subject:(maternal morbidity AND mortality MMR )

University of Vermont

1. McBride, Carole Anne. Maternal Hypertension Influences Mortality and Severe Morbidity in Infants Born Extremely Preterm.

Degree: PhD, Clinical and Translational Science, 2016, University of Vermont

URL: https://scholarworks.uvm.edu/graddis/598

► Worldwide, more than 1 million infants die as a result of premature birth. In the United States, where 1 in 10 births occurs preterm,… (more)

Subjects/Keywords: Maternal Hypertension; Morbidity; Mortality; Neonatology; Preterm Birth; Epidemiology; Medical Sciences

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APA (6^th Edition):

McBride, C. A. (2016). Maternal Hypertension Influences Mortality and Severe Morbidity in Infants Born Extremely Preterm. (Doctoral Dissertation). University of Vermont. Retrieved from https://scholarworks.uvm.edu/graddis/598

Chicago Manual of Style (16^th Edition):

McBride, Carole Anne. “Maternal Hypertension Influences Mortality and Severe Morbidity in Infants Born Extremely Preterm.” 2016. Doctoral Dissertation, University of Vermont. Accessed January 22, 2021. https://scholarworks.uvm.edu/graddis/598.

MLA Handbook (7^th Edition):

McBride, Carole Anne. “Maternal Hypertension Influences Mortality and Severe Morbidity in Infants Born Extremely Preterm.” 2016. Web. 22 Jan 2021.

Vancouver:

McBride CA. Maternal Hypertension Influences Mortality and Severe Morbidity in Infants Born Extremely Preterm. [Internet] [Doctoral dissertation]. University of Vermont; 2016. [cited 2021 Jan 22]. Available from: https://scholarworks.uvm.edu/graddis/598.

Council of Science Editors:

McBride CA. Maternal Hypertension Influences Mortality and Severe Morbidity in Infants Born Extremely Preterm. [Doctoral Dissertation]. University of Vermont; 2016. Available from: https://scholarworks.uvm.edu/graddis/598

2. Hesly Martins Pereira Lima. Factors associated with severe morbidity and maternal near miss in tertiary centre of attention to maternal and newborn.

Degree: Master, 2016, Universidade Federal do Ceará

URL: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16482 ;

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A pregnancy can be composed of a range of clinical conditions, ranging from a healthy pregnancy to another limit that is maternal death. Between these… (more)

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A pregnancy can be composed of a range of clinical conditions, ranging from a healthy pregnancy to another limit that is maternal death. Between these two extremes are the conditions described as severe maternal morbidity and near miss, which is a more severe condition than the maternal morbidity. In 2009, the WHO standardized maternal near miss approach, as an important tool to uniformly identify cases and evaluate the quality of care for women with serious complications. It is worth emphasizing that women who fall into these situations share many characteristics with maternal deaths, but represent a rich source of details about the determinant factors of their maternal health condition, since they are alive. Participated in this research 941 women who had severe maternal morbidity criteria and/or near miss during the period of July 2009 to June 2010, at the Maternity School Assis Chateaubriand - UFC. They were identified 61 cases of maternal near miss and 880 of severe maternal morbidity non-near miss. The incidence of maternal morbidity non-near miss was 190.6 and near miss was 10.8/1,000 live births. The mortality rate of maternal near miss was 18%. The variables significantly different between the two groups were: color (p = 0.002) and number of prenatal visits (p <0.001). Among the severe maternal morbidity conditions, it was found that eclampsia and the need for ICU admission were the defining of the risk of progressing to death, while the use of magnesium sulfate acted as a protective factor. It was found, also, that have criteria of near miss is statistically significant for maternal death (p <0.001; ORB = 3.94; 95% CI: 1.66 - 9.37). Among the defining criteria of near miss, the more directly associated with maternal death was the presence of management criteria: all the 11 cases that resulted in death had some management discretion. It was concluded that based health policies and actions in cases of maternal near miss is the most effective means of improving maternal health.

Uma gravidez pode ser constituida por uma gama de condiÃÃes clÃnicas, que vÃo desde uma gravidez saudÃvel atÃ o outro limite que Ã a morte materna. Entre os extremos encontram-se as condiÃÃes descritas como morbidade materna grave e near miss, que Ã uma condiÃÃo mais grave do que a morbidade materna. Em 2009, a OMS padronizou a abordagem near miss materno, como uma ferramenta importante para identificar uniformemente os casos e avaliar a qualidade dos cuidados prestados Ãs mulheres com complicaÃÃes graves. Vale enfatizar, que as mulheres que se enquadram nestas situaÃÃes compartilham muitas caracterÃsticas com os Ãbitos maternos, porÃm representam uma fonte rica de detalhes acerca dos fatores determinantes da sua condiÃÃo de saÃde materna, uma vez que estas estÃo vivas. Participaram da presente pesquisa 941 mulheres que possuÃam critÃrios de morbidade materna grave e/ou near miss durante o perÃodo de julho de 2009 a junho de 2010, na Maternidade-Escola Assis Chateaubriand-UFC. Foram identificados 61 casos de near miss materno e 880…

Advisors/Committee Members: Raimunda Hermelinda Maia Macena, Francisco HerlÃnio Costa Carvalho, HelvÃcio Neves Feitosa, Francisco Edson de Lucena Feitosa.

Subjects/Keywords: SAUDE PUBLICA; Mortalidade Materna; Morbidade; ServiÃos de SaÃde Materna; Maternal Mortality; Morbidity; Maternal Health Services

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APA (6^th Edition):

Lima, H. M. P. (2016). Factors associated with severe morbidity and maternal near miss in tertiary centre of attention to maternal and newborn. (Masters Thesis). Universidade Federal do Ceará. Retrieved from http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16482 ;

Chicago Manual of Style (16^th Edition):

Lima, Hesly Martins Pereira. “Factors associated with severe morbidity and maternal near miss in tertiary centre of attention to maternal and newborn.” 2016. Masters Thesis, Universidade Federal do Ceará. Accessed January 22, 2021. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16482 ;.

MLA Handbook (7^th Edition):

Lima, Hesly Martins Pereira. “Factors associated with severe morbidity and maternal near miss in tertiary centre of attention to maternal and newborn.” 2016. Web. 22 Jan 2021.

Vancouver:

Lima HMP. Factors associated with severe morbidity and maternal near miss in tertiary centre of attention to maternal and newborn. [Internet] [Masters thesis]. Universidade Federal do Ceará 2016. [cited 2021 Jan 22]. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16482 ;.

Council of Science Editors:

Lima HMP. Factors associated with severe morbidity and maternal near miss in tertiary centre of attention to maternal and newborn. [Masters Thesis]. Universidade Federal do Ceará 2016. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16482 ;

3. Pintassilgo, Sónia Isabel Gonçalves Cardoso. O risco e as condições sociais e assistenciais da maternidade em Portugal.

Degree: 2014, RCAAP

URL: https://www.rcaap.pt/detail.jsp?id=oai:repositorio.iscte-iul.pt:10071/7898

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Doutoramento em Sociologia

O presente trabalho incidiu na análise do risco na saúde materna em Portugal. A manifestação desse risco está tradicionalmente associada a elevados… (more)

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Doutoramento em Sociologia

O presente trabalho incidiu na análise do risco na saúde materna em Portugal. A manifestação desse risco está tradicionalmente associada a elevados níveis de mortalidade materna, fenómeno central mas não exclusivo da análise. Com efeito, numa sociedade onde as características de modernidade são definidas pela noção de risco e de reflexividade, a mudança de padrão dos níveis de mortalidade materna veio sugerir a incidência do risco da maternidade noutros acontecimentos, nomeadamente ao nível da morbilidade materna. Por outro lado, a ideia de que a maternidade continua associada a riscos remeteu a análise para as condições sociais e assistenciais do nascimento em Portugal. Esse enquadramento supõe que o nascimento assume novas características e o risco na saúde das mães adquire novas configurações. Os resultados obtidos revelam uma descida acentuada dos valores da mortalidade materna no nosso país, a partir da década de 1940, para valores residuais na atualidade, acompanhando a evolução dos valores da mortalidade infantil. Os avanços de natureza sociocultural e sanitária, o progresso em matéria de medicalização da contraceção e da assistência à saúde reprodutiva e as próprias características da população fecunda dão suporte a essa evolução. Mas também darão margem à expressão da morbilidade materna. No atual contexto de universalização do nascimento hospitalar, os recursos crescentes da população fecunda são, sobretudo, mobilizados para escolhas na assistência ao nascimento, com tendência para a padronização e intervenção crescentes, com resultados muito controlados para a mortalidade materna mas menos assegurados ou conhecidos relativamente à manifestação da morbilidade materna.

This study attempts to analyze the risk in maternal health in Portugal. The manifestation of that risk is traditionally associated with high levels of maternal mortality, which is central but not the exclusive phenomenon that we consider. Indeed, in a society where the characteristics of modernity are defined by the notion of risk and reflexivity, the evolution of maternal mortality levels suggests that the risk of motherhood focus at other events, particularly in terms of maternal morbidity. Moreover, the idea that maternity is still associated with risk conducted the analysis to the social and attendance conditions of birth in Portugal. This framework assumes that the birth acquires new characteristics and that the risk for the health of mothers purchases new configurations. The results show a strong decline in maternal mortality, from the 1940s to residual values today, following the evolution of the values of infant mortality. The sociocultural and sanitary advances, the progress on medicalization of contraception and reproductive health care and the characteristics of the fertile population support this evolution. But these characteristics also give rise to the expression of maternal morbidity. In the current context of universal hospital delivery, the growing resources of the fertile population are mainly…

Advisors/Committee Members: Bandeira, Mário Manuel Leston.

Subjects/Keywords: Risco; Maternidade; Mortalidade materna; Morbilidade materna; Capacitação; Risk; Maternity; Maternal mortality; Maternal morbidity; Capacitation

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APA (6^th Edition):

Pintassilgo, S. I. G. C. (2014). O risco e as condições sociais e assistenciais da maternidade em Portugal. (Thesis). RCAAP. Retrieved from https://www.rcaap.pt/detail.jsp?id=oai:repositorio.iscte-iul.pt:10071/7898

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Pintassilgo, Sónia Isabel Gonçalves Cardoso. “O risco e as condições sociais e assistenciais da maternidade em Portugal.” 2014. Thesis, RCAAP. Accessed January 22, 2021. https://www.rcaap.pt/detail.jsp?id=oai:repositorio.iscte-iul.pt:10071/7898.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Pintassilgo, Sónia Isabel Gonçalves Cardoso. “O risco e as condições sociais e assistenciais da maternidade em Portugal.” 2014. Web. 22 Jan 2021.

Vancouver:

Pintassilgo SIGC. O risco e as condições sociais e assistenciais da maternidade em Portugal. [Internet] [Thesis]. RCAAP; 2014. [cited 2021 Jan 22]. Available from: https://www.rcaap.pt/detail.jsp?id=oai:repositorio.iscte-iul.pt:10071/7898.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Pintassilgo SIGC. O risco e as condições sociais e assistenciais da maternidade em Portugal. [Thesis]. RCAAP; 2014. Available from: https://www.rcaap.pt/detail.jsp?id=oai:repositorio.iscte-iul.pt:10071/7898

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht

4. Habimana Kabano, I. Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals.

Degree: 2015, Universiteit Utrecht

URL: http://dspace.library.uu.nl:8080/handle/1874/325245

► Rwanda has so far paid little attention to 'healthy' intervals between pregnancies awareness programs on family planning and maternal and child health. Results of this… (more)

▼ Rwanda has so far paid little attention to 'healthy' intervals between pregnancies awareness programs on family planning and maternal and child health. Results of this thesis shed some light on the contribution of IPI and the type of previous pregnancy outcome on fetal survival, neonatal mortality and maternal morbidity in Rwanda. By using the combined effect of IPI and the type of previous pregnancy outcome instead of Inter-Birth Interval (IBI), it became clear that analysis using IBI leave behind possible fetal deaths that are more likely to happen in between births and that do play a role in affecting the reproductive health of the mother. We posit that women will improve their reproductive health status and avoid the risk of a fetal death trap if they wait at least two years after the previous fetal death. This finding relates to the findings from other developing countries such as Bangladesh (in opposite to findings from developed countries), and might be related to the absence of post-abortion care. Results from other studies give no assurance about what exactly is a healthy interval. In a bid to avoid methodological flaw, studies on infant mortality should avoid selectivity bias by concomitantly considering fetal survival. Yet, we found little evidence for simultaneous effects of short IPI’s fetal and neonatal mortality. The causes for neonatal mortality are not moderated by the inter-pregnancy interval while those for fetal loss are. Short IPIs are not associated with maternal morbidity, yet primigravida and women with long IPIs showed increased risks of third trimester bleeding, premature rupture of membrane and lower limb edema. Primigravida showed adverse outcomes throughout this study, implying that programs geared to reduce maternal death and neonatal mortality should consider primigravida with particular attention. After a pregnancy loss, a pregnancy interval longer than six months must be observed to prevent recurrence. Also women with very long IPI (<=5 years) have consistently shown increased risks of fetal loss, neonatal death and maternal morbidity. Our findings contribute to the debate whether older age of the mother might be hiding behind the effect of very long interval length. We found no negative effects of older age, and a remaining strong effect of long inter-pregnancy interval, which again supports the physiological regression hypothesis. Policy wise, avoiding short IPIs can be achieved through the use of post-partum contraception while long IPIs remain problematic to avoid, given that a desired pregnancy may be precluded by sub-fertility, availability of a partner, economic issues or illness. In the context of poor countries like Rwanda, a full reproductive health package is necessary and pregnancy management strategies should be encouraged through family planning for spacing pregnancies, and the promotion of health seeking behavior in the form ante- and post-natal care. Hospital staff should encourage post-abortion medication, and health centers in remote areas of the country should be… Advisors/Committee Members: Hooimeijer, Pieter, Harts - Broekhuis, Annelet.

