Journal ArticleClimacteric · December 2023
OBJECTIVE: This study aimed at evaluating the prevalence and management of postmenopausal symptoms among Rwandan women. METHODS: A descriptive cross-sectional study was conducted at the four largest Rwandan referral hospitals from August 2017 to March 2018 ...
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Journal ArticleNorth Carolina Medical Journal · July 5, 2023
BackgroundCardiac disease is a leading cause of severe maternal morbidity (SMM). We sought to estimate the effects of race and rural-urban status on cardiac-specific severe maternal morbidity (“c ...
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ConferenceN C Med J · July 2023
BACKGROUND: Cardiac disease is a leading cause of severe maternal morbidity (SMM). We sought to estimate the effects of race and rural-urban status on cardiac-specific severe maternal morbidity ("cardiac SMM") in North Carolina. METHODS: This retrospective ...
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Journal ArticleJ Ultrasound Med · June 2023
Due to the advancements in pediatric cardiothoracic surgery and medical management, more individuals with congenital heart disease are reaching reproductive age. It is well established that individuals with Fontan circulation are at an increased risk for m ...
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Journal ArticleClin Appl Thromb Hemost · 2023
AIM: This study aims to investigate the ability of fibrinogen and rotational thromboelastometry (ROTEM) parameters measured at obstetric hemorrhage protocol initiation to predict severe hemorrhage. METHODS: In this retrospective study we included patients ...
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Journal ArticleNeonatal Netw · November 11, 2022
Purpose: Family support is essential for women with preterm infants during hospitalization. In low-income countries, the additional burden of infant care due to shortages in nursing staff necessitates that family members (guardians) be physically present t ...
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ConferenceAm J Perinatol · June 2022
OBJECTIVE: We sought to characterize the incidence and risk factors associated with developing maternal morbidity following preterm prelabor rupture of membranes. STUDY DESIGN: Retrospective case-control study of patients with preterm prelabor rupture of m ...
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Journal ArticleAdv Neonatal Care · April 1, 2022
BACKGROUND: Hospitalization of a newborn infant is stressful for all mothers. Hospitals in Malawi have limited nursing staff and support, so mothers are the primary care providers for their hospitalized infants. Few studies have explored the experience of ...
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Journal ArticleJ Natl Med Assoc · February 2021
Black enslaved women endured sexual exploitation and reproductive manipulation to produce a labor workforce on the southern plantations during the Antebellum Period. Health care inequity has continued from slavery and into the 21th century primarily due of ...
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Journal ArticlePLoS One · 2021
OBJECTIVE: Malaria in pregnancy is associated with adverse perinatal outcomes. The objective was to compare outcomes of simple and severe malaria and to determine whether they vary by trimester or severity of infection. METHODS: Prospective cohort study pe ...
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Journal ArticleObstet Gynecol Clin North Am · September 2020
Post-traumatic stress disorder (PTSD) accompanies miscarriage, intrauterine fetal demise, and preterm birth. Levels of PTSD may be higher for women who experience acute, life-threatening events during labor and delivery. Severe maternal morbidities or near ...
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Journal ArticleJ Ultrasound Med · July 2020
OBJECTIVES: Recognition of benign versus malignant tumors is essential in gynecologic ultrasound (US). The International Ovarian Tumor Analysis (IOTA) rules have been proposed as part of resident US training. The objective of this study was to examine whet ...
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Journal ArticleRwanda Medical Journal · March 1, 2020
Hypertensive disorders complicate up to 10% of all pregnancies. The World Health Organization estimates the incidence of preeclampsia and eclampsia to be higher in developing countries. OBJECTIVES: To document the prevalence of preeclampsia and eclampsia i ...
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Journal ArticleAdv Neonatal Care · February 2020
BACKGROUND: Mother-infant interactions are necessary for infant growth and development. However, preterm birth is associated with less positive mother-infant interactions than full-term birth. Malawi has the highest preterm birth rate in the world, but stu ...
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Journal ArticleNurs Outlook · 2020
BACKGROUND: Mothers of preterm infants, early or late, report more distress than mothers of full-term infants. Malawi has the highest preterm birth rate in the world, but nothing is known about the relation of preterm birth to maternal mental health. PURPO ...
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Journal ArticleN C Med J · 2020
Maternal mortality in North Carolina remains a challenge to families, health systems, and communities. The Maternal Mortality Review Committee is part of the process required to prevent these events. In this commentary, we present an abbreviated descriptio ...
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Journal ArticleInt J Gynaecol Obstet · July 2019
After the declaration of the Millennium Development Goals in 2000 by the United Nations, many stakeholders allocated financial resources to "global maternal health." Research to expand care and improve delivery of maternal health services has exponentially ...
