morbidity/death. This multicentre cross-sectional study, involving 27 referral facilities all Brazilian regions 2009 2010. All women admitted hospital with pregnancy-related cause were screened, searching for...
Maternal mortality has gained importance in research and policy since the mid-1980s. Thaddeus Maine recognized early on that timely adequate treatment for obstetric complications were a major factor reducing maternal deaths. Their work offered new approach to examining mortality, using three-phase framework understand gaps access management of emergencies: phase I--delay deciding seek care by woman and/or her family; II--delay reaching an health facility; III--delay receiving at facility....
Objectives To validate the WHO maternal near-miss criteria and develop a benchmark tool for severe morbidity assessments. Methods In multicenter cross-sectional study implemented in 27 referral maternity hospitals Brazil, one-year prospective surveillance on data collection was carried out. Diagnostic accuracy tests were used to assess validity of criteria. Binary logistic regression model death probability among women with complications management morbidity. Results Of 82,388 having...
This article evaluates the implementation of Brazilian Ministry Health's Program for Humanization Prenatal and Childbirth Care using data generated by SISPRENATAL/DATASUS database from Unified National Health System. From its beginning in June 2000 until December 2002, 3,983 municipalities joined Program, 71% participating (3,183) reported their health care activities, constituting a with 720,871 women. Nearly 20% women had six or more prenatal visits, approximately half them postpartum...
Abstract Background To evaluate the effectiveness and safety of water aerobics during pregnancy. Methods A randomized controlled trial carried out in 71 low-risk sedentary pregnant women, randomly allocated to or no physical exercise. Maternal body composition perinatal outcomes were evaluated. For statistical analysis Chi-square, Fisher's Student's t-tests applied. Risk ratios their 95% CI estimated for main outcomes. Body was evaluated across time using MANOVA Friedman multiple analysis....
In Brief OBJECTIVE: To study whether antioxidant supplementation will reduce the incidence of preeclampsia among patients at increased risk. METHODS: A randomized, placebo-controlled, double-blind clinical trial was conducted four Brazilian sites. Women between 12 0/7 weeks and 19 6/7 gestation diagnosed to have chronic hypertension or a prior history were randomly assigned daily treatment with both vitamin C (1,000 mg) E (400 International Units) placebo. Analyses adjusted for site risk...
Objective To develop an indicator of maternal near miss as a proxy for death and to study its association with factors perinatal outcomes.Methods In multicenter cross-sectional study, we collected data from the hospital records sample women admitted delivery over period two three months in 120 hospitals located eight Latin American countries.We followed stratified multistage cluster random design.We assessed intra-hospital occurrence severe morbidity latter's characteristics...
Objective To generate a global reference for caesarean section ( CS ) rates at health facilities. Design Cross‐sectional study. Setting Health facilities from 43 countries. Population/Sample Thirty eight thousand three hundred and twenty‐four women giving birth 22 countries model building 10 045 875 testing. Methods We hypothesised that mathematical models could determine the relationship between clinical‐obstetric characteristics . These generated probabilities of be compared with observed...
Abstract Objective To evaluate the prevalence of periodontal disease (PD) among Brazilian low-risk pregnant women and its association with sociodemographic factors, habits oral hygiene. Method This cross-sectional study included 334 divided in groups or without PD. Indexes plaque gingival bleeding on probing, probing pocket depth, clinical attachment level recession were evaluated at one examination below 32 weeks gestation. Independent variables were: age, race/color, schooling, marital...
Twin pregnancy was associated with significantly higher rates of adverse neonatal and perinatal outcomes, especially for the second twin. In addition, maternal complications (potentially life-threatening conditions-PLTC, near miss-MNM, mortality-MM) are directly related to twin independently outcome. The objective preset study is evaluate outcomes pregnancies, stratified by severe morbidity order birth.Secondary analysis WHO Multicountry Survey on Maternal Newborn Health (WHOMCS), a...
Background Preterm birth rate is increasing and currently a worldwide concern. The purpose of this study was to estimate the prevalence preterm in sample health facilities Brazil identify main risk factors associated with spontaneous births. Methods Findings This multicentre cross sectional on births 20 referral obstetric hospitals case-control component birth. Surveillance implemented at all centres For eligible consenting women, data were collected through post-delivery questionnaire...
Maternal morbidity is a complex entity and its presentation severity are on spectrum. This paper describes the conceptualization development of definition for maternal morbidity, framework measurement: matrix, which foundation measuring thus, assessment tool. We define associated disability as "any health condition attributed to and/or complicating pregnancy childbirth that has negative impact woman's wellbeing functioning." A matrix 121 conditions was generated through expert meetings,...
To evaluate maternal complications (potentially life-threatening conditions, near miss, and death) that are mutually exclusive severe outcomes (maternal miss or associated with twin pregnancies.We performed a secondary analysis of cross-sectional World Health Organization Multicountry Survey, which was implemented in 29 countries. Data from 4,756 deliveries were compared 308,111 singleton deliveries. Factors morbidity pregnancies reported adjusted prevalence ratio (95% confidence...
Maternal infections are an important cause of maternal mortality and severe morbidity. We report the main findings WHO Global Sepsis Study, which aimed to assess frequency in health facilities, according characteristics outcomes, coverage core practices for early identification management.We did a facility-based, prospective, 1-week inception cohort study 713 facilities providing obstetric, midwifery, or abortion care, where women could be admitted because complications pregnancy,...
Abstract Background Hypertensive disorders represent the major cause of maternal morbidity in middle income countries. The main objective this study was to identify prevalence and factors associated with severe outcomes women hypertensive disorders. Methods This a cross-sectional, multicenter study, including 6706 disorder from 27 maternity hospitals Brazil. A prospective surveillance data collected medical charts entered into OpenClinica® , an online system, over one-year period (2009...
Objective To develop and test markers of neonatal severe morbidity for the identification near-miss cases. Design This is a database analysis two World Health Organization cross-sectional studies: Global Survey on Maternal Perinatal (WHOGS) Multicountry Newborn (WHOMCS). Setting The WHOGS was performed in 373 health facilities 24 countries (2004–2008). WHOMCS conducted 359 29 (2010–2011). Population Data were collected from hospital records all women admitted delivery their respective...