Subjects/Keywords: Inter-pregnancy interval; fetal loss; perinatal mortality; neonatal mortality; maternal morbidity; Rwanda

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APA (6^th Edition):

Habimana Kabano, I. (2015). Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/325245

Chicago Manual of Style (16^th Edition):

Habimana Kabano, I. “Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals.” 2015. Doctoral Dissertation, Universiteit Utrecht. Accessed January 22, 2021. http://dspace.library.uu.nl:8080/handle/1874/325245.

MLA Handbook (7^th Edition):

Habimana Kabano, I. “Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals.” 2015. Web. 22 Jan 2021.

Vancouver:

Habimana Kabano I. Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2015. [cited 2021 Jan 22]. Available from: http://dspace.library.uu.nl:8080/handle/1874/325245.

Council of Science Editors:

Habimana Kabano I. Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals. [Doctoral Dissertation]. Universiteit Utrecht; 2015. Available from: http://dspace.library.uu.nl:8080/handle/1874/325245

University of Arizona

5. Luckart, Julie Kathleen. Exploration of Preconception Education Using Social Media .

Degree: 2018, University of Arizona

URL: http://hdl.handle.net/10150/628021

► Women that experience unintended pregnancies have significantly poorer maternal, neonatal and fetal outcomes. Nearly half of all pregnancies are unintended, underscoring the need to find… (more)

▼ Women that experience unintended pregnancies have significantly poorer maternal, neonatal and fetal outcomes. Nearly half of all pregnancies are unintended, underscoring the need to find more effective strategies to educate women about preconception care. The body of evidence for using social media to disseminate and gain health information is rapidly growing, as one in four Americans now uses social media to seek health information. This pilot project is constructed around the elements of preconception care, the internet, and social media and is designed to explore if and how young women in Clark County, Washington, are using social media to gain knowledge about preconception care. Qualitative description was the design for this study. Twelve non-pregnant, English speaking female residents of Clark County, between the ages of 18 to 24, were recruited via Facebook and snowballing, and took an online survey, using Qualtrics. Results revealed that to learn about health care topics, 75% of respondents use the Internet, 58% use their healthcare provider, and 25% use social media, but to get information that they trust, 58% prefer a health database and 42% prefer a healthcare provider. Respondents also indicated that 81% were not taking folic acid supplementation and 78% were overweight or obese. It appears that the Internet and apps are used and trusted more than social media, and online platforms are preferred for receiving health information. Respondents expressed a high level of trust in health care providers, but used online platforms first to save time, prepare for appointments, and compare information to achieve consensus. Recommendations include collaborative educational interventions with the March of Dimes, the public health department, and local health care delivery entities to share how to protect online privacy, where to look for credible information online, designing an online intervention to promote folic acid supplementation, and suggestions for further research. Advisors/Committee Members: Pacheco, Christy (advisor), Gephart, Sheila (committeemember), Gregg, S. Renee (committeemember).

Subjects/Keywords: birth outcomes; fetal morbidity and mortality; Health education; maternal morbidity and mortality; Preconception care; social media

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APA (6^th Edition):

Luckart, J. K. (2018). Exploration of Preconception Education Using Social Media . (Doctoral Dissertation). University of Arizona. Retrieved from http://hdl.handle.net/10150/628021

Chicago Manual of Style (16^th Edition):

Luckart, Julie Kathleen. “Exploration of Preconception Education Using Social Media .” 2018. Doctoral Dissertation, University of Arizona. Accessed January 22, 2021. http://hdl.handle.net/10150/628021.

MLA Handbook (7^th Edition):

Luckart, Julie Kathleen. “Exploration of Preconception Education Using Social Media .” 2018. Web. 22 Jan 2021.

Vancouver:

Luckart JK. Exploration of Preconception Education Using Social Media . [Internet] [Doctoral dissertation]. University of Arizona; 2018. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/10150/628021.

Council of Science Editors:

Luckart JK. Exploration of Preconception Education Using Social Media . [Doctoral Dissertation]. University of Arizona; 2018. Available from: http://hdl.handle.net/10150/628021

6. Figueirêdo, Rudgy Pinto de. O estudo da morbidade materna e do concepto em uma maternidade pública de João Pessoa, Paraíba.

Degree: PhD, Epidemiologia, 2013, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/6/6132/tde-13032014-083803/ ;

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Introdução - O estudo da morbidade materna contribui para um melhor entendimento do quadro da saúde materna, no Brasil, e para o conhecimento dos problemas… (more)

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Introdução - O estudo da morbidade materna contribui para um melhor entendimento do quadro da saúde materna, no Brasil, e para o conhecimento dos problemas obstétricos que podem levar (ou não) ao internamento das gestantes. Os dados de morbidade materna são vitais para os gestores de políticas públicas de saúde, os quais precisam saber quantas mulheres necessitam de cuidados obstétricos básicos para tornar a gestação e o parto mais seguros. Objetivos - Estudar a morbidade materna e os conceptos de puérperas numa maternidade da rede pública de João Pessoa, Paraíba, e identificar mulheres com diagnósticos considerados potencialmente graves e sugestivos de morbidade materna near miss. Método - Trata-se de um estudo transversal que fez parte de uma pesquisa maior sobre a morbimortalidade materna. Foi selecionada uma amostra de 414 puérperas por um processo de amostragem aleatória sistemático, cujos dados foram coletados, prospectivamente, de setembro a novembro de 2011, a partir dos prontuários clínicos e entrevistas complementares, numa maternidade pública de referência e acentuada demanda no município. Resultados - Foram estudadas 383 gestações que terminaram em parto e 391 conceptos. Entre as puérperas, predominou a faixa etária dos 20 aos 34 anos, cor parda, baixa escolaridade, baixa renda e sem ocupação formal no mercado de trabalho. Metade delas tiveram parto cesariano e 17 por cento dos recém-nascidos apresentaram problemas de saúde. Foram identificadas as seguintes intercorrências no parto: lacerações do períneo, hematomas, traumatismos, hemorragias e hipertensões. No puerpério, destacaram-se os transtornos hipertensivos, as hemorragias do pós-parto e as infecções. Entre os 64 diagnósticos sugestivos de near miss, estão as síndromes hipertensivas (58 por cento ) e as síndromes hemorrágicas (32,8 por cento ). Na análise comparativa entre os grupos de puérperas com morbidades sugestivas e não sugestivas de near miss, as seguintes variáveis apresentaram diferenças estatisticamente significantes (p<0,001): problemas de saúde na gestação anterior e atual, hipertensão, gestação de risco e uso de anti-hipertensivos. Não foram encontradas diferenças estatísticas entre as características dos neonatos e a morbidade materna, sugestiva ou não de near miss. Conclusão - O estudo permitiu conhecer as características maternas e a prevalência (15,5 por cento ) de morbidades sugestivas de near miss que ocorrem, seja no parto seja no puerpério. Ampliar o conhecimento sobre os aspectos que envolvem a morbidade materna torna-se crucial para o adequado enfrentamento de complicações no ciclo gravídico-puerperal, além de apoiar o Plano de Ação para acelerar a redução da mortalidade materna e morbidade materna grave.

Introduction The study of maternal morbidity contributes to a better understanding of the maternal health scene in Brazil and to the fuller knowledge of obstetric problems that may lead (or not) to the hospitalization of pregnant women. Maternal morbidity data are vital for the administrators of public health policies,…

Advisors/Committee Members: Laurenti, Ruy.

Subjects/Keywords: Maternal Health; Maternal Morbidity; Maternal Mortality; Maternal Near Miss; Morbidade Materna; Mortalidade Materna; Near Miss Materna; Saúde Materna

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Figueirêdo, R. P. d. (2013). O estudo da morbidade materna e do concepto em uma maternidade pública de João Pessoa, Paraíba. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/6/6132/tde-13032014-083803/ ;

Chicago Manual of Style (16^th Edition):

Figueirêdo, Rudgy Pinto de. “O estudo da morbidade materna e do concepto em uma maternidade pública de João Pessoa, Paraíba.” 2013. Doctoral Dissertation, University of São Paulo. Accessed January 22, 2021. http://www.teses.usp.br/teses/disponiveis/6/6132/tde-13032014-083803/ ;.

MLA Handbook (7^th Edition):

Figueirêdo, Rudgy Pinto de. “O estudo da morbidade materna e do concepto em uma maternidade pública de João Pessoa, Paraíba.” 2013. Web. 22 Jan 2021.

Vancouver:

Figueirêdo RPd. O estudo da morbidade materna e do concepto em uma maternidade pública de João Pessoa, Paraíba. [Internet] [Doctoral dissertation]. University of São Paulo; 2013. [cited 2021 Jan 22]. Available from: http://www.teses.usp.br/teses/disponiveis/6/6132/tde-13032014-083803/ ;.

Council of Science Editors:

Figueirêdo RPd. O estudo da morbidade materna e do concepto em uma maternidade pública de João Pessoa, Paraíba. [Doctoral Dissertation]. University of São Paulo; 2013. Available from: http://www.teses.usp.br/teses/disponiveis/6/6132/tde-13032014-083803/ ;

University of Toronto

7. Varley, Emma E.A. Belaboured Lives: An Ethnography of Muslim Women's Pregnancy and Childbirth Practices in Pakistan's Northern Areas.

Degree: 2012, University of Toronto

URL: http://hdl.handle.net/1807/43374

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My doctoral thesis, “Belaboured Lives,” examines the relationship between Sunni Muslim women’s reproductive and maternal health practices, Islamic conservatism, federal and non-governmental health programming, intense… (more)

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My doctoral thesis, “Belaboured Lives,” examines the relationship between Sunni Muslim women’s reproductive and maternal health practices, Islamic conservatism, federal and non-governmental health programming, intense Shia-Sunni conflict, interpersonal enmity and ‘occult’ forces in Gilgit Town, economic and administrative capital of Pakistan’s semi-autonomous, federally neglected and multi-sectarian Northern Areas. Over 14 months between 2004 and 2005, my doctoral ethnographic fieldwork involved research interviews and participant-observation among Sunni women and Gilgit Town’s biomedical, traditional and Islamic therapeutic service providers, as well as in household, community, mosque and clinical-settings. With Gilgit District’s maternal morbidity and mortality rate (MMR) being among the highest in Pakistan, my thesis argues that Gilgiti Sunni women’s reproductive and maternal health outcomes were the product of restrictive, inter-linked or mutually interacting structural and ideological forces, which were socio-economic, political, familial and religious in nature. By providing an ethnography not only of women’s home-centered health practices but also their in-clinic experiences, I address the wide array of physical, symbolic and cosmological threats women perceived as being interwoven with their fertility, pregnancy and childbirth-related health. To different degrees and in different ways, women, their families and health providers described how the socio-spatial constraints associated with Islamic pardah (veiling, gender seclusion) and izzat (honour) paradigms, conflict-related service exclusions, iatrogenic risk and hospital funding insufficiencies, ‘black magic’ and spirit ‘attacks’ were contributory factors to women’s poor health outcomes. But my participants’ reproductive health was not only the arena for wellness-seeking and crisis resolution, but also for the enactment and expression of cultural values and sectarian identity; the tension between doctrinal Islam and local interpretations, modern/traditional divides; Sunni militarism, symbolic and structural violence. Moreover, Gilgiti Sunni women’s reproductive and maternal health narratives demonstrated subjectivity, inter-subjectivity and reflexivity, resistance and negotiation, and gendered and reproductive agency. Within this context, any one pregnancy could evidence and communicate multiple domains of experience, as well as patient-provider interaction, access to care, its quality and relation to socio-economic factors, ideological stance or community-bound interpersonal relations. Ultimately, by using pregnancy and childbirth as a central point of inquiry, my thesis examines different aspects of Gilgiti Sunni women’s health experiences: biomedical and traditional; urban and rural childbirth and post-partum practices; Family Planning, fertility and infertility, unwanted pregnancies and abortions; conflict-related constraints, medical malpractice and cosmological harm.

PhD

Advisors/Committee Members: Lambek, Dr Michael J., Anthropology.

