The burden of and factors associated with misclassification of intrapartum stillbirth: evidence from a large scale multi ‐centric observational study

We examined the misclassification of documented intrapartum stillbirth and factors associated with misclassification.Material and methodsA prospective observational study was performed in 12 public hospitals in Nepal. Data was extracted from the medical records of all births that occurred during six ‐month period of the study. For the study purpose, we classified birth outcome based on the presence of fetal heart sound (FHS) at admission and use of neonatal resuscitation. The health worker documented Intrapartum stillbirths were considered potentially misclassified when there were FHS present at admission and no resuscitation initiated after birth. The association between potentially misclassified intrapartum stillbirth and complications during labour, birth weight and gestational age was assessed using Pearson's chi‐square test, bi‐variate and multi‐variate logistic regression.ResultsA total of 39,562 mother ‐infant dyads were enrolled in the study, all of whom had FHS at admission. Among the 391 intrapartum stillbirths, recorded during the study, 180 (46.0%) of them had FHS at admission with no resuscitation initiated after birth and were considered potentially misclassified intrapartum stillbirths. Among these potentially misclassified intrapartum stillbirths, 170 (43.5%) had FHS present 15 minutes before birth, while 10 had no FHS 15 minutes before birth Among the potentially misclassified intrapartum stillbirths, 23.3% had complications during labour, 93.3% had...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Related Links:

Nanorobots swimming in blood vessels, in silico clinical trials instead of experimenting with drugs on animals and people, remote brain surgeries with the help of 5G networks – the second part of our shortlist on some astonishing ideas and innovations that could give us a glimpse into the future of medicine is ready for you to digest. Here, we’re going beyond the first part with medical tricorders, the CRISPR/Cas-9 gene-editing method, and other futuristic medical technologies to watch for. 11) In silico clinical trials against testing drugs on animals As technologies transform every aspect of healthcare,...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Artificial Intelligence E-Patients Future of Medicine Future of Pharma Genomics Health Sensors & Trackers 3d printing AI bioprinting blockchain clinical trials CRISPR digital digital health drug development genetics Innovat Source Type: blogs
The tech start-up scene, investors, and news-reading audiences reward great stories on the edge of human capabilities – sometimes even on the boundary of science and science fiction – with their attention, money, or invested energy. However, sometimes marketing machines are better than actual technologies, and the ‘little bubbles’ around companies burst. Here, we collected the most promising digital health ideas and companies over the years that proved to be the greatest flops in medical innovation so far. ‘Big little bubbles’ that turned into digital health failures Humans love g...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Future of Medicine Health Sensors & Trackers AI artificial intelligence companies development device digital digital health digital health market gadgets google google glass hype Innovation invention medical device promis Source Type: blogs
Smoke-measuring smart shirts, breath sound analyzing algorithms, and smart inhalers pave the way of pulmonology and respiratory care into the future. As the number of patients suffering from asthma, COPD, or lung cancer due to rising air pollution and steady smoker-levels will unfortunately not decrease any time soon, we looked around what technology can do to help both patients and caregivers. The results are breathtaking. Attacks of breathlessness are too common The diseases which pulmonologists and respiratory care specialists attempt to fight are among the most common conditions in the modern world – and t...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Artificial Intelligence Future of Medicine Health Sensors & Trackers AI asthma cancer cancer treatment care COPD diagnostics inhaler lung lung cancer management medical specialty pulmonology respiratory respiratory care Source Type: blogs
8/21/2019Mandy Cohen, M.D., MPH,Secretary, NC Department of Health and Human Services2001 Mail Service CenterRaleigh, N.C. 27699-2000Re: Randolph Hospital, Asheboro“I sat with my Anger long enough . . . until she told me her real name was Grief.”-UnknownDr. Cohen,A friend of a friend connected me to Sam Hedrick – who advised that if I composed a letter and e-mailed it to her, it would be put into the hands of the Secretary. This finished product is three weeks later than planned . . . because I briefly faltered . . . wondering (for good reason), “What IS the point?”. But I ...
Source: Dr.J's HouseCalls - Category: American Health Source Type: blogs
This is a guest post from one of our patients. She is 32 and recently froze her eggs at Malpani Infertility ClinicOur 20 ’s and early 30's may be theeasiest time to have a baby but it's not always the best time - for a lot of good reasons. We are at the top of our career and want to grow professionally; we want to prepare emotionally and financially to be parents ; and we are unwilling to settle for Mr. RightNow instead of Mr. Right.The problem is that the biological clock is ticking on - and we can hear it loud and clear ! The good news is that with a little medical help , we can freeze time , to plan for the future...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Experts want to boost consumption to prevent birth defects Related items fromOnMedica Doctors demand action on drinking in pregnancy UK failure to fortify flour with folic acid has caused 2,000+ cases of neural tube defect Artificial sweeteners in pregnancy linked to fatter babies Scans show severe brain damage in Zika-affected babies Poor nutrition in pregnancy ages baby ’s heart
Source: OnMedica Latest News - Category: UK Health Source Type: news
In a world of social companion robots, chatbots, or artificial intelligence buddies, adults have the responsibility to teach kids well how to live a healthy life with the available technologies, how to balance between the online and the offline world, how to keep their mental stability in the face of innovations. As it’s an awfully difficult job, we collected examples where digital health technology could help and in which areas should analog methods prevail. The land where kindergarteners play with the texture of raspberry When was the last time you paid attention to the crunching sounds while eating a raw ca...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Future of Medicine Health Sensors & Trackers apps children cognitive health digital health digital literacy eating fitness health apps health literacy healthy eating healthy lifestyle Innovation kids mental health physical Source Type: blogs
ConclusionHigh rates of detection are mainly due to low rates of referral when indicated and possibly parental anxiety about a CHD diagnosis.
Source: Journal of the Saudi Heart Association - Category: Cardiology Source Type: research
We describe one such approach, albumin binding, and explain how it was applied in the development of the human GLP-1 analog liraglutide once daily and, subsequently, semaglutide once weekly. The pharmacology of these two long-acting GLP-1 analogs, in terms of improving glycemic control, reducing body weight and decreasing cardiovascular (CV) risk, is also reviewed, together with some novel biology. In addition, we describe the importance of accurate target (GLP-1 receptor) tissue expression analysis. Now an established class of agents, GLP-1-based therapies represent a significant advance in the treatment of T2D. All curr...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
Xin Hu1, Chu Zhuang1, Fei Wang1, Yong-Jin Liu2, Chang-Hwan Im3 and Dan Zhang1* 1Department of Psychology, Tsinghua University, Beijing, China 2Department of Computer Science and Technology, Tsinghua University, Beijing, China 3Department of Biomedical Engineering, Hanyang University, Seoul, South Korea The behavioral differentiation of positive emotions has recently been studied in terms of their discrete adaptive functions or appraising profiles. Some preliminary neurophysiological evidences have been found with electroencephalography or autonomic nervous system measurements such as heart rate, skin conductanc...
Source: Frontiers in Human Neuroscience - Category: Neuroscience Source Type: research
More News: Babies | Babies Heart Conditions | Cardiology | Chia | Heart | Nepal Health | OBGYN | Perinatology & Neonatology | PET Scan | Study