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1. Effects of the WHO Labour Care Guide on cesarean section in India: a pragmatic, stepped-wedge, cluster-randomized pilot trial

Author

Vogel, Joshua P., Pujar, Yeshita, Vernekar, Sunil S., Armari, Elizabeth, Pingray, Veronica, Althabe, Fernando, Gibbons, Luz, Berrueta, Mabel, Somannavar, Manjunath, Ciganda, Alvaro, Rodriguez, Rocio, Bendigeri, Savitri, Kumar, Jayashree Ashok, Patil, Shruti Bhavi, Karinagannanavar, Aravind, Anteen, Raveendra R., Mallappa Ramachandrappa, Pavithra, Shetty, Shukla, Bommanal, Latha, Haralahalli Mallesh, Megha, Gaddi, Suman S., Chikkagowdra, Shaila, Raghavendra, Bellara, Homer, Caroline S. E., Lavender, Tina, Kushtagi, Pralhad, Hofmeyr, G. Justus, Derman, Richard, and Goudar, Shivaprasad

Published
2024
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2. Zinc Supplementation Initiated Prior to or During Pregnancy Modestly Impacted Maternal Status and High Prevalence of Hypozincemia in Pregnancy and Lactation: The Women First Preconception Maternal Nutrition Trial

Author

Dhaded, Sangappa M, Vernekar, Sunil S, Herekar, Veena R, Yogeshkumar, S, McClure, Elizabeth M, Das, Abhik, Thorsten, Vanessa R, Derman, Richard J, Goldenberg, Robert L, Koso-Thomas, Marion W, Kemp, Jennifer F, Hambidge, K Michael, Westcott, Jamie L, Ali, Sumera Aziz, Saleem, Sarah, Garcés, Ana, Figueroa, Lester, Somannavar, Manjunath S, Goudar, Shivaprasad S, Long, Julie M, Hendricks, Audrey E, and Krebs, Nancy F

Published
2024
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3. RAPIDIRON Trial follow-up study — the RAPIDIRON-KIDS Study: protocol of a prospective observational follow-up study

Author

Derman, Richard J., Bellad, Roopa B., Bellad, Mrutyunjaya B., Bradford-Rogers, Jesse, Georgieff, Michael K., Aghai, Zubair H., Thind, Simal, Auerbach, Michael, Boelig, Rupsa, Leiby, Benjamin E., Short, Vanessa, Yogeshkumar, S., Charantimath, Umesh S., Somannavar, Manjunath S., Mallapur, Ashalata A., Pol, Ramesh, Ramadurg, Umesh, Sangavi, Radha, Peerapur, Basavaraj V., Banu, Nasima, Patil, Praveen S., Patil, Amaresh P., Roy, Subarna, Vastrad, Phaniraj, Wallace, Dennis, Shah, Hemang, and Goudar, Shivaprasad S.

Published
2023
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4. Maternal and perinatal outcomes of women with vaginal birth after cesarean section compared to repeat cesarean birth in select South Asian and Latin American settings of the global network for women’s and children’s health research

Author

Figueroa, Lester, Harrison, Margo, Mazariegos, Manolo, Goudar, Shivaprasad, Kavi, Avinash, Derman, Richard, Patel, Archana, Das, Prabir, Hibberd, Patricia L., Saleem, Sarah, Naqvi, Farnaz, Goldenberg, Robert L., Haque, Rashidul, Billah, Sk Masum, Petri, Jr., William A., McClure, Elizabeth M., Tan, Sylvia, and Krebs, Nancy F.

Published
2023
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5. Building a predictive model of low birth weight in low- and middle-income countries: a prospective cohort study

Author

Patterson, Jackie K., Thorsten, Vanessa R., Eggleston, Barry, Nolen, Tracy, Lokangaka, Adrien, Tshefu, Antoinette, Goudar, Shivaprasad S., Derman, Richard J., Chomba, Elwyn, Carlo, Waldemar A., Mazariegos, Manolo, Krebs, Nancy F., Saleem, Sarah, Goldenberg, Robert L., Patel, Archana, Hibberd, Patricia L., Esamai, Fabian, Liechty, Edward A., Haque, Rashidul, Petri, Bill, Koso-Thomas, Marion, McClure, Elizabeth M., Bose, Carl L., and Bauserman, Melissa

Published
2023
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7. The impact of risk factors on aspirin's efficacy for the prevention of preterm birth

Author

Nuss, Emily E., Hoffman, Matthew K., Goudar, Shivaprasad S., Kavi, Avinash, Metgud, Mrityunjay, Somannavar, Manjunath, Okitawutshu, Jean, Lokangaka, Adrien, Tshefu, Antoinette, Bauserman, Melissa, Tembo, Abigail Mwapule, Chomba, Elwyn, Carlo, Waldemar A., Figueroa, Lester, Krebs, Nancy F., Jessani, Saleem, Saleem, Sarah, Goldenberg, Robert L., Kurhe, Kunal, Das, Prabir, Hibberd, Patricia L., Achieng, Emmah, Nyongesa, Paul, Esamai, Fabian, Liechty, Edward A., Bucher, Sherri, Goco, Norman, Hemingway-Foday, Jennifer, Moore, Janet, McClure, Elizabeth M., Silver, Robert M., and Derman, Richard J.

Published
2023
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8. B-Vitamins and Choline in Human Milk Are Not Impacted by a Preconception Lipid-Based Nutrient Supplement, but Differ Among Three Low-to-Middle Income Settings—Findings From the Women First Trial

Author

Young, Bridget E, Westcott, Jamie, Kemp, Jennifer, Allen, Lindsay, Hampel, Daniela, Garcés, Ana L, Figueroa, Lester, Goudar, Shivaprasad S, Dhaded, Sangappa M, Somannavar, Manjunath, Saleem, Sarah, Ali, Sumera Aziz, Hambidge, K Michael, Krebs, Nancy F, Group, The Women First Working, Herekar, Veena, Vernekar, Sunil S, Yogeshkumar, S, Khan, Umber, Abrejo, Farina, Goldenberg, Robert K, Derman, Richard J, and McClure, Beth

Subjects
Nutrition, Clinical Trials and Supportive Activities, Clinical Research, Prevention, Pediatric, 3.3 Nutrition and chemoprevention, Prevention of disease and conditions, and promotion of well-being, Reproductive health and childbirth, Zero Hunger, lipid nutrient supplement, human milk, B vitamins, thiamin, vitamin B12, nutrition intervention, infant growth, Women First Working Group, Agricultural Biotechnology, Nutrition and Dietetics
Abstract

