Results: 13

Feasibility of task-sharing with community health workers for the identification, emergency management and referral of women with pre-eclampsia, in Mozambique

Reprod. health; 18 (145), 2021
Background Maternal mortality is an important public health problem in low-income countries. Delays in reaching health facilities and insufficient health care professionals call for innovative community-level solutions. There is limited evidence on the role of community health workers in the management o...

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

Lancet Glob. Health; 9 (8), 2021
Background: Blood pressure measurement is a marker of antenatal care quality. In well resourced settings, lower blood pressure cutoffs for hypertension are associated with adverse pregnancy outcomes. We aimed to study the associations between blood pressure thresholds and adverse outcomes and the diagnos...

Population-level data on antenatal screening for proteinuria; India, Mozambique, Nigeria, Pakistan

Bull. W.H.O. (Print); 98 (10), 2020
To estimate the prevalence and prognosis of proteinuria at enrolment in the 27 intervention clusters of the Community-Level Interventions for Pre-eclampsia cluster randomized trials. We identified pregnant women eligible for inclusion in the trials in their communities in four countries (2013–2017). We...

Factores associados ao ganho de peso gestacional e aos resultados da gravidez das puérperas atendidas na consulta pós-parto do hospital distrital da manhiça, 2019
Factors associated with gestational weight gain and pregnancy outcomes of puerperal women seen in the postpartum consultation at manhiça dstrict hospital, 2019

O ganho de peso gestacional excessivo ou insuficiente é considerado como um factor de risco para a gestante e ao feto podendo ser influenciado por vários factores dentre eles: sócio-demográficos, clínicos, estilos de vida e obstétricos. Este estudo tinha como objectivo principal determinar o ganho ...

The Community-Level Interventions for Pre-eclampsia (CLIP) cluster randomised trials in Mozambique, Pakistan, and India: an individual participant-level meta-analysis

Lancet; 396 (10250), 2020
To overcome the three delays in triage, transport and treatment that underlie adverse pregnancy outcomes, we aimed to reduce all-cause adverse outcomes with community-level interventions targeting women with pregnancy hypertension in three low-income countries. Methods: In this individual participant-lev...

Community-level interventions for pre-eclampsia (CLIP) in Mozambique: A cluster randomised controlled trial

Objectives: Pregnancy hypertension is the third leading cause of maternal mortality in Mozambique and contributes significantly to fetal and neonatal mortality. The objective of this trial was to assess whether task-sharing care might reduce adverse pregnancy outcomes related to delays in triage, transpo...

How accurate are modelled birth and pregnancy estimates? Comparison of four models using high resolution maternal health census data in southern Mozambique

BMJ Glob Health; 4 (5), 2019
Background: Existence of inequalities in quality and access to healthcare services at subnational levels has been identified despite a decline in maternal and perinatal mortality rates at national levels, leading to the need to investigate such conditions using geographical analysis. The need to assess t...

Policy review on the management of pre-eclampsia and eclampsia by community health workers in Mozambique

Hum. resour. health; 17 (1), 2019
Background: Pre-eclampsia is one of the leading causes of maternal death in Mozambique. Limited access to health care facilities and a lack of skilled health professionals contribute to the high maternal morbidity and mortality rates in Mozambique and indicate a need for community-level interventions. Th...

Early diagnosis of preeclampsia using placental growth factor: An operational pilot study in Maputo, Mozambique

n well-resourced settings, reduced circulating maternal free placental growth factor (PlGF) aids in either predicting or confirming the diagnosis of preeclampsia, fetal growth restriction, stillbirth, preterm birth, and delivery within 14 days of testing when pre-eclampsia is suspected. This operational ...

Diagnostic Performance of Placental Growth Factor in Women With Suspected Preeclampsia Attending Antenatal Facilities in Maputo, Mozambique

Hypertension; 69 (3), 2017
In well-resourced settings, reduced circulating maternal-free placental growth factor (PlGF) aids in either predicting or confirming the diagnosis of preeclampsia, fetal growth restriction, stillbirth, preterm birth, and delivery within 14 days of testing when preeclampsia is suspected. This blinded, pro...