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https://www.readbyqxmd.com/read/27905962/identifying-potential-differences-in-cause-of-death-coding-practices-across-russian-regions
#1
Inna Danilova, Vladimir M Shkolnikov, Dmitri A Jdanov, France Meslé, Jacques Vallin
BACKGROUND: Reliable and comparable data on causes of death are crucial for public health analysis, but the usefulness of these data can be markedly diminished when the approach to coding is not standardized across territories and/or over time. Because the Russian system of producing information on causes of death is highly decentralized, there may be discrepancies in the coding practices employed across the country. In this study, we evaluate the uniformity of cause-of-death coding practices across Russian regions using an indirect method...
March 22, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27905939/causes-of-death-in-vanuatu
#2
Karen Carter, Viran Tovu, Jeffrey Tila Langati, Michael Buttsworth, Lester Dingley, Andy Calo, Griffith Harrison, Chalapati Rao, Alan D Lopez, Richard Taylor
BACKGROUND: The population of the Pacific Melanesian country of Vanuatu was 234,000 at the 2009 census. Apart from subsistence activities, economic activity includes tourism and agriculture. Current completeness of vital registration is considered too low to be usable for national statistics; mortality and life expectancy (LE) are derived from indirect demographic estimates from censuses/surveys. Some cause of death (CoD) data are available to provide information on major causes of premature death...
March 15, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27884847/long-term-mortality-in-mothers-with-perinatal-losses-and-risk-modification-by-surviving-children-and-attained-education-a-population-based-cohort-study
#3
Frode Halland, Nils-Halvdan Morken, Lisa A DeRoo, Kari Klungsøyr, Allen J Wilcox, Rolv Skjærven
OBJECTIVE: To assess the association between perinatal losses and mother's long-term mortality and modification by surviving children and attained education. DESIGN: A population-based cohort study. SETTING: Norwegian national registries. PARTICIPANTS: We followed 652 320 mothers with a first delivery from 1967 and completed reproduction before 2003, until 2010 or death. We excluded mothers with plural pregnancies, without information on education (0...
November 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27843854/clinical-study-of-fundus-findings-in-pregnancy-induced-hypertension
#4
Rahul Navinchandra Bakhda
BACKGROUND AND OBJECTIVES: To study the role of ophthalmoscopy in pregnancy induced hypertension (PIH) in diagnosis, prognosis, differential diagnosis, line of treatment and effect of treatment. MATERIALS AND METHODS: An observational study in which all the patients for the study are selected from antenatal clinic, antenatal wards and preeclampsia and eclampsia room in Department of Obstetrics and Gynecology, General Ophthalmic Out Patient Department (OPD) in case of ambulatory patients, during the period of Nov...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27795833/timing-and-cause-of-perinatal-mortality-for-small-for-gestational-age-babies-in-south-africa-critical-periods-and-challenges-with-detection
#5
Tina Lavin, David B Preen, Robert Pattinson
BACKGROUND: Little information exists on timing and cause of death for small-for-gestational-age (SGA) babies in low-and-middle-income-countries (LMICs), despite evidence from high-income countries suggesting critical periods for SGA babies. This study explored the timing and cause of stillbirth and early neonatal mortality (END, <7 days) by small-for-gestational age in three provinces in South Africa. In South Africa, the largest category of perinatal deaths is unexplained stillbirth, of which up to one-quarter have intra-uterine growth restriction...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/27788335/pathologist-effort-in-the-performance-of-fetal-perinatal-and-pediatric-autopsies-a-survey-of-practice
#6
M Cristina Pacheco, Robyn C Reed
CONTEXT: -Autopsy is an important tool for quality assurance and improving patient care. Fetal, perinatal, and pediatric autopsies have the additional benefit of identifying conditions that may have increased risk of recurrence. In contrast to adult autopsies, special collections and testing are frequently used. Pathologist effort in fetal, perinatal, and pediatric autopsy has not been well documented. OBJECTIVE: -To prospectively quantify pathologist time required to complete fetal, perinatal, and pediatric autopsies, and to gather information on special studies and whether or not a cause of death was identified...
