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333 results for “Obstetrics”
Database of Urogynecological and obstetric history associated with lower limb physical performance in women
<p>Database: Urogynecological and obstetric history associated with lower limb physical performance in women</p>
Assessing the Nature and Quality of Emergency Obstetric Care for Preventing Maternal and Perinatal Mortality in 8 Secondary and Tertiary Hospitals in Nigeria: Results of a Formative Research Study
<p>Nigeria suffers some of the highest rates of maternal and perinatal mortality in the world. Poor quality of obstetric care is a key factor, and although not quantified at a national level, local studies suggest that high rates of maternal and perinatal deaths are due to clinical management errors in hospitals. This project therefore explored the nature of existing practices and quality of clinical management of three leading causes of maternal and perinatal deaths (primary postpartum haemorrhage, eclampsia, and obstructed labour); implement an intervention package aimed at improving the quality of clinical management of these causes of deaths; and test the effectiveness of this package on quality of care indicators and maternal and perinatal outcomes. </p> <p>The study follows a quasi-experimental research design, using interrupted time series analysis for assessment over a three year period. Six public secondary care hospitals and two public tertiary care hospitals in both north and south of Nigeria were selected randomly. Formative research was conducted in all eight hospitals, and thereafter the intervention will be carried out in four hospitals, with the remaining four hospitals functioning as control sites. </p> <p>Clinical outcomes will be compared between intervention and control sites in a total of 2334 cases of PPH, preeclampsia/eclampsia and obstructed labour (based on an anticipated 50% reduction in case fatality rates, significance level of 0.05 and 80% power). This will consist of 1167 cases in the intervention sites and 1167 in the control sites. Maternal and perinatal mortality rates will serve as primary outcome measures. Secondary outcomes involve quality of care drawn from United Nations process indicators, skilled attendance index and data derived from this formative audit phase of the project.</p> <p>The results will enable the identification of a system-wide quality of care framework for improving the delivery of emergency obstetric care for the prevention of maternal and perinatal morbidity and mortality in Nigeria.</p>
Assessing the Nature and Quality of Emergency Obstetric Care for Preventing Maternal and Perinatal Mortality in 8 Secondary and Tertiary Hospitals in Nigeria: Results of a Formative Research Study
<p>Nigeria suffers some of the highest rates of maternal and perinatal mortality in the world. Poor quality of obstetric care is a key factor, and although not quantified at a national level, local studies suggest that high rates of maternal and perinatal deaths are due to clinical management errors in hospitals. This project therefore explored the nature of existing practices and quality of clinical management of three leading causes of maternal and perinatal deaths (primary postpartum haemorrhage, eclampsia, and obstructed labour); implement an intervention package aimed at improving the quality of clinical management of these causes of deaths; and test the effectiveness of this package on quality of care indicators and maternal and perinatal outcomes. </p> <p>The study follows a quasi-experimental research design, using interrupted time series analysis for assessment over a three year period. Six public secondary care hospitals and two public tertiary care hospitals in both north and south of Nigeria were selected randomly. Formative research was conducted in all eight hospitals, and thereafter the intervention will be carried out in four hospitals, with the remaining four hospitals functioning as control sites.</p> <p>Clinical outcomes will be compared between intervention and control sites in a total of 2334 cases of PPH, preeclampsia/eclampsia and obstructed labour (based on an anticipated 50% reduction in case fatality rates, significance level of 0.05 and 80% power). This will consist of 1167 cases in the intervention sites and 1167 in the control sites. Maternal and perinatal mortality rates will serve as primary outcome measures. Secondary outcomes involve quality of care drawn from United Nations process indicators, skilled attendance index and data derived from this formative audit phase of the project.</p> <p>The results will enable the identification of a system-wide quality of care framework for improving the delivery of emergency obstetric care for the prevention of maternal and perinatal morbidity and mortality in Nigeria</p>
Assessing the Impact of an Intervention to Improve the Quality of Emergency Obstetric Care on Maternal Health in Nigeria
