Journal article
Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis
RI Zahroh, A Hazfiarini, KE Eddy, JP Vogel, Ö Tunçalp, N Minckas, F Althabe, OT Oladapo, MA Bohren
Plos Medicine | Published : 2022
Open access
Abstract
Background Preterm birth-related complications are the leading cause of death in newborns and children under 5. Health outcomes of preterm newborns can be improved with appropriate use of antenatal corticosteroids (ACSs) to promote fetal lung maturity, tocolytics to delay birth, magnesium sulphate for fetal neuroprotection, and antibiotics for preterm prelabour rupture of membranes. However, there are wide disparities in the rate and consistency in the use of these interventions across settings, which may underlie the differential health outcomes among preterm newborns. We aimed to assess factors (barriers and facilitators) affecting the appropriate use of ACS, tocolytics, magnesium sulphate..
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Awarded by Bill and Melinda Gates Foundation
Awarded by Australian Research Council Discovery Early Career Researcher Award
Funding Acknowledgements
This research was made possible by the support of the Bill and Melinda Gates Foundation (Grant number: INV-005390) (OTO, JPV) and the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a co-sponsored programme executed by the World Health Organization (WHO), and the WHO Department of Maternal, Newborn, Child, Adolescent Health and Ageing (MAB). MAB's time is supported by an Australian Research Council Discovery Early Career Researcher Award (DE200100264) and a Dame Kate Campbell Fellowship (University of Melbourne Faculty of Medicine, Dentistry and Health Sciences). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.