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1. The causes of preterm neonatal deaths in India and Pakistan (PURPOSe): a prospective cohort study

Author

Goudar, Shivaprasad, Dhaded, Sangappa M, Nagmoti, Mahantesh B, Somannavar, Manjunath S, Yogeshkumar, S, Harakuni, Sheetal, Guruprasad, Gowdar, Aradhya, Gayathri H, Nadig, Naveen, Kusgur, Varun, Raghoji, Chaitali R, Sarvamangala, B, Prakash, Veena, Joish, Upendra Kumar, Mangala, G K, Rajashekhar, K S, Sunilkumar, K Byranahalli, Kulkarni, Vardendra, Siddartha, ES, Patil, Lingaraja Gowda C, Pujar, Sneharoopa, Dhananjaya, Shobha, Nagaraj, TS, Jeevika, MU, Harikiran, Reddy R, Saleem, Sarah, Tikmani, Shiyam Sunder, Zafar, Afia, Ahmed, Imran, Uddin, Zeeshan, Ghanchi, Najia, Roujani, Sana, Ariff, Shabina, Sheikh, Lumaan, Mirza, Waseem, Yasmin, Haleema, Raza, Jamal, Prakash, Jai, Haider, Furqan, Aceituno, Anna, Parlberg, Lindsay, Moore, Janet L, Hwang, Kay, Parepelli, Suchita, Kim, Jean, Bann, Carla, McClure, Elizabeth, Goldenberg, Robert, Silver, Robert, Goudar, Shivaprasad S, Kusagur, Varun B, Reza, Sayyeda, Moore, Janet, Bann, Carla M, Silver, Robert M, Goldenberg, Robert L, and McClure, Elizabeth M

Published
2022
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2. The causes of stillbirths in south Asia: results from a prospective study in India and Pakistan (PURPOSe)

Author

Goudar, Shivaprasad, Dhaded, Sangappa M, Nagmoti, Mahantesh B, Somannavar, Manjunath S, Yogeshkumar, S, Guruprasad, Gowdar, Aradhya, Gayathri H, Nadig, Naveen, Kusgur, Varun, Raghoji, Chaitali R, Sarvamangala, B, Prakash, Veena, Joish, Upendra Kumar, Mangala, G K, Rajashekhar, K S, Kumar, Sunil, Kulkarni, Vardendra, Saleem, Sarah, Tikmani, Shiyam Sunder, Zafar, Afia, Ahmed, Imran, Uddin, Zeeshan, Ghanchi, Najia, Ariff, Shabina, Sheikh, Lumaan, Mirza, Waseem, Yasmin, Haleema, Raza, Jamal, Prakash, Jai, Haider, Furqan, Aceituno, Anna, Parlberg, Lindsay, Moore, Janet L, Hwang, Kay, Parepelli, Suchita, Kim, Jean, Bann, Carla, McClure, Elizabeth, Goldenberg, Robert, McClure, Elizabeth M, Goudar, Shivaprasad S, Shobha, Dhananjaya, Roujani, Sana, Reza, Sayyeda, Bann, Carla M, Silver, Robert M, and Goldenberg, Robert L

Published
2022
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4. Exploring gestational age, and birth weight assessment in Thatta district, Sindh, Pakistan: Healthcare providers’ knowledge, practices, perceived barriers, and the potential of a mobile app for identifying preterm and low birth weight

Author

Tikmani, Shiyam Sunder, primary, Mårtensson, Thomas, additional, Roujani, Sana, additional, Feroz, Anam Shahil, additional, Seyfulayeva, Ayshe, additional, Mårtensson, Andreas, additional, Brown, Nick, additional, and Saleem, Sarah, additional

Published
2024
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5. Exploring gestational age, and birth weight assessment in Thatta district, Sindh, Pakistan : Healthcare providers' knowledge, practices, perceived barriers, and the potential of a mobile app for identifying preterm and low birth weight

