829: Utility of qualitative research for assessment of attitudes and knowledge on preterm birth in a low resource setting

2013 ◽  
Vol 208 (1) ◽  
pp. S347
Author(s):  
Judy Levison ◽  
Debora Nanthuru ◽  
Grace Chiudzu ◽  
Peter Kazembe ◽  
Henri Phiri ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Preterm Birth ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Attitudes And Knowledge

scholarly journals Preterm Birth in Low-resource Setting

2021 ◽  
Vol 15 (2) ◽  
pp. 175-178
Author(s):  
Ali Sungkar
Keyword(s):  
Preterm Birth ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

Clindamycin to reduce preterm birth in a low resource setting: a randomised placebo-controlled clinical trial

2018 ◽  
Vol 125 (12) ◽  
pp. 1601-1609 ◽  
Author(s):  
MB Bellad ◽  
MK Hoffman ◽  
AA Mallapur ◽  
US Charantimath ◽  
GM Katageri ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Preterm Birth ◽  
Controlled Clinical Trial ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals The overlap between miscarriage and extreme preterm birth in a limited-resource setting on the Thailand-Myanmar border: a population cohort study

2018 ◽  
Vol 1 ◽  
pp. 32 ◽  
Author(s):  
Rose McGready ◽  
Moo Kho Paw ◽  
Jacher Wiladphaingern ◽  
Aung Myat Min ◽  
Verena I. Carrara ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Scale Up ◽  
Limited Resource ◽  
Gestational Trophoblastic Disease ◽  
Exclusion Criteria ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Record Review

Background: Countries vary on the demarcation gestational age that distinguishes miscarriage and extreme preterm birth (PTB). This study provides a synopsis of the outcome of pregnancy between 22 to <28 weeks’ gestation from a low resource setting. Methods: A retrospective record review of a refugee and migrant population on the Thailand-Myanmar border with outcome between 22 to <28 weeks’ gestation, was conducted. Outcomes were classified as miscarriage: non-viability prior to 22 week’s gestation with expulsion of products between 22 to < 28 weeks’ gestation; or extreme PTB when the fetus was viable at ≥22 weeks and delivered between 22 to < 28 weeks’ gestation. Termination of pregnancy and gestational trophoblastic disease were excluded. Results: From 1995-2015, outcomes occurred between 22 to <28 weeks’ gestation in 0.9% (472/49,931) of pregnancies and 3.8% (18/472) met the exclusion criteria. Most included pregnancies (n=454) had ultrasound done 72.5% (n=329). Overall 43.6% (n=197) were miscarriage and 56.4% (n=257) extreme PTB. Miscarriage (late expulsion) between 22 to <28 weeks was observed with non-viability occurring at an estimated median gestation of 16 weeks. For cases with available data (n=252, 5 missing) the proportion of stillborn was 47.6% (n=120), liveborn 52.4% (n=132); and congenital abnormality 10.5% (24/228, 29 missing). Neonatal death was high 98.5% (128/131, 1 missing). Introduction of ultrasound was associated with a 2-times higher odds of classification of outcome as birth rather than miscarriage. Conclusion: In this low resource setting <1% of pregnancy outcomes occur in the 22 to <28 weeks’ gestation window; nearly half  were miscarriage; and neonatal mortality approached 100%.  In the scale-up to preventable newborns deaths, at least initially, greater benefits will be obtained by focusing on the greater number of viable newborns with a gestation of 28 weeks or more.

P402 Qualitative βhCG assay in cervicovaginal secretions: A potential predictor of preterm birth in low resource setting

2009 ◽  
Vol 107 ◽  
pp. S528-S528
Author(s):  
K. Guleria ◽  
G. Rengaraj ◽  
A. Suneja ◽  
J. Gambhir
Keyword(s):  
Preterm Birth ◽  
Potential Predictor ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

Re: Clindamycin to reduce preterm birth in a low resource setting: a randomised placebo-controlled clinical trial

2018 ◽  
Vol 125 (12) ◽  
pp. 1632-1633 ◽  
Author(s):  
Ronald F. Lamont ◽  
Birgitte Møller Luef ◽  
Jan Stener Jørgensen
Keyword(s):  
Clinical Trial ◽  
Preterm Birth ◽  
Controlled Clinical Trial ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals The overlap between miscarriage and extreme preterm birth in a limited-resource setting on the Thailand-Myanmar border: a population cohort study

2018 ◽  
Vol 1 ◽  
pp. 32
Author(s):  
Rose McGready ◽  
Moo Kho Paw ◽  
Jacher Wiladphaingern ◽  
Aung Myat Min ◽  
Verena I. Carrara ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Gestational Age ◽  
Scale Up ◽  
Limited Resource ◽  
Heart Beat ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Individual Record ◽  
Record Review

Background : No universal  demarcation of gestational age  distinguishes miscarriage and stillbirth or extreme preterm birth (exPTB). This study provides a synopsis of outcome between 22 to <28 weeks gestation from a low resource setting. Methods : A retrospective record review of a population on the Thailand-Myanmar border was conducted. Outcomes were classified as miscarriage, late expulsion of products between 22 to < 28 weeks gestation with evidence of non-viability (mostly ultrasound absent fetal heart beat) prior to 22 weeks; or  exPTB (stillbirth/live born) between 22 to < 28 weeks gestation when the fetus was viable at ≥22 weeks. Termination of pregnancy and gestational trophoblastic disease were excluded. Results : From 1995-2015, 80.9% (50,046/ 61,829) of registered women had a known pregnancy outcome, of whom 99.8% (49,931) had a known gestational age. Delivery  between 22 to <28 weeks gestation included 0.9% (472/49,931) of pregnancies after removing 18 cases (3.8%) who met an exclusion criteria. Most  pregnancies had an ultrasound: 72.5% (n=329/454);  43.6% (n=197) were classified as  miscarriage and 56.4% (n=257) exPTB.  Individual record review of miscarriages estimated that fetal death had occurred at a median of 16 weeks, despite late expulsion between 22 to <28 weeks. With available data (n=252, 5 missing) the proportion of stillbirth was 47.6% (n=120), congenital abnormality 10.5% (24/228, 29 missing) and neonatal death was 98.5% (128/131, 1 missing). Introduction of ultrasound was associated with a 2-times higher odds of classification of outcome as exPTB rather than miscarriage. Conclusion : In this low resource setting few (<1%) pregnancy outcomes occurred in the 22 to <28 weeks gestational window; four in ten  were miscarriage (late expulsion) and neonatal mortality approached 100%.  In the scale-up to preventable newborns deaths (at least initially) greater benefits will be obtained by focusing on the viable newborns of ≥ 28 weeks gestation.

Evaluation of a New Protocol of Insulin Dose Adjustment in a Low-Resource Setting

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  
Keyword(s):  
Dose Adjustment ◽  
Insulin Dose ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Right paraduodenal hernia with extensive bowel gangrene treated with staged surgery: a Bogota bag followed by resection in a low-resource setting

2021 ◽  
Vol 14 (4) ◽  
pp. e239250
Author(s):  
Vijay Anand Ismavel ◽  
Moloti Kichu ◽  
David Paul Hechhula ◽  
Rebecca Yanadi
Keyword(s):  
Plastic Material ◽  
Successful Outcome ◽  
Paraduodenal Hernia ◽  
Transparent Plastic ◽  
Low Resource ◽  
Entire Small Bowel ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Right Paraduodenal Hernia ◽  
Bowel Gangrene

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.

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