Introduction: Optimal human milk (HM) B-vitamin concentrations remain undefined, especially in areas where undernutrition is prevalent. The impact of supplementation pre-conception through pregnancy on HM B-vitamin composition remains unknown. Methods: Human milk (HM) was collected at 2-weeks postpartum from 200 women in Guatemala, India, and Pakistan (the Women First Trial). The women were randomized to start a lipid-based nutrient supplement before conception, at end of the first trimester, or not at all; intervention continued until delivery. HM concentrations of eight B-vitamins and choline were assessed via ultra-performance liquid chromatography-tandem mass spectrometry. Maternal diet was assessed in early pregnancy, and infant growth followed through 6 months post-delivery. Results: Despite supplement exposure averaging 15.7 (pre-conception arm) and 6.0 months (prenatal arm), HM B-vitamins did not differ between arms, but site differences were evident. Guatemala had higher HM concentrations of vitamin B3 than Pakistan and India. Pakistan had higher HM concentrations of thiamin and vitamin B6 than India and Guatemala. Cohort average HM vitamin B2 (162 ± 79 μg/L) and B6 (31.8 ± 24.6 μg/L) fell below values defined as deficient in 81.5 and 85.5% of samples, potentially reflecting sampling procedures and timing. Maternal dietary intakes of only vitamin B6 and choline were associated with the corresponding concentrations in HM (p < 0.005). No HM B-vitamin concentrations were associated with infant growth. Conclusion: Prenatal supplementation for at least 6 months had no impact on HM B-vitamin concentrations at 2-weeks postpartum. Results suggest that the adequacy of HM composition was generally maintained, with potential exceptions of vitamin B2 and B6.

Published
2021

9. IJCM_19A: Aspirin delays the onset of hypertensive disorders of pregnancy among nulliparous pregnant women: a secondary analysis of the ASPIRIN Trial

Author

Kavi Avinash, Hoffman Matthew K., Somannavar, Metgud Mrityunjay C., Goudar Shivaprasad S., Moore Janet, Nielsen Eleanor, Goco Norman, and Derman Richard J

Subjects
aspirin, hypertensive-disorders of pregnancy, nulliparous, Public aspects of medicine, RA1-1270
Abstract

Background: Hypertensive disorders of pregnancy (HDP) remain a primary contributor for maternal and perinatal death and results in long-term health risks for both the mother and child. Heterogeneous studies have evaluated the possible benefit of low dose aspirin (50 to 150 mg per day) in pregnancy to minimize the risk of HDP. Objective: To assess the impact of low-dose Aspirin (LDA) starting in early pregnancy on delaying preterm hypertensive disorders of pregnancy. Methodology: This was a non-prespecified secondary analysis of a randomized masked trial of Low-dose Aspirin (LDA). Nulliparous singleton pregnancies between 6 weeks and 0 days and 13 weeks 6 days in 6 low- middle income countries (Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, Zambia) enrolled in the ASPIRIN Trial were included. The incidence of HDP at delivery at three gestational age periods (< 37 weeks) between women who were randomized to Aspirin or Placebo. Women were included if they were randomized and had an outcome at or beyond 20 weeks (Modified Intent to Treat). Results: Amongst the 11,976 pregnancies, LDA did not significantly lower HDP at delivery. Conclusion: In low-risk nulliparous singleton pregnancies, early administration of LDA resulted in lower rates of preterm HDP and delivery before 34 and 37 weeks. LDA works in part by delaying HDP.

Published
2024
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10. Cost-effectiveness of low-dose aspirin for the prevention of preterm birth: a prospective study of the Global Network for Women's and Children's Health Research

Author

Patterson, Jackie K, Neuwahl, Simon, Goco, Norman, Moore, Janet, Goudar, Shivaprasad S, Derman, Richard J, Hoffman, Matthew, Metgud, Mrityunjay, Somannavar, Manjunath, Kavi, Avinash, Okitawutshu, Jean, Lokangaka, Adrien, Tshefu, Antoinette, Bose, Carl L, Mwapule, Abigail, Mwenechanya, Musaku, Chomba, Elwyn, Carlo, Waldemar A, Chicuy, Javier, Figueroa, Lester, Krebs, Nancy F, Jessani, Saleem, Saleem, Sarah, Goldenberg, Robert L, Kurhe, Kunal, Das, Prabir, Patel, Archana, Hibberd, Patricia L, Achieng, Emmah, Nyongesa, Paul, Esamai, Fabian, Bucher, Sherri, Liechty, Edward A, Bresnahan, Brian W, Koso-Thomas, Marion, and McClure, Elizabeth M

Published
2023
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11. Anthropometric and sociodemographic variables, but not preconception or prenatal maternal nutrition supplementation, predict neurodevelopment in offspring of the 'Women First' trial.

Author

Waldrop, Stephanie, Chowdhury, Dhuly, Westcott, Jamie E., Biasini, Fred, Garcés, Ana, Figueroa, Lester, Tshefu, Antoinette, Lokangaka, Adrien, Bauserman, Melissa, Saleem, Sarah, Ali, Sumera A., Goldenberg, Robert L., Goudar, Shivaprasad S., Dhaded, Sangappa M., Derman, Richard J., Kemp, Jennifer F., Koso‐Thomas, Marion, Das, Abhik, Hambidge, Michael, and Krebs, Nancy F.

