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Your search keyword '"Guha, Moytrayee"' showing total 18 results
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18 results on '"Guha, Moytrayee"'

10. Postpartum hemorrhage care bundles to improve adherence to guidelines: A WHO technical consultation.

Author

Althabe, Fernando, Therrien, Michelle N.S., Pingray, Veronica, Hermida, Jorge, Gülmezoglu, Ahmet M., Armbruster, Deborah, Singh, Neelima, Guha, Moytrayee, Garg, Lorraine F., Souza, Joao P., Smith, Jeffrey M., Winikoff, Beverly, Thapa, Kusum, Hébert, Emmanuelle, Liljestrand, Jerker, Downe, Soo, Garcia Elorrio, Ezequiel, Arulkumaran, Sabaratnam, Byaruhanga, Emmanuel K., and Lissauer, David M.

Published
2020
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12. Global fund needed for STEM education

Author

Muindi, Fanuel and Guha, Moytrayee

Subjects
Environmental issues, Science and technology, Zoology and wildlife conservation
Abstract

To be competitive in today's global economy, developing countries need a workforce with a strong education in science, technology, engineering and mathematics (STEM). While the post-2015 United Nations development agenda [...]

Published
2014

17. Quality of care for postpartum hemorrhage: A direct observation study in referral hospitals in Kenya.

Author

Clarke-Deelder E, Opondo K, Achieng E, Garg L, Han D, Henry J, Guha M, Lightbourne A, Makin J, Miller N, Otieno B, Borovac-Pinheiro A, Suarez-Rebling D, Menzies NA, Burke T, Oguttu M, McConnell M, and Cohen J

Abstract

Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in Kenya. The aim of this study was to measure quality and timeliness of care for PPH in a sample of deliveries in referral hospitals in Kenya. We conducted direct observations of 907 vaginal deliveries in three Kenyan hospitals from October 2018 through February 2019, observing the care women received from admission for labor and delivery through hospital discharge. We identified cases of "suspected PPH", defined as cases in which providers indicated suspicion of and/or took an action to manage abnormal bleeding. We measured adherence to World Health Organization and Kenyan guidelines for PPH risk assessment, prevention, identification, and management and the timeliness of care in each domain. The rate of suspected PPH among the observed vaginal deliveries was 9% (95% Confidence Interval: 7% - 11%). Health care providers followed all guidelines for PPH risk assessment in 7% (5% - 10%) of observed deliveries and all guidelines for PPH prevention in 4% (3% - 6%) of observed deliveries. Lowest adherence was observed for taking vital signs and for timely administration of a prophylactic uterotonic. Providers did not follow guidelines for postpartum monitoring in any of the observed deliveries. When suspected PPH occurred, providers performed all recommended actions in 23% (6% - 40%) of cases. Many of the critical actions for suspected PPH were performed in a timely manner, but, in some cases, substantial delays were observed. In conclusion, we found significant gaps in the quality of risk assessment, prevention, identification, and management of PPH after vaginal deliveries in referral hospitals in Kenya. Efforts to reduce maternal morbidity and mortality from PPH should emphasize improvements in the quality of care, with a particular focus on postpartum monitoring and timely emergency response., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Clarke-Deelder et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Published
2023
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18. Time for global scale-up, not randomized trials, of uterine balloon tamponade for postpartum hemorrhage.

Author

Burke TF, Thapa K, Shivkumar P, Tarimo V, Oguttu M, Garg L, Pande S, Fidvi J, Bangal V, Ochoa J, Amatya A, Eckardt M, Horo A, Rogo K, Kedar K, Manasyan A, Khalatkar P, Ku S, Seim A, Suarez S, Guha M, Abdalla K, Fuchtner C, Escobar MF, and Arulkumaran S

Subjects
Female, Humans, Pregnancy, Randomized Controlled Trials as Topic, Treatment Outcome, Postpartum Hemorrhage therapy, Uterine Balloon Tamponade methods
Published
2018
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