Subjects/Keywords: Islam; women; reproductive health; pregnancy; childbirth; health practices; medical pluralism; biomedicine; Islamic medicine; sectarian conflict; non-governmental organization; federal health services; maternal morbidity and mortality (MMR); son preference; abortion; Family Planning; unwanted pregnancy; ultrasound; religious conservatism; Shia Islam; Sunni Islam; Ismaili Islam; ethnography; violence; occult forces; 'black magic'; infertility; polygyny; medical anthropology; qualitative; risk; 0339

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APA (6^th Edition):

Varley, E. E. A. (2012). Belaboured Lives: An Ethnography of Muslim Women's Pregnancy and Childbirth Practices in Pakistan's Northern Areas. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/43374

Chicago Manual of Style (16^th Edition):

Varley, Emma E A. “Belaboured Lives: An Ethnography of Muslim Women's Pregnancy and Childbirth Practices in Pakistan's Northern Areas.” 2012. Doctoral Dissertation, University of Toronto. Accessed January 22, 2021. http://hdl.handle.net/1807/43374.

MLA Handbook (7^th Edition):

Varley, Emma E A. “Belaboured Lives: An Ethnography of Muslim Women's Pregnancy and Childbirth Practices in Pakistan's Northern Areas.” 2012. Web. 22 Jan 2021.

Vancouver:

Varley EEA. Belaboured Lives: An Ethnography of Muslim Women's Pregnancy and Childbirth Practices in Pakistan's Northern Areas. [Internet] [Doctoral dissertation]. University of Toronto; 2012. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/1807/43374.

Council of Science Editors:

Varley EEA. Belaboured Lives: An Ethnography of Muslim Women's Pregnancy and Childbirth Practices in Pakistan's Northern Areas. [Doctoral Dissertation]. University of Toronto; 2012. Available from: http://hdl.handle.net/1807/43374

Universidade Estadual de Campinas

8. Fernandes, Karayna Gil, 1982-. Cor da pele/raça como fator associado à morbidade e mortalidade materna e perinatal : Skin color/race as a factor associated with maternal and perinatal morbidity and mortality: Skin color/race as a factor associated with maternal and perinatal morbidity and mortality.

Degree: 2019, Universidade Estadual de Campinas

URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/333559

► Abstract: Introduction: Classifying / discriminating the race or ethnic origin of an individual can often assist the physician in its diagnosis and treatment. The true… (more)

Subjects/Keywords: Near miss; Morbidade materna grave; Mortalidade materna; Grupos étnicos; Mortalidade perinatal; Near miss; Severe maternal morbidity; Maternal mortality; Ethnicity; Perinatal mortality

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Fernandes, Karayna Gil, 1. (2019). Cor da pele/raça como fator associado à morbidade e mortalidade materna e perinatal : Skin color/race as a factor associated with maternal and perinatal morbidity and mortality: Skin color/race as a factor associated with maternal and perinatal morbidity and mortality. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/333559

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Fernandes, Karayna Gil, 1982-. “Cor da pele/raça como fator associado à morbidade e mortalidade materna e perinatal : Skin color/race as a factor associated with maternal and perinatal morbidity and mortality: Skin color/race as a factor associated with maternal and perinatal morbidity and mortality.” 2019. Thesis, Universidade Estadual de Campinas. Accessed January 22, 2021. http://repositorio.unicamp.br/jspui/handle/REPOSIP/333559.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Fernandes, Karayna Gil, 1982-. “Cor da pele/raça como fator associado à morbidade e mortalidade materna e perinatal : Skin color/race as a factor associated with maternal and perinatal morbidity and mortality: Skin color/race as a factor associated with maternal and perinatal morbidity and mortality.” 2019. Web. 22 Jan 2021.

Vancouver:

Fernandes, Karayna Gil 1. Cor da pele/raça como fator associado à morbidade e mortalidade materna e perinatal : Skin color/race as a factor associated with maternal and perinatal morbidity and mortality: Skin color/race as a factor associated with maternal and perinatal morbidity and mortality. [Internet] [Thesis]. Universidade Estadual de Campinas; 2019. [cited 2021 Jan 22]. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/333559.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Fernandes, Karayna Gil 1. Cor da pele/raça como fator associado à morbidade e mortalidade materna e perinatal : Skin color/race as a factor associated with maternal and perinatal morbidity and mortality: Skin color/race as a factor associated with maternal and perinatal morbidity and mortality. [Thesis]. Universidade Estadual de Campinas; 2019. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/333559

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

9. Glantz, Paul D. The Complexity of Non-profit Administration in Global Development: A Case-Study on Neonatal Mortality.

Degree: MPH, 2016, University of San Francisco

URL: https://repository.usfca.edu/capstone/396

► In 2015, 5.9 million children died with 44% of those deaths occurring in the most vulnerable period of life: the neonatal period (first 28… (more)

Subjects/Keywords: neonatal mortality; Case-study; global development; morbidity; International Public Health; Maternal and Child Health

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APA (6^th Edition):

Glantz, P. D. (2016). The Complexity of Non-profit Administration in Global Development: A Case-Study on Neonatal Mortality. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/396

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Glantz, Paul D. “The Complexity of Non-profit Administration in Global Development: A Case-Study on Neonatal Mortality.” 2016. Thesis, University of San Francisco. Accessed January 22, 2021. https://repository.usfca.edu/capstone/396.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Glantz, Paul D. “The Complexity of Non-profit Administration in Global Development: A Case-Study on Neonatal Mortality.” 2016. Web. 22 Jan 2021.

Vancouver:

Glantz PD. The Complexity of Non-profit Administration in Global Development: A Case-Study on Neonatal Mortality. [Internet] [Thesis]. University of San Francisco; 2016. [cited 2021 Jan 22]. Available from: https://repository.usfca.edu/capstone/396.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Glantz PD. The Complexity of Non-profit Administration in Global Development: A Case-Study on Neonatal Mortality. [Thesis]. University of San Francisco; 2016. Available from: https://repository.usfca.edu/capstone/396

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

10. Jones, Alexandra E. H. Improving Data Collection to Reduce Maternal and Infant Mortality and Morbidity in Malawi: Evaluating Chimwemwe mu'bereki, a Community Based Intervention.

Degree: MPH, 2016, University of San Francisco

URL: https://repository.usfca.edu/capstone/360

► Maternal and infant death rates in Malawi are among the highest in the world. Over 17 million people live in this small country in… (more)

Subjects/Keywords: maternal mortality and morbidity; infant mortality and morbidity; neonatal mortality; Malawi; Sub-Saharan Africa; Community Health and Preventive Medicine; International Public Health

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Jones, A. E. H. (2016). Improving Data Collection to Reduce Maternal and Infant Mortality and Morbidity in Malawi: Evaluating Chimwemwe mu'bereki, a Community Based Intervention. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/360

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Jones, Alexandra E H. “Improving Data Collection to Reduce Maternal and Infant Mortality and Morbidity in Malawi: Evaluating Chimwemwe mu'bereki, a Community Based Intervention.” 2016. Thesis, University of San Francisco. Accessed January 22, 2021. https://repository.usfca.edu/capstone/360.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Jones, Alexandra E H. “Improving Data Collection to Reduce Maternal and Infant Mortality and Morbidity in Malawi: Evaluating Chimwemwe mu'bereki, a Community Based Intervention.” 2016. Web. 22 Jan 2021.

Vancouver:

Jones AEH. Improving Data Collection to Reduce Maternal and Infant Mortality and Morbidity in Malawi: Evaluating Chimwemwe mu'bereki, a Community Based Intervention. [Internet] [Thesis]. University of San Francisco; 2016. [cited 2021 Jan 22]. Available from: https://repository.usfca.edu/capstone/360.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Jones AEH. Improving Data Collection to Reduce Maternal and Infant Mortality and Morbidity in Malawi: Evaluating Chimwemwe mu'bereki, a Community Based Intervention. [Thesis]. University of San Francisco; 2016. Available from: https://repository.usfca.edu/capstone/360

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Leiden University

11. Witteveen, T. Safe motherhood: severe acute maternal morbidity: risk factors in the Netherlands and validation of the WHO Maternal Near Miss tool.

Degree: 2016, Leiden University

URL: http://hdl.handle.net/1887/43803

► Using the results from a two-year nationwide prospective study, this thesis shows numerous (risk) factors associated with severe acute maternal morbidity (SAMM) in the Netherlands… (more)

Subjects/Keywords: Maternal morbidity; Pregnancy; Obstetrics; Maternal near miss; Maternal mortality; Maternal morbidity; Pregnancy; Obstetrics; Maternal near miss; Maternal mortality

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Witteveen, T. (2016). Safe motherhood: severe acute maternal morbidity: risk factors in the Netherlands and validation of the WHO Maternal Near Miss tool. (Doctoral Dissertation). Leiden University. Retrieved from http://hdl.handle.net/1887/43803

Chicago Manual of Style (16^th Edition):

Witteveen, T. “Safe motherhood: severe acute maternal morbidity: risk factors in the Netherlands and validation of the WHO Maternal Near Miss tool.” 2016. Doctoral Dissertation, Leiden University. Accessed January 22, 2021. http://hdl.handle.net/1887/43803.

MLA Handbook (7^th Edition):

Witteveen, T. “Safe motherhood: severe acute maternal morbidity: risk factors in the Netherlands and validation of the WHO Maternal Near Miss tool.” 2016. Web. 22 Jan 2021.

Vancouver:

Witteveen T. Safe motherhood: severe acute maternal morbidity: risk factors in the Netherlands and validation of the WHO Maternal Near Miss tool. [Internet] [Doctoral dissertation]. Leiden University; 2016. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/1887/43803.

Council of Science Editors:

Witteveen T. Safe motherhood: severe acute maternal morbidity: risk factors in the Netherlands and validation of the WHO Maternal Near Miss tool. [Doctoral Dissertation]. Leiden University; 2016. Available from: http://hdl.handle.net/1887/43803

12. Magalhães, Daniela Mendes dos Santos [UNESP]. Morbidade materna near miss na Secretaria de Estado de Saúde do Distrito Federal, Brasil.

Degree: 2017, Universidade Estadual Paulista

URL: http://hdl.handle.net/11449/151208

►

Análise da incidência, identificação dos casos e distribuição dos critérios para a morbidade materna grave, no Distrito Federal. Utilizou-se para a identificação dos casos os… (more)

▼

Análise da incidência, identificação dos casos e distribuição dos critérios para a morbidade materna grave, no Distrito Federal. Utilizou-se para a identificação dos casos os critérios da OMS (2010). Inicialmente, delineou-se um estudo transversal, desenvolvido em nove hospitais públicos do Distrito Federal que são referência para a assistência a gestação e ao parto de risco habitual e alto risco, no período entre 01 de julho de 2013 e 29 de dezembro de 2015, a fim de verificar a incidência e identificar os casos de condições potencialmente ameaçadoras da vida (CPAV) e near miss (NM) por meio de busca ativa dos casos e entrevista direta com a paciente. Identificou-se 174 casos de morbidade materna grave em 62.706 nascidos-vivos, gerando uma incidência de 2,77 casos por mil nascidos-vivos. Dos 174 casos entrevistados, 26 foram classificados como CPAV e 148 como NM correspondendo a incidências de 0,4/1.000 e 2,36/1.000, respectivamente. As condições hemorrágicas foram as condicionantes primárias mais significantes (p<0,001) nos casos de maior gravidade (NM). Concomitantemente, desenvolveu-se um estudo caso-controle para estimar a associação entre os fatores de risco para a ocorrência de morbidade materna grave (MMG) utilizando-se o modelo de regressão logística múltipla hierarquizada. Verificou-se a associação entre cada variável preditora e a variável desfecho por meio do teste do Quiquadrado, em sequência, a análise multivariada foi realizada seguindo a entrada hierarquizada das variáveis definidas à priori e que produziram estimativas de odds ratio (OR) com valores de p≤0,25 no modelo univariado. O nível mais distal foi constituído de fatores sociodemográficos, o nível mais proximal por cuidados obstétricos e o intermediário os antecedentes clínicos. Neste estudo foram considerados fatores de risco para morbidade materna grave a cor da pele declarada não branca, renda familiar de até dois salários mínimos, não tem companheiro, realizar menos que seis consultas de pré-natal, não estar vinculada a maternidade de referência e a ausência de trabalho de parto na admissão. Neste estudo, a presença de indicadores socioeconômicos precários e o cuidado obstétrico desqualificado apresentaram relação significativa com o risco para morbidade materna grave.

Incidence analysis, case identification and distribution of criteria for severe maternal morbidity in the Federal District. The WHO criteria (2010) were used to identify the cases. Initially, a cross-sectional study was developed in 09 public hospitals of the Federal District there are a reference for the assistance of gestation and delivery at usual risk and high risk, between July 1, 2013 and December 29, 2015, In order to verify the incidence and identify the cases of potentially life threatening conditions (PLTC) and near miss (NM) by means of active case search and direct interview with the patient. We identified 174 cases of severe maternal morbidity in 62,706 live births, generating an incidence of 2.77 cases per thousand live births. Of the 174 interviewed cases,…

Advisors/Committee Members: Dias, Adriano [UNESP], Calderon, Iracema de Mattos Paranhos [UNESP], Universidade Estadual Paulista (UNESP).