Subjects
MOTOR ability, PLAY, EARLY medical intervention, RESEARCH funding, COGNITIVE testing, MATERNAL age, NEURAL development, BODY weight, LOGISTIC regression analysis, SEX distribution, QUESTIONNAIRES, MICRONUTRIENTS, CEPHALOMETRY, DESCRIPTIVE statistics, STATURE, PRECONCEPTION care, CHILD development, PSYCHOLOGY of mothers, FETAL development, ANTHROPOMETRY, SOCIODEMOGRAPHIC factors, CONFIDENCE intervals, DATA analysis software, BIRTH weight, DIETARY supplements, DIET therapy, SOCIAL classes, SENSITIVITY & specificity (Statistics), EDUCATIONAL attainment, CHILDREN
Abstract

Multiple factors influence infant and child neurodevelopment in low resource settings. In offspring of participants in the preconception maternal nutrition trial, Women First (WF), we examined the impact of providing a preconception (Arm 1) or prenatal (Arm 2) nutrient supplement (compared to controls, Arm 3) on neurodevelopmental outcomes at 24 months; predictors of neurodevelopment scores; and associations of infant anthropometrics with neurodevelopmental scores. Follow‐up visits for anthropometry were conducted at 6‐, 12‐, 18‐ and 24‐month of age. At 24‐months, in a randomized subset, the Bayley Scales of Infant Development, 3rd edition (BSID‐III), including cognitive, motor and social‐emotional subscales, and the Family Care Indicators (FCI) questionnaire, assessing family and home environment, were completed. Multiple covariates (intervention arm, site, maternal sociodemographic characteristics, FCI subscales, birthweight and 6–24 months' change in anthropometry z‐scores, (e.g., ΔLAZ6–24) were evaluated by linear regression to predict BSID‐III outcomes and to assess associations of anthropometric changes with BSID‐III scores. The analysis consisted of 1386 infants (n = 441, 486, 459 for Arms 1, 2 and 3, respectively). None of the domain‐specific BSID‐III subscale scores differed by maternal intervention arm. Four covariates significantly predicted (p ≤ 0.01) all 3 BSID‐III subscales: secondary maternal education, ΔLAZ6–24, birthweight >2500 g, and FCI play materials. Linear growth was associated with all domains of neurodevelopment. The results underscore the multi‐dimensional aspects of child development represented by the nurturing care framework, including prenatal maternal nutrition, post‐natal growth, maternal education for responsive caregiving and opportunities for early learning. Key messages: Preconception and prenatal maternal nutrition is important to ensure adequate fetal growth and healthy birthweight.Preconception and prenatal maternal nutritional supplementation was not associated with young child neurodevelopment but has been shown to improve post‐natal growth.Post‐natal linear growth is consistently associated with offspring neurodevelopment at 24 months.Maternal education to foster responsive caregiving, and opportunities for early learning in the home also positively impact offspring neurodevelopmental outcomes.These findings underscore the importance of multi‐dimensional aspects essential for children to reach their full developmental potential. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Associations between feeding practices and growth and neurodevelopmental outcomes at 36 months among children living in low- and low-middle income countries who participated in the BRAIN-HIT trial

Author

Do, Barbara T, Hansen, Nellie I, Bann, Carla, Lander, Rebecca L, Goudar, Shivaprasad S, Pasha, Omrana, Chomba, Elwyn, Dhaded, Sangappa M, Thorsten, Vanessa R, Wallander, Jan L, Biasini, Fred J, Derman, Richard, Goldenberg, Robert L, and Carlo, Waldemar A

Subjects
Biomedical and Clinical Sciences, Nutrition and Dietetics, Neurosciences, Clinical Trials and Supportive Activities, Pediatric, Prevention, Nutrition, Clinical Research, Behavioral and Social Science, Obesity, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Prevention of disease and conditions, and promotion of well-being, Good Health and Well Being, Bayley scores of infant development, Developmental outcome, Stunting, Wasting, Dietary diversity, Low- and middle-income countries, Nutrition and dietetics
Abstract

Feeding practices over the first several years of a child's life can critically influence development. The purpose of this study was to examine associations between feeding practices and growth and neurodevelopmental outcomes at 36 months of age among children from low- and low-middle-income countries (LMIC). We conducted a secondary analysis using data collected from children in India, Pakistan, and Zambia who were enrolled in a randomized controlled trial of a home-based early development intervention program called Brain Research to Ameliorate Impaired Neurodevelopment Home-based Intervention Trial. Qualitative dietary data collected at 36 months was used to assess the modified Minimum Acceptable Diet (mMAD), a measure based on a core indicator developed by the World Health Organization to measure whether young children receive the minimum number of meals recommended and adequate diversity of major food groups in their diet. Regression models were used to assess cross-sectional associations between diet and growth indices, including Z-scores for height-for-age (HAZ), weight-for-age (WAZ), weight-for-height (WHZ), head circumference (HCZ), and Bayley Scales of Infant Development II mental and psychomotor developmental measures at 36 months of age. Of 371 children, 174 (47%) consumed the mMAD, with significantly higher mean adjusted WHZ than those who did not meet mMAD (0.20 vs - 0.08, p = 0.05). Egg consumption was found to be significantly associated with a decreased risk of wasting [adjusted RR (95% CI): 0.37 (0.15, 0.89), p = 0.03]. HCZ at 36 months did not differ significantly for children who did and did not receive the mMAD. Meeting the mMAD was associated with better weight-for-height outcomes at 36 months in children in these three LMIC, highlighting the importance of adequate food quantity and quality. registered on March 20, 2008.

Published
2018

15. The efficacy of low-dose aspirin in pregnancy among women in malaria-endemic countries

Author

Bauserman, Melissa, Leuba, Sequoia I., Hemingway-Foday, Jennifer, Nolen, Tracy L., Moore, Janet, McClure, Elizabeth M., Lokangaka, Adrien, Tsehfu, Antoinette, Patterson, Jackie, Liechty, Edward A., Esamai, Fabian, Carlo, Waldemar A., Chomba, Elwyn, Goldenberg, Robert L., Saleem, Sarah, Jessani, Saleem, Koso-Thomas, Marion, Hoffman, Matthew, Derman, Richard J., Meshnick, Steven R., and Bose, Carl L.

Published
2022
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16. Zinc supplementation initiated prior to or during pregnancy modestly impacted maternal status and high prevalence of hypozincemia in pregnancy and lactation: the Women First Preconception Maternal Nutrition Trial

Author

Kemp, Jennifer F., primary, Hambidge, K Michael, additional, Westcott, Jamie L., additional, Ali, Sumera Aziz, additional, Saleem, Sarah, additional, Garcés, Ana, additional, Figueroa, Lester, additional, Somannavar, Manjunath S., additional, Goudar, Shivaprasad S., additional, Long, Julie M., additional, Hendricks, Audrey E., additional, Krebs, Nancy F., additional, Dhaded, Sangappa M., additional, Vernekar, Sunil S., additional, Herekar, Veena R., additional, Yogeshkumar, S., additional, McClure, Elizabeth M., additional, Das, Abhik, additional, Thorsten, Vanessa R., additional, Derman, Richard J., additional, Goldenberg, Robert L., additional, and Koso-Thomas, Marion W., additional

Published
2024
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17. Causes and circumstances of maternal death: a secondary analysis of the Community-Level Interventions for Pre-eclampsia (CLIP) trials cohort

