A behavioral intervention to improve obstetrical careFernando Althabe
Institute of Clinical Effectiveness and Health Policy, Buenos Aires, Argentina
N Engl J Med 358:1929-40. 2008
..Implementation of evidence-based obstetrical practices remains a significant challenge. Effective strategies to disseminate and implement such practices are needed...
Caesarean section: the paradoxFernando Althabe
Perinatal Research Unit, Montevideo, Uruguay
Lancet 368:1472-3. 2006
[Smoking during pregnancy in Argentina and Uruguay]Fernando Althabe
Instituto de Efectividad Clínica y Sanitaria IECS, Buenos Aires, Argentina
Medicina (B Aires) 68:48-54. 2008
..For the development of a new program, any intervention intending to have at least a moderate and sustainable success, it should seriously consider including components targeting the smoking environment of the pregnant women who smoke...
Strategies for improving the quality of health care in maternal and child health in low- and middle-income countries: an overview of systematic reviewsFernando Althabe
Institute for Clinical Effectiveness and Health Policy IECS, Buenos Aires, Argentina
Paediatr Perinat Epidemiol 22:42-60. 2008
..This requires a governance structure that clearly assigns responsibility for quality-improvement activities, priority setting, selection and design of interventions, and evaluation...
A pilot randomized controlled trial of controlled cord traction to reduce postpartum blood lossFernando Althabe
Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina
Int J Gynaecol Obstet 107:4-7. 2009
..To evaluate whether controlled cord traction (CCT) for management of the third stage of labor reduced postpartum blood loss compared with a "hands-off" management protocol...
Evidence-based maternal and perinatal healthcare practices in public hospitals in ArgentinaAriel Karolinski
Population Health Research Center CISAP, Durand Hospital, Buenos Aires, Argentina
Int J Gynaecol Obstet 105:118-22. 2009
..To investigate the use of beneficial maternal and perinatal healthcare practices in a network of public maternity hospitals in Argentina...
Lost opportunities for effective management of obstetric conditions to reduce maternal mortality and severe maternal morbidity in Argentina and UruguayAriel Karolinski
Population Health Research Center CISAP Centro de Investigación en Salud Poblacional, Durand Hospital, Buenos Aires, Argentina
Int J Gynaecol Obstet 110:175-80. 2010
..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...
Health inequality in Latin AmericaJose M Belizan
Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina
Lancet 370:1599-600. 2007
Use of prenatal corticosteroids for preterm birth in three Latin American countriesAlicia Aleman Riganti
Department of Preventive Medicine, University of Uruguay, Montevideo, Uruguay
Int J Gynaecol Obstet 108:52-7. 2010
..To determine the prevalence of the use of prenatal corticosteroids in women who delivered prematurely in 3 Latin American counties and to evaluate the maternal characteristics associated with use...
Using Uniject to increase the use of prophylactic oxytocin for management of the third stage of labor in Latin AmericaFernando Althabe
Institute for Clinical Effectiveness and Health Policy, IECS, Buenos Aires, Argentina
Int J Gynaecol Obstet 114:184-9. 2011
..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...
Facilitators and barriers to adoption of evidence-based perinatal care in Latin American hospitals: a qualitative studyMaria Belizan
Institute for Clinical Effectiveness ealth Policy, Buenos Aires, Argentina
Health Educ Res 22:839-53. 2007
..Improving information access, use of role models, skill development and improved resources and support may be effective ways to overcome barriers to change in Latin American obstetric care...
Neonatal death in low- to middle-income countries: a global network studyJose M Belizan
Institute for Clinical Effectiveness, Buenos Aires, Argentina
Am J Perinatol 29:649-56. 2012
..To determine population-based neonatal mortality rates in low- and middle-income countries and to examine gestational age, birth weight, and timing of death to assess the potentially preventable neonatal deaths...
Cesarean section rates and maternal and neonatal mortality in low-, medium-, and high-income countries: an ecological studyFernando Althabe
Perinatal Research Unit, Hospital de Clinicas, Montevideo, Uruguay
Birth 33:270-7. 2006
....
Use of oxytocin during early stages of labor and its effect on active management of third stage of laborClaudio G Sosa
Department of Obstetrics and Gynecology, School of Medicine, University of Uruguay, Montevideo, Uruguay
Am J Obstet Gynecol 204:238.e1-5. 2011
....
Risk factors for postpartum hemorrhage in vaginal deliveries in a Latin-American populationClaudio G Sosa
Perinatal Research Unit, School of Medicine, University of Uruguay, Montevideo, Uruguay
Obstet Gynecol 113:1313-9. 2009
..To identify risk factors for immediate postpartum hemorrhage after vaginal delivery in a South American population...
