Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings
Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings...
Ausführliche Beschreibung
Autor*in: |
Swanson, David L. [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2019transfer abstract |
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Umfang: |
9 |
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Übergeordnetes Werk: |
Enthalten in: Dissociating patterns of anterior and posterior hippocampal activity and connectivity during distinct forms of category fluency - Sheldon, Signy ELSEVIER, 2016transfer abstract, Philadelphia, Pa |
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Übergeordnetes Werk: |
volume:43 ; year:2019 ; number:5 ; pages:273-281 ; extent:9 |
Links: |
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DOI / URN: |
10.1053/j.semperi.2019.03.017 |
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Katalog-ID: |
ELV047208945 |
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245 | 1 | 0 | |a Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings |
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520 | |a Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. | ||
520 | |a Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. | ||
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700 | 1 | |a Swanson, Jonathan O. |4 oth | |
700 | 1 | |a Goldenberg, Robert L. |4 oth | |
700 | 1 | |a McClure, Elizabeth M. |4 oth | |
700 | 1 | |a Mirza, Waseem |4 oth | |
700 | 1 | |a Muyodi, David |4 oth | |
700 | 1 | |a Figueroa, Lester |4 oth | |
700 | 1 | |a Goldsmith, Nicole |4 oth | |
700 | 1 | |a Kanaiza, Nancy |4 oth | |
700 | 1 | |a Naqvi, Farnaz |4 oth | |
700 | 1 | |a Pineda, Irma Sayury |4 oth | |
700 | 1 | |a López-Gomez, Walter |4 oth | |
700 | 1 | |a Hamsumonde, Dorothy |4 oth | |
700 | 1 | |a Bolamba, Victor Lokomba |4 oth | |
700 | 1 | |a Newman, Jamie E. |4 oth | |
700 | 1 | |a Fogleman, Elizabeth V. |4 oth | |
700 | 1 | |a Saleem, Sarah |4 oth | |
700 | 1 | |a Esamai, Fabian |4 oth | |
700 | 1 | |a Bucher, Sherri |4 oth | |
700 | 1 | |a Liechty, Edward A. |4 oth | |
700 | 1 | |a Garces, Ana L. |4 oth | |
700 | 1 | |a Krebs, Nancy F. |4 oth | |
700 | 1 | |a Hambidge, K. Michael |4 oth | |
700 | 1 | |a Chomba, Elwyn |4 oth | |
700 | 1 | |a Bauserman, Melissa |4 oth | |
700 | 1 | |a Mwenechanya, Musaku |4 oth | |
700 | 1 | |a Carlo, Waldemar A. |4 oth | |
700 | 1 | |a Tshefu, Antoinette |4 oth | |
700 | 1 | |a Lokangaka, Adrien |4 oth | |
700 | 1 | |a Bose, Carl L. |4 oth | |
700 | 1 | |a Nathan, Robert O. |4 oth | |
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10.1053/j.semperi.2019.03.017 doi GBV00000000000663.pica (DE-627)ELV047208945 (ELSEVIER)S0146-0005(19)30042-4 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.71 bkl Swanson, David L. verfasserin aut Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings 2019transfer abstract 9 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Franklin, Holly L. oth Swanson, Jonathan O. oth Goldenberg, Robert L. oth McClure, Elizabeth M. oth Mirza, Waseem oth Muyodi, David oth Figueroa, Lester oth Goldsmith, Nicole oth Kanaiza, Nancy oth Naqvi, Farnaz oth Pineda, Irma Sayury oth López-Gomez, Walter oth Hamsumonde, Dorothy oth Bolamba, Victor Lokomba oth Newman, Jamie E. oth Fogleman, Elizabeth V. oth Saleem, Sarah oth Esamai, Fabian oth Bucher, Sherri oth Liechty, Edward A. oth Garces, Ana L. oth Krebs, Nancy F. oth Hambidge, K. Michael oth Chomba, Elwyn oth Bauserman, Melissa oth Mwenechanya, Musaku oth Carlo, Waldemar A. oth Tshefu, Antoinette oth Lokangaka, Adrien oth Bose, Carl L. oth Nathan, Robert O. oth Enthalten in Saunders Sheldon, Signy ELSEVIER Dissociating patterns of anterior and posterior hippocampal activity and connectivity during distinct forms of category fluency 2016transfer abstract Philadelphia, Pa (DE-627)ELV019924089 volume:43 year:2019 number:5 pages:273-281 extent:9 https://doi.org/10.1053/j.semperi.2019.03.017 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.71 Verkehrsmedizin VZ AR 43 2019 5 273-281 9 |
