Health Condition 1: O099- Supervision of high risk pregnancy, unspecified
Conditions
Interventions
Intervention1: Umbiflow continuous-wave Doppler device: Umbiflow is a handheld, mobile continuous-wave Doppler ultrasound device, which consists of a handheld proprietary Doppler probe (transducer) wi
Sponsors
World Health Organization
Eligibility
Inclusion criteria
Inclusion criteria: 1. Singleton pregnancy 2. Accurate gestational age between more than or equal to 28 weeks 0 days and less than or equal to 34 weeks 0 daysâ?? gestation. 3. Women expected to give birth in study hospital or its catchment area 4. Women currently considered as â??low riskâ?? according to local antenatal care guidelines
Exclusion criteria
Exclusion criteria: 1. Multiple pregnancy 2. Women not expected to give birth in study hospital or likely to migrate from its catchment area 3. Pregnant women who are incapable of giving informed consent or assent for any reason.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of Abnormal flow indices as assessed by Umbiflow-resistance Index, pulsatility index, systolic or diastolic ratio Prevalence of Absent End Diastolic FlowTimepoint: 28 weeks of gestation to 7 days postpartum | — |
Secondary
| Measure | Time frame |
|---|---|
| Birth outcomes 1 Onset of labour (spontaneous or induced) 2 Mode of birth-vaginal, assisted vaginal or caesarean 3 Gestational age at birth 4 Birthweight Timepoint: until 7 days postpartum;Fetal and neonatal outcomes 1 Stillbirth- macerated and fresh stillbirth more than or equal to 28 weeks gestation 2 Early neonatal death 3 Perinatal mortality-stillbirths and early neonatal deaths 4 Small for Gestational Age -Birthweight less than 10th centile according to local growth charts 5 Ponderal indexTimepoint: up to day 7 postnatal or discharge;Maternal pregnancy outcomes 1 Maternal morbidity outcomes 2 Maternal mortalityTimepoint: 28 weeks of gestation to 7 days postpartum;Use of investigations, interventions and health systems outcomes 1 Referral of women to higher level of care 2 Completed referral 3 Number, timing and care provider of antenatal care visits 4 Hospital admission 5 Number, timing and findings of ultrasound assessments-like biophysical profile, UA Doppler 6 Antenatal corticosteroids 7 Planned provider-initiated deliveryTimepoint: 28 weeks of gestation to 7 days postpartum | — |
Countries
Ghana, India, Kenya, Rwanda, South Africa
Contacts
Public ContactDr Yeshita V Pujar
J N Medical College
Outcome results
None listed