October 27, 2016: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/27737654/effectiveness-and-cost-effectiveness-of-routine-third-trimester-ultrasound-screening-for-intrauterine-growth-restriction-study-protocol-of-a-nationwide-stepped-wedge-cluster-randomized-trial-in-the-netherlands-the-iris-study
#7
Jens Henrichs, Viki Verfaille, Laura Viester, Myrte Westerneng, Bert Molewijk, Arie Franx, Henriette van der Horst, Judith E Bosmans, Ank de Jonge, Petra Jellema
BACKGROUND: Intrauterine growth retardation (IUGR) is a major risk factor for perinatal mortality and morbidity. Thus, there is a compelling need to introduce sensitive measures to detect IUGR fetuses. Routine third trimester ultrasonography is increasingly used to detect IUGR. However, we lack evidence for its clinical effectiveness and cost-effectiveness and information on ethical considerations of additional third trimester ultrasonography. This nationwide stepped wedge cluster-randomized trial examines the (cost-)effectiveness of routine third trimester ultrasonography in reducing severe adverse perinatal outcome through subsequent protocolized management...
October 13, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27726479/death-of-one-twin-during-the-perinatal-period-an-interpretative-phenomenological-analysis
#8
Sarah Meaney, Paul Corcoran, Keelin O'Donoghue
BACKGROUND: Perinatal death is one of the most difficult bereavements due to the shock and profound grief experienced by parents. It has been established that such bereavement has a life-lasting impact. Twin pregnancy is associated with increased perinatal risk, with higher rates of perinatal mortality than in singleton pregnancy. OBJECTIVES: To date, few studies have examined the effect of the loss of one twin diagnosed with a congenital abnormality during pregnancy...
October 11, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27722962/chronic-hypertension-and-pregnancy
#9
Luís Guedes-Martins
Chronic hypertension is frequently encountered during pregnancy and needs to be distinguished from other hypertensive complications of pregnancy, such as preeclampsia and gestational hypertension. The prevalence of this pregnancy complication is attributable to the increased prevalence of obesity and maternal age at childbearing. Women with chronic arterial hypertension are at increased risk for several pregnancy complications, including superimposed preeclampsia, caesarean delivery, preterm delivery <37 weeks gestation, birth weight <2500 g, neonatal unit admission, and perinatal death...
October 9, 2016: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/27716335/feasibility-of-community-level-interventions-for-pre-eclampsia-perspectives-knowledge-and-task-sharing-from-nigeria-mozambique-pakistan-and-india
#10
Mary V Kinney, Jeffrey Michael Smith, Tanya Doherty, Jorge Hermida, Karen Daniels, José M Belizán
Hypertensive disorders of pregnancy (HDP), particularly pre-eclampsia and eclampsia, remain one of the leading causes of maternal mortality and are contributory in many foetal/newborn deaths. This editorial discusses a supplement of seven papers which provide the results of the first round of the CLIP (Community Level Interventions for Pre-eclampsia) Feasibility Studies. These studies report a number of enablers and barriers in each setting, which have informed the implementation of a cluster-randomized trial (cRCT) aimed at reducing pre-eclampsia-related, and all-cause, maternal and perinatal mortality and major morbidity using community-based identification and treatment of pre-eclampsia in selected geographies of Nigeria, Mozambique, Pakistan and India...