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Journal ArticleObstet Gynecol · July 2019
OBJECTIVE: To evaluate the first 5 years of the Human Resources for Health Rwanda program from the program onset in the July 2012-2016 academic years, and its effects on access to care through examination of: 1) the number of trained obstetrician-gynecolog ...
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Journal ArticleBMC Pregnancy Childbirth · February 13, 2019
BACKGROUND: Hypoxia during labor contributes to 2.2 million intrapartum and early neonatal deaths each year. An additional 0.6-1.0 million cases of life-long disability occur because of fetal hypoxia during labor. It is known that fetal heart rate changes ...
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Journal ArticleRwanda Medical Journal · January 1, 2019
BACKGROUND: Preterm premature rupture of membranes is an obstetric complication which has adverse perinatal effects and long-term morbidity and mortality. There is no published outcome data in Rwanda. OBJECTIVES: To assess maternal and neonatal outcomes at ...
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Journal ArticlePLoS One · 2018
OBJECTIVE: Assess the primary causes and preventability of maternal near misses (MNM) and mortalities (MM) at the largest tertiary referral hospital in Rwanda, Kigali University Teaching Hospital (CHUK). METHODS: We reviewed records for all women admitted ...
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Journal ArticleSemin Perinatol · August 2017
The disparity in maternal mortality for African American women remains one of the greatest public health inequities in the United States (US). To better understand approaches toward amelioration of these differences, we examine settings with similar dispar ...
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Chapter · January 1, 2017
Traditionally, postpartum hemorrhage (PPH) is defined as blood loss in excess of 500 mL after a vaginal delivery and greater than 1000 mL following a cesarean delivery. Severe hemorrhage is the most common cause of maternal death worldwide accounting for a ...
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Journal ArticleAJP Reports · October 1, 2016
Background Gastric rupture is a rare, life-threatening condition during pregnancy. Case study We present three cases of gastric perforation during pregnancy and the puerperium. The first patient presented with gastric perforation 4 days following an uncomp ...
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Journal ArticleJournal of Reproductive Medicine · August 1, 2016
OBJECTIVE: To compare trends in the etiology and management of severe postpartum hemorrhage (PPH) during 2 time periods: 2000–2004 (Period 1) versus 2005–2008 (Period 2). STUDY DESIGN: Medical records with a diagnosis of PPH were identified by ICD-9 codes ...
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Journal ArticleJ Reprod Med · August 2016
OBJECTIVE: To compare trends in the etiology and management of severe postpartum hemorrhage (PPH) during 2 time periods: 2000-2004 (Period 1) versus 2005-2008 (Period 2). STUDY DESIGN: Medical records with a diagnosis of PPH were identified by ICD-9 codes ...
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Journal ArticleBMC Pregnancy Childbirth · July 20, 2016
BACKGROUND: The objective of this study is to evaluate 'near miss' and mortality in women with postpartum infections. METHODS: We performed a retrospective review of all patients referred to the University Teaching Hospital of Kigali (CHUK) between January ...
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Journal ArticleObstet Gynecol Surv · January 2016
The incidence of congenital heart disease is most commonly reported in 8 per 1000 live births. Situs anomalies are among the least common forms of congenital heart disease. This study defines situs and describes the variations of fetal situs anomalies. Sit ...
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Journal ArticlePregnancy Hypertens · October 2015
OBJECTIVE: The cerebral circulatory effects of preeclampsia on the latency (phase) and the efficiency (gain) of the cerebral autoregulatory response is unknown. Preeclampsia causes a progressive impairment of the cerebral autoregulatory response. We sought ...
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Journal ArticleBMC Pregnancy Childbirth · September 3, 2015
BACKGROUND: To determine the prevalence and factors associated with severe ('near miss') maternal morbidity and mortality in the University Teaching Hospital of Kigali-Rwanda. METHODS: We performed a cross sectional study of all women admitted to the terti ...
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Journal ArticleMatern Child Health J · December 2014
Hypertension is a major global public health risk and significant precursor to cardiovascular disease, stroke, diabetes and maternal mortality. A possible strategy to reduce chronic disease in resource-poor areas is social intervention. Research into the p ...
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Journal Article · October 1, 2014
The state of maternal-fetal health in the developing world remains appalling despite growing global attention. Since the adoption of the Millennium Development goals, there has been increased deployment of resources towards this issue with little improveme ...
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Journal ArticlePregnancy Hypertension · January 1, 2014
Objective Flow mediated dilation of the brachial artery is impaired with endothelial dysfunction. We previously identified that brachial artery waveforms were changed in preeclamptic women. We therefore sought to compare Doppler waveform analysis with flow ...
