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Your search keyword '"Karolinski, A"' showing total 8 results
Start Over Author "Karolinski, A" Journal international journal of gynecology & obstetrics
8 results on '"Karolinski, A"'

1. Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and Uruguay

Author

Eduardo Bergel, José M. Belizán, Pierre Buekens, Ariel Karolinski, Agustina Mazzoni, and Fernando Althabe

Subjects
Adult, Fetal Membranes, Premature Rupture, medicine.medical_specialty, Pediatrics, Blood transfusion, medicine.medical_treatment, Population, Argentina, Article, Magnesium Sulfate, Young Adult, Pre-Eclampsia, Pregnancy, Intensive care, Epidemiology, Humans, Medicine, education, education.field_of_study, Evidence-Based Medicine, Cesarean Section, Hospitals, Public, business.industry, Mortality rate, Public health, Obstetrics and Gynecology, General Medicine, Antibiotic Prophylaxis, medicine.disease, Obstetric Labor Complications, Obstetric labor complication, Maternal Mortality, Practice Guidelines as Topic, Emergency medicine, Puerperal Infection, Uruguay, Anticonvulsants, Female, Guideline Adherence, Uterine Hemorrhage, business
Abstract

Objective To review the use of evidence-based practices in the care of mothers who died or had severe morbidity attending public hospitals in two Latin American countries. Methods This study is part of a multicenter intervention to increase the use of evidence-based obstetric practice. Data on maternal deaths and women admitted to intensive care units whose deliveries occurred in 24 hospitals in Argentina and Uruguay were analyzed. Primary outcomes were use rates of effective interventions to reduce maternal mortality (MM) and severe maternal morbidity (SMM). Results A total of 106 women were included: 26 maternal deaths and 80 women with SMM. Some effective interventions for severe acute hemorrhage had a high use rate, such as blood transfusion (91%) and timely cesarean delivery (75%), while active management of the third stage of labor (25%) showed a lower rate. The overall use rate of effective interventions was 58% (95% CI, 49%–67%). This implies that 42% of the women did not receive one of the effective interventions to reduce MM and SMM. Conclusion This study shows a low use of effective interventions to reduce MM and SMM in public hospitals in Argentina and Uruguay. Dissemination and implementation of evidence-based practices must be guaranteed to effectively achieve progress on maternal health.

Published
2010
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2. W386 LIFE-THREATENING COMPLICATIONS ASSOCIATED WITH THE REPRODUCTIVE PROCESS: MULTICENTRE COLLABORATIVE RESEARCH TO IMPROVE THE MANAGEMENT OF SEVERE MATERNAL MORBIDITY AND REDUCE MATERNAL MORTALITY

Author

R.H. Winograd, Paula Micone, C. Ocampo, J.C. Nassif, A Messina, O.G. Fontana, Raúl Mercer, A. Mazzoni, and Ariel Karolinski

Subjects
Pediatrics, medicine.medical_specialty, business.industry, Reproductive process, medicine, Obstetrics and Gynecology, Maternal morbidity, General Medicine, Intensive care medicine, business
Published
2012
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5. Evidence‐based maternal and perinatal healthcare practices in public hospitals in Argentina

Author

Karolinski, Ariel, primary, Micone, Paula, additional, Mercer, Raúl, additional, Gibbons, Luz, additional, Althabe, Fernando, additional, Belizán, José M., additional, Messina, Analía, additional, Lapidus, Alicia, additional, Correa, Alberto, additional, Taddeo, Corina, additional, Lambruschini, Rodolfo, additional, Bertin, Marta, additional, Dibiase, Lucía, additional, Montes Varela, Dolores, additional, and Laterra, Cristina, additional

Published
2009
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6. Using Uniject to increase the use of prophylactic oxytocin for management of the third stage of labor in Latin America

Author

Althabe, Fernando, Mazzoni, Agustina, Cafferata, María L., Gibbons, Luz, Karolinski, Ariel, Armbruster, Deborah, Buekens, Pierre, Belizán, José M., Cafferata, María L, Belizán, José M, and Oxytocin in Uniject Study Group

Subjects
OXYTOCIN, LABOR (Obstetrics), MIDWIVES, HEMORRHAGE, THIRD trimester of pregnancy, PHYSIOLOGICAL control systems
Abstract

Objective: To evaluate a multifaceted intervention for effectiveness in increasing the use of prophylactic oxytocin by birth attendants (obstetricians, midwives, and nurses) working in small maternity hospitals in Argentina.Methods: A before-and-after quasi-experimental study was conducted in 5 small maternity hospitals. The study intervention consisted of training birth attendants in the active management of the third stage of labor, distributing oxytocin in Uniject (Hipofisina BIOL Uniject; Laboratorios BIOL, Buenos Aires, Argentina), and using posters as reminders. The primary outcome was the rate of prophylactic oxytocin use in the 6 months before and the 6 months of the intervention period. Secondary outcomes included use of controlled cord traction and uterine massage, and birth attendants' acceptance of the use of oxytocin in Uniject.Results: The use of prophylactic oxytocin showed a median rate of 14.6% at baseline and 85.6% during the intervention period. 96% of birth attendants reported that the Uniject device facilitated oxytocin 1 administration.Discussion: Prophylactic oxytocin in the third stage of labor is a beneficial intervention with current low use, particularly in low- and middle-income countries. If the results shown in the present study were further replicated, this strategy could be an effective method for improving prophylactic oxytocin use in other similar Latin American hospitals. [ABSTRACT FROM AUTHOR]

Published
2011
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