Author

Sunder Tikmani, Shiyam, Mårtensson, Thomas, Roujani, Sana, Feroz, Anam Shahil, Seyfulayeva, Ayshe, Mårtensson, Andreas, Brown, Nick, Saleem, Sarah, Sunder Tikmani, Shiyam, Mårtensson, Thomas, Roujani, Sana, Feroz, Anam Shahil, Seyfulayeva, Ayshe, Mårtensson, Andreas, Brown, Nick, and Saleem, Sarah

Abstract

Introduction Reliable methods for identifying prematurity and low birth weight (LBW) are crucial to ending preventable deaths in newborns. This study explored healthcare providers’ (HCPs) knowledge, practice, perceived barriers in assessing gestational age and birth weight and their referral methods for preterm and LBW infants. The study additionally assessed the potential of using a mobile app for the identification and referral decision of preterm and LBW. Methods This qualitative descriptive study was conducted in Thatta District, Sindh, Pakistan. Participants, including doctors, nurses, lady health visitors, and midwives, were purposefully selected from a district headquarter hospital, and private providers in the catchment area of Global Network’s Maternal and Newborn Health Registry (MNHR). Interviews were conducted using an interview guide after obtaining written informed consent. Audio recordings of the interviews were transcribed and analyzed using NVIVO® software with an inductive approach. Results The HCPs had extensive knowledge about antenatal and postnatal methods for assessing gestational age. They expressed a preference for antenatal ultrasound due to the perceived accuracy, though accept practical barriers including workload, machine malfunctions, and cost. Postnatal assessment using the Ballard score was only undertaken sparingly due to insufficient training and subjectivity. All HCPs preferred electronic weighing scales for birth weight Barriers encountered included weighing scale calibration and battery issues. There was variation in the definition of prematurity and LBW, leading to delays in referral. Limited resources, inadequate education, and negative parent past experiences were barriers to referral. Foot length measurements were not currently being used. While mobile apps are felt to have potential, unreliable electricity supply and internet connectivity are barriers. Conclusion The HCPs in this study were knowledgeable in terms of potentia, De två första författarna delar förstaförfattarskapetDe två sista författarna delar sistaförfattarskapet

Published
2024
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7. Neonatal mortality among preterm infants admitted to neonatal intensive care units in India and Pakistan: A prospective study.

Author

Saleem, Sarah, Tikmani, Shiyam Sunder, Goudar, Shivaprasad S., Hwang, Kay, Dhaded, Sangappa, Guruprasad, Gowder, Nadig, Naveen G., Kusagur, Varun B., Patil, Lingaraja Gowda C., Siddartha, E. S., Yogeshkumar, S., Somannavar, Manjunath S., Roujani, Sana, Khan, Mashal, Shaikh, Mehmood, Hanif, Muhammad, Bann, Carla M., McClure, Elizabeth M., Goldenberg, Robert L., and Dhaded, Sangappa M.

Subjects
NEONATAL intensive care units, PREMATURE infants, NEONATAL mortality, NEONATAL sepsis, RESPIRATORY distress syndrome, LONGITUDINAL method
Abstract

Objective: To explore potential reasons for differences in preterm neonatal mortality in neonatal intensive care units (NICUs) in India and Pakistan. Design: A prospective observational study, the Project to Understand and Research Stillbirth and Preterms in Southeast Asia (PURPOSe) was conducted July 2018 to February 2020. Setting: Three hospitals in Davangere, India, and a large public hospital in Karachi, Pakistan. Population: Of a total of 3,202 preterm infants enrolled, 1,512 were admitted to a study NICU. Methods: We collected data for neonates, including length of stay, diagnoses, and diagnostic tests. Main outcome measures: Neonatal mortality, tests performed, diagnoses ascertained. Results: For infants of equivalent weights and gestational ages, neonatal mortality in Pakistan was twice that in the Indian NICU. The mean newborn length of stay in Pakistan was 2 days compared with 10 days for India. Fewer diagnostics and other investigations were used to determine neonatal condition or guide treatment in the Pakistani NICU. Because of limited information from testing in Pakistan concerning clinical respiratory distress, respiratory distress syndrome appeared to be over‐diagnosed, whereas other conditions including pneumonia, sepsis, necrotising entercolitis and intraventricular haemorrhage were rarely diagnosed. Conclusion: In the Pakistani site, the limited resources available to the NICU appeared related to a shorter length of stay and decreased diagnostic testing, likely explaining the higher mortality. With improved care, reduction in mortality among preterm neonates should be achievable. [ABSTRACT FROM AUTHOR]