Subjects/Keywords: Near miss; Morbidade materna grave; Complicações na gravidez; Mortalidade materna; Severe maternal morbidity; Pregnancy complications; Maternal mortality

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Magalhães, D. M. d. S. [. (2017). Morbidade materna near miss na Secretaria de Estado de Saúde do Distrito Federal, Brasil. (Thesis). Universidade Estadual Paulista. Retrieved from http://hdl.handle.net/11449/151208

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Magalhães, Daniela Mendes dos Santos [UNESP]. “Morbidade materna near miss na Secretaria de Estado de Saúde do Distrito Federal, Brasil.” 2017. Thesis, Universidade Estadual Paulista. Accessed January 22, 2021. http://hdl.handle.net/11449/151208.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Magalhães, Daniela Mendes dos Santos [UNESP]. “Morbidade materna near miss na Secretaria de Estado de Saúde do Distrito Federal, Brasil.” 2017. Web. 22 Jan 2021.

Vancouver:

Magalhães DMdS[. Morbidade materna near miss na Secretaria de Estado de Saúde do Distrito Federal, Brasil. [Internet] [Thesis]. Universidade Estadual Paulista; 2017. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/11449/151208.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Magalhães DMdS[. Morbidade materna near miss na Secretaria de Estado de Saúde do Distrito Federal, Brasil. [Thesis]. Universidade Estadual Paulista; 2017. Available from: http://hdl.handle.net/11449/151208

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade Estadual de Campinas

13. Rocha Filho, Edilberto Alves Pereira da, 1976-. Hemorragia como causa de complicação obstétrica na Rede Brasileira de Vigilância de Morbidade Materna Grave: Hemorrhage as cause of obstetric complication in the Brazilian Network for Surveillance of Severe Maternal Morbidity.

Degree: 2014, Universidade Estadual de Campinas

URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/312758

► Abstract: Objective: To evaluate the occurrence of severe obstetric complications associated with ectopic pregnancy (EP) and antepartum or intrapartum (AIH) and postpartum hemorrhage (PPH) among… (more)

▼ Abstract: Objective: To evaluate the occurrence of severe obstetric complications associated with ectopic pregnancy (EP) and antepartum or intrapartum (AIH) and postpartum hemorrhage (PPH) among women in the Brazilian Network for the Surveillance of Severe Maternal Morbidity. Methods: A multicenter cross-sectional study conducted in 27 referral obstetric units in Brazil between July 2009 and June 2010. The occurrence of potentially life-threatening conditions (PLTC), maternal near miss (MNM) and maternal death (MD) associated with EP, AIH and HPP were evaluated among 9,555 women identified as having some obstetric complication. Socio demographic and obstetric characteristics and use of management criteria in these severe hemorrhages were also assessed. Prevalence ratios (PR) were calculated with their respective 95% confidence intervals adjusted for the cluster effect and multiple logistic regression analysis to identify factors independently associated with the occurrence of severe maternal outcome (SMO = MNM + MD) . Results: Among the 9,555 women with obstetric complications, 312 (3.3%) had complications due to EP, with 286 (91.7 %) PTLC, 25 (8.0%) MNM and 1 (0.3 %) MD. HPP was the leading cause in 1192 women (12.5 %), with 981 PTLC, 181 MNM and 30 MD. AIH occurred in 8% (767) of women experiencing any type of obstetric complication and accounted for 613 (7.1%) of the PTLC cases, 140 (18.2%) of MNM and 10% (14) of MD. Women with complicated PE had a higher risk of blood transfusion, laparotomy and lower risk of ICU admission and prolonged hospitalization than women with other complications. There was a substandard care or delays associated with cases of complicated EP. The factors associated with a better outcome were a previous uterine scar and to be non-white. Among women who had PPH, maternal age, early gestational age, previous uterine scar and previous cesarean delivery were the main factors associated with a risk of SMO. These women also had a higher proportion of blood transfusion and return to operating room. For those who had AIH, maternal age and previous cesarean section were independently associated with this increased risk. Conclusion: Increased maternal morbidity due to EP raised awareness about the condition and its impact on female reproductive life. Postpartum hemorrhage persists as one of the main obstetric complication and important cause of maternal morbidity and mortality in Brazil. The knowledge of factors associated with a severe maternal outcome (SMO=MNM+MD) could be useful for improving the quality of obstetric care and maternal outcomes. SMO due to antepartum and intrapartum hemorrhage was highly prevalent among Brazilian women. Some risk factors, maternal age and prior cesarean delivery in particular, were associated with the occurrence of this hemorrhagic complication. Care providers should develop specific guidelines and interventions to prevent severe maternal morbidity for each specific obstetric hemorrhagic condition identified Advisors/Committee Members: UNIVERSIDADE ESTADUAL DE CAMPINAS (CRUESP), Cecatti, José Guilherme, 1957- (advisor), Nascimento, Maria Laura Costa do, 1979- (coadvisor), Universidade Estadual de Campinas. Faculdade de Ciências Médicas (institution), Programa de Pós-Graduação em Tocoginecologia (nameofprogram), Passini Júnior, Renato (committee member), Milanez, Helaine Maria Besteti Pires Mayer (committee member), Nomura, Roseli Mieko Yamamoto (committee member), Coelho, Isabela Cristina Coutinho (committee member).

Subjects/Keywords: Morbidade materna grave; Mortalidade materna; Near miss; Hemorragia pós-parto; Severe maternal morbidity; Maternal mortality; Near miss; Postpartum hemorrhage

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Rocha Filho, Edilberto Alves Pereira da, 1. (2014). Hemorragia como causa de complicação obstétrica na Rede Brasileira de Vigilância de Morbidade Materna Grave: Hemorrhage as cause of obstetric complication in the Brazilian Network for Surveillance of Severe Maternal Morbidity. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/312758

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Rocha Filho, Edilberto Alves Pereira da, 1976-. “Hemorragia como causa de complicação obstétrica na Rede Brasileira de Vigilância de Morbidade Materna Grave: Hemorrhage as cause of obstetric complication in the Brazilian Network for Surveillance of Severe Maternal Morbidity.” 2014. Thesis, Universidade Estadual de Campinas. Accessed January 22, 2021. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312758.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Rocha Filho, Edilberto Alves Pereira da, 1976-. “Hemorragia como causa de complicação obstétrica na Rede Brasileira de Vigilância de Morbidade Materna Grave: Hemorrhage as cause of obstetric complication in the Brazilian Network for Surveillance of Severe Maternal Morbidity.” 2014. Web. 22 Jan 2021.

Vancouver:

Rocha Filho, Edilberto Alves Pereira da 1. Hemorragia como causa de complicação obstétrica na Rede Brasileira de Vigilância de Morbidade Materna Grave: Hemorrhage as cause of obstetric complication in the Brazilian Network for Surveillance of Severe Maternal Morbidity. [Internet] [Thesis]. Universidade Estadual de Campinas; 2014. [cited 2021 Jan 22]. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/312758.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Rocha Filho, Edilberto Alves Pereira da 1. Hemorragia como causa de complicação obstétrica na Rede Brasileira de Vigilância de Morbidade Materna Grave: Hemorrhage as cause of obstetric complication in the Brazilian Network for Surveillance of Severe Maternal Morbidity. [Thesis]. Universidade Estadual de Campinas; 2014. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/312758

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade Estadual de Campinas

14. Oliveira Júnior, Fernando Cesar de, 1952-. Morbidade materna grave e near miss nos extremos da vida reprodutiva : Severe maternal morbidity and near miss in extremes of reproductive life: Severe maternal morbidity and near miss in extremes of reproductive life.

Degree: 2013, Universidade Estadual de Campinas

URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/309270

► Abstract: Objective: to assess the prevalence and factors associated with severe maternal morbidity (SMM), considering the definitions: potentially life-threatening conditions (PTLC), maternal near miss (MNM)… (more)

▼ Abstract: Objective: to assess the prevalence and factors associated with severe maternal morbidity (SMM), considering the definitions: potentially life-threatening conditions (PTLC), maternal near miss (MNM) and maternal mortality (MM) in women at the extremes of reproductive age. Methods: Two methodological approaches were programmed: the first was a secondary analysis of the 2006 Brazilian Demographic Health Survey (DHS) database that was conducted through a previously validated questionnaire to evaluate the occurrence of maternal complications. We used a pragmatic definition in which any woman reporting the occurrence of eclampsia, hysterectomy, blood transfusion, or hospitalization in the intensive care unit was considered as a case of near miss. Associations between the extremes of reproductive age (adolescents and women aged 35 to 49 years) and SMM were assessed. For this analysis proportions and ratios related to complications and interventions defined as near miss and the estimated risk for maternal morbidity were performed. The second approach was a secondary analysis of a cross-sectional multicenter study, implemented in 27 referral obstetric units in all five geographic regions of Brazil, created to identify cases of SMM, using prospective surveillance of hospitalized women during twelve months. We analyzed the data on the occurrence of MM, MNM and PTLC in teenagers (10 to 19 years) and in older pregnant women (aged 35 or more) using as reference women between 20 and 34 years. We calculated prevalence ratios (PR) with confidence intervals of 95% adjusted for conglomerates. Maternal variables, epidemiological, obstetric, and clinical and delays were considered. Statistical Analysis was performed by multiple Poisson regression. Results: In the first approach 6833 pregnancies were considered, 73.7% in women aged 20-34 years, 17.9% in women 35 years or older and 8.4% in adolescents. The only difference between groups was the need for blood transfusion, more prevalent among controls. There was a tendency of increase in the ratios of MNM with increasing maternal age. The only risk factor identified was lower education among women aged 35 years or more. In the second approach we found 17% of adolescents and also 17% of women aged 35 or more. The prevalence of MNM and MM was higher among women with 35 years or more. MNM and MM increased with increasing age, but were also very high at the lowest end of the age, among adolescents aged 10-14 years. In multivariate analysis. Adolescence was not an independent risk factor while age of 35 years or more was (PR 1.25; CI 1:07 to 1:45). Conclusions: MNM and MM increases with increasing maternal age, exception made to the group of adolescents aged 10-14 that also has a higher risk of NM and MM Advisors/Committee Members: UNIVERSIDADE ESTADUAL DE CAMPINAS (CRUESP), Surita, Fernanda Garanhani de Castro, 1964- (advisor), Silva, João Luiz Pinto e (coadvisor), Universidade Estadual de Campinas. Faculdade de Ciências Médicas (institution), Programa de Pós-Graduação em Tocoginecologia (nameofprogram), Amaral, Eliana Martorano (committee member), Passini Júnior, Renato (committee member), Maia Filho, Nelson Lourenço (committee member), Mattar, Rosiane (committee member).

Subjects/Keywords: Mortalidade materna; Near miss; Morbidade materna grave; Gravidez na adolescência; Idade materna; Maternal mortality; Near miss; Severe maternal morbidity; Pregnancy in adolescence; Maternal age

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Oliveira Júnior, Fernando Cesar de, 1. (2013). Morbidade materna grave e near miss nos extremos da vida reprodutiva : Severe maternal morbidity and near miss in extremes of reproductive life: Severe maternal morbidity and near miss in extremes of reproductive life. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/309270

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Oliveira Júnior, Fernando Cesar de, 1952-. “Morbidade materna grave e near miss nos extremos da vida reprodutiva : Severe maternal morbidity and near miss in extremes of reproductive life: Severe maternal morbidity and near miss in extremes of reproductive life.” 2013. Thesis, Universidade Estadual de Campinas. Accessed January 22, 2021. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309270.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Oliveira Júnior, Fernando Cesar de, 1952-. “Morbidade materna grave e near miss nos extremos da vida reprodutiva : Severe maternal morbidity and near miss in extremes of reproductive life: Severe maternal morbidity and near miss in extremes of reproductive life.” 2013. Web. 22 Jan 2021.

Vancouver:

Oliveira Júnior, Fernando Cesar de 1. Morbidade materna grave e near miss nos extremos da vida reprodutiva : Severe maternal morbidity and near miss in extremes of reproductive life: Severe maternal morbidity and near miss in extremes of reproductive life. [Internet] [Thesis]. Universidade Estadual de Campinas; 2013. [cited 2021 Jan 22]. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/309270.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Oliveira Júnior, Fernando Cesar de 1. Morbidade materna grave e near miss nos extremos da vida reprodutiva : Severe maternal morbidity and near miss in extremes of reproductive life: Severe maternal morbidity and near miss in extremes of reproductive life. [Thesis]. Universidade Estadual de Campinas; 2013. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/309270

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Stellenbosch University

15. Maruta, Anna. Surveillance of surgical site infections following caesarean section at two central hospitals in Harare, Zimbabwe.