Author

Woo Kinshella, Mai-Lei, Wong, Hubert, von Dadelszen, Peter, Vilanculo, Faustino, Vidler, Marianne, Valá, Anifa, Ukah, Ugochi V, Tu, Domena K, Thabane, Lehana, Tchavana, Corsino, Thornton, Jim, Sotunsa, John O, Singer, Joel, Sheikh, Sana, Sharma, Sumedha, Sevene, Esperança, Schuurman, Nadine, Sawchuck, Diane, Sacoor, Charfudin, Revankar, Amit P, Raza, Farrukh, Ramdurg, Umesh Y, Qureshi, Rahat N, Pires, Rosa, Payne, Beth A, Nobela, Vivalde, Nkumbula, Cláudio, Nhancolo, Ariel, Nhamirre, Zefanias, Munguambe, Khátia, Mungarwadi, Geetanjali I, Mulungo, Dulce, Mocumbi, Sibone, Mitton, Craig, Merialdi, Mario, Memon, Javed, Matavele, Analisa, Mastiholi, Sphoorthi S, Mandlate, Ernesto, Mallapur, Ashalata A, Magee, Laura A, Maculuve, Sónia, Macuacua, Salésio, Macete, Eusébio, Macamo, Marta, Lui, Mansun, Li, Jing, Lewis, Gwyneth, Lewin, Simon, Lee, Tang, Langer, Ana, Kudachi, Uday S, Kodkany, Bhalachandra S, Knight, Marian, Kengapur, Gudadayya S, Kavi, Avinash J, Katageri, Geetanjali, Kariya, Chirag, Karadiguddi, Chandrappa C, Kamble, Namdev A, Joshi, Anjali M, Hutton, Eileen, Hussain, Amjad, Honnungar, Narayan V, Hoodbhoy, Zahra, Grobman, William, Goudar, Shivaprasad S, Gonçálves, Emília, Firoz, Tabassum, Fillipi, Veronique, Filimone, Paulo, Engelbrecht, Susheela M, Dunsmuir, Dustin T, Dumont, Guy, Drebit, Sharla K, Donnay, France, Dharamsi, Shafik, Dhamanekar, Vaibhav B, Derman, Richard, Darlow, Brian, Cutana, Silvestre, Chougala, Keval S, Chiaú, Rogério, Charantimath, Umesh, Byaruhanga, Romano Nkumbwa, Bone, Jeffrey N, Boene, Helena, Biz, Ana Ilda, Bique, Cassimo, Bhutta, Zulfiqar A, Betrán, Ana Pilar, Bellad, Mrutyunjaya B, Bannale, Shashidhar G, Aukes, Annet M, Augusto, Orvalho, Arion, Kristina, Ansermino, J Mark, Amose, Felizarda, Ahmed, Imran, and Adetoro, Olalekan O

Published
2021
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18. Blood pressure thresholds in pregnancy for identifying maternal and infant risk: a secondary analysis of Community-Level Interventions for Pre-eclampsia (CLIP) trial data

Author

Woo Kinshella, Mai-Lei, Wong, Hubert, Vilanculo, Faustino, Vala, Anifa, Ukah, Ugochi V, Tu, Domena K, Thabane, Lehana, Tchavana, Corsino, Thornton, Jim, Sotunsa, John O, Sheikh, Sana, Sharma, Sumedha, Schuurman, Nadine, Sawchuck, Diane, Revankar, Amit P, Raza, Farrukh, Ramdurg, Umesh Y, Pires, Rosa, Payne, Beth A, Nobela, Vivalde, Nkumbula, Cláudio, Nhancolo, Ariel, Nhamirre, Zefanias, Mungarwadi, Geetanjali I, Mulungo, Dulce, Mocumbi, Sibone, Mitton, Craig, Merialdi, Mario, Memon, Javed, Matavele, Analisa, Mastiholi, Sphoorthi S, Mandlate, Ernesto, Maculuve, Sónia, Macuacua, Salésio, Macete, Eusébio, Macamo, Marta, Lui, Mansun, Li, Jing, Lewis, Gwyneth, Lewin, Simon, Lee, Tang, Langer, Ana, Kudachi, Uday S, Kodkany, Bhalachandra S, Knight, Marian, Kengapur, Gudadayya S, Kavi, Avinash J, Katageri, Geetanjali M, Kariya, Chirag, Karadiguddi, Chandrappa C, Kamble, Namdev A, Joshi, Anjali M, Hutton, Eileen, Hussain, Amjad, Hoodbhoy, Zahra, Honnungar, Narayan V, Grobman, William, Gonçálves, Emília, Firoz, Tabassum, Fillipi, Veronique, Filimone, Paulo, Engelbrecht, Susheela M, Dunsmuir, Dustin T, Dumont, Guy, Drebit, Sharla K, Donnay, France, Dharamsi, Shafik, Dhamanekar, Vaibhav B, Derman, Richard, Darlow, Brian, Cutana, Silvestre, Chougala, Keval S, Chiaú, Rogério, Charantimath, Umesh S, Byaruhanga, Romano Nkumbwa, Boene, Helena, Biz, Ana Ilda, Bique, Cassimo, Betrán, Ana Pilar, Bannale, Shashidhar G, Augusto, Orvalho, Ansermino, J Mark, Amose, Felizarda, Ahmed, Imran, Adetoro, Olalekan O, Bone, Jeffrey N, Magee, Laura A, Singer, Joel, Nathan, Hannah, Qureshi, Rahat N, Sacoor, Charfudin, Sevene, Esperança, Shennan, Andrew, Bellad, Mrutyunjaya B, Goudar, Shivaprasad S, Mallapur, Ashalata A, Munguambe, Khátia, Vidler, Marianne, Bhutta, Zulfiqar A, and von Dadelszen, Peter

Published
2021
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19. Intrapartum and postpartum antibiotic use in seven low‐ and middle‐income countries: Findings from the A‐PLUS trial.