Published
2023
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8. The causes of preterm neonatal deaths in India and Pakistan (PURPOSe): a prospective cohort study

Author

Dhaded, Sangappa M, primary, Saleem, Sarah, additional, Goudar, Shivaprasad S, additional, Tikmani, Shiyam Sunder, additional, Hwang, Kay, additional, Guruprasad, Gowdar, additional, Aradhya, Gayathri H, additional, Kusagur, Varun B, additional, Patil, Lingaraja Gowda C, additional, Yogeshkumar, S, additional, Somannavar, Manjunath S, additional, Reza, Sayyeda, additional, Roujani, Sana, additional, Raza, Jamal, additional, Yasmin, Haleema, additional, Aceituno, Anna, additional, Parlberg, Lindsay, additional, Kim, Jean, additional, Moore, Janet, additional, Bann, Carla M, additional, Silver, Robert M, additional, Goldenberg, Robert L, additional, McClure, Elizabeth M, additional, Goudar, Shivaprasad, additional, Dhaded, Sangappa M, additional, Nagmoti,, Mahantesh B, additional, Harakuni, Sheetal, additional, Nadig, Naveen, additional, Kusgur, Varun, additional, Raghoji, Chaitali R, additional, Sarvamangala, B, additional, Prakash,, Veena, additional, Joish, Upendra Kumar, additional, Mangala, G K, additional, Rajashekhar, K S, additional, Sunilkumar, K Byranahalli, additional, Kulkarni, Vardendra, additional, Siddartha, ES, additional, Pujar, Sneharoopa, additional, Dhananjaya, Shobha, additional, Nagaraj, TS, additional, Jeevika, MU, additional, Harikiran, Reddy R, additional, Zafar, Afia, additional, Ahmed, Imran, additional, Uddin, Zeeshan, additional, Ghanchi, Najia, additional, Ariff, Shabina, additional, Sheikh, Lumaan, additional, Mirza, Waseem, additional, Prakash, Jai, additional, Haider, Furqan, additional, Moore, Janet L, additional, Parepelli, Suchita, additional, Bann, Carla, additional, McClure, Elizabeth, additional, Goldenberg, Robert, additional, and Silver, Robert, additional

Published
2022
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9. The causes of stillbirths in south Asia: results from a prospective study in India and Pakistan (PURPOSe)

Author

McClure, Elizabeth M, primary, Saleem, Sarah, additional, Goudar, Shivaprasad S, additional, Tikmani, Shiyam Sunder, additional, Dhaded, Sangappa M, additional, Hwang, Kay, additional, Guruprasad, Gowdar, additional, Shobha, Dhananjaya, additional, Sarvamangala, B, additional, Yogeshkumar, S, additional, Somannavar, Manjunath S, additional, Roujani, Sana, additional, Reza, Sayyeda, additional, Raza, Jamal, additional, Yasmin, Haleema, additional, Aceituno, Anna, additional, Parlberg, Lindsay, additional, Kim, Jean, additional, Bann, Carla M, additional, Silver, Robert M, additional, Goldenberg, Robert L, additional, Goudar, Shivaprasad, additional, Nagmoti, Mahantesh B, additional, Aradhya, Gayathri H, additional, Nadig, Naveen, additional, Kusgur, Varun, additional, Raghoji, Chaitali R, additional, Prakash,, Veena, additional, Joish, Upendra Kumar, additional, Mangala, G K, additional, Rajashekhar, K S, additional, Kumar, Sunil, additional, Kulkarni, Vardendra, additional, Zafar, Afia, additional, Ahmed, Imran, additional, Uddin, Zeeshan, additional, Ghanchi, Najia, additional, Ariff, Shabina, additional, Sheikh, Lumaan, additional, Mirza, Waseem, additional, Prakash, Jai, additional, Haider, Furqan, additional, Moore, Janet L, additional, Parepelli, Suchita, additional, Bann, Carla, additional, McClure, Elizabeth, additional, and Goldenberg, Robert, additional

