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dc.contributor.author
Althabe, Fernando
dc.contributor.author
Berrueta, Amanda Mabel
dc.contributor.author
Hemingway Foday, Jennifer
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Mazzoni, Agustina
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Bonorino, Carolina Astoul
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Gowdak, Andrea
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Gibbons, Luz
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Bellad, M. B.
dc.contributor.author
Metgud, M. C.
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Goudar, Shivaprasad
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Kodkany, Bhalchandra S.
dc.contributor.author
Derman, Richard J.
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Saleem, Sarah
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Iqbal, Samina
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Ala, Syed Hasan
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Goldenberg, Robert L.
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Chomba, Elwyn
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Manasyan, Albert
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Chiwila, Melody
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Imenda, Edna
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Mbewe, Florence
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Tshefu, Antoinette
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Lokomba, Victor
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Bose, Carl L.
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Moore, Janet
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Meleth, Sreelatha
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McClure, Elizabeth M.
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Koso Thomas, Marion
dc.contributor.author
Buekens, Pierre
dc.contributor.author
Belizan, Jose
dc.date.available
2018-03-12T21:34:50Z
dc.date.issued
2015-03
dc.identifier.citation
Althabe, Fernando; Berrueta, Amanda Mabel; Hemingway Foday, Jennifer; Mazzoni, Agustina; Bonorino, Carolina Astoul; et al.; A color-coded tape for uterine height measurement: A tool to identify preterm pregnancies in low resource settings; Public Library of Science; Plos One; 10; 3; 3-2015; 1-13
dc.identifier.issn
1932-6203
dc.identifier.uri
http://hdl.handle.net/11336/38633
dc.description.abstract
Introduction: Neonatal mortality associated with preterm birth can be reduced with antenatal corticosteroids (ACS), yet <10% of eligible pregnant women in low-middle income countries. The inability to accurately determine gestational age (GA) leads to under-identification of high-risk women who could receive ACS or other interventions. To facilitate better identification in low-resource settings, we developed a color-coded tape for uterine height (UH) measurement and estimated its accuracy identifying preterm pregnancies. Methods: We designed a series of colored-coded tapes with segments corresponding to UH measurements for 20-23.6 weeks, 24.0-35.6 weeks, and >36.0 weeks GA. In phase 1, UH measurements were collected prospectively in the Democratic Republic of Congo, India and Pakistan, using distinct tapes to address variation across regions and ethnicities. In phase 2, we tested accuracy in 250 pregnant women with known GA from early ultrasound enrolled at prenatal clinics in Argentina, India, Pakistan and Zambia. Providers masked to the ultrasound GA measured UH. Receiver operating characteristics (ROC) analysis was conducted. Results: 1,029 pregnant women were enrolled. In all countries the tapes were most effective identifying pregnancies between 20.0-35.6 weeks, compared to the other GAs. The ROC areas under the curves and 95% confidence intervals were: Argentina 0.69 (0.63, 0.74); Zambia 0.72 (0.66, 0.78), India 0.84 (0.80, 0.89), and Pakistan 0.83 (0.78, 0.87). The sensitivity and specificity (and 95% confidence intervals) for identifying pregnancies between 20.0-35.6 weeks, respectively, were: Argentina 87% (82%-92%) and 51% (42%-61%); Zambia 91% (86%-95%) and 50% (40%-60%); India 78% (71%-85%) and 89% (83%-94%); Pakistan 63% (55%-70%) and 94% (89% -99%). Conclusions: We observed moderate-good accuracy identifying pregnancies ≤35.6 weeks gestation, with potential usefulness at the community level in low-middle income countries to facilitate the preterm identification and interventions to reduce preterm neonatal mortality. Further research is needed to validate these findings on a population basis.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Public Library of Science
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Uterine Height
dc.subject.classification
Salud Ocupacional
dc.subject.classification
Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
A color-coded tape for uterine height measurement: A tool to identify preterm pregnancies in low resource settings
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-03-08T19:01:05Z
dc.journal.volume
10
dc.journal.number
3
dc.journal.pagination
1-13
dc.journal.pais
Estados Unidos
dc.journal.ciudad
San Francisco
dc.description.fil
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Berrueta, Amanda Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Hemingway Foday, Jennifer. Rti International; Estados Unidos
dc.description.fil
Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Bonorino, Carolina Astoul. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Gowdak, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Bellad, M. B.. Jawaharlal Nehru Medical College Belgaum; India
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Fil: Metgud, M. C.. Jawaharlal Nehru Medical College Belgaum; India
dc.description.fil
Fil: Goudar, Shivaprasad. Jawaharlal Nehru Medical College Belgaum; India
dc.description.fil
Fil: Kodkany, Bhalchandra S.. Jawaharlal Nehru Medical College Belgaum; India
dc.description.fil
Fil: Derman, Richard J.. Christiana Care Health System; Estados Unidos
dc.description.fil
Fil: Saleem, Sarah. The Aga Khan University; Pakistán
dc.description.fil
Fil: Iqbal, Samina. Sobhraj Maternity Hospital; Pakistán
dc.description.fil
Fil: Ala, Syed Hasan. Sindh Government Qatar Hospital; Pakistán
dc.description.fil
Fil: Goldenberg, Robert L.. Columbia University; Estados Unidos
dc.description.fil
Fil: Chomba, Elwyn. University Teaching Hospital Lusaka; Zambia
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Fil: Manasyan, Albert. University of North Carolina; Estados Unidos. Centre For Infectious Disease Research In Zambia; Zambia
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Fil: Chiwila, Melody. University Teaching Hospital Lusaka; Zambia
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Fil: Imenda, Edna. University Teaching Hospital Lusaka; Zambia
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Fil: Mbewe, Florence. University Teaching Hospital Lusaka; Zambia
dc.description.fil
Fil: Tshefu, Antoinette. Kinshasa School Of Public Health; República Democrática del Congo
dc.description.fil
Fil: Lokomba, Victor. Kinshasa School Of Public Health; República Democrática del Congo
dc.description.fil
Fil: Bose, Carl L.. University of North Carolina; Estados Unidos
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Fil: Moore, Janet. Rti International; Estados Unidos
dc.description.fil
Fil: Meleth, Sreelatha. Rti International; Estados Unidos
dc.description.fil
Fil: McClure, Elizabeth M.. Rti International; Estados Unidos
dc.description.fil
Fil: Koso Thomas, Marion. Eunice Kennedy Shriver NICHD; Estados Unidos
dc.description.fil
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
dc.description.fil
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.journal.title
Plos One
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0117134
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1371/journal.pone.0117134
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