Degree: MSc, Interdisciplinary Health Sciences, 2015, Stellenbosch University

URL: http://hdl.handle.net/10019.1/98019

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ENGLISH ABSTRACT: Background Caesarean section deliveries are the most common procedures performed by obstetricians in Zimbabwe. Surgical site infections (SSI) following caesarean section delivery result… (more)

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ENGLISH ABSTRACT: Background Caesarean section deliveries are the most common procedures performed by obstetricians in Zimbabwe. Surgical site infections (SSI) following caesarean section delivery result in increased hospital stay, treatment, cost, hospital readmission rates and related maternal morbidity and mortality. There is no national surveillance system for SSIs in Zimbabwe, however, information is available on number of cases of post-operative wound infection after caesarean section, but the denominator and definition used is not consistent. The objective of this study were develop and strengthen the surveillance system in Zimbabwe, to establish a clinical-based system in a setting with limited microbiological access, to measure post-operative SSI after caesarean section and to describe the associated risk factors and to determine whether feedback of SSI data has any effect on the surgical site infection incidence rate. Methodology This was a before and after study with two rolling cohort periods conducted at two Central hospitals in Harare, Zimbabwe. An Infection Prevention and Control (IPC) intervention was conducted in-between. During the pre-intervention period, baseline demographic and clinical data were collected using a structured questionnaire, and during the post-intervention period the impact of the interventions was measured. Convenience sampling was employed. Results A total of 290 women consented to participate in the study in the pre intervention period, 86.9% (n= 252) completed the 30-days post-operative follow-up and the incidence rate of SSI was 29.0% (n=73, 95% CI:23.4-35.0) Interventions developed included: training in Infection Prevention and Control for health workers; implementation of a protocol for cleaning surgical instruments; dissemination of information on post-operative wound management for the women. After implementation of the intervention, 314 women were recruited for the post-intervention, 92.3%(n= 290) completed the 30-day follow-up and there was a significant (p<0.001) reduction in the incidence rate of SSIs to 12.1 % (n=35, 95% CI: 8.3 -15.8) during this period. Development of SSI after caesarean section was found to be significantly associated with emergency surgery (p<0.001), surgical wound class IV (p=0.001) and shaving at home (p<0.001) at both pre- intervention and post-intervention periods. Stellenbosch University https://scholar.sun.ac.za iii Conclusion This study shows that caesarean section can be performed with low incidence of SSI if appropriate interventions such as training in IPC, adequate cleaning of equipment and education in wound-care for the mother are adhered to. It also demonstrated a simple surveillance data collection tool can be used on a wide scale in resource limited countries to assist policy makers with monitoring and evaluation of SSI rates as well as assessment of risk factors.

AFRIKAANSE OPSOMMING: Agtergrond Keisersnitte is die mees algemene prosedure wat uitgevoer word deur obstetriese dokters in Zimbabwe. Chirurgiese wond…

Advisors/Committee Members: Mehtar, Shaheen, Robertson, Valerie Jean, Manase, T., Stellenbosch University. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Community Health..

Subjects/Keywords: Caesarean section, Surgical site infections (SSI), maternal morbidity and mortality; UCTD; Cesarean section – Complications – Zimbabwe – Harare; Surgical wound infections – Zimbabwe – Harare

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APA (6^th Edition):

Maruta, A. (2015). Surveillance of surgical site infections following caesarean section at two central hospitals in Harare, Zimbabwe. (Masters Thesis). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/98019

Chicago Manual of Style (16^th Edition):

Maruta, Anna. “Surveillance of surgical site infections following caesarean section at two central hospitals in Harare, Zimbabwe.” 2015. Masters Thesis, Stellenbosch University. Accessed January 22, 2021. http://hdl.handle.net/10019.1/98019.

MLA Handbook (7^th Edition):

Maruta, Anna. “Surveillance of surgical site infections following caesarean section at two central hospitals in Harare, Zimbabwe.” 2015. Web. 22 Jan 2021.

Vancouver:

Maruta A. Surveillance of surgical site infections following caesarean section at two central hospitals in Harare, Zimbabwe. [Internet] [Masters thesis]. Stellenbosch University; 2015. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/10019.1/98019.

Council of Science Editors:

Maruta A. Surveillance of surgical site infections following caesarean section at two central hospitals in Harare, Zimbabwe. [Masters Thesis]. Stellenbosch University; 2015. Available from: http://hdl.handle.net/10019.1/98019

University of South Africa

16. Muranda, Engeline. Factors influencing women's preference for home births in the Mutare District, Zimbabwe .

Degree: 2014, University of South Africa

URL: http://hdl.handle.net/10500/13370

► The study attempted to identify factors influencing women’s preference for home births in the Mutare District, Zimbabwe. A quantitative, descriptive, exploratory, cross sectional survey, gathering… (more)

Subjects/Keywords: Ante-natal care (ANC); Health Belief Model (HBM); Home births; Maternal mortality/morbidity rates; Midwifery in Zimbabwe; Women's health in Zimbabwe

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APA (6^th Edition):

Muranda, E. (2014). Factors influencing women's preference for home births in the Mutare District, Zimbabwe . (Masters Thesis). University of South Africa. Retrieved from http://hdl.handle.net/10500/13370

Chicago Manual of Style (16^th Edition):

Muranda, Engeline. “Factors influencing women's preference for home births in the Mutare District, Zimbabwe .” 2014. Masters Thesis, University of South Africa. Accessed January 22, 2021. http://hdl.handle.net/10500/13370.

MLA Handbook (7^th Edition):

Muranda, Engeline. “Factors influencing women's preference for home births in the Mutare District, Zimbabwe .” 2014. Web. 22 Jan 2021.

Vancouver:

Muranda E. Factors influencing women's preference for home births in the Mutare District, Zimbabwe . [Internet] [Masters thesis]. University of South Africa; 2014. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/10500/13370.

Council of Science Editors:

Muranda E. Factors influencing women's preference for home births in the Mutare District, Zimbabwe . [Masters Thesis]. University of South Africa; 2014. Available from: http://hdl.handle.net/10500/13370

McMaster University

17. Naito, Ryo. IMPACT OF SOCIAL ISOLATION ON MORTALITY AND MORBIDITY.

Degree: MSc, 2020, McMaster University

URL: http://hdl.handle.net/11375/25354

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BACKGROUND: Social isolation (SI) has been seen as an emerging socioeconomic factor that negatively affects health. A considerable body of research has found that SI… (more)

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BACKGROUND: Social isolation (SI) has been seen as an emerging socioeconomic factor that negatively affects health. A considerable body of research has found that SI is associated with increased risk of all-cause mortality. However, the magnitude of the association varies in different studies. Besides that, these studies were conducted mainly in high-income countries. METHODS: We conducted a systematic review and meta-analysis to examine the effect size of SI on mortality. Also, we examined the associated mortality risk using data from the Prospective Urban and Rural Epidemiology (PURE) study of over 140,000 middle-aged adults from 21 countries with different income levels. RESULTS: Our systematic review and meta-analysis showed that the pooled hazard ratio of SI for all-cause mortality was 1.37 (95% confidence interval (CI) 1.28-1.46). The PURE study showed that the hazard ratio of SI for all-cause mortality was 1.26 (95% CI 1.16-1.36). Similar associations of SI with cardiovascular- and non-cardiovascular mortality as well as with incident diseases including stroke, cardiovascular disease, and injury were observed. The associations between SI and health outcomes were observed in diverse populations with different social structures and different country income levels. CLINICAL IMPLICATIONS: The impact of SI on mortality would be expected to be greater in the future as the number of people with SI is projected to increase with population ageing in most societies. Our findings can be used by public health providers and policy makers to develop targeted strategies to reduce the risks associated with SI.

Thesis

Master of Health Sciences (MSc)

Social isolation (SI) is an emerging socioeconomic factor that could negatively affect health. Prior studies regarding SI were conducted mainly in high income countries. This thesis examines the effect of SI on mortality. This was done first in a systematic review and meta-analysis and, second, by examining the association between SI and health in an international large-scale cohort study (PURE: Prospective Urban Rural Epidemiology) conducted in 21 countries at different country income levels. Our systematic review and meta-analysis showed that SI was associated with 37% increased risk for mortality. The PURE study showed that the association of SI with mortality was seen in diverse populations with different social structures. The impact of SI on mortality would be expected to increase in the future as the number of people with SI is projected to increase with population ageing. This calls for measures to reduce mortality and morbidity in the socially isolated.

Advisors/Committee Members: Yusuf, Salim, Health Research Methodology.

Subjects/Keywords: social isolation; mortality; morbidity

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APA (6^th Edition):

Naito, R. (2020). IMPACT OF SOCIAL ISOLATION ON MORTALITY AND MORBIDITY. (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/25354

Chicago Manual of Style (16^th Edition):

Naito, Ryo. “IMPACT OF SOCIAL ISOLATION ON MORTALITY AND MORBIDITY.” 2020. Masters Thesis, McMaster University. Accessed January 22, 2021. http://hdl.handle.net/11375/25354.

MLA Handbook (7^th Edition):

Naito, Ryo. “IMPACT OF SOCIAL ISOLATION ON MORTALITY AND MORBIDITY.” 2020. Web. 22 Jan 2021.

Vancouver:

Naito R. IMPACT OF SOCIAL ISOLATION ON MORTALITY AND MORBIDITY. [Internet] [Masters thesis]. McMaster University; 2020. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/11375/25354.

Council of Science Editors:

Naito R. IMPACT OF SOCIAL ISOLATION ON MORTALITY AND MORBIDITY. [Masters Thesis]. McMaster University; 2020. Available from: http://hdl.handle.net/11375/25354

Addis Ababa University

18. WORKU, DECHASSA. ASSESSING CHILD IMMUNIZATION COVERAGE AND ITS DETERMINANTS IN SINANA DISTRICT, BALE ZONE, OROMIA REGIONAL STATE, ETHIOPIA, 2013 .

Degree: 2013, Addis Ababa University

URL: http://etd.aau.edu.et/dspace/handle/123456789/5891

► Background: - Immunization remains one of the most important public health intervention and cost effective strategy to reduce child mortality and morbidity associated with infectious… (more)

▼ Background: - Immunization remains one of the most important public health intervention and cost effective strategy to reduce child mortality and morbidity associated with infectious diseases and is estimated to avert between 2 and 3 million deaths each year. The objective of this study was to assess complete immunization coverage and its associated factors among children age 12-23 months in Sinana district. Methods: - A cross-sectional community based survey was conducted in 6 kebeles (PA) of Sinana District from 29, December 2012 –16, January 2013. A modified World Health Organization Expanded Program on Immunization cluster sampling methods was used for household selection. Data on 591 children aged 12-23 months and mothers pair were collected by using a pre-tested structured questionnaire through house to house visits from vaccination card and mother’s verbal reports. Bivariate and multivariate logistic regression analyses were used to assess factors associated with fully immunization coverage of children. Results: - of 591 interviewed mothers’ of children, only 10.2% of the mothers have attended secondary and above level of education. Of children included in this study, only 33% of them had vaccination card at time of the survey and about 76.8% of the children aged 12-23 months were fully vaccinated by card plus history. Factors significantly associated with full immunization were antenatal care follow-up (adjusted odds ratio (AOR = 3.7, 95% CI: 2.3- 5.9), mother occupation being farmer (AOD=1.9, 95% CI:1.14-3.1), educational level of father being secondary and above (AOD=3.1, 95%CI:1.3-7.4), household family income greater than one thousand(AOD=3.2, 95% CI:1.4-7.4) , average walking time less than an hour(AOD=3.1, 95% CI:1.5-6.3), ever discuss about immunization with health service extension worker(AOD=2.4, 95%CI:1.32-4.2) and mother’s sufficient knowledge on immunization(AOD=2.5, 95% CI 1.5-4.2) , whereas area of residence , educational level of mother and child sex were not significantly associated. Conclusion: - Even though, immunization coverage of children in sinana district gets improvement over national coverage, yet it is below governmental plan of 90%. Maternal Health care utilization and knowledge of mother about vaccine and Vaccine Preventable Diseases are the main factors associated with complete immunization coverage. It is vital that, local programmatic intervention should be strengthened to upgrade awareness of the community on the importance of immunization, antenatal care and working on advancing economical status of community is the way to optimize children’s immunization coverage. Advisors/Committee Members: Mulugeta Betre (MD, MPH) (advisor).

Subjects/Keywords: Immunization; child mortality; morbidity

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APA (6^th Edition):

WORKU, D. (2013). ASSESSING CHILD IMMUNIZATION COVERAGE AND ITS DETERMINANTS IN SINANA DISTRICT, BALE ZONE, OROMIA REGIONAL STATE, ETHIOPIA, 2013 . (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/5891

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

WORKU, DECHASSA. “ASSESSING CHILD IMMUNIZATION COVERAGE AND ITS DETERMINANTS IN SINANA DISTRICT, BALE ZONE, OROMIA REGIONAL STATE, ETHIOPIA, 2013 .” 2013. Thesis, Addis Ababa University. Accessed January 22, 2021. http://etd.aau.edu.et/dspace/handle/123456789/5891.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

WORKU, DECHASSA. “ASSESSING CHILD IMMUNIZATION COVERAGE AND ITS DETERMINANTS IN SINANA DISTRICT, BALE ZONE, OROMIA REGIONAL STATE, ETHIOPIA, 2013 .” 2013. Web. 22 Jan 2021.

Vancouver:

WORKU D. ASSESSING CHILD IMMUNIZATION COVERAGE AND ITS DETERMINANTS IN SINANA DISTRICT, BALE ZONE, OROMIA REGIONAL STATE, ETHIOPIA, 2013 . [Internet] [Thesis]. Addis Ababa University; 2013. [cited 2021 Jan 22]. Available from: http://etd.aau.edu.et/dspace/handle/123456789/5891.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

WORKU D. ASSESSING CHILD IMMUNIZATION COVERAGE AND ITS DETERMINANTS IN SINANA DISTRICT, BALE ZONE, OROMIA REGIONAL STATE, ETHIOPIA, 2013 . [Thesis]. Addis Ababa University; 2013. Available from: http://etd.aau.edu.et/dspace/handle/123456789/5891

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Nairobi

19. Manyasi, christine. Perinatal morbidity and mortality Among babies born to women attending Antenatal clinic at Naivasha district Hospital .