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Journal ArticleAm J Obstet Gynecol · December 2013
OBJECTIVE: The purpose of this study was to examine predictors associated with cesarean delivery (CD) among extremely obese women undergoing a trial of labor (TOL). STUDY DESIGN: Using a delivery database, we identified all pregnant women delivering at our ...
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Journal ArticleJ Neonatal Perinatal Med · 2013
OBJECTIVE: The "Hispanic paradox" refers to the epidemiological finding that Hispanics in the US have better health outcomes than the average population despite what their aggregate socioeconomic determinants would predict. The aim of this study was to eva ...
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Journal ArticleReprod Health Matters · June 2012
This 2009 qualitative study investigated Haitian women's most pressing health needs, barriers to meeting those needs and proposed solutions, and how they thought the community and outside organizations should be involved in addressing their needs. The impe ...
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Journal ArticleSemin Perinatol · February 2012
The maternal-fetal medicine subspecialist plays a critical role in the evaluation and management of women with obstetrical and medical comorbidities. These women have a higher risk for obstetrical morbidity, "near miss," and maternal mortality. Maternal de ...
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Journal ArticleObstet Gynecol · February 2012
OBJECTIVE: Evaluation of "near-miss" maternal mortality is a robust surveillance method to assess the quality of obstetric care and determinants of poor maternal outcome. To evaluate near-miss maternal mortality, we examined patient characteristics and mat ...
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Journal ArticleInt J Obstet Anesth · January 2012
Ornithine transcarbamylase deficiency is a rare X-linked disorder in which female carriers are usually heterozygous for the ornithine transcarbamylase deficiency gene. In pregnancy it has been associated with altered mental status, seizures, coma and death ...
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Journal ArticleAnn Epidemiol · February 2011
PURPOSE: To determine the impact of ethnicity on "near miss"/severe obstetric morbidity in a multi-ethnic, tertiary care population. METHODS: We carried out a cross-sectional analysis using birth data for 12,774 women with Medicaid who gave birth between J ...
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Journal ArticleInt J Gynaecol Obstet · September 2008
OBJECTIVE: To examine the association between violence experienced by pregnant Haitian women in the previous 6 months and pregnancy-related symptom distress. METHODS: A total of 200 women seeking prenatal care at community health dispensaries in the Artibo ...
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Journal ArticleJournal of Neonatal-Perinatal Medicine · January 1, 2008
Objectives: Few works address the impact of armed conflict on obstetric outcomes, largely secondary to limitations in measurement of these outcomes. In settings where hospitalized data is routinely and consistently obtained, these sources may provide rapid ...
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Journal ArticleHealth Care Women Int · October 2006
The purpose of this study was to further knowledge of health care seeking behavior among pregnant women in rural Haiti. Eighty-two pregnant women were interviewed to assess care seeking behaviors during pregnancy, satisfaction with services, reliance on so ...
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Journal ArticleJ Ultrasound Med · August 2006
OBJECTIVE: The purpose of this study was to determine whether Doppler velocimetry of the ductus venosus (DV) predicts adverse perinatal outcome in congenital heart disease (CHD). METHODS: We conducted a retrospective cohort study of all pregnant women unde ...
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Journal ArticleJ Urban Health · July 2006
Haiti has an HIV/AIDS epidemic of the highest magnitude outside of sub-Saharan Africa. Factors such as relationship power imbalances, traditional gender role acceptance, and patriarchal belief systems that devalue women's sexuality have increased Haitian w ...
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Journal ArticleAIDS Behav · May 2006
Given that condom use is not directly under a woman's control, the sexual division of power may play an important role in sexual behavior among pregnant women. We assessed the influence of factors related to the theory of gender and power (e.g., relationsh ...
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Journal ArticleJ Matern Fetal Neonatal Med · November 2005
OBJECTIVE: The maternal mortality ratio in Haiti remains one of the highest in the world at 600/100 000 live births. Preeclampsia- and eclampsia-related complications are one of the leading causes of maternal death. In this resource-limited setting, effect ...
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Journal ArticlePediatr Cardiol · 2004
Congenital heart disease is one of the most common congenital malformations diagnosed in liveborns. As more women undergo prenatal diagnosis, the need for screening fetal echocadiography increases. The fetal, maternal, and familial indications for fetal ec ...
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Journal ArticleSemin Perinatol · April 2003
Experience gathered over the last decade from high-risk centers provide strong evidence that mid-trimester sonographic markers are sensitive for Down syndrome prediction. More recent data indicate that combining mid trimester sonography with traditional se ...
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Journal ArticleSex Transm Infect · February 2001
OBJECTIVE: Patients with chronic idiopathic vulvar vestibulitis have increased mast cells when biopsied, and cromolyn has been suggested as a treatment. The purpose of this study was to assess the efficacy of 4% cromolyn cream in women with vulvar vestibul ...
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