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Reproductive Health

Lianne Gonsalves, Michelle J Hindin, Angela Bayer, Cesar P Carcamo, Peter Gichangi, Ndema Habib, Jefferson Mwaisaka, Lale Say
BACKGROUND: Young people face special challenges to accessing needed sexual and reproductive health (SRH) information and support. With high penetration and access, mobile phones provide a new channel for reaching young people, but there is little evidence around the impact of digital interventions on improving health outcomes. The Adolescent/Youth Reproductive Mobile Access and Delivery Initiative for Love and Life Outcomes (ARMADILLO) study will assess the effect of an intervention providing SRH information to young people via text message on their mobile phones in Kenya and Peru...
July 11, 2018: Reproductive Health
Diana Elbourne
Adrian Grant pioneered methodological innovations in the randomised trials organised by the Perinatal Trials Service established at the national Perinatal Epidemiology Unit in Oxford, UK. This Commentary discusses these innovations, and shows the wide range of trials designed under his directorship.
July 9, 2018: Reproductive Health
Bwalya C Bwalya, Doreen Sitali, Kumar Sridutt Baboo, Joseph M Zulu
BACKGROUND: Adolescent pregnancy is among the many public health concerns not only in Zambia but also in other parts of the world. Exploring pregnant adolescents' experiences of antenatal care may help to identify specific problems and the contextual relevant strategies to improve the access to antenatal care. The purpose of this study was to explore and describe the lived experiences of antenatal care among pregnant adolescents aged between 12 to 19 years old at Kanyama and Matero Referral Clinics in Lusaka district of Zambia...
July 9, 2018: Reproductive Health
Daniel Ishoso Katuashi, Antoinette Kitoto Tshefu, Yves Coppieters
BACKGROUND: Due to a lack of relevant data on induced abortions in the Democratic Republic of the Congo (DRC) as well as the persistence of maternal deaths in the country, this study aims to analyse the induced abortion-related complications in women who were admitted to the Kinshasa Reference General Hospital (KRGH). METHODS: This is a cross-sectional study on 368 obstetric and gynecological patients who were admitted, as emergency cases, to the KRGH during 2014...
July 6, 2018: Reproductive Health
Elie Attieh, Samer Maalouf, Cynthia Chalfoun, Pamela Abdayem, Elie Nemr, Assaad Kesrouani
BACKGROUND: Motherhood is a demanding part of any women's life. Female interns could encounter difficulties during selection for residency program according to their plans of conceiving. Our aim is to explore the influence of female gender on the selection process of residency programs. METHOD: A cross sectional study was conducted in 2016 at a University Hospital in Beirut, Lebanon. Female residents and chief of departments were interviewed about the impact of the timing of motherhood during residency on the interview for admission...
July 5, 2018: Reproductive Health
Philip Teg-Nefaah Tabong, Ernest Tei Maya, Terence Adda-Balinia, Dela Kusi-Appouh, Harriet Birungi, Placide Tabsoba, Philip Baba Adongo
BACKGROUND: Adolescent sexual and reproductive health is recognized as a key developmental issue of international concern. However, adolescents' access to sexual and reproductive health (SRH) information and services is largely inadequate in sub-Saharan Africa. With increasing enrollment in schools, this could be an avenue to reach adolescents with SRH information and services. This study was therefore conducted to assess the acceptability and stakeholders' perspectives on the feasibility of using health workers and trained psychologists to provide school-based SRH services in Ghana...
July 5, 2018: Reproductive Health
Emebet Gebre, Alemayehu Worku, Fawole Bukola
BACKGROUND: Inequities in maternal health services utilization constitute a major challenge in maternal mortality reduction in Ethiopia. We sought to assess magnitude, trends, and determinants of inequities in maternal health services utilization in Ethiopia from 2000 to 2016. METHODS: The study utilized data from the 2000 and 2016 Ethiopia Demographic and Health Surveys, which were done based on a cross sectional survey design. The wealth-related inequities were assessed by concentration curve and horizontal inequity indices...
July 4, 2018: Reproductive Health
Boris Martinez, Enma Coyote Ixen, Rachel Hall-Clifford, Michel Juarez, Ann C Miller, Aaron Francis, Camilo E Valderrama, Lisa Stroux, Gari D Clifford, Peter Rohloff
BACKGROUND/OBJECTIVE: Guatemala's indigenous Maya population has one of the highest perinatal and maternal mortality rates in Latin America. In this population most births are delivered at home by traditional birth attendants (TBAs), who have limited support and linkages to public hospitals. The goal of this study was to characterize the detection of maternal and perinatal complications and rates of facility-level referral by TBAs, and to evaluate the impact of a mHealth decision support system on these rates...