Degree: 2014, University of Nairobi

URL: http://hdl.handle.net/11295/95381

► Background: Perinatal mortality, defined as death occurring after 28 weeks gestation up to one week of life, remains the biggest contributor to infant mortality. The… (more)

▼ Background: Perinatal mortality, defined as death occurring after 28 weeks gestation up to one week of life, remains the biggest contributor to infant mortality. The magnitude of mortality in Kenya is mostly described using hospital derived data. Given that only an estimated 40% of women attending antenatal clinics in Kenya deliver in hospital, it is possible that the most of these mortalities therefore go unreported. This study was conducted in Naivasha, a town with a large peri-urban and rural catchment, with a unique cosmopolitan and predominantly farming population. It targeted pregnant women attending the antenatal clinic in order to capture all birth outcomes regardless of where they occurred. Objectives: The primary objective was to determine the prevalence of perinatal mortality and early neonatal morbidity of babies born to women attending Antenatal clinic at Naivasha District Hospital. The secondary objective was to determine the risk factors for perinatal mortality and early neonatal morbidity of babies born to women attending the clinic. The risk factors included maternal pregnancy complications, circumstances of delivery and signs of early neonatal illness. Methods: Pregnant women attending the antenatal care clinic who were of 28 weeks gestation and beyond were recruited consecutively during their regular antenatal attendance. They were then followed up on phone to find out the outcome of their pregnancy at the end of one week post-delivery. All mortality and morbidity events in the baby were recorded using a checklist modified from the WHO verbal autopsy questionnaire. Findings: A total of 197 were recruited into the study. Overall there were 7(3.5%) deaths, with 4(2.0%) stillbirths and 3 (1.5%) neonatal deaths in the first week of life. The perinatal mortality was 3.5% and 57% of these deaths were still births. Twelve 12 (7.5%) babies had morbidity severe enough to warrant medical treatment or hospitalization. Early neonatal morbidity was associated with increasing maternal age, previous history of perinatal mortality, rupture of membranes longer than 12 hours and labour duration longer than 12 hours. Prematurity and inability to breastfeed were associated increased mortality. Mothers with a previous history of perinatal death were also at risk of losing their babies. Conclusion: There was a high perinatal mortality compared to the national average. Most of the deaths were still births.

Subjects/Keywords: Perinatal morbidity and mortality

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APA (6^th Edition):

Manyasi, c. (2014). Perinatal morbidity and mortality Among babies born to women attending Antenatal clinic at Naivasha district Hospital . (Thesis). University of Nairobi. Retrieved from http://hdl.handle.net/11295/95381

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Manyasi, christine. “Perinatal morbidity and mortality Among babies born to women attending Antenatal clinic at Naivasha district Hospital .” 2014. Thesis, University of Nairobi. Accessed January 22, 2021. http://hdl.handle.net/11295/95381.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Manyasi, christine. “Perinatal morbidity and mortality Among babies born to women attending Antenatal clinic at Naivasha district Hospital .” 2014. Web. 22 Jan 2021.

Vancouver:

Manyasi c. Perinatal morbidity and mortality Among babies born to women attending Antenatal clinic at Naivasha district Hospital . [Internet] [Thesis]. University of Nairobi; 2014. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/11295/95381.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Manyasi c. Perinatal morbidity and mortality Among babies born to women attending Antenatal clinic at Naivasha district Hospital . [Thesis]. University of Nairobi; 2014. Available from: http://hdl.handle.net/11295/95381

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Vrije Universiteit Amsterdam

20. Beltman, J.J. Health professionals and maternal health in Malawi: mortality and morbidity at district level .

Degree: 2013, Vrije Universiteit Amsterdam

URL: http://hdl.handle.net/1871/52077

Subjects/Keywords: maternal morbidity; maternal mortality; health care workers; low resource country

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Beltman, J. J. (2013). Health professionals and maternal health in Malawi: mortality and morbidity at district level . (Doctoral Dissertation). Vrije Universiteit Amsterdam. Retrieved from http://hdl.handle.net/1871/52077

Chicago Manual of Style (16^th Edition):

Beltman, J J. “Health professionals and maternal health in Malawi: mortality and morbidity at district level .” 2013. Doctoral Dissertation, Vrije Universiteit Amsterdam. Accessed January 22, 2021. http://hdl.handle.net/1871/52077.

MLA Handbook (7^th Edition):

Beltman, J J. “Health professionals and maternal health in Malawi: mortality and morbidity at district level .” 2013. Web. 22 Jan 2021.

Vancouver:

Beltman JJ. Health professionals and maternal health in Malawi: mortality and morbidity at district level . [Internet] [Doctoral dissertation]. Vrije Universiteit Amsterdam; 2013. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/1871/52077.

Council of Science Editors:

Beltman JJ. Health professionals and maternal health in Malawi: mortality and morbidity at district level . [Doctoral Dissertation]. Vrije Universiteit Amsterdam; 2013. Available from: http://hdl.handle.net/1871/52077

Vrije Universiteit Amsterdam

21. Nelissen, E.J.T. Improving maternal outcome in rural Tanzania using obstetric simulation-based training .

Degree: 2014, Vrije Universiteit Amsterdam

URL: http://hdl.handle.net/1871/54444

Subjects/Keywords: Maternal morbidity; Maternal mortality; Obstetrics; Simulation-based training; Low-resource settings

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Nelissen, E. J. T. (2014). Improving maternal outcome in rural Tanzania using obstetric simulation-based training . (Doctoral Dissertation). Vrije Universiteit Amsterdam. Retrieved from http://hdl.handle.net/1871/54444

Chicago Manual of Style (16^th Edition):

Nelissen, E J T. “Improving maternal outcome in rural Tanzania using obstetric simulation-based training .” 2014. Doctoral Dissertation, Vrije Universiteit Amsterdam. Accessed January 22, 2021. http://hdl.handle.net/1871/54444.

MLA Handbook (7^th Edition):

Nelissen, E J T. “Improving maternal outcome in rural Tanzania using obstetric simulation-based training .” 2014. Web. 22 Jan 2021.

Vancouver:

Nelissen EJT. Improving maternal outcome in rural Tanzania using obstetric simulation-based training . [Internet] [Doctoral dissertation]. Vrije Universiteit Amsterdam; 2014. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/1871/54444.

Council of Science Editors:

Nelissen EJT. Improving maternal outcome in rural Tanzania using obstetric simulation-based training . [Doctoral Dissertation]. Vrije Universiteit Amsterdam; 2014. Available from: http://hdl.handle.net/1871/54444

22. Habimana Kabano, I. Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals.

Degree: 2015, University Utrecht

URL: https://dspace.library.uu.nl/handle/1874/325245 ; URN:NBN:NL:UI:10-1874-325245 ; 1874/325245 ; urn:isbn:9789062664139 ; URN:NBN:NL:UI:10-1874-325245 ; https://dspace.library.uu.nl/handle/1874/325245

► Rwanda has so far paid little attention to 'healthy' intervals between pregnancies awareness programs on family planning and maternal and child health. Results of this… (more)

▼ Rwanda has so far paid little attention to 'healthy' intervals between pregnancies awareness programs on family planning and maternal and child health. Results of this thesis shed some light on the contribution of IPI and the type of previous pregnancy outcome on fetal survival, neonatal mortality and maternal morbidity in Rwanda. By using the combined effect of IPI and the type of previous pregnancy outcome instead of Inter-Birth Interval (IBI), it became clear that analysis using IBI leave behind possible fetal deaths that are more likely to happen in between births and that do play a role in affecting the reproductive health of the mother. We posit that women will improve their reproductive health status and avoid the risk of a fetal death trap if they wait at least two years after the previous fetal death. This finding relates to the findings from other developing countries such as Bangladesh (in opposite to findings from developed countries), and might be related to the absence of post-abortion care. Results from other studies give no assurance about what exactly is a healthy interval. In a bid to avoid methodological flaw, studies on infant mortality should avoid selectivity bias by concomitantly considering fetal survival. Yet, we found little evidence for simultaneous effects of short IPI’s fetal and neonatal mortality. The causes for neonatal mortality are not moderated by the inter-pregnancy interval while those for fetal loss are. Short IPIs are not associated with maternal morbidity, yet primigravida and women with long IPIs showed increased risks of third trimester bleeding, premature rupture of membrane and lower limb edema. Primigravida showed adverse outcomes throughout this study, implying that programs geared to reduce maternal death and neonatal mortality should consider primigravida with particular attention. After a pregnancy loss, a pregnancy interval longer than six months must be observed to prevent recurrence. Also women with very long IPI (<=5 years) have consistently shown increased risks of fetal loss, neonatal death and maternal morbidity. Our findings contribute to the debate whether older age of the mother might be hiding behind the effect of very long interval length. We found no negative effects of older age, and a remaining strong effect of long inter-pregnancy interval, which again supports the physiological regression hypothesis. Policy wise, avoiding short IPIs can be achieved through the use of post-partum contraception while long IPIs remain problematic to avoid, given that a desired pregnancy may be precluded by sub-fertility, availability of a partner, economic issues or illness. In the context of poor countries like Rwanda, a full reproductive health package is necessary and pregnancy management strategies should be encouraged through family planning for spacing pregnancies, and the promotion of health seeking behavior in the form ante- and post-natal care. Hospital staff should encourage post-abortion medication, and health centers in remote areas of the country should be… Advisors/Committee Members: Hooimeijer, Pieter, Harts - Broekhuis, Annelet.

Subjects/Keywords: Inter-pregnancy interval; fetal loss; perinatal mortality; neonatal mortality; maternal morbidity; Rwanda

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APA (6^th Edition):

Habimana Kabano, I. (2015). Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals. (Doctoral Dissertation). University Utrecht. Retrieved from https://dspace.library.uu.nl/handle/1874/325245 ; URN:NBN:NL:UI:10-1874-325245 ; 1874/325245 ; urn:isbn:9789062664139 ; URN:NBN:NL:UI:10-1874-325245 ; https://dspace.library.uu.nl/handle/1874/325245

Chicago Manual of Style (16^th Edition):

Habimana Kabano, I. “Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals.” 2015. Doctoral Dissertation, University Utrecht. Accessed January 22, 2021. https://dspace.library.uu.nl/handle/1874/325245 ; URN:NBN:NL:UI:10-1874-325245 ; 1874/325245 ; urn:isbn:9789062664139 ; URN:NBN:NL:UI:10-1874-325245 ; https://dspace.library.uu.nl/handle/1874/325245.

MLA Handbook (7^th Edition):

Habimana Kabano, I. “Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals.” 2015. Web. 22 Jan 2021.

Vancouver:

Habimana Kabano I. Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals. [Internet] [Doctoral dissertation]. University Utrecht; 2015. [cited 2021 Jan 22]. Available from: https://dspace.library.uu.nl/handle/1874/325245 ; URN:NBN:NL:UI:10-1874-325245 ; 1874/325245 ; urn:isbn:9789062664139 ; URN:NBN:NL:UI:10-1874-325245 ; https://dspace.library.uu.nl/handle/1874/325245.

Council of Science Editors:

Habimana Kabano I. Pregnancy loss and neonatal mortality in Rwanda : The differential role of inter-pregnancy intervals. [Doctoral Dissertation]. University Utrecht; 2015. Available from: https://dspace.library.uu.nl/handle/1874/325245 ; URN:NBN:NL:UI:10-1874-325245 ; 1874/325245 ; urn:isbn:9789062664139 ; URN:NBN:NL:UI:10-1874-325245 ; https://dspace.library.uu.nl/handle/1874/325245

23. Maria da Consolação Magalhães. MORBIDADE MATERNA EXTREMAMENTE GRAVE: uso do Sistema de Informação Hospitalar do SUS.

Degree: 2011, Universidade Federal de Juiz de Fora

URL: http://www.bdtd.ufjf.br/tde_busca/arquivo.php?codArquivo=1181

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É considerado um caso de morbidade materna extremante grave (MMEG) ou near miss uma mulher que quase foi a óbito, mas sobreviveu a complicação que… (more)

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É considerado um caso de morbidade materna extremante grave (MMEG) ou near miss uma mulher que quase foi a óbito, mas sobreviveu a complicação que ocorreu durante a gravidez, parto ou até 42 dias do término da gestação. Os critérios para identificação de casos de MMEG têm sido discutidos por diversos autores que levam em consideração as condições clínicas, laboratoriais e/ou manejo dos casos. Os sistemas de informação em saúde disponíveis atualmente no Brasil, tais como o SIH-SUS (Sistema de Informações Hospitalares do SUS), Sistema de informação sobre Nascidos vivos (SINASC) e Sistema de Informação sobre Mortalidade (SIM) contam com grande número de dados que poderiam contribuir para estudos da morbidade materna. Este trabalho tem como objetivos analisar a situação da morbimortalidade materna e infantil a partir dos Sistemas de Informações em Saúde; adequar os critérios de MMEG; identificar e analisar os casos de MMEG na base de dados do SIH-SUS visando subsidiar o planejamento das ações de saúde materna. Entre as 8620 mulheres residentes em Juiz de Fora, MG, no período de 2006 e 2007, internadas com causas codificadas dentro do Capítulo XV da CID-10 ou que receberam procedimentos obstétricos, 326 apresentaram alguma condição clínica e/ou procedimento selecionado como MMEG e uma foi a óbito. A taxa de mortalidade materna foi 12,0 por 100.000 mulheres. A letalidade 3,1 por mil mulheres e a prevalência de MMEG, 39,0 por 1000 mulheres. A média de tempo de internação foi de 3,5 e 10,5 dias para as mulheres sem e com morbidade, respectivamente. O tempo de internação maior que quatro dias foi 13 vezes mais alto entre as mulheres que apresentaram MMEG. A razão de prevalência para permanência do recém-nascido após alta da mãe, ter filhos nascidos mortos e óbito da criança antes da alta da mãe foi mais elevada entre as mulheres com MMEG, respectivamente 2,52, 4,86 e 4,41. As variáveis tempo de internação, número de internações e filhos nascidos mortos mostraram-se como fatores preditores para a MMEG na análise de regressão logística (p <0,001). Entre os procedimentos/condições selecionados os mais frequentes foram a transfusão de hemoderivados, permanência a maior e pré-eclampsia grave/eclampsia, com prevalências de morbidades específicas de 15,7/1000, 9,5/1000 e 8,2/1000, respectivamente. A razão de prevalência de MMEG encontrada e as prevalências específicas de transfusão de hemoderivados e pré-eclampsia grave/eclampsia são achados consistentes com a literatura existente e demonstram que o uso de associação de algumas tabelas do SIH-SUS tem grande potencial para identificação dos casos de MMEG. O critério utilizado para identificação dos casos é factível e pode contribuir para a vigilância da morbimortalidade materna e para ampliar o conhecimento sobre os aspectos que a envolve, contribuindo assim para a melhoria na qualidade da assistência à mulher no período gravídico-puerperal.