Author

Saleem, Sarah, Yasmin, Haleema, Moore, Janet L., Rahim, Anum, Shakeel, Iram, Lokangaka, Adrien, Tshefu, Antoinette, Bauserman, Melissa, Mwenechanya, Musaku, Chomba, Elwyn, Goudar, Shivaprasad S., Kavi, Avinash, Derman, Richard J., Krebs, Nancy F., Figueroa, Lester, Mazariegos, Manolo, Nyongesa, Paul, Bucher, Sherri, Esamai, Fabian, and Patel, Archana

Abstract

Objective: To describe the intrapartum and postpartum use of non‐study antibiotics in low‐ and middle‐income countries (LMICs) during the double‐blinded NICHD Global Network Azithromycin in Labor (A‐PLUS) trial. Design: The antibiotic use sub‐study was a planned prospective, observational sub‐study of the A‐PLUS trial. Settings: The study was carried out in hospitals or health centres affiliated with eight sites of the Global Network for Women's and Children's Health Research (Global Network) in seven countries: Bangladesh, Pakistan, India (two sites), Kenya, Zambia, The Democratic Republic of the Congo (DRC) and Guatemala. Population: Totally, 29 278 pregnant women enrolled in the A‐PLUS trial. Methods: We collected data on 29 278 pregnant women admitted to a facility for delivery related to non‐study antibiotic use overall and during three time periods: (1) in the facility prior to delivery, (2) after delivery until facility discharge and (3) after discharge to 42 days post‐partum. Main Outcome Measures: Non‐study antibiotic use overall and for treatment or prophylaxis by the site during the three time periods. Results: Of the 29 278 women in the study, 5020 (17.1%; 95% CI 16.7%–17.6%) received non‐study antibiotics in the facility prior to delivery, 11 956 (40.8%; 95% CI 40.3%–41.4%) received non‐study antibiotics in the facility after delivery, and 13 390 (47.6%; 95% CI 47.0%–48.2%) women received non‐study antibiotics after delivery and after facility discharge. Antibiotics were prescribed more often among women in the Asian and Guatemalan sites than in the African sites. In the three time‐periods, among those receiving antibiotics, prophylaxis was the indication in 82.3%, 97.7% and 90.7% of the cases, respectively. The type of antibiotics used varied substantially by time‐period and site, but generally, penicillin‐type drugs, cephalosporin‐type drugs and metronidazole were used more frequently than other types. Conclusions: Across the eight sites of the Global Network, in the facility before delivery, and in the post‐partum periods before and after facility discharge, antibiotics were used frequently, but use was highly variable by site and time‐period. [ABSTRACT FROM AUTHOR]

Published
2025
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20. Growth from Birth Through Six Months for Infants of Mothers in the “Women First” Preconception Maternal Nutrition Trial

Author

Gado, Justin, Somannavar, Manjunath S., Herekar, Veena, Pasha, Omrana, Khan, Umber, McClure, Elizabeth M., Koso-Thomas, Marion, Krebs, Nancy F., Hambidge, K. Michael, Westcott, Jamie L., Garcés, Ana L., Figueroa, Lester, Tsefu, Antoinette K., Lokangaka, Adrien L., Goudar, Shivaprasad S., Dhaded, Sangappa M., Saleem, Sarah, Ali, Sumera Aziz, Bose, Carl L., Derman, Richard J., Goldenberg, Robert L., Thorsten, Vanessa R., Sridhar, Amaanti, Chowdhury, Dhuly, and Das, Abhik

Published
2021
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21. Antibiotic use in infants in the 6 weeks after delivery in seven low- and middle-income countries: findings from the A-PLUS trial.

Author

Yasmin, Haleema, Tanveer, Saba, Sunder Tikmani, Shiyam, Moore, Janet L., Shakeel, Iram, Rahim, Anum, Lokangaka, Adrien, Tshefu, Antoinette, Bauserman, Melissa, Mwenechanya, Musaku, Chomba, Elwyn, Goudar, Shivaprasad S., Kavi, Avinash, Derman, Richard J., Krebs, Nancy F., Figueroa, Lester, Mazariegos, Manolo, Nyongesa, Paul, Bucher, Sherri, and Esamai, Fabian

Subjects
DELIVERY (Obstetrics), PREMATURE infants, MIDDLE-income countries, HOSPITAL admission & discharge, DRUG resistance in microorganisms
Abstract

Objectives: Antibiotic use is increasing in low- and middle-income countries (LMIC); however, few studies have examined the rates of use in a population. The use of antibiotics for liveborn infants in LMIC was examined. Design: The study, a planned prospective, observational secondary analysis of the A-PLUS randomised controlled trial of azithromycin, was conducted in Global Network sites in seven countries: Bangladesh, Pakistan, India (two sites), Kenya, Zambia, the Democratic Republic of Congo and Guatemala. The analyses included liveborn infants of women planning a vaginal delivery who were enrolled in the A-PLUS trial. Methods: Data were collected on liveborn infants related to non-study antibiotic use in two time-periods: (i) after delivery while in the facility, and (ii) after discharge until 42 days post-partum. Antibiotic use was also examined in preterm and term infants. The most commonly used antibiotics were classified into three groups: penicillins, cephalosporins and aminoglycosides. Antibiotics used in <1% of infants are not presented. Results: Of the 29,354 eligible infants in the study, 2224 (7.6%, 95% CI 7.3–7.9) received non-study antibiotics in the facility after delivery, and 3847 (13.1%, 95% CI 12.7–13.5) received non-study antibiotics after facility discharge until Day 42. In the facility, antibiotics were given to newborns more frequently in sites in Asia and less frequently in sites in Africa and Guatemala. Similarly, after facility discharge, infants were more likely to receive antibiotics in the Asian sites and less so in the African sites and Guatemala. In the facilities, antibiotics were used predominately for prophylaxis (70.7%) but after facility discharge antibiotics were given more often for treatment (56.8%). Preterm infants received more non-study antibiotics than term infants. The antibiotics used varied substantially by time-period and site but, in general, penicillins, cephalosporins and aminoglycosides were the antibiotic categories used more frequently. Conclusions: Across the Global Network sites, which represent a range of LMIC, nearly 8% of infants received non-study antibiotics more often for prophylaxis, with 13% of infants receiving non-study antibiotics following hospital discharge. With concerns about increasing antimicrobial resistance worldwide, further attention should be given to appropriate antibiotic use. [ABSTRACT FROM AUTHOR]

Published
2024
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23. Community level interventions for pre-eclampsia (CLIP) in India: A cluster randomised controlled trial

