Author's reply re: Clindamycin to reduce preterm birth in a low resource setting: a randomised placebo-controlled clinical trial

2018 ◽  
Vol 125 (12) ◽  
pp. 1633-1633
Author(s):  
Matthew K. Hoffman ◽  
Keyword(s):  
Clinical Trial ◽  
Preterm Birth ◽  
Controlled Clinical Trial ◽  
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

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 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

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 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

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
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