An extremely severe maternal morbidity (ESMM) case, or near miss, is one in which the woman almost died due to gestation/delivery-related…

Advisors/Committee Members: Luiz Cláudio Ribeiro, Tadeu Coutinho, Maria Teresa Bustamante Teixeira.

Subjects/Keywords: Morbidade materna extremamente grave; Mortalidade materna; Sistema de informação Hospitalar; Hospitalização; Complicações na gravidez; Mortalidade perinatal; Mortalidade Neonatal Precoce; Nascidos vivos; Extremely severe maternal morbidity; Maternal mortality; Hospital Information System; Hospitalization; Pregnancy-related complications; Perinatal mortality; Early Neonatal Mortality; Live-births; MEDICINA

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Magalhães, M. d. C. (2011). MORBIDADE MATERNA EXTREMAMENTE GRAVE: uso do Sistema de Informação Hospitalar do SUS. (Thesis). Universidade Federal de Juiz de Fora. Retrieved from http://www.bdtd.ufjf.br/tde_busca/arquivo.php?codArquivo=1181

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Magalhães, Maria da Consolação. “MORBIDADE MATERNA EXTREMAMENTE GRAVE: uso do Sistema de Informação Hospitalar do SUS.” 2011. Thesis, Universidade Federal de Juiz de Fora. Accessed January 22, 2021. http://www.bdtd.ufjf.br/tde_busca/arquivo.php?codArquivo=1181.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Magalhães, Maria da Consolação. “MORBIDADE MATERNA EXTREMAMENTE GRAVE: uso do Sistema de Informação Hospitalar do SUS.” 2011. Web. 22 Jan 2021.

Vancouver:

Magalhães MdC. MORBIDADE MATERNA EXTREMAMENTE GRAVE: uso do Sistema de Informação Hospitalar do SUS. [Internet] [Thesis]. Universidade Federal de Juiz de Fora; 2011. [cited 2021 Jan 22]. Available from: http://www.bdtd.ufjf.br/tde_busca/arquivo.php?codArquivo=1181.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Magalhães MdC. MORBIDADE MATERNA EXTREMAMENTE GRAVE: uso do Sistema de Informação Hospitalar do SUS. [Thesis]. Universidade Federal de Juiz de Fora; 2011. Available from: http://www.bdtd.ufjf.br/tde_busca/arquivo.php?codArquivo=1181

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

24. Laryea, Joycelyn. Automatic Speech Recognition System for Somali in the interest of reducing Maternal Morbidity and Mortality.

Degree: Microdata Analysis, 2020, Dalarna University

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:du-34436

► Developing an Automatic Speech Recognition (ASR) system for the Somali language, though not novel, is not actively explored; hence there has been no success… (more)

Subjects/Keywords: Maternal Mortality and Morbidity Rate (MMMR); Automatic Speech Recognition (ASR); DeepSpeech; Natural Language Processing (NLP); Word Error Rate (WER); Character Error Rate (CER); Social Sciences; Samhällsvetenskap

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Laryea, J. (2020). Automatic Speech Recognition System for Somali in the interest of reducing Maternal Morbidity and Mortality. (Thesis). Dalarna University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:du-34436

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Laryea, Joycelyn. “Automatic Speech Recognition System for Somali in the interest of reducing Maternal Morbidity and Mortality.” 2020. Thesis, Dalarna University. Accessed January 22, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-34436.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Laryea, Joycelyn. “Automatic Speech Recognition System for Somali in the interest of reducing Maternal Morbidity and Mortality.” 2020. Web. 22 Jan 2021.

Vancouver:

Laryea J. Automatic Speech Recognition System for Somali in the interest of reducing Maternal Morbidity and Mortality. [Internet] [Thesis]. Dalarna University; 2020. [cited 2021 Jan 22]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:du-34436.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Laryea J. Automatic Speech Recognition System for Somali in the interest of reducing Maternal Morbidity and Mortality. [Thesis]. Dalarna University; 2020. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:du-34436

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

25. Jurth, Antonia Vanessa. Prediction of preeclampsia associated complications with the aid of the sFlt-1/PlGF ratio.

Degree: 2018, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-10145

► Introduction: Preeclampsia (PE) is a major cause of maternal and fetal morbidity and mortality and is associated with numerous complications. The imbalance of angiogenic factors… (more)

▼ Introduction: Preeclampsia (PE) is a major cause of maternal and fetal morbidity and mortality and is associated with numerous complications. The imbalance of angiogenic factors plays a key role in the pathogenesis. The aim of our study is to demonstrate, whether the additional measurement of the ratio of the antiangiogenic factor soluble Fms like tyrosine kinase-1 (sFlt-1) to the proangiogenic factor Placental Growth Factor (PlGF) is able to predict the occurrence of preeclampsia associated complications within four weeks in women with the suspicion of preeclampsia. Methods: In this prospective, multicentered, double-blinded study we examined 209 pregnant women. Serum levels of sFlt-1 and PlGF were measured at presentation using fully automated Elecsys® ELISA. The participants were retrospectively divided into six groups based on the occurrence of preeclampsia associated complications and the predictive accuracy of the sFlt-1/PlGF ratio was determined. Results: 72 of 209 participants developed at least one preeclampsia associated complication. Among 161 participants who were included before 34 weeks of gestation, 34 had adverse outcomes. The median sFlt-1/PlGF ratio was significantly higher in participants who experienced any adverse outcome compared to those who did not (group 6: 87.4 versus 5.6, p < 0.001). The results were more distinctive at examination before 34 weeks of gestation (group 6 < 34 weeks: 148.4 versus 5.6, p < 0.001). The prediction of having an iatrogenic delivery because of preeclampsia or HELLP syndrome (group 1) had a high predictive accuracy (cut- off 114.4: sensitivity = 79 %, specificity = 89 %, NPV = 98 %, PPV = 35 %, - LR = 0.24, + LR = 7.19). The occurrence of any adverse outcome at inclusion before 34 weeks gestation (group 6 < 34 weeks) could also be accurately predicted (cut-off 49.4: sensitivity = 87 %, specificity = 85 %, NPV = 96 %, PPV = 60 %, - LR = 0.15, + LR = 6.00). Conclusion: Our results demonstrate that the sFlt-1/PlGF ratio has the potential to predict preeclampsia associated complications. At a ratio cut-off of 49.4, the best prediction for any adverse outcome is achieved with a NPV of 96 % and a PPV of 60 % at presentation before 34 weeks of gestation. The additional determination of the sFlt-1/PlGF ratio is an important tool in the differential diagnostic work-up in women presenting with high risk for the disease. The test has the potential to facilitate clinical management with regard to a targeted therapeutic decision-making and could help to identify adverse outcomes at an early stage. Advisors/Committee Members: w (gender), N.N. (firstReferee), N.N. (furtherReferee).

Subjects/Keywords: prediction of preeclampsia associated complications; sFlt-1/PlGF ratio; maternal and fetal morbidity and mortality; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Jurth, A. V. (2018). Prediction of preeclampsia associated complications with the aid of the sFlt-1/PlGF ratio. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-10145

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Jurth, Antonia Vanessa. “Prediction of preeclampsia associated complications with the aid of the sFlt-1/PlGF ratio.” 2018. Thesis, Freie Universität Berlin. Accessed January 22, 2021. http://dx.doi.org/10.17169/refubium-10145.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Jurth, Antonia Vanessa. “Prediction of preeclampsia associated complications with the aid of the sFlt-1/PlGF ratio.” 2018. Web. 22 Jan 2021.

Vancouver:

Jurth AV. Prediction of preeclampsia associated complications with the aid of the sFlt-1/PlGF ratio. [Internet] [Thesis]. Freie Universität Berlin; 2018. [cited 2021 Jan 22]. Available from: http://dx.doi.org/10.17169/refubium-10145.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Jurth AV. Prediction of preeclampsia associated complications with the aid of the sFlt-1/PlGF ratio. [Thesis]. Freie Universität Berlin; 2018. Available from: http://dx.doi.org/10.17169/refubium-10145

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Loma Linda University

26. Li, Yong. Perinatal Nicotine Exposure and Programming of HIE Sensitive Phenotype in Neonatal Rat Brains.

Degree: PhD, Basic Sciences, 2013, Loma Linda University

URL: https://scholarsrepository.llu.edu/etd/134

► Large epidemiological and animal studies have revealed a clear association of adverse intrauterine environment with the increased risk of metabolic, cardiovascular and neurological diseases. Maternal… (more)

▼ Large epidemiological and animal studies have revealed a clear association of adverse intrauterine environment with the increased risk of metabolic, cardiovascular and neurological diseases. Maternal smoking is the single most widespread perinatal insult in the world and has been associated with adverse pregnancy outcomes for mother, fetus and the newborn. Our study aims to test the hypothesis that perinatal nicotine exposure induces reprogramming of susceptibility to hypoxic ischemic brain injury in the immature brain, focusing on the roles of AT1R and/or AT2R and trying to reveal the underlying epigenetic mechanisms. Therefore, we established two rat models: perinatal nicotine exposure model in time-dated pregnant rats; hypoxic-ischemic encephalopathy (HIE) in 10-day-old rat pups. In the first part of our study, we demonstrated that nicotine exposure induces aberrant brain development in P10 pups, downregulating AT2R expression in male but upregulating AT2R in female pup brain, enhancing brain vulnerability to HIE in a sex-specific manner. In addition, we observed both AT1R and AT2R are implicated in the pathogenesis of neonatal HIE and confers neuroprotective property; AT2R plays the pivotal and causal role in nicotine induced sex-dependent alteration of vulnerability to HIE in the developing rat brain. Our further study focused on the epigenetic mechanisms involved in nicotine exposure mediated pathological effects in HIE. We demonstrated that perinatal nicotine exposure causes heightened methylation status of a single CpG adjacent to TATA-box at AT2R promoter, inhibiting TBP and recruiting MeCP2 binding, repressing AT2R gene expression, contributing to the enhanced vulnerability to HIE brain injury in male rat pups. All of pathological effects are reversed by administration of 5-Aza, a well-known DNA methylase inhibitor. These findings provide new insights in understanding of the pathogenesis of HIE in newborns and may suggest potential targets for the prevention and treatment of HIE, one of the most common causes of brain damage with severe mortality and long-lasing morbidity in infants and children. Advisors/Committee Members: Zhang, Lubo, Blood, Arlin B., Buchholz, John N., Ducsay, Charles A., Xiao, Daliao.

Subjects/Keywords: Medical Pharmacology; Cardiovascular Diseases; Neurological Diseases; Metabolic Diseases; Fetal Development; Nicotine;

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Li, Y. (2013). Perinatal Nicotine Exposure and Programming of HIE Sensitive Phenotype in Neonatal Rat Brains. (Doctoral Dissertation). Loma Linda University. Retrieved from https://scholarsrepository.llu.edu/etd/134

Chicago Manual of Style (16^th Edition):

Li, Yong. “Perinatal Nicotine Exposure and Programming of HIE Sensitive Phenotype in Neonatal Rat Brains.” 2013. Doctoral Dissertation, Loma Linda University. Accessed January 22, 2021. https://scholarsrepository.llu.edu/etd/134.

MLA Handbook (7^th Edition):

Li, Yong. “Perinatal Nicotine Exposure and Programming of HIE Sensitive Phenotype in Neonatal Rat Brains.” 2013. Web. 22 Jan 2021.