Author

Bellad, Mrutunjaya B., Goudar, Shivaprasad S., Mallapur, Ashalata A., Sharma, Sumedha, Bone, Jeffrey, Charantimath, Umesh S., Katageri, Geetanjali M., Ramadurg, Umesh Y, Mark Ansermino, J., Derman, Richard J., Dunsmuir, Dustin T., Honnungar, Narayan V., Karadiguddi, Chandrashekhar, Kavi, Avinash J., Kodkany, Bhalachandra S., Lee, Tang, Li, Jing, Nathan, Hannah L., Payne, Beth A., Revankar, Amit P., Shennan, Andrew H., Singer, Joel, Tu, Domena K., Vidler, Marianne, Wong, Hubert, Bhutta, Zulfiqar A., Magee, Laura A., and von Dadelszen, Peter

Published
2020
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25. Neurodevelopment of Children Whose Mothers Were Randomized to Low-Dose Aspirin During Pregnancy

Author

Hoffman, Matthew K., primary, Goudar, Shivaprasad, additional, Dhaded, Sangappa, additional, Figueroa, Lester, additional, Mazariegos, Manolo, additional, Krebs, Nancy F., additional, Westcott, Jamie, additional, Tikmani, Shiyam Sunder, additional, Karim, Fatima, additional, Saleem, Sarah, additional, Goldenberg, Robert L., additional, Lokangaka, Adrien, additional, Tshefu, Antoinette, additional, Bauserman, Melissa, additional, Patel, Archana, additional, Das, Prabir, additional, Hibberd, Patricia, additional, Chomba, Elwyn, additional, Mwenchanya, Musaku, additional, Carlo, Waldemar A., additional, Trotta, Marissa, additional, Williams, Alexis, additional, Moore, Janet, additional, Nolen, Tracy, additional, Goco, Norman, additional, McClure, Elizabeth M., additional, Lobo, Michele A., additional, Cunha, Andrea B., additional, and Derman, Richard J., additional

Published
2024
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26. Safety and efficacy of the new CryoPop® cryotherapy device for cervical dysplasia in low- and middle-income countries: study protocol for a multicenter open-label non-inferiority clinical trial with historical controls

Author

Yogeshkumar, S., Anderson, Jean, Lu, Enriquito, Kenyi, Edward, Mensa, Margaret, Thaler, Katrina, Antartani, Ramalingappa, Donimath, Kasturi, Patil, Basavaraj, Chikaraddi, Santosh, Bidri, Shailaja, Biradar, Aruna, Gudadinni, Muttappa R., Lokare, Laxmikant, Yenokyan, Gayane, Bellad, Mrutyunjaya B., Goudar, Shivaprasad S., Derman, Richard, Revankar, Amit, Patil, Hema, Wani, Ramadevi, Kangle, Ranjit, Chavan, Ramesh Y., Nagmoti, Mahantesh B., Kabadi, Yogendra M., Reddy, Purushotham, Vernekar, Sunita, Hipparagi, Surekha, Patil, Vijayalaxmi, and Dalal, Anita

Published
2021
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27. A multicountry randomized controlled trial of comprehensive maternal nutrition supplementation initiated before conception: the Women First trial

Author

Hambidge, K Michael, Westcott, Jamie E, Garcés, Ana, Figueroa, Lester, Goudar, Shivaprasad S, Dhaded, Sangappa M, Pasha, Omrana, Ali, Sumera A, Tshefu, Antoinette, Lokangaka, Adrien, Derman, Richard J, Goldenberg, Robert L, Bose, Carl L, Bauserman, Melissa, Koso-Thomas, Marion, Thorsten, Vanessa R, Sridhar, Amaanti, Stolka, Kristen, Das, Abhik, McClure, Elizabeth M, and Krebs, Nancy F

Published
2019
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30. Maternal age extremes and adverse pregnancy outcomes in low-resourced settings

Author

Nyongesa, Paul, primary, Ekhaguere, Osayame A., additional, Marete, Irene, additional, Tenge, Constance, additional, Kemoi, Milsort, additional, Bann, Carla M., additional, Bucher, Sherri L., additional, Patel, Archana B., additional, Hibberd, Patricia L., additional, Naqvi, Farnaz, additional, Saleem, Sarah, additional, Goldenberg, Robert L., additional, Goudar, Shivaprasad S., additional, Derman, Richard J., additional, Krebs, Nancy F., additional, Garces, Ana, additional, Chomba, Elwyn, additional, Carlo, Waldemar A., additional, Mwenechanya, Musaku, additional, Lokangaka, Adrien, additional, Tshefu, Antoinette K., additional, Bauserman, Melissa, additional, Koso-Thomas, Marion, additional, Moore, Janet L., additional, McClure, Elizabeth M., additional, Liechty, Edward A., additional, and Esamai, Fabian, additional

Published
2023
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31. An approach to identify a minimum and rational proportion of caesarean sections in resource-poor settings: a global network study

Author

Belizán, José M, Minckas, Nicole, McClure, Elizabeth M, Saleem, Sarah, Moore, Janet L, Goudar, Shivaprasad S, Esamai, Fabian, Patel, Archana, Chomba, Elwyn, Garces, Ana L, Althabe, Fernando, Harrison, Margo S, Krebs, Nancy F, Derman, Richard J, Carlo, Waldemar A, Liechty, Edward A, Hibberd, Patricia L, Buekens, Pierre M, and Goldenberg, Robert L

Published
2018
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32. Corrigendum to The impact of risk factors on aspirin's efficacy for the prevention of preterm birth. American Journal of Obstetrics & Gynecology MFM. Volume 5, Issue 10, October 2023, 101095

Author

Nuss, Emily E., Hoffman, Matthew K., Goudar, Shivaprasad S., Kavi, Avinash, Metgud, Mrityunjay, Somannavar, Manjunath, Okitawutshu, Jean, Lokangaka, Adrien, Tshefu, Antoinette, Bauserman, Melissa, Tembo, Abigail Mwapule, Chomba, Elwyn, Carlo, Waldemar A., Figueroa, Lester, Krebs, Nancy F., Jessani, Saleem, Saleem, Sarah, Goldenberg, Robert L., Kurhe, Kunal, Das, Prabir, Hibberd, Patricia L., Achieng, Emmah, Nyongesa, Paul, Esamai, Fabian, Liechty, Edward A., Bucher, Sherri, Goco, Norman, Hemingway-Foday, Jennifer, Moore, Janet, McClure, Elizabeth M., Silver, Robert M., Derman, Richard J., and Patel, Archana

Published
2024
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33. Can the date of last menstrual period be trusted in the first trimester? Comparisons of gestational age measures from a prospective cohort study in six low-income to middle-income countries