September 30, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27716090/seeking-order-amidst-chaos-a-systematic-review-of-classification-systems-for-causes-of-stillbirth-and-neonatal-death-2009-2014
#11
Susannah Hopkins Leisher, Zheyi Teoh, Hanna Reinebrant, Emma Allanson, Hannah Blencowe, Jan Jaap Erwich, J Frederik Frøen, Jason Gardosi, Sanne Gordijn, A Metin Gülmezoglu, Alexander E P Heazell, Fleurisca Korteweg, Joy Lawn, Elizabeth M McClure, Robert Pattinson, Gordon C S Smith, Ӧzge Tunçalp, Aleena M Wojcieszek, Vicki Flenady
BACKGROUND: Each year, about 5.3 million babies die in the perinatal period. Understanding of causes of death is critical for prevention, yet there is no globally acceptable classification system. Instead, many disparate systems have been developed and used. We aimed to identify all systems used or created between 2009 and 2014, with their key features, including extent of alignment with the International Classification of Diseases (ICD) and variation in features by region, to inform the World Health Organization's development of a new global approach to classifying perinatal deaths...
October 5, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27622009/correlates-of-stillbirths-at-nyeri-provincial-general-hospital-kenya-2009-2013-a-retrospective-study
#12
Joyce J Cheptum, Nelly Muiruri, Ernest Mutua, Moses Gitonga, Mwangi Juma
BACKGROUND: Death of a baby in-utero is a very devastating event to the mother and the family. Most stillbirths occur during labor and birth with other deaths occurring during the antenatal period. Millions of families experience stillbirths, yet these deaths remain uncounted, and policies have not been clearly stipulated to address this issue. The aim of the study was to identify the possible causes of stillbirths as recorded in the medical records. METHODS: A retrospective study looking at medical records of women who experienced stillbirths between 1(st) January 2009 and 31(st) December 2013 at Nyeri Provincial General Hospital, Kenya...
2016: International Journal of MCH and AIDS
https://www.readbyqxmd.com/read/27619845/congenital-and-perinatal-complications-of-chikungunya-fever-a-latin-american-experience
#13
Jaime R Torres, Luiza H Falleiros-Arlant, Lourdes Dueñas, Jorge Pleitez-Navarrete, Doris M Salgado, José Brea-Del Castillo
BACKGROUND: During the years 2014 and 2015, the Region of the Americas underwent a devastating epidemic of chikungunya virus (CHIKV) of the Asian genotype, resulting in millions of affected individuals. However, epidemiological and clinical information on this experience is scarce. Prior knowledge of congenital and neonatal illness caused by CHIKV is limited and almost exclusively based on data obtained from a single outbreak of the East/Central/South African (ECSA) genotype. The effect of chikungunya fever (CHIKF) on pregnancy outcomes and its consequences for infants born to infected mothers at the peak of the epidemic wave in Latin America are reviewed herein...
September 13, 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27527704/characteristics-of-a-global-classification-system-for-perinatal-deaths-a-delphi-consensus-study
#14
Aleena M Wojcieszek, Hanna E Reinebrant, Susannah Hopkins Leisher, Emma Allanson, Michael Coory, Jan Jaap Erwich, J Frederik Frøen, Jason Gardosi, Sanne Gordijn, Metin Gulmezoglu, Alexander E P Heazell, Fleurisca J Korteweg, Elizabeth McClure, Robert Pattinson, Robert M Silver, Gordon Smith, Zheyi Teoh, Özge Tunçalp, Vicki Flenady
BACKGROUND: Despite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective prevention strategies. The World Health Organisation (WHO) is developing a globally-acceptable classification approach for perinatal deaths. To inform this work, we sought to establish a consensus on the important characteristics of such a system...
August 15, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27527390/application-of-icd-pm-to-preterm-related-neonatal-deaths-in-south-africa-and-united-kingdom
#15
E R Allanson, J P Vogel, Ӧ Tunçalp, J Gardosi, R C Pattinson, A Francis, Jjhm Erwich, V J Flenady, J F Frøen, J Neilson, A Quach, D Chou, M Mathai, L Say, A M Gülmezoglu
OBJECTIVE: We explore preterm-related neonatal deaths using the WHO application of the International Classification of Disease (ICD-10) to deaths during the perinatal period: ICD-PM as an informative case study, where ICD-PM can improve data use to guide clinical practice and programmatic decision-making. DESIGN: Retrospective application of ICD-PM. SETTING: South Africa, and the UK. POPULATION: Perinatal death databases...