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10.1053/j.semperi.2019.03.017 doi GBV00000000000663.pica (DE-627)ELV047208945 (ELSEVIER)S0146-0005(19)30042-4 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.71 bkl Swanson, David L. verfasserin aut Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings 2019transfer abstract 9 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Franklin, Holly L. oth Swanson, Jonathan O. oth Goldenberg, Robert L. oth McClure, Elizabeth M. oth Mirza, Waseem oth Muyodi, David oth Figueroa, Lester oth Goldsmith, Nicole oth Kanaiza, Nancy oth Naqvi, Farnaz oth Pineda, Irma Sayury oth López-Gomez, Walter oth Hamsumonde, Dorothy oth Bolamba, Victor Lokomba oth Newman, Jamie E. oth Fogleman, Elizabeth V. oth Saleem, Sarah oth Esamai, Fabian oth Bucher, Sherri oth Liechty, Edward A. oth Garces, Ana L. oth Krebs, Nancy F. oth Hambidge, K. Michael oth Chomba, Elwyn oth Bauserman, Melissa oth Mwenechanya, Musaku oth Carlo, Waldemar A. oth Tshefu, Antoinette oth Lokangaka, Adrien oth Bose, Carl L. oth Nathan, Robert O. oth Enthalten in Saunders Sheldon, Signy ELSEVIER Dissociating patterns of anterior and posterior hippocampal activity and connectivity during distinct forms of category fluency 2016transfer abstract Philadelphia, Pa (DE-627)ELV019924089 volume:43 year:2019 number:5 pages:273-281 extent:9 https://doi.org/10.1053/j.semperi.2019.03.017 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.71 Verkehrsmedizin VZ AR 43 2019 5 273-281 9 |
allfields_unstemmed |
10.1053/j.semperi.2019.03.017 doi GBV00000000000663.pica (DE-627)ELV047208945 (ELSEVIER)S0146-0005(19)30042-4 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.71 bkl Swanson, David L. verfasserin aut Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings 2019transfer abstract 9 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Franklin, Holly L. oth Swanson, Jonathan O. oth Goldenberg, Robert L. oth McClure, Elizabeth M. oth Mirza, Waseem oth Muyodi, David oth Figueroa, Lester oth Goldsmith, Nicole oth Kanaiza, Nancy oth Naqvi, Farnaz oth Pineda, Irma Sayury oth López-Gomez, Walter oth Hamsumonde, Dorothy oth Bolamba, Victor Lokomba oth Newman, Jamie E. oth Fogleman, Elizabeth V. oth Saleem, Sarah oth Esamai, Fabian oth Bucher, Sherri oth Liechty, Edward A. oth Garces, Ana L. oth Krebs, Nancy F. oth Hambidge, K. Michael oth Chomba, Elwyn oth Bauserman, Melissa oth Mwenechanya, Musaku oth Carlo, Waldemar A. oth Tshefu, Antoinette oth Lokangaka, Adrien oth Bose, Carl L. oth Nathan, Robert O. oth Enthalten in Saunders Sheldon, Signy ELSEVIER Dissociating patterns of anterior and posterior hippocampal activity and connectivity during distinct forms of category fluency 2016transfer abstract Philadelphia, Pa (DE-627)ELV019924089 volume:43 year:2019 number:5 pages:273-281 extent:9 https://doi.org/10.1053/j.semperi.2019.03.017 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.71 Verkehrsmedizin VZ AR 43 2019 5 273-281 9 |
allfieldsGer |
10.1053/j.semperi.2019.03.017 doi GBV00000000000663.pica (DE-627)ELV047208945 (ELSEVIER)S0146-0005(19)30042-4 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.71 bkl Swanson, David L. verfasserin aut Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings 2019transfer abstract 9 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Franklin, Holly L. oth Swanson, Jonathan O. oth Goldenberg, Robert L. oth McClure, Elizabeth M. oth Mirza, Waseem oth Muyodi, David oth Figueroa, Lester oth Goldsmith, Nicole oth Kanaiza, Nancy oth Naqvi, Farnaz oth Pineda, Irma Sayury oth López-Gomez, Walter oth Hamsumonde, Dorothy oth Bolamba, Victor Lokomba oth Newman, Jamie E. oth Fogleman, Elizabeth V. oth Saleem, Sarah oth Esamai, Fabian oth Bucher, Sherri oth Liechty, Edward A. oth Garces, Ana L. oth Krebs, Nancy F. oth Hambidge, K. Michael oth Chomba, Elwyn oth Bauserman, Melissa oth Mwenechanya, Musaku oth Carlo, Waldemar A. oth Tshefu, Antoinette oth Lokangaka, Adrien oth Bose, Carl L. oth Nathan, Robert O. oth Enthalten in Saunders Sheldon, Signy ELSEVIER Dissociating patterns of anterior and posterior hippocampal activity and connectivity during distinct forms of category fluency 2016transfer abstract Philadelphia, Pa (DE-627)ELV019924089 volume:43 year:2019 number:5 pages:273-281 extent:9 https://doi.org/10.1053/j.semperi.2019.03.017 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.71 Verkehrsmedizin VZ AR 43 2019 5 273-281 9 |
