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View article: Responses to increased rates of caesarean births
Responses to increased rates of caesarean births Open
Performing caesarean sections without medical need exposes women and babies to unnecessary risks without clear benefits. Yet the global number of caesarean sections has continued to rise considerably over the years, with caesarean sections…
View article: Optimizing Availability and Appropriate Use of Assisted Vaginal Birth: Protocol for Generic Formative Research of an Implementation Preparation
Optimizing Availability and Appropriate Use of Assisted Vaginal Birth: Protocol for Generic Formative Research of an Implementation Preparation Open
Background Assisted vaginal birth is a lifesaving procedure where health workers use special devices to expedite birth vaginally when some complications emerge, such as due to prolonged labor. When the use of assisted vaginal birth is poss…
View article: Analyzing caesarean sections through the Robson classification in Nigeria: a prospective nationwide study in referral level facilities
Analyzing caesarean sections through the Robson classification in Nigeria: a prospective nationwide study in referral level facilities Open
This work was funded by MSD for Mothers; and UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction Programme (HRP), a co-sponsored programme executed by the World Health Org…
View article: Towards a universal implementation of labor companionship: a synthesis of the policy and facility environment of eight low-and-middle income countries
Towards a universal implementation of labor companionship: a synthesis of the policy and facility environment of eight low-and-middle income countries Open
Background Labor companionship, the presence of a woman's person of choice during childbirth, has benefits to both woman and baby and is recommended by the World Health Organization since 2012. However, implementation remains sub-optimal, …
View article: Artificial intelligence in prenatal ultrasound: A systematic review of diagnostic tools for detecting congenital anomalies
Artificial intelligence in prenatal ultrasound: A systematic review of diagnostic tools for detecting congenital anomalies Open
Background Artificial intelligence (AI) has potentially shown promise in interpreting ultrasound imaging through flexible pattern recognition and algorithmic learning, but implementation in clinical practice remains limited. This study aim…
View article: Women’s experiences of and satisfaction with childbirth: Development and validation of a measurement scale for low- and middle-income countries
Women’s experiences of and satisfaction with childbirth: Development and validation of a measurement scale for low- and middle-income countries Open
Background Measuring person-centered maternity care outcomes typically consists of two types of measures: experiences of care and satisfaction with care. There are limited validated measurement tools for these measures, particularly in low…
View article: A scoping review of decision aids for pregnant women around childbirth: Do they improve decision quality, processes, and outcomes?
A scoping review of decision aids for pregnant women around childbirth: Do they improve decision quality, processes, and outcomes? Open
Decision aids around childbirth have the potential to meet women's needs in decision-making, appropriate use of care and perinatal health outcomes especially when they are prepared to use the tool and supported by healthcare providers. Fut…
View article: Planning for scale: analysis of adaptations and contextual factors influencing scale-up of the QUALI-DEC intervention to optimize caesarean section use
Planning for scale: analysis of adaptations and contextual factors influencing scale-up of the QUALI-DEC intervention to optimize caesarean section use Open
View article: Evidence-based medical procedures to optimise caesarean outcomes: an overview of systematic reviews
Evidence-based medical procedures to optimise caesarean outcomes: an overview of systematic reviews Open
UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored programme executed by the World Health Organization (WHO).
View article: Can the Robson Ten Group Classification System improve the understanding of maternity care in low-income countries? A cross-sectional study in Burkina Faso
Can the Robson Ten Group Classification System improve the understanding of maternity care in low-income countries? A cross-sectional study in Burkina Faso Open
Background Objective: This study aimed to use the Robson Ten Group Classification System (TGCS) to assess caesarean section (CS) rates and other outcomes in eight referral hospitals in Burkina Faso before the implementation of non-clinical…
View article: Reducing caesarean section rates in Robson groups 1 and 3: a quality improvement initiative in a private Brazilian hospital
Reducing caesarean section rates in Robson groups 1 and 3: a quality improvement initiative in a private Brazilian hospital Open
Private Brazilian hospitals have one of the highest caesarean section (CS) rates in the world. Caesareans may have short- and long-term implications for the health of mothers and babies. The primary objective of this project was to assess …
View article: PD90 Use Of Medicinal Herbs In Natura By Pregnant Women In The Amazon Region
PD90 Use Of Medicinal Herbs In Natura By Pregnant Women In The Amazon Region Open
Introduction There are few studies on the use medicinal herbs by pregnant women in Brazil, even though there is a wealth of knowledge about medicinal herbs among Brazilians of Indigenous, African, and European ancestry. The aim of this stu…
View article: Implementing the Robson Classification for caesarean sections in Pakistan: experience, challenges, and lessons learned
Implementing the Robson Classification for caesarean sections in Pakistan: experience, challenges, and lessons learned Open
View article: Caesarean sections, indications and outcomes: a cross-sectional study using the Robson classification in a tertiary hospital in Sierra Leone
Caesarean sections, indications and outcomes: a cross-sectional study using the Robson classification in a tertiary hospital in Sierra Leone Open
Objective WHO recommends the use of the Robson’s ‘Ten Groups Classification’ for monitoring and assessing caesarean section (CS) rates. The aim of this study was to investigate the rates, indications and outcomes of CS using Robson classif…
View article: Development and validation of prediction models for fetal growth restriction and birthweight: an individual participant data meta-analysis