July 4, 2018: Reproductive Health
Venkatraman Chandra-Mouli, Marina Plesons, Alka Barua, Priyanka Sreenath, Sunil Mehra
BACKGROUND: Although the need for multi-faceted and multi-sectoral approaches to address the multidimensional issue of child marriage is well-acknowledged, there is a dearth of documented experience on the process of implementing and managing such programmes. METHODS: WHO evaluated a district-level, government-led multi-sectoral intervention to address child marriage in Jamui, Bihar and Sawai Madhopur, Rajasthan, implemented by MAMTA Health Institute for Mother and Child (MAMTA)...
June 28, 2018: Reproductive Health
Yoko Shimpuku, Frida E Madeni, Shigeko Horiuchi, Kazumi Kubota, Sebalda C Leshabari
BACKGROUND: To increase births attended by skilled birth attendants in Tanzania, studies have identified the need for involvement of the whole family in pregnancy and childbirth education. This study aimed to develop, implement, and evaluate a family-oriented antenatal group educational program to promote healthy pregnancy and family involvement in rural Tanzania. METHODS: This was a quasi-experimental 1 group pre-test/post-test study with antenatal education provided to pregnant women and their families in rural Tanzania...
June 28, 2018: Reproductive Health
Lulu M Muhe, Elizabeth M McClure, Amha Mekasha, Bogale Worku, Alemayehu Worku, Asrat Dimtse, Goitom Gebreyesus, Zemene Tigabu, Mahlet Abayneh, Netsanet Workneh, Beza Eshetu, Abayneh Girma, Mesfin Asefa, Ramon Portales, Mahlet Arayaselassie, Yirgu Gebrehiwot, Tiruzer Bekele, Mesele Bezabih, Gesit Metaferia, Mulatu Gashaw, Bewketu Abebe, Alemu Geleta, Abdulkadir Shehibo, Yohanes Hailu, Hailu Berta, Addisu Alemu, Tigist Desta, Rahel Hailu, Janna Patterson, Assaye K Nigussie, Robert L Goldenberg
BACKGROUND: With nearly 15 million annual preterm births globally, preterm birth is the most common cause of neonatal death. Forty to 60 % of neonatal deaths are directly or indirectly associated with preterm mortality. As countries aim to meet the Sustainable Development Goals to reduce neonatal mortality, significant reductions in preterm mortality are needed. This study aims to identify the common causes of preterm illness and their contribution to preterm mortality in low-resource settings...
June 27, 2018: Reproductive Health
Chelsea B Polis, Rubina Hussain, Amanda Berry
INTRODUCTION: Concern about side effects and health issues are common reasons for contraceptive non-use or discontinuation. Contraceptive-induced menstrual bleeding changes (CIMBCs) are linked to these concerns. Research on women's responses to CIMBCs has not been mapped or summarized in a systematic scoping review. METHODS: We conducted a systematic scoping review of data on women's responses to CIMBCs in peer-reviewed, English-language publications in the last 15 years...
June 26, 2018: Reproductive Health
Xin Yang, Xiaodong Li, Yanjie Wang, Xiaojing He, Yang Zhao
BACKGROUND: There is no evidence of the practices of obstetricians and gynecologists (OB/GYNs) regarding contraceptive use and determinants influencing contraceptive choices, including emergency methods such as combined oral contraceptives (COCs) and levonorgestrel intrauterine system (LNGIUS). This survey determines the practices and knowledge among Chinese female OB/GYNs regarding modern contraceptive methods. METHODS: A multicenter questionnaire was completed by 2000 female OB/GYNs participating in training courses organized by the gynecological endocrinology training committee of the Chinese Medical Doctor Association from February to May 2013...
June 26, 2018: Reproductive Health
Chelsea B Polis
BACKGROUND: In March 2018, Dr. Martin C. Koch and colleagues published an analysis purporting to measure the effectiveness of the Daysy device and DaysyView app for the prevention of unintended pregnancy. Unfortunately, the analysis was flawed in multiple ways which render the estimates unreliable. Unreliable estimates of contraceptive effectiveness can endanger public health. MAIN BODY: This commentary details multiple concerns pertaining to the collection and analysis of data in Koch et al...
