Sökning: "neonatal and obstetric outcomes"

Visar resultat 21 - 25 av 28 avhandlingar innehållade orden neonatal and obstetric outcomes.

  1. 21. Task-shifting of major surgery to midlevel providers of health care in Mozambique and Tanzania : a solution to the crisis in human resources to enhance maternal and neonatal survival

    Författare :Caetano Pereira; Karolinska Institutet; Karolinska Institutet; []
    Nyckelord :;

    Sammanfattning : Background: Task-shifting, using non-physician clinicians (NPCs) to perform major surgery in obstetric emergencies is common, though still controversial, in Africa to overcome the crisis of human resources for health. Aim: To describe the extent to which NPCs in Mozambique and Tanzania contribute to surgical skills to enhance maternal survival. LÄS MER

  2. 22. Improving the quality of caesarean section in a low-resource setting : An intervention by criteria-based audit at a tertiary hospital, Dar es Salaam, Tanzania

    Författare :Andrew Hans Mgaya; Birgitta Essén; Hussein Kidanto; Lennarth Nyström; Jeroen van Dillen; Uppsala universitet; []
    Nyckelord :Caesarean section; Criteria-based audit; Fetal distress; Obstructed labour; Low resource setting; Robson classification; Obstetrik och gynekologi; Obstetrics and Gynaecology;

    Sammanfattning : A sharp increase in caesarean section (CS) rates at the Muhimbili National Referral Hospital (MNH) – a tertiary referral hospital in Tanzania – by 50% in 2000–2011, was associated with concomitant increase in maternal complications and deaths and inconsistent improvement in newborn outcomes. The aims of this thesis were to explore care providers’ in-depth perspective of the reasons for these high rates of CS, and to evaluate and improve standards of care for the most common indica-tions of CS, obstructed labour and fetal distress, which are also major causes of adverse maternal and neonatal outcomes. LÄS MER

  3. 23. Psykosociala riskgraviditeter och deras utfall

    Författare :Gunilla Sydsjö; Linköpings universitet; []
    Nyckelord :MEDICINE; MEDICIN;

    Sammanfattning : The present study describes a prospective survey of an index-group of78 pregnant women, who during pregnancy met with certain arbitrarily selected, but well defined criteria associated with drug addiction, moderate mental insufficiency or particular social circumstances of possible relevance to the course of pregnancy and early child development. For comparison, a referencegroup of 78 pregnant women who did not meet the present inclusion criteria, were studied in equal detail. LÄS MER

  4. 24. Type 1 diabetes in pregnancy : perinatal outcome with special reference to fetal macrosomia

    Författare :Martina Persson; Karolinska Institutet; Karolinska Institutet; []
    Nyckelord :;

    Sammanfattning : The aim of this epidemiological study was to elucidate whether in recent years, obstetric and perinatal outcomes in pregnancies complicated by type 1 diabetes (T1DM) have improved or not. The objective was also to identify possible risk factors for adverse outcome for the mother, fetus and the newborn. LÄS MER

  5. 25. Lactate as an early marker of intrapartum fetal hypoxia

    Författare :Malin Holzmann; Karolinska Institutet; Karolinska Institutet; []
    Nyckelord :cardiotocography;

    Sammanfattning : Background: Cardiotocography (CTG) is the main method for intrapartum fetal surveillance in many countries. The method has a high sensitivity, but a poor specificity, which leads to an increased rate of interventions compared with auscultation. LÄS MER