Development and validation of prediction models for fetal growth restriction and birthweight: an individual participant data meta-analysis Open
Background Fetal growth restriction is associated with perinatal morbidity and mortality. Early identification of women having at-risk fetuses can reduce perinatal adverse outcomes. Objectives To assess the predictive performance of existi…
View article: The Portrayal of Cesarean Section on Instagram: Mixed Methods Social Media Analysis
The Portrayal of Cesarean Section on Instagram: Mixed Methods Social Media Analysis Open
Background Cesarean section (CS) rates in Indonesia are rapidly increasing for both sociocultural and medical reasons. However, there is limited understanding of the role that social media plays in influencing preferences regarding mode of…
View article: Rising caesarean section rates and factors affecting women’s decision-making about mode of birth in Indonesia: a longitudinal qualitative study
Rising caesarean section rates and factors affecting women’s decision-making about mode of birth in Indonesia: a longitudinal qualitative study Open
Introduction Caesarean section (CS) rates in Indonesia are increasing rapidly. Understanding women’s preferences about mode of birth is important to help contextualise these rising rates and can help develop interventions to optimise CS. T…
View article: Engaging women to set the research agenda for assisted vaginal birth
Engaging women to set the research agenda for assisted vaginal birth Open
Introduction Public and patient involvement can provide crucial insights to optimise research by enhancing relevance and appropriateness of studies. The World Health Organization (WHO) engaged in an inclusive process to ensure that both te…
View article: Evidence-based surgical procedures to optimize caesarean outcomes: an overview of systematic reviews
Evidence-based surgical procedures to optimize caesarean outcomes: an overview of systematic reviews Open
View article: Women's caesarean section preferences: A multicountry cross-sectional survey in low- and middle-income countries
Women's caesarean section preferences: A multicountry cross-sectional survey in low- and middle-income countries Open
The QUALI-DEC trial is registered on the Current Controlled Trials website (https://www.isrctn.com/) under the number ISRCTN67214403.
View article: Correction: “Because it eases my childbirth plan”: a qualitative study on factors contributing to preferences for caesarean section in Thailand
Correction: “Because it eases my childbirth plan”: a qualitative study on factors contributing to preferences for caesarean section in Thailand Open
View article: From evidence to tailored decision-making: a qualitative research of barriers and facilitating factors for the implementation of non-clinical interventions to reduce unnecessary caesarean section in Romania
From evidence to tailored decision-making: a qualitative research of barriers and facilitating factors for the implementation of non-clinical interventions to reduce unnecessary caesarean section in Romania Open
Objective To improve understanding of the drivers of the increased caesarean section (CS) rate in Romania and to identify interventions to reverse this trend, as well as barriers and facilitators. Design A formative research study was cond…
View article: How does hospital organisation influence the use of caesarean sections in low- and middle-income countries? A cross-sectional survey in Argentina, Burkina Faso, Thailand and Vietnam for the QUALI-DEC project
How does hospital organisation influence the use of caesarean sections in low- and middle-income countries? A cross-sectional survey in Argentina, Burkina Faso, Thailand and Vietnam for the QUALI-DEC project Open
Background Improving the understanding of non-clinical factors that lead to the increasing caesarean section (CS) rates in many low- and middle-income countries is currently necessary to meet the challenge of implementing effective interve…
View article: Implementing the QUALI-DEC project in Argentina, Burkina Faso, Thailand and Viet Nam: a process delineation and theory-driven process evaluation protocol
Implementing the QUALI-DEC project in Argentina, Burkina Faso, Thailand and Viet Nam: a process delineation and theory-driven process evaluation protocol Open
The project 'Quality Decision-making by women and providers' (QUALI-DEC) combines four non-clinical interventions to promote informed decision-making surrounding mode of birth, improve women's birth experiences, and reduce caesarean sectio…
View article: Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action
Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action Open
View article: Factors affecting the implementation of calcium supplementation strategies during pregnancy to prevent pre-eclampsia: a mixed-methods systematic review
Factors affecting the implementation of calcium supplementation strategies during pregnancy to prevent pre-eclampsia: a mixed-methods systematic review Open
Objectives Daily calcium supplements are recommended for pregnant women from 20 weeks’ gestation to prevent pre-eclampsia in populations with low dietary calcium intake. We aimed to improve understanding of barriers and facilitators for ca…
View article: A research agenda to improve incidence and outcomes of assisted vaginal birth
A research agenda to improve incidence and outcomes of assisted vaginal birth Open
Access to emergency obstetric care, including assisted vaginal birth and caesarean birth, is crucial for improving maternal and childbirth outcomes. However, although the proportion of births by caesarean section has increased during the l…
View article: Transitioning from the “Three Delays” to a focus on continuity of care: a qualitative analysis of maternal deaths in rural Pakistan and Mozambique
Transitioning from the “Three Delays” to a focus on continuity of care: a qualitative analysis of maternal deaths in rural Pakistan and Mozambique Open
View article: What do healthcare providers think of the quality of uterotonics? A mixed-methods systematic review
What do healthcare providers think of the quality of uterotonics? A mixed-methods systematic review Open
Objectives To synthesise evidence on the perceptions of healthcare providers (HCPs) about the quality of oxytocin and misoprostol available in their settings, and their actions as a result of these perceptions. Design Mixed-methods systema…
View article: Educational interventions targeting pregnant women to optimise the use of caesarean section: What are the essential elements? A qualitative comparative analysis
Educational interventions targeting pregnant women to optimise the use of caesarean section: What are the essential elements? A qualitative comparative analysis Open