D. Lissauer
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View article: First in pregnancy continuous lactate monitoring using a minimally invasive microneedle device: a proof of concept study in healthy pregnant volunteers
First in pregnancy continuous lactate monitoring using a minimally invasive microneedle device: a proof of concept study in healthy pregnant volunteers Open
Objectives Validation and testing of a microneedle device capable of continuously monitoring lactate concentrations in healthy pregnant volunteers. Setting Clinical research facility in a Liverpool hospital in the UK. Participants Seven he…
View article: Acceptability of self-sampling for high-risk HPV DNA testing for primary cervical cancer screening among women in Thyolo, Malawi: A qualitative study
Acceptability of self-sampling for high-risk HPV DNA testing for primary cervical cancer screening among women in Thyolo, Malawi: A qualitative study Open
Despite the roll-out of cervical cancer screening within routine health facilities, uptake of cervical cancer screening in Malawi remains low due to factors such as privacy concerns, stigma, and distance to health facility. Self-sampling f…
View article: Approaches, barriers, and facilitators to and strategies for normalizing the provision of Ultrasound Scanning by Midwives in the Antenatal Clinic
Approaches, barriers, and facilitators to and strategies for normalizing the provision of Ultrasound Scanning by Midwives in the Antenatal Clinic Open
The World Health Organization (WHO) recommends that a pregnant woman get an ultrasound scan (USS) as part of routine antenatal care. The Scale-up and normalization of ultrasound scanning still lag in low- and middle-income countries (LMIC)…
View article: Using maternal sepsis patient journeys to map and prioritise barriers to quality maternal healthcare in Malawi: a multidisciplinary stakeholder consultation workshop
Using maternal sepsis patient journeys to map and prioritise barriers to quality maternal healthcare in Malawi: a multidisciplinary stakeholder consultation workshop Open
Patient journeys are a novel tool for capturing the experience of care in Malawi. They have the potential to guide strategic improvements in maternal healthcare quality and ultimately reduce maternal morbidity and mortality.
View article: A retrospective study to understand the differences in maternal mortality among women admitted in critical and stable conditions in Malawi
A retrospective study to understand the differences in maternal mortality among women admitted in critical and stable conditions in Malawi Open
Introduction Addressing the burden of preventable maternal deaths remains a critical focus of global health efforts in countries like Malawi which still has a high maternal mortality ratio of 381 deaths per 100 000 live births. We investig…
View article: Avoidable factors associated with maternal death from postpartum haemorrhage: a national Malawian surveillance study
Avoidable factors associated with maternal death from postpartum haemorrhage: a national Malawian surveillance study Open
Background Despite strong evidence-based strategies for prevention and management, global efforts to reduce deaths from postpartum haemorrhage (PPH) have failed, and it remains the leading cause of maternal mortality. We conducted a detail…
View article: Early warning systems for identifying severe maternal outcomes: findings from the WHO global maternal sepsis study
Early warning systems for identifying severe maternal outcomes: findings from the WHO global maternal sepsis study Open
UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), WHO, Merck for Mothers, U.S. Agency for International Development, Wellcome Trust, and National Institute for He…
View article: Maternal mortality following caesarean section in a low-resource setting: a National Malawian Surveillance Study
Maternal mortality following caesarean section in a low-resource setting: a National Malawian Surveillance Study Open
Background Caesarean section (CS) is the most common major surgery conducted globally, with rates rising. CS also contributes to maternal morbidity and mortality, with increased risks in low-resource settings. We conducted a detailed revie…
View article: Spatial distribution and characteristics of women reporting cervical cancer screening in Malawi: An analysis of the 2020 to 2021 Malawi Population-based HIV Impact Assessment survey data
Spatial distribution and characteristics of women reporting cervical cancer screening in Malawi: An analysis of the 2020 to 2021 Malawi Population-based HIV Impact Assessment survey data Open
Background Malawi has one of the highest incidence and mortality rates of cervical cancer in the world. Despite a national strategic plan and the roll-out of VIA and screen-and-treat services, cervical cancer screening coverage in Malawi r…
View article: Mechanisms and causes of death after abdominal surgery in low-income and middle-income countries: a secondary analysis of the FALCON trial
Mechanisms and causes of death after abdominal surgery in low-income and middle-income countries: a secondary analysis of the FALCON trial Open
National Institute for Health and Care Research Global Health Research Unit.