June 25, 2018: Reproductive Health
Geetanjali Katageri, Umesh Charantimath, Anjali Joshi, Marianne Vidler, Umesh Ramadurg, Sumedha Sharma, Sheshidhar Bannale, Beth A Payne, Sangamesh Rakaraddi, Chandrashekhar Karadiguddi, Geetanjali Mungarwadi, Avinash Kavi, Diane Sawchuck, Richard Derman, Shivaprasad Goudar, Ashalata Mallapur, Mrutyunjaya Bellad, Laura A Magee, Rahat Qureshi, Peter von Dadelszen
BACKGROUND: Pre-eclampsia and eclampsia are major causes of maternal morbidity and mortality. Magnesium sulphate is accepted as the anticonvulsant of choice in these conditions and is present on the WHO essential medicines list and the Indian National List of Essential Medicines, 2015. Despite this, magnesium sulphate is not widely used in India for pre-eclampsia and eclampsia. In addition to other factors, lack of availability may be a reason for sub-optimal usage. This study was undertaken to assess the availability and use of magnesium sulphate at public and private health care facilities in two districts of North Karnataka, India...
June 22, 2018: Reproductive Health
Umesh Charanthimath, Marianne Vidler, Geetanjali Katageri, Umesh Ramadurg, Chandrashekhar Karadiguddi, Avinash Kavi, Anjali Joshi, Geetanjali Mungarwadi, Sheshidhar Bannale, Sangamesh Rakaraddi, Diane Sawchuck, Rahat Qureshi, Sumedha Sharma, Beth A Payne, Peter von Dadelszen, Richard Derman, Laura A Magee, Shivaprasad Goudar, Ashalata Mallapur, Mrutyunjaya Bellad, Zulfiqar Bhutta, Sheela Naik, Anis Mulla, Namdev Kamle, Vaibhav Dhamanekar, Sharla K Drebit, Chirag Kariya, Tang Lee, Jing Li, Mansun Lui, Asif R Khowaja, Domena K Tu, Amit Revankar
BACKGROUND: Hypertensive disorders are the second highest direct obstetric cause of maternal death after haemorrhage, accounting for 14% of maternal deaths globally. Pregnancy hypertension contributes to maternal deaths, particularly in low- and middle-income countries, due to a scarcity of doctors providing evidence-based emergency obstetric care. Task-sharing some obstetric responsibilities may help to reduce the mortality rates. This study was conducted to assess acceptability by the community and other healthcare providers, for task-sharing by community health workers (CHW) in the identification and initial care in hypertensive disorders in pregnancy...
June 22, 2018: Reproductive Health
Shivanand C Mastiholi, Manjunath S Somannavar, Sunil S Vernekar, S Yogesh Kumar, Sangappa M Dhaded, Veena R Herekar, Rebecca L Lander, Michael K Hambidge, Nancy F Krebs, Shivaprasad S Goudar
BACKGROUND: As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconception period leading to poor health and likely resulting in low birth weight babies. This study was aimed to assess the food insecurity and nutritional status of preconception women in a rural population of north Karnataka...
June 22, 2018: Reproductive Health
Stacie E Geller, Abigail R Koch, Caitlin E Garland, E Jane MacDonald, Francesca Storey, Beverley Lawton
BACKGROUND: Maternal mortality continues to be of great public health importance, however for each woman who dies as the direct or indirect result of pregnancy, many more women experience life-threatening complications. The global burden of severe maternal morbidity (SMM) is not known, but the World Bank estimates that it is increasing over time. Consistent with rates of maternal mortality, SMM rates are higher in low- and middle-income countries (LMICs) than in high-income countries (HICs)...
June 22, 2018: Reproductive Health
Richard J Derman, Frances J Jaeger
Louis Pasteur once commented on the happiness that a scientist finds when, besides making a discovery, study results find practical application. Where health status is poor and resources are limited, finding such applications is a necessity, not merely a joy.Dissemination, or the distribution of new knowledge gained through research, is essential to the ethical conduct of research. Further, when research is designed to improve health, dissemination is critical to the development of evidence-based medicine and the adoption of evidence-supported interventions and improved practice patterns within specific settings...
June 22, 2018: Reproductive Health
Elizabeth M McClure, Sarah Saleem, Shivaprasad S Goudar, Sangappa Dhaded, G Guruprasad, Yogesh Kumar, Shiyam Sunder Tikmani, Masood Kadir, Jamal Raza, Haleema Yasmin, Janet L Moore, Jean Kim, Carla Bann, Lindsay Parlberg, Anna Aceituno, Waldemar A Carlo, Robert M Silver, Laura Lamberti, Janna Patterson, Robert L Goldenberg
BACKGROUND: In South Asia, where most stillbirths and neonatal deaths occur, much remains unknown about the causes of these deaths. About one-third of neonatal deaths are attributed to prematurity, yet the specific conditions which cause these deaths are often unclear as is the etiology of stillbirths. In low-resource settings, most women are not routinely tested for infections and autopsy is rare. METHODS: This prospective, cohort study will be conducted in hospitals in Davengere, India and Karachi, Pakistan...
June 22, 2018: Reproductive Health
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