<p>Nigeria suffers some of the highest rates of maternal and perinatal mortality in the world. Poor quality of obstetric care is a key factor, and although not quantified at a national level, local studies suggest that high rates of maternal and perinatal deaths are due to clinical management errors in hospitals. This project therefore explored the nature of existing practices and quality of clinical management of three leading causes of maternal and perinatal deaths (primary postpartum haemorrhage, eclampsia, and obstructed labour); implement an intervention package aimed at improving the quality of clinical management of these causes of deaths; and test the effectiveness of this package on quality of care indicators and maternal and perinatal outcomes. </p> <p> </p> <p>The study follows a quasi-experimental research design, using interrupted time series analysis for assessment over a three year period. Six public secondary care hospitals and two public tertiary care hospitals in both north and south of Nigeria were selected randomly. Formative research was conducted in all eight hospitals, and thereafter the intervention will be carried out in four hospitals, with the remaining four hospitals functioning as control sites. The package consists of training in use of evidence-based clinical protocols on postpartum haemorrhage (PPH), preeclampsia/eclampsia and obstructed labour, audit and feedback, reminders, commodity supply monitoring and replenishments and patients’ education. </p> <p> </p> <p>Clinical outcomes will be compared between intervention and control sites in a total of 2334 cases of PPH, preeclampsia/eclampsia and obstructed labour (based on an anticipated 50% reduction in case fatality rates, significance level of 0.05 and 80% power). This will consist of 1167 cases in the intervention sites and 1167 in the control sites. Maternal and perinatal mortality rates will serve as primary outcome measures. Secondary outcomes involve quality of care drawn from United Nations process indicators, skilled attendance index and data derived from the formative audit phase of the project.</p> <p> </p> <p>The results will enable the identification of a system-wide quality of care framework for improving the delivery of emergency obstetric care for the prevention of maternal and perinatal morbidity and mortality in Nigeria.</p>
Obstetric Liposomal Bupivacaine Via Surgical Transversus Abdominis Plane Block for Post Cesarean Pain Control
ClinicalTrials.gov study NCT04897841. IPD Sharing: NO. Countries: 1. Publications: 1.
Cystoinflation to Prevent Bladder Injury in Obstetrics and Gynaecology Surgery
ClinicalTrials.gov study NCT04302545. IPD Sharing: NO. Countries: 1. Publications: 5.
PRogram In Support of Moms: An Innovative Stepped-Care Approach for Obstetrics and Gynecology Clinics
ClinicalTrials.gov study NCT02760004. IPD Sharing: YES. Countries: 1. Publications: 23.
Bladder Drainage During Labor: A Randomized Controlled Study of Obstetric Foley Therapy
ClinicalTrials.gov study NCT00959920. IPD Sharing: NO. Countries: 1. Publications: 1.
Carbetocin on Myocardial Repolarization Dynamics in Obstetrics Study
ClinicalTrials.gov study NCT03716076. IPD Sharing: NO. Countries: 1. Publications: 1.
Pannus Assistance Needed for Obstetric Ultrasound Studies
ClinicalTrials.gov study NCT05764408. IPD Sharing: NO. Countries: 1. Publications: 11.
Tranexamic Acid for the Prevention of Obstetrical Hemorrhage After Cesarean
ClinicalTrials.gov study NCT03364491. IPD Sharing: YES. Countries: 1. Publications: 33.
A Comparison of Sequential Compression Devices and Foot Pumps in the Obstetric Population
ClinicalTrials.gov study NCT00356434. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Organ Dysfunction Score for Obstetric Patients
ClinicalTrials.gov study NCT07068022. IPD Sharing: NO. Countries: 4. Publications: 39.
Postpartum Perineal Pain After Obstetric Anal Sphincter Injuries
ClinicalTrials.gov study NCT03470675. IPD Sharing: NO. Countries: 1. Publications: 4.
Effectiveness and Acceptability of Insertable Devices for Obstetric Fistula Management
ClinicalTrials.gov study NCT05444504. IPD Sharing: YES. Countries: 2. Publications: 43.
Coconut Oil vs. Commercial Ultrasound Gel In Obstetric Ultrasounds
ClinicalTrials.gov study NCT05653362. IPD Sharing: NO. Countries: 1. Publications: 4.
Duruöz Hand Index in Obstetric Brachial Plexus Palsy
ClinicalTrials.gov study NCT07151053. IPD Sharing: YES. Countries: 1. Publications: 3.
The OBstetric Lidocaine Patch (OBLido) Trial
ClinicalTrials.gov study NCT03810235. IPD Sharing: NO. Countries: 1. Publications: 1.
Recurrence and Pregnancy Post-repair of Obstetric Fistula in Guinea
ClinicalTrials.gov study NCT02686957. IPD Sharing: NO. Countries: 1. Publications: 1.
Validating a New Method to Assess Estimated Blood Loss in the Obstetric Population
ClinicalTrials.gov study NCT03404375. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
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OpenNeuro
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