Interest of pregnant women in the use of SMS (short message service) text messages for the improvement of perinatal and postnatal careGabriela Cormick
Department of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy, Dr Emilio Ravignani 2024, Buenos Aires, C1414CPV, Argentina
Reprod Health 9:9. 2012
..This information is not available and it is the basis to develop a strategy for improving maternal care via cell phones...
Antenatal corticosteroids trial in preterm births to increase neonatal survival in developing countries: study protocolFernando Althabe
Institute for Clinical Effectiveness and Health Policy IECS, Dr Emilio Ravignani 2024, Buenos Aires, C1414CPV, Argentina
Reprod Health 9:22. 2012
..In both intervention and control clusters, health providers will be trained in essential newborn care for low birth weight babies. The primary outcome is neonatal mortality at 28 days of life in preterm infants...
Use of a rapid test on umbilical cord blood to screen for Trypanosoma cruzi infection in pregnant women in Argentina, Bolivia, Honduras, and MexicoSergio Sosa-Estani
Instituto de Efectividad Clínica y Sanitaria, Centro Nacional de Diagnóstico e Investigación de Endemoepidemias CeNDIE ANLIS Dr Carlos G Malbrán, Ministerio de Salud, Buenos Aires, Argentina
Am J Trop Med Hyg 79:755-9. 2008
..6% and 99.0%, respectively. These results show the ability for a rapid determination of the presence of T. cruzi-specific antibodies in umbilical cord blood as a pragmatic strategy to screen for infection in pregnant women...
Health consequences of the increasing caesarean section ratesJose M Belizan
Department of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy IECS, Buenos Aires, Argentina
Epidemiology 18:485-6. 2007
..Testing of interventions to reduce unnecessary C-sections is also needed, with strategies to enhance the role of women in the process of their obstetric care...
Mandatory second opinion to reduce rates of unnecessary caesarean sections in Latin America: a cluster randomised controlled trialFernando Althabe
Latin American Center for Perinatology, Pan American Health Organization, WHO, Montevideo, Uruguay
Lancet 363:1934-40. 2004
....
Preferences for mode of delivery in nulliparous Argentinean women: a qualitative studyNancy H Liu
Institute for Clinical Effectiveness and Health Policy IECS, Dr, Emilio Ravignani 2024, C1414CPV, Buenos Aires, Argentina
Reprod Health 10:2. 2013
..abstract:..
Inequities in the use of cesarean section deliveries in the worldLuz Gibbons
Department of Maternal and Child Health, Institute of Clinical Effectiveness and Health Policy, Buenos Aires, Argentina
Am J Obstet Gynecol 206:331.e1-19. 2012
..The purpose of this study was to describe the unequal distribution in the performance of cesarean section delivery (CS) in the world and the resource-use implications of such inequity...
[Practices of maternal and perinatal care performed in public hospitals of Uruguay]Mercedes Colomar
, , , Montevideo, Uruguay
Ginecol Obstet Mex 72:455-65. 2004
..CONCLUSIONS: Some evidence-based beneficial health care practices are still not routinely implemented in public hospitals. Ineffective and even harmful practices are still used...
Tobacco use and secondhand smoke exposure during pregnancy: an investigative survey of women in 9 developing nationsMichele Bloch
Tobacco Control Research Branch, National Cancer Institute, Executive Plaza North, Room 4038, 6130 Executive Blvd, MSC 7337, Bethesda, MD 20892 7337, USA
Am J Public Health 98:1833-40. 2008
..We examined pregnant women's use of cigarettes and other tobacco products and the exposure of pregnant women and their young children to secondhand smoke (SHS) in 9 nations in Latin America, Asia, and Africa...
Episiotomy rates in primiparous women in Latin America: hospital based descriptive studyFernando Althabe
Latin American Center for Perinatology, Pan American Health Organization, World Health Organization, Casilla de Correos 627, Montevideo 11000, Uruguay
BMJ 324:945-6. 2002
Abortion debate in Latin America and beyondMabel Bianco
Lancet 370:1309-10. 2007
The global network: a prospective study of stillbirths in developing countriesElizabeth M McClure
Research Triangle Institute, Research Triangle Park, NC 27709, USA
Am J Obstet Gynecol 197:247.e1-5. 2007
..Our goal was to determine stillbirth rates in a multisite population-based study in community settings in the developing world...
Maternal survival: more research is neededJose M Belizan
Lancet 368:2123-4. 2006