Published
2022
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10. Methodology to Determine Cause of Death for Stillbirths and Neonatal Deaths Using Automated Case Reports and a Cause-of-Death Panel

Author

Hwang, Kay S, primary, Parlberg, Lindsay, additional, Aceituno, Anna, additional, Moore, Janet L, additional, Goudar, Shivaprasad S, additional, Sunder Tikmani, Shiyam, additional, Saleem, Sarah, additional, Guruprasad, Gowdar, additional, Revankar, Amit, additional, Habib, Zaheer, additional, Dhaded, Sangappa M, additional, Yogesh Kumar, S, additional, Raghoji, Chaitali, additional, Kusugur, Varun, additional, Pujar, Sneharoopa, additional, Roujani, Sana, additional, McClure, Elizabeth M, additional, and Goldenberg, Robert L, additional

Published
2021
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13. Relationship Between Foot Length and Gestational Age in Pakistan

Author

Tikmani, Shiyam Sunder, primary, Roujani, Sana, additional, Azam, Syed Iqbal, additional, Yasmin, Haleema, additional, Bano, Khadija, additional, Jessani, Saleem, additional, Reza, Sayyeda, additional, McClure, Elizabeth M, additional, Goldenberg, Robert L, additional, and Saleem, Sarah, additional

Published
2020
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16. Neonatal mortality among preterm infants admitted to neonatal intensive care units in India and Pakistan: A prospective study.

Author

Saleem S, Tikmani SS, Goudar SS, Hwang K, Dhaded S, Guruprasad G, Nadig NG, Kusagur VB, Patil LGC, Siddartha ES, Yogeshkumar S, Somannavar MS, Roujani S, Khan M, Shaikh M, Hanif M, Bann CM, McClure EM, and Goldenberg RL

Subjects
Humans, Infant, Newborn, Infant Mortality, Pakistan epidemiology, Prospective Studies, Infant, Premature, Intensive Care Units, Neonatal
Abstract

Objective: To explore potential reasons for differences in preterm neonatal mortality in neonatal intensive care units (NICUs) in India and Pakistan., Design: A prospective observational study, the Project to Understand and Research Stillbirth and Preterms in Southeast Asia (PURPOSe) was conducted July 2018 to February 2020., Setting: Three hospitals in Davangere, India, and a large public hospital in Karachi, Pakistan., Population: Of a total of 3,202 preterm infants enrolled, 1,512 were admitted to a study NICU., Methods: We collected data for neonates, including length of stay, diagnoses, and diagnostic tests., Main Outcome Measures: Neonatal mortality, tests performed, diagnoses ascertained., Results: For infants of equivalent weights and gestational ages, neonatal mortality in Pakistan was twice that in the Indian NICU. The mean newborn length of stay in Pakistan was 2 days compared with 10 days for India. Fewer diagnostics and other investigations were used to determine neonatal condition or guide treatment in the Pakistani NICU. Because of limited information from testing in Pakistan concerning clinical respiratory distress, respiratory distress syndrome appeared to be over-diagnosed, whereas other conditions including pneumonia, sepsis, necrotising entercolitis and intraventricular haemorrhage were rarely diagnosed., Conclusion: In the Pakistani site, the limited resources available to the NICU appeared related to a shorter length of stay and decreased diagnostic testing, likely explaining the higher mortality. With improved care, reduction in mortality among preterm neonates should be achievable., (© 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.)

Published
2023
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