Author

Patel, Archana, primary, Bann, Carla M, additional, Thorsten, Vanessa R, additional, Rao, Sowmya R, additional, Lokangaka, Adrien, additional, Tshefu Kitoto, Antoinette, additional, Bauserman, Melissa, additional, Figueroa, Lester, additional, Krebs, Nancy F, additional, Esamai, Fabian, additional, Bucher, Sherri, additional, Saleem, Sarah, additional, Goldenberg, Robert L, additional, Chomba, Elwyn, additional, Carlo, Waldemar A, additional, Goudar, Shivaprasad, additional, Derman, Richard, additional, Koso-Thomas, Marion, additional, McClure, Elizabeth, additional, and Hibberd, Patricia L, additional

Published
2023
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34. Associations between ambient temperature and pregnancy outcomes from three south Asian sites of the Global Network Maternal Newborn Health Registry: A retrospective cohort study

Author

Shankar, Kartik, primary, Hwang, Kay, additional, Westcott, Jamie L., additional, Saleem, Sarah, additional, Ali, Sumera A., additional, Jessani, Saleem, additional, Patel, Archana, additional, Kavi, Avinash, additional, Somannavar, Manjunath S., additional, Goudar, Shivaprasad S., additional, Hibberd, Patricia L., additional, Derman, Richard J., additional, Hoffman, Matthew, additional, Wylie, Blair J., additional, Goldenberg, Robert L., additional, Thorsten, Vanessa R., additional, McClure, Elizabeth M., additional, and Krebs, Nancy F., additional

Published
2023
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35. Trends over time in the knowledge, attitude and practices of pregnant women related to COVID‐19: A cross‐sectional survey from seven low‐ and middle‐income countries

Author

Jessani, Saleem, primary, Saleem, Sarah, additional, Fogleman, Elizabeth, additional, Billah, Sk Masum, additional, Haque, Rashidul, additional, Figueroa, Lester, additional, Lokangaka, Adrien, additional, Tshefu, Antoinette, additional, Goudar, Shivaprasad S., additional, Kavi, Avinash, additional, Esamai, Fabian, additional, Mwenchanya, Musaku, additional, Chomba, Elwyn, additional, Patel, Archana, additional, Das, Prabir, additional, Mazariegos, Manolo, additional, Bauserman, Melissa, additional, Petri, William A., additional, Krebs, Nancy F., additional, Derman, Richard J., additional, Carlo, Waldemar A., additional, Bucher, Sherri, additional, Hibberd, Patricia L., additional, Koso‐Thomas, Marion, additional, Bann, Carla M., additional, McClure, Elizabeth M., additional, and Goldenberg, Robert L., additional

Published
2023
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38. The Global Network COVID‐19 studies: a review

Author

Naqvi, Seemab, primary, Saleem, Sarah, additional, Billah, Sk Masum, additional, Moore, Janet, additional, Mwenechanya, Musaku, additional, Carlo, Waldemar A., additional, Esamai, Fabian, additional, Bucher, Sherri, additional, Derman, Richard J., additional, Goudar, Shivaprasad S., additional, Somannavar, Manjunath, additional, Patel, Archana, additional, Hibberd, Patricia L., additional, Figueroa, Lester, additional, Krebs, Nancy F., additional, Petri, William A., additional, Lokangaka, Adrien, additional, Bauserman, Melissa, additional, Koso‐Thomas, Marion, additional, McClure, Elizabeth M., additional, and Goldenberg, Robert L., additional

Published
2023
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39. Prevention of maternal and neonatal death/infections with a single oral dose of azithromycin in women in labour in low-income and middle-income countries (A-PLUS): a study protocol for a multinational, randomised placebo-controlled clinical trial

Author

Hemingway-Foday, Jennifer, primary, Tita, Alan, additional, Chomba, Elwyn, additional, Mwenechanya, Musaku, additional, Mweemba, Trecious, additional, Nolen, Tracy, additional, Lokangaka, Adrien, additional, Tshefu Kitoto, Antoinette, additional, Lomendje, Gustave, additional, Hibberd, Patricia L, additional, Patel, Archana, additional, Das, Prabir Kumar, additional, Kurhe, Kunal, additional, Goudar, Shivaprasad S, additional, Kavi, Avinash, additional, Metgud, Mrityunjay, additional, Saleem, Sarah, additional, Tikmani, Shiyam S, additional, Esamai, Fabian, additional, Nyongesa, Paul, additional, Sagwe, Amos, additional, Figueroa, Lester, additional, Mazariegos, Manolo, additional, Billah, Sk Masum, additional, Haque, Rashidul, additional, Shahjahan Siraj, Md, additional, Goldenberg, Robert L, additional, Bauserman, Melissa, additional, Bose, Carl, additional, Liechty, Edward A, additional, Ekhaguere, Osayame A, additional, Krebs, Nancy F, additional, Derman, Richard, additional, Petri, William A, additional, Koso-Thomas, Marion, additional, McClure, Elizabeth, additional, and Carlo, Waldemar A, additional

Published
2023
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41. Effects of introducing the WHO Labour Care Guide on Caesarean section: a pragmatic, stepped-wedge, cluster randomized trial in India

Author

Vogel, Joshua, primary, Pujar, Yeshita, additional, Vernekar, Sunil, additional, Armari, Elizabeth, additional, Pingray, Veronica, additional, Althabe, Fernando, additional, Gibbons, Luz, additional, Berrueta, Mabel, additional, Somannavar, Manjunath, additional, Ciganda, Alvaro, additional, Rodriguez, Rocio, additional, Bendigeri, Savitri, additional, Kumar, Jayashree Ashok, additional, Patil, Shruti Bhavi, additional, Karinagannanavar, Aravind, additional, Anteen, Raveendra, additional, R., Pavithra M., additional, Shetty, Shukla, additional, B, Latha, additional, M., Megha H., additional, Gaddi, Suman, additional, Chikkagowdra, Shaila, additional, Raghavendra, Bellara, additional, Homer, Caroline, additional, Lavender, Tina, additional, Kushtagi, Pralhad, additional, Hofmeyr, Justus, additional, Derman, Richard, additional, and Goudar, Shivaprasad, additional

Published
2023
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42. COVID‐19 symptoms and antibody positivity among unvaccinated pregnant women: An observational study in seven countries from the Global Network