View article: Adapting the WHO hand hygiene ‘reminders in the workplace’ to improve acceptability for healthcare workers in maternity settings worldwide: a mixed methods study
Adapting the WHO hand hygiene ‘reminders in the workplace’ to improve acceptability for healthcare workers in maternity settings worldwide: a mixed methods study Open
Introduction Hand hygiene is key in preventing healthcare-associated infections, but it is challenging in maternity settings due to high patient turnover, frequent emergencies and volume of aseptic procedures. We sought to investigate if a…
View article: Cyclone Freddy and its impact on maternal health service utilisation: Cross-sectional analysis of data from a national maternal surveillance platform in Malawi
Cyclone Freddy and its impact on maternal health service utilisation: Cross-sectional analysis of data from a national maternal surveillance platform in Malawi Open
Climate change poses a significant threat to women’s health in sub-Saharan Africa , yet the impact of climate change on maternal health is rarely reported in the region . Using an existing Maternal Surveillance Platform (MATSurvey) , we es…
View article: Understanding the maternal sepsis patient journey in Malawi: “I called for help, but they showed no interest in helping me”.
Understanding the maternal sepsis patient journey in Malawi: “I called for help, but they showed no interest in helping me”. Open
Background: In Malawi, there is limited understanding of the personal experiences of women who have survived severe maternal infections that lead to sepsis and of their perspectives on the care they receive. It is essential to consider wom…
View article: Prevalence of sexually transmitted infection in pregnancy and their association with adverse birth outcomes: a case–control study at Queen Elizabeth Central Hospital, Blantyre, Malawi
Prevalence of sexually transmitted infection in pregnancy and their association with adverse birth outcomes: a case–control study at Queen Elizabeth Central Hospital, Blantyre, Malawi Open
Background There are limited data on the epidemiology of sexually transmitted infections (STI) and their contribution to adverse birth outcomes (ABO) in sub-Saharan Africa (SSA). We performed a case–control study to assess the prevalence o…
View article: Quality of ultrasound images by midwives implementing ultrasound scanning services during antenatal clinics within selected healthcare facilities of Zambia
Quality of ultrasound images by midwives implementing ultrasound scanning services during antenatal clinics within selected healthcare facilities of Zambia Open
Background: Limited access to ultrasound services in low and middle-income countries (LMICs) prompts the development of an intensive training program for midwives. The aim of this study was to evaluate the quality of ultrasound images prod…
View article: PA-837 A combined health care provider and lay patient and public involvement and engagement in APT sepsis and LACTATE studies. A case for Malawi
PA-837 A combined health care provider and lay patient and public involvement and engagement in APT sepsis and LACTATE studies. A case for Malawi Open
Background Patient and Public Involvement (PPI) significantly contribute to clinical and implementation science research to make it relevant, acceptable, and beneficial to the public concerned. Research poses challenges to the lay public c…
View article: PA-283 Aetiology and antimicrobial resistance profile of maternal infections in Blantyre, Malawi; analysis of data from a maternal infection surveillance project
PA-283 Aetiology and antimicrobial resistance profile of maternal infections in Blantyre, Malawi; analysis of data from a maternal infection surveillance project Open
Background There is a high prevalence of infections and sepsis in pregnancy in Malawi, with evidence of a rising incidence of antimicrobial resistance. Lack of resources to inform the organism-specific therapy of maternal infections result…
View article: Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi
Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi Open
We used national facility-level data from all government hospitals in Malawi to examine the effects of the second and third COVID-19 waves on maternal and neonatal outcomes and access to care during September 6, 2020–October 31, 2021. The …
View article: Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi
Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi Open
We used national facility-level data from all government hospitals in Malawi to examine the effects of the second and third COVID-19 waves on maternal and neonatal outcomes and access to care during September 6, 2020-October 31, 2021. The …
View article: Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth
Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth Open
Introduction Studies have shown that women are often underinformed about potential benefits and risks of vaginal birth. This is in contrast to other modes of birth, such as caesarean birth, for which the risks/benefits are often conveyed p…