Vancouver:

Li Y. Perinatal Nicotine Exposure and Programming of HIE Sensitive Phenotype in Neonatal Rat Brains. [Internet] [Doctoral dissertation]. Loma Linda University; 2013. [cited 2021 Jan 22]. Available from: https://scholarsrepository.llu.edu/etd/134.

Council of Science Editors:

Li Y. Perinatal Nicotine Exposure and Programming of HIE Sensitive Phenotype in Neonatal Rat Brains. [Doctoral Dissertation]. Loma Linda University; 2013. Available from: https://scholarsrepository.llu.edu/etd/134

27. Tort, Julie. Comment améliorer la qualité de la prise en charge de l'hémorragie du post-partum en Afrique de l'Ouest ? : How to improve the quality of postpartum hemorrhage management in West Africa ?.

Degree: Docteur es, Epidémiologie clinique, 2016, Université Pierre et Marie Curie – Paris VI

URL: http://www.theses.fr/2016PA066348

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Le ratio de mortalité maternelle en Afrique de l’Ouest est le plus élevé au monde et l’hémorragie du post-partum (HPP) y est la principale cause… (more)

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Le ratio de mortalité maternelle en Afrique de l’Ouest est le plus élevé au monde et l’hémorragie du post-partum (HPP) y est la principale cause directe de mortalité maternelle. L’objectif général de ce travail était d’apporter des connaissances pour améliorer la prise en charge des HPP dans les structures hospitalières en Afrique de l’Ouest. Tout d’abord, nous avons montré que les facteurs de risques maternels de morbi-mortalité liée à l’HPP retrouvés dans les pays à ressources élevées étaient généralisables au contexte de l’Afrique de l’Ouest. Par ailleurs, nos analyses suggèrent que la qualification du médecin en charge du service de maternité (médecin généraliste versus gynécologue-obstétricien) a un impact déterminant sur la survie des femmes présentant une HPP dans ce contexte. Ensuite, nous avons montré que l'injection d'ocytocine dans les dix minutes qui suivent le diagnostic d’HPP était un facteur déterminant pour améliorer la santé maternelle au Bénin et au Mali. Le diagnostic rapide de l’HPP et une meilleure surveillance du post-partum immédiat étaient également importants. Enfin, nous avons mis en place une étude pilote pour évaluer la faisabilité d’un essai contrôlé randomisé (ECR) dont l’objectif est de tester l’efficacité du tamponnement utérin par condom catheter dans la prise en charge des hémorragies du post-partum dans cette région. Les résultats ont montré que la mise en place d’un ECR était faisable et ont apporté des connaissances supplémentaires pour optimiser le protocole de recherche. Ainsi, nous avons identifié un certain nombre de facteurs sur lesquels des actions doivent être menées pour améliorer la qualité de la prise en charge de l’HPP.

The maternal mortality ratio in West Africa is the highest in the world and postpartum hemorrhage (PPH) is the leading direct cause of maternal mortality. The general objective of this work was to provide knowledge to improve the management of PPH in hospitals in West Africa. Firstly, we have highlighted that maternal risk factors for morbidity and mortality related to the PPH found in high-resource countries were generalizable to the context of West Africa. Furthermore, our analysis suggests that the qualification of the doctor in charge of the maternity unit (general practitioner versus obstetrician) has a decisive impact on the maternal issue in this context. Then, we showed that injection of oxytocin within ten minutes after the diagnosis of PPH was a key factor for improving maternal health in Benin and Mali. Rapid diagnosis of PPH and better monitoring of the immediate postpartum period were also important. Finally, we set up a pilot study to assess the feasibility of a randomized controlled trial (RCT), which aims to test the effectiveness of uterine tamponade with condom catheter in the postpartum hemorrhage management in this region. The results showed that f a RCT was feasible and provided additional knowledge to optimize the research protocol. Thus, we have identified a number of factors on which action should be taken to improve the…

Advisors/Committee Members: Dumont, Alexandre (thesis director).

Subjects/Keywords: Hémorragie du post-Partum; Afrique de l'Ouest; Morbi-Mortalité maternelle; Qualité des soins; Ocytocine; Tamponnement utérin; Postpartum hemorrhage; West Africa; Maternal morbidity and mortality; 614.4

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Tort, J. (2016). Comment améliorer la qualité de la prise en charge de l'hémorragie du post-partum en Afrique de l'Ouest ? : How to improve the quality of postpartum hemorrhage management in West Africa ?. (Doctoral Dissertation). Université Pierre et Marie Curie – Paris VI. Retrieved from http://www.theses.fr/2016PA066348

Chicago Manual of Style (16^th Edition):

Tort, Julie. “Comment améliorer la qualité de la prise en charge de l'hémorragie du post-partum en Afrique de l'Ouest ? : How to improve the quality of postpartum hemorrhage management in West Africa ?.” 2016. Doctoral Dissertation, Université Pierre et Marie Curie – Paris VI. Accessed January 22, 2021. http://www.theses.fr/2016PA066348.

MLA Handbook (7^th Edition):

Tort, Julie. “Comment améliorer la qualité de la prise en charge de l'hémorragie du post-partum en Afrique de l'Ouest ? : How to improve the quality of postpartum hemorrhage management in West Africa ?.” 2016. Web. 22 Jan 2021.

Vancouver:

Tort J. Comment améliorer la qualité de la prise en charge de l'hémorragie du post-partum en Afrique de l'Ouest ? : How to improve the quality of postpartum hemorrhage management in West Africa ?. [Internet] [Doctoral dissertation]. Université Pierre et Marie Curie – Paris VI; 2016. [cited 2021 Jan 22]. Available from: http://www.theses.fr/2016PA066348.

Council of Science Editors:

Tort J. Comment améliorer la qualité de la prise en charge de l'hémorragie du post-partum en Afrique de l'Ouest ? : How to improve the quality of postpartum hemorrhage management in West Africa ?. [Doctoral Dissertation]. Université Pierre et Marie Curie – Paris VI; 2016. Available from: http://www.theses.fr/2016PA066348

Vrije Universiteit Amsterdam

28. Akker, T.H. van den. Medical mirrors: maternal care in a Malawian district .

Degree: 2012, Vrije Universiteit Amsterdam

URL: http://hdl.handle.net/1871/32377

Subjects/Keywords: maternal mortality; maternal morbidity; maternal near miss; obstetrics; Africa; women's health; reproductive health; HIV; audit; quality of care; Malawi; health systems

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Akker, T. H. v. d. (2012). Medical mirrors: maternal care in a Malawian district . (Doctoral Dissertation). Vrije Universiteit Amsterdam. Retrieved from http://hdl.handle.net/1871/32377

Chicago Manual of Style (16^th Edition):

Akker, T H van den. “Medical mirrors: maternal care in a Malawian district .” 2012. Doctoral Dissertation, Vrije Universiteit Amsterdam. Accessed January 22, 2021. http://hdl.handle.net/1871/32377.

MLA Handbook (7^th Edition):

Akker, T H van den. “Medical mirrors: maternal care in a Malawian district .” 2012. Web. 22 Jan 2021.

Vancouver:

Akker THvd. Medical mirrors: maternal care in a Malawian district . [Internet] [Doctoral dissertation]. Vrije Universiteit Amsterdam; 2012. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/1871/32377.

Council of Science Editors:

Akker THvd. Medical mirrors: maternal care in a Malawian district . [Doctoral Dissertation]. Vrije Universiteit Amsterdam; 2012. Available from: http://hdl.handle.net/1871/32377

University of Zambia

29. Munthali, Tendai. Mortality and Morbidity trends in under-five children with severe acute malnutrition at the University Teaching Hospital(UTH), Lusaka, Zambia .

Degree: 2015, University of Zambia

URL: http://hdl.handle.net/123456789/3702

► Introduction: Severe acute malnutrition has continued to cause high disease burden in Zambia. Mortality rates at the University Teaching Hospital (UTH) were as high as… (more)

▼ Introduction: Severe acute malnutrition has continued to cause high disease burden in Zambia. Mortality rates at the University Teaching Hospital (UTH) were as high as up to 50% in 2008. There is paucity of published data on mortality and morbidity trends in under-five children with SAM at UTH. This study aimed to determine mortality and morbidity trends in under-five children with severe acute malnutrition at UTH. Methods: A retrospective cross-sectional study, of all children admitted to ward A07 from January 2009 to December 2013. The study was done to assess trends in mortality, and how they are affected by morbidity, co-morbidity, and length of stay. A total of 9540 under-five children were analysed. The median and inter quartile ranges (IQR) were used to summarize and describe the data, as the data was not normally distributed. The Chi-square test was used to test the difference between the samples of the categorical variables sex, morbidity, co-morbidity and residence. In addition Kruskal Wallis was used to compare if means of the numerical variables length of stay on the ward and age for the different mortality, morbidity, and co-morbidity groups were different. Logistic regression was used to predict the odds of death in the independent variables and to control for confounding since the dependent variable mortality was categorical. Cuzick a non parametric test for trends was used to test mortality and morbidity trends. Furthermore survival analysis was done using Wilcoxon and Cox proportion hazard regression to test of difference of survival for the different groups and illustrated using Kaplan-Meier curves. Results: Overall, 45.9% (4,386) were females and 53.9% males, median age was 17 months (IQR 12 to 22 months), and median length of stay was 8 days, (IQR of 3 to 14). The overall mortality rate was 46.7% with overall prevalence of HIV at 32.2% (2,589). About 62% (5,609) had Kwashiorkor 21.6% had Marasmus and 16.4% had marasmic-Kwashiorkor. Children with Marasmus had the highest prevalence of HIV infection at 40.1% (703). Kwashiorkor was associated with high prevalence of Anaemia 13.2% (121) while, Marasmic-Kwashiorkor had the highest prevalence of Diarrhoea (33.6%). Children with TB had the longest length of stay on the ward (14 days) and those with Septicaemia the shortest stay (4 days). Children who had co-morbidity were 50% more likely to die than those without co-morbidity. Of the children that xiii died, those who were HIV infected were 4 times more likely to die and children with Septicaemia were 3.8 times more likely to die than those with Anaemia respectively. Kaplan Meier survival curves showed also that children with Marasmus, Diarrhoea, Septicaemia, tuberculosis, and those who were HIV infected had reduced survival rates. Mortality and morbidity trends decreased with admissions (from 2009 to 2013) and both trends were significant at p=0.000. Conclusion: Declining mortality and morbidity in children with acute malnutrition at UTH may suggest improved management practices. Nonetheless,…

Subjects/Keywords: Mortality; Morbidity; Malnutrition in Children-Zambia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Munthali, T. (2015). Mortality and Morbidity trends in under-five children with severe acute malnutrition at the University Teaching Hospital(UTH), Lusaka, Zambia . (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/3702

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Munthali, Tendai. “Mortality and Morbidity trends in under-five children with severe acute malnutrition at the University Teaching Hospital(UTH), Lusaka, Zambia .” 2015. Thesis, University of Zambia. Accessed January 22, 2021. http://hdl.handle.net/123456789/3702.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Munthali, Tendai. “Mortality and Morbidity trends in under-five children with severe acute malnutrition at the University Teaching Hospital(UTH), Lusaka, Zambia .” 2015. Web. 22 Jan 2021.

Vancouver:

Munthali T. Mortality and Morbidity trends in under-five children with severe acute malnutrition at the University Teaching Hospital(UTH), Lusaka, Zambia . [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Jan 22]. Available from: http://hdl.handle.net/123456789/3702.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Munthali T. Mortality and Morbidity trends in under-five children with severe acute malnutrition at the University Teaching Hospital(UTH), Lusaka, Zambia . [Thesis]. University of Zambia; 2015. Available from: http://hdl.handle.net/123456789/3702

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Pretoria

30. [No author]. Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004 .

Degree: 2010, University of Pretoria

URL: http://upetd.up.ac.za/thesis/available/etd-10062010-192322/

► Introduction.: The evaluation and improvement of the quality of health care services begins with the knowledge about the trends and causes of diseases. Purpose: To… (more)

Subjects/Keywords: Mortality; Pre-transitional causes; Morbidity; UCTD

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APA (6^th Edition):

author], [. (2010). Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004 . (Masters Thesis). University of Pretoria. Retrieved from http://upetd.up.ac.za/thesis/available/etd-10062010-192322/

Chicago Manual of Style (16^th Edition):

author], [No. “Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004 .” 2010. Masters Thesis, University of Pretoria. Accessed January 22, 2021. http://upetd.up.ac.za/thesis/available/etd-10062010-192322/.

MLA Handbook (7^th Edition):

author], [No. “Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004 .” 2010. Web. 22 Jan 2021.

Vancouver:

author] [. Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004 . [Internet] [Masters thesis]. University of Pretoria; 2010. [cited 2021 Jan 22]. Available from: http://upetd.up.ac.za/thesis/available/etd-10062010-192322/.

Council of Science Editors:

author] [. Morbidity and mortality patterns among the under 5 year old children admitted to district hospitals in the Eastern Cape, 2000 - 2004 . [Masters Thesis]. University of Pretoria; 2010. Available from: http://upetd.up.ac.za/thesis/available/etd-10062010-192322/

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