Global Challenges, Efforts, and Controversies in Neonatal Care

Clair, Nicole E. St; Batra, Maneesh; Kuzminski, Jacquelyn C.; Lee, Anne C C; O’Callahan, Cliff

doi:10.1016/j.clp.2014.08.002

Cited by 14 publications

(10 citation statements)

References 45 publications

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“…The antenatal interventions, which has been proved evidence based to reduce the incidence of IUGR, include antiplatelets for preeclampsia, balanced energy protein supplementation, multiple micronutrient supplementation, insecticide-treated bed nets, and intermittent preventive treatment of malaria in pregnancy. 7 , 17 , 18 …”

Section: Discussionmentioning

confidence: 99%

The Role of Uterine and Umbilical Arterial Doppler in High-risk Pregnancy: A Prospective Observational Study from India

Nagar

Sharma

Choudhary

et al. 2015

Clin Med�Insights�Reprod�Health

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AIMTo study the role of Doppler imaging in prediction of high-risk pregnancies and their outcomes.METHODS AND MATERIALThis prospective study in a setup of tertiary-level care center includes 500 high-risk pregnant women from rural and urban sectors and evaluates the predictive values of various Doppler indices.RESULTSOut of 500 patients, 110 patients had abnormal Doppler among them, 70 patients had abnormal uterine artery Doppler, and 50 patients had abnormal umbilical artery Doppler flow indices. In all, 10 patients had both umbilical artery and uterine artery abnormal Doppler indices. When uterine artery was abnormal (70 patients), 20 patients had preeclampsia, 10 patients had pregnancy-induced hypertension (PIH), and 25 patients had intrauterine growth restriction (IUGR). Systolic/diastolic (S/D) ratio and notch had sensitivity of 60% and positive predictive value of 33.3% and 37.5%, respectively. When umbilical artery was abnormal (50 patients), 10 had preeclampsia, 15 had PIH, and 15 had IUGR. S/D ratio had the highest positive predictive value of 40%; sensitivity is same for all. In uterine artery, combination of parameters had the best sensitivity of 80%, followed by notch and S/D ratio. In umbilical artery, combination of parameters, S/D ratio, and RI (resistance index) had sensitivity of 40%; specificity of all the indices was 91–96%. In all, 20 patients had bilateral notch, and among them 15 developed preeclampsia and 15 developed IUGR. When both uterine and umbilical artery Doppler were abnormal (10 patients), all patients had preeclampsia and IUGR.CONCLUSIONTherefore, Doppler study may be used for the prediction of preeclampsia and IUGR to reduce the maternal and perinatal morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

The Role of Uterine and Umbilical Arterial Doppler in High-risk Pregnancy: A Prospective Observational Study from India

Nagar

Sharma

Choudhary

et al. 2015

Clin Med�Insights�Reprod�Health

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“…Gestational age may be determined by last menstrual period (LMP), ultrasound or neonatal exam (Ballard) [31]. Algorithms using existing data to choose a "best gestational age" have been described [31][32][33].…”

Section: Causes Of Neonatal Death Related Directly To Ptbmentioning

confidence: 99%

Criteria for assigning cause of death for stillbirths and neonatal deaths in research studies in low-middle income countries

Goldenberg

Muhe

Saleem

et al. 2018

The Journal of Maternal-Fetal & Neonatal Medicine

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Accurate knowledge regarding cause of death (COD) for stillbirths and neonatal deaths is crucial, especially in low-income countries, in order for public health and medical officials to choose appropriate interventions likely to reduce these deaths. To date, many of the COD studies in these areas have relied only on obstetric or neonatal clinical information and the determination of COD is likely to be inaccurate. Information related to infectious COD is especially lacking. Thus, without more sophisticated testing, data as currently collected only provide a very weak approximation of the COD and may well lead to adoption of interventions of limited usefulness. In this commentary, we propose recommendations regarding the type of data needed to determine with reasonable accuracy the COD for stillbirths and neonatal deaths in low-resource settings. Using these data, and a method to determine the degree of certainty, we then propose definitions for the most common COD. Our goal is to reduce subjectivity and provide more specificity for the tests used in existing classification systems so that the methodology of COD determination is transparent and able to be replicated over time and from location to location.

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“…4,5 where 99% of the neonatal deaths occur. 6 Many factors contribute to this trend in neonatal morbidity and mortality. The first factor, which has been termed the 3-delays model, outlines three "delays" that impact pregnancy-related mortality and constitute major challenges to improving child survival rates.…”

Section: Introductionmentioning

confidence: 99%

“…Other factors include a lack of prevention strategies that correspond to neonatal health needs; weaknesses in existing health systems in terms of equitable access to services; and inadequate knowledge, skill, and experience of healthcare workers to respond appropriately to neonatal health ailments. 6 As a developing middle-income country, Palestine mirrors some of the same challenges faced globally in neonatal health. However, it is challenging to examine trends in neonatal mortality in the country because of the incompleteness of the national death registry.…”

Section: Introductionmentioning

confidence: 99%

<p>Improving Newborn Health in Countries Exposed to Political Violence: An Assessment of the Availability, Accessibility, and Distribution of Neonatal Health Services at Palestinian Hospitals</p>

Massad¹,

Tucktuck²,

Khawaja³

et al. 2020

JMDH

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Global Challenges, Efforts, and Controversies in Neonatal Care

Cited by 14 publications

References 45 publications

The Role of Uterine and Umbilical Arterial Doppler in High-risk Pregnancy: A Prospective Observational Study from India

The Role of Uterine and Umbilical Arterial Doppler in High-risk Pregnancy: A Prospective Observational Study from India

Criteria for assigning cause of death for stillbirths and neonatal deaths in research studies in low-middle income countries

<p>Improving Newborn Health in Countries Exposed to Political Violence: An Assessment of the Availability, Accessibility, and Distribution of Neonatal Health Services at Palestinian Hospitals</p>

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