Author

Kavi, Avinash, primary, Goudar, Shivaprasad S., additional, Somannavar, Manjunath S., additional, Moore, Janet L., additional, Derman, Richard J., additional, Saleem, Sarah, additional, Naqvi, Seemab, additional, Billah, Sk Masum, additional, Haque, Rashidul, additional, Figueroa, Lester, additional, Mazariegos, Manolo, additional, Lokangaka, Adrien, additional, Tshefu, Antoinette, additional, Esamai, Fabian, additional, Mwenechanya, Musaku, additional, Chomba, Elwyn, additional, Patel, Archana, additional, Das, Prabirkumar, additional, Bauserman, Melissa, additional, Petri, William A., additional, Krebs, Nancy F., additional, Carlo, Waldemar A., additional, Bucher, Sherri, additional, Hibberd, Patricia L., additional, Koso‐Thomas, Marion, additional, McClure, Elizabeth M., additional, and Goldenberg, Robert L., additional

Published
2023
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43. Aspirin delays the onset of hypertensive disorders of pregnancy among nulliparous pregnant women: A secondary analysis of the ASPIRIN trial

Author

Kavi, Avinash, primary, Hoffman, Matthew K., additional, Somannavar, Manjunath S., additional, Metgud, Mrityunjay C., additional, Goudar, Shivaprasad S., additional, Moore, Janet, additional, Nielsen, Eleanor, additional, Goco, Norman, additional, McClure, Elizabeth M., additional, Lokangaka, Adrien, additional, Tshefu, Antoinette, additional, Bauserman, Melissa, additional, Mwenechanya, Musaku, additional, Chomba, Elwyn, additional, Carlo, Waldemar A., additional, Figueroa, Lester, additional, Krebs, Nancy F., additional, Jessani, Saleem, additional, Saleem, Sarah, additional, Goldenberg, Robert L., additional, Das, Prabirkumar, additional, Patel, Archana, additional, Hibberd, Patricia L., additional, Esamai, Fabian, additional, Bucher, Sherri, additional, Koso‐Thomas, Marion, additional, Silver, Robert, additional, and Derman, Richard J., additional

Published
2023
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45. Institutional deliveries and stillbirth and neonatal mortality in the Global Network's Maternal and Newborn Health Registry

Author

Goudar, Shivaprasad S., Goco, Norman, Somannavar, Manjunath S., Kavi, Avinash, Vernekar, Sunil S., Tshefu, Antoinette, Chomba, Elwyn, Garces, Ana L., Saleem, Sarah, Naqvi, Farnaz, Patel, Archana, Esamai, Fabian, Bose, Carl L., Carlo, Waldemar A., Krebs, Nancy F., Hibberd, Patricia L., Liechty, Edward A., Koso-Thomas, Marion, Nolen, Tracy L., Moore, Janet, Iyer, Pooja, McClure, Elizabeth M., Goldenberg, Robert L., and Derman, Richard J.

Published
2020
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46. Cesarean birth in the Global Network for Women’s and Children’s Health Research: trends in utilization, risk factors, and subgroups with high cesarean birth rates

Author

Harrison, Margo S., Garces, Ana L., Goudar, Shivaprasad S., Saleem, Sarah, Moore, Janet L., Esamai, Fabian, Patel, Archana B., Chomba, Elwyn, Bose, Carl L., Liechty, Edward A., Krebs, Nancy F., Derman, Richard J., Hibberd, Patricia L., Carlo, Waldemar A., Tshefu, Antoinette, Koso-Thomas, Marion, McClure, Elizabeth M., and Goldenberg, Robert L.

Published
2020
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47. Association of parity with birthweight and neonatal death in five sites: The Global Network’s Maternal Newborn Health Registry study

Author

Garces, Ana, Perez, Wilton, Harrison, Margo S., Hwang, Kay S., Nolen, Tracy L., Goldenberg, Robert L., Patel, Archana B., Hibberd, Patricia L., Lokangaka, Adrien, Tshefu, Antoinette, Saleem, Sarah, Goudar, Shivaprasad S., Derman, Richard J., Patterson, Jacquelyn, Koso-Thomas, Marion, McClure, Elizabeth M., Krebs, Nancy F., and Hambidge, K. Michael

Published
2020
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48. Why are the Pakistani maternal, fetal and newborn outcomes so poor compared to other low and middle-income countries?

Author

Aziz, Aleha, Saleem, Sarah, Nolen, Tracy L., Pradhan, Nousheen Akber, McClure, Elizabeth M., Jessani, Saleem, Garces, Ana L., Hibberd, Patricia L., Moore, Janet L., Goudar, Shivaprasad S., Dhaded, Sangappa M., Esamai, Fabian, Tenge, Constance, Patel, Archana B., Chomba, Elwyn, Mwenechanya, Musaku, Bose, Carl L., Liechty, Edward A., Krebs, Nancy F., Derman, Richard J., Carlo, Waldemar A., Tshefu, Antoinette, Koso-Thomas, Marion, Siddiqi, Sameen, and Goldenberg, Robert L.

Published
2020
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49. Maternal mortality in six low and lower-middle income countries from 2010 to 2018: risk factors and trends

Author

Bauserman, Melissa, Thorsten, Vanessa R., Nolen, Tracy L., Patterson, Jackie, Lokangaka, Adrien, Tshefu, Antoinette, Patel, Archana B., Hibberd, Patricia L., Garces, Ana L., Figueroa, Lester, Krebs, Nancy F., Esamai, Fabian, Nyongesa, Paul, Liechty, Edward A., Carlo, Waldemar A., Chomba, Elwyn, Goudar, Shivaprasad S., Kavi, Avinash, Derman, Richard J., Saleem, Sarah, Jessani, Saleem, Billah, Sk Masum, Koso-Thomas, Marion, McClure, Elizabeth M., Goldenberg, Robert L., and Bose, Carl

Published
2020
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50. Regional trends in birth weight in low- and middle-income countries 2013–2018

Author

Marete, Irene, Ekhaguere, Osayame, Bann, Carla M., Bucher, Sherri L., Nyongesa, Paul, Patel, Archana B., Hibberd, Patricia L., Saleem, Sarah, Goldenberg, Robert L., Goudar, Shivaprasad S., Derman, Richard J., Garces, Ana L., Krebs, Nancy F., Chomba, Elwyn, Carlo, Waldemar A., Lokangaka, Adrien, Bauserman, Melissa, Koso-Thomas, Marion, Moore, Janet L., McClure, Elizabeth M., and Esamai, Fabian

Published
2020
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