BJOG : an international journal of obstetrics and gynaecology
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Multicenter Study
Development of criteria for identifying neonatal near-miss cases: analysis of two WHO multicountry cross-sectional studies.
To develop and test markers of neonatal severe morbidity for the identification of neonatal near-miss cases. ⋯ Newborn infants presenting selected markers of severity and surviving the first neonatal week could be considered as neonatal near-miss cases. This definition and criteria may be seen as a basis for future applications of the near-miss concept in neonatal health. These tools can be used to inform policy makers on how best to apply scarce resources for improving the quality of care and reducing neonatal mortality.
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Multicenter Study
Education and severe maternal outcomes in developing countries: a multicountry cross-sectional survey.
To assess the relationship between education and severe maternal outcomes among women delivering in healthcare facilities. ⋯ Women with lower levels of education are at greater risk for severe maternal outcomes, even after adjustment for key confounding factors. This is particularly true for women in countries that have poorer markers of social and economic development.
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Multicenter Study
Indirect causes of severe adverse maternal outcomes: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health.
To assess the proportion of severe maternal outcomes resulting from indirect causes, and to determine pregnancy outcomes of women with indirect causes. ⋯ Indirect causes were responsible for about one-fifth of severe maternal outcomes. Women with underlying indirect causes had significantly increased risks of severe maternal and perinatal outcomes.
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Multicenter Study Comparative Study
Maternal and neonatal morbidity in relation to the instrument used for mid-cavity rotational operative vaginal delivery: a prospective cohort study.
To compare the maternal and neonatal morbidity associated with alternative instruments used to perform a mid-cavity rotational delivery. ⋯ Maternal and perinatal outcomes are comparable with Kielland forceps, vacuum extraction, and manual rotation, with few serious adverse outcomes. With appropriate training mid-cavity rotational delivery can be practiced safely, including the use of Kielland forceps.
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Multicenter Study Observational Study
Birth defects in a national cohort of pregnant women with HIV infection in Italy, 2001-2011.
We used data from a national study of pregnant women with HIV to evaluate the prevalence of congenital abnormalities in newborns from women with HIV infection. ⋯ This study adds further support to the assumption that first-trimester exposure to antiretroviral treatment does not increase the risk of congenital abnormalities.