November 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27473405/accountability-for-improving-maternal-and-newborn-health
#16
Heather Scott, Isabella Danel
In 2010, the United Nations (UN) launched the Global Strategy for Women's and Children's Health to accelerate progress on maternal and child health. A UN Commission on Information and Accountability, established to ensure oversight and accountability on women's and children's health, outlined a framework with three processes: monitor, review, and act. This paper assesses progress on these processes. Effective monitoring depends on a functional civil registration and vital statistics system. Review requires counting all deaths and identifying contributing factors...
June 23, 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27423277/knowledge-attitude-and-practice-of-contraception-among-postpartum-women-attending-kathmandu-medical-college-teaching-hospital
#17
A Bajracharya
Background Failure to plan a pregnancy can adversely affect the health of the family as a whole. High parity is related to increased maternal, perinatal and infant deaths and is associated with nutritional problems of both mother and child. Hence, good knowledge, attitude and practice of family planning among women are important. This study is aimed to determine the knowledge, attitude and practice of contraception among the postpartum women attending Kathmandu Medical College Teaching Hospital. Objective To determine the knowledge, attitude and the practice of various contraceptive methods among the postpartum women...
October 2015: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/27418127/the-conduct-of-maternal-and-perinatal-death-reviews-in-oyam-district-uganda-a-descriptive-cross-sectional-study
#18
Caroline Agaro, Jolly Beyeza-Kashesya, Peter Waiswa, Juliet N Sekandi, Suzan Tusiime, Ronald Anguzu, Elizabeth Ekirapa Kiracho
BACKGROUND: Uganda like many developing countries still experiences high levels of maternal and perinatal deaths despite a decade of maternal and perinatal death review (MPDR) program. Oyam district has been implementing MPDR since 2008 with varying successes among the health facilities. This paper presents the factors that influence the conduct of maternal and perinatal death reviews in Oyam District, Uganda. METHODS: This was a cross-sectional study where both qualitative and quantitative data were collected...
2016: BMC Women's Health
https://www.readbyqxmd.com/read/27357579/the-feasibility-of-community-level-interventions-for-pre-eclampsia-in-south-asia-and-sub-saharan-africa-a-mixed-methods-design
#19
Asif Raza Khowaja, Rahat Najam Qureshi, Diane Sawchuck, Olufemi T Oladapo, Olalekan O Adetoro, Elizabeth A Orenuga, Mrutyunjaya Bellad, Ashalata Mallapur, Umesh Charantimath, Esperança Sevene, Khátia Munguambe, Helena Edith Boene, Marianne Vidler, Zulfiqar A Bhutta, Peter von Dadelszen
BACKGROUND: Globally, pre-eclampsia and eclampsia are major contributors to maternal and perinatal mortality; of which the vast majority of deaths occur in less developed countries. In addition, a disproportionate number of morbidities and mortalities occur due to delayed access to health services. The Community Level Interventions for Pre-eclampsia (CLIP) Trial aims to task-shift to community health workers the identification and emergency management of pre-eclampsia and eclampsia to improve access and timely care...
2016: Reproductive Health
https://www.readbyqxmd.com/read/27290834/-acute-pancreatitis-in-pregnancy
#20
D Saldivar-Rodríguez, O R Treviño-Montemayor, A Guzmán-López, G Treviño-Martínez, C C Flores-Acosta
BACKGROUND: Acute pancreatitis is an inflammatory disease that affects the pancreatic tissue, which have been proposed numerous causes, with unpredictable results, it appears as a complication of rare occurrence, so the information on maternal and fetal complications is limited. Objective: Exposing obstetric and perinatal outcomes of patients diagnosed with pancreatitis complicating pregnancy. METHODOLOGY: A retrospective, observational, transverse and descriptive study; data were obtained and analyzed by reviewing medical records of patients diagnosed with pancreatitis and pregnancy...
February 2016: Ginecología y Obstetricia de México
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