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10.1053/j.semperi.2019.03.017 doi GBV00000000000663.pica (DE-627)ELV047208945 (ELSEVIER)S0146-0005(19)30042-4 DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ 44.71 bkl Swanson, David L. verfasserin aut Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings 2019transfer abstract 9 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. Franklin, Holly L. oth Swanson, Jonathan O. oth Goldenberg, Robert L. oth McClure, Elizabeth M. oth Mirza, Waseem oth Muyodi, David oth Figueroa, Lester oth Goldsmith, Nicole oth Kanaiza, Nancy oth Naqvi, Farnaz oth Pineda, Irma Sayury oth López-Gomez, Walter oth Hamsumonde, Dorothy oth Bolamba, Victor Lokomba oth Newman, Jamie E. oth Fogleman, Elizabeth V. oth Saleem, Sarah oth Esamai, Fabian oth Bucher, Sherri oth Liechty, Edward A. oth Garces, Ana L. oth Krebs, Nancy F. oth Hambidge, K. Michael oth Chomba, Elwyn oth Bauserman, Melissa oth Mwenechanya, Musaku oth Carlo, Waldemar A. oth Tshefu, Antoinette oth Lokangaka, Adrien oth Bose, Carl L. oth Nathan, Robert O. oth Enthalten in Saunders Sheldon, Signy ELSEVIER Dissociating patterns of anterior and posterior hippocampal activity and connectivity during distinct forms of category fluency 2016transfer abstract Philadelphia, Pa (DE-627)ELV019924089 volume:43 year:2019 number:5 pages:273-281 extent:9 https://doi.org/10.1053/j.semperi.2019.03.017 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA 44.71 Verkehrsmedizin VZ AR 43 2019 5 273-281 9 |
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Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings |
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Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. |
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Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. |
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Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach. |
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Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings |
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The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach.</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Franklin, Holly L.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Swanson, Jonathan O.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Goldenberg, Robert L.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">McClure, Elizabeth M.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Mirza, Waseem</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Muyodi, David</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Figueroa, Lester</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Goldsmith, Nicole</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Kanaiza, Nancy</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Naqvi, Farnaz</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Pineda, Irma Sayury</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">López-Gomez, Walter</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hamsumonde, Dorothy</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bolamba, Victor Lokomba</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Newman, Jamie E.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Fogleman, Elizabeth V.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Saleem, Sarah</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Esamai, Fabian</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bucher, Sherri</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Liechty, Edward A.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Garces, Ana L.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Krebs, Nancy F.</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hambidge, K. 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