OBJECTIVE To evaluate the effectiveness of adding outlet views to the four chamber view in routine prenatal ultrasound screening for major congenital heart defects (CHD) as performed by trained sonographers, and to compare the procedure with current practice. DESIGN AND SETTING Prospective observational study at a London teaching hospital. PARTICIPANTS AND METHODS 9277 women booked at a sin...

OBJECTIVE to use realist evaluation to describe and explain how and in what circumstances screening and alcohol brief interventions work in routine antenatal care. DESIGN a realist evaluation incorporating systematic reviews and qualitative data. SETTING NHS Lothian, which is one of the 14 Scottish health boards. PARTICIPANTS participants were recruited from two maternity units. In phase ...

objective: to find out the quality of anc in the upazila health complexes (phc centres) of bangladesh. materials and methods: this cross sectional study was done in purposively selected three upazilas among the clients receiving antenatal care (anc). data were collected with questionnaire cum checklist in the context of two aspects of quality issues, namely assessment of physical arrangements f...

objective: a descriptive study was carried out to determine the significance of igg-affinity in the serological diagnosis of rubella infections in pregnancy. materials and methods: a total of 92 pregnant women who had never received antirubella vaccines were recruited by simple random selection and did not exceed 24 weeks of gestation were recruited from the antenatal clinics of the university ...

In addition to infectious diseases, maternal and neonatal conditions account for a substantial part of the health gap between rich and poor countries. For example, more than 99 percent of maternal deaths occur in the developing world. The majority of the deaths are caused by direct obstetric complications, including haemorrhage, sepsis, eclampsia, obstructed labour, and unsafe abortion practice...

BACKGROUND Like much of Sub-Saharan Africa, Uganda is facing significant maternal and fetal health challenges. Despite the fact that the majority of the Uganda population is rural and the major obstetrical care provider is the midwife, there is a lack of data in the literature regarding rural health facilities' and midwives' knowledge of ultrasound technology and perspectives on important mater...

Background: Antenatal steroid therapy recently has been considered for term and late preterm neonates delivered by Cesarean section (CS), with the aim of preventing adverse respiratory morbidity. The main aim of this study was to investigate the metabolic effects of antenatal dexamethasone on blood glucose (BG), homeostasis, and serum C-peptide level when administered to term fetuses. Methods: ...

BACKGROUND Usage rates for information and communication technologies (ICTs) in healthcare have been increasing in recent years, but often lag behind general usage rates for populations as a whole. Research into such differential rates of ICT use across different segments of the population has identified a number of possible causal factors that limit usage. AIM The research investigated midwi...

Women who had pre-term birth in the University of Calabar Teaching Hospital, Calabar, over a two and a half year period were studied. The aim was to establish the factors influencing the incidence of pre-term birth in Calabar. Factors which significantly increase the incidence of pre-term delivery included: previous induced abortion [P < 0.0001], nulliparity [P < 0.001], out of wedlock birth [P...