Preterm birth in low-middle income Countries

Preterm birth (PTB), remains a major cause of significant morbidity and mortality world-wide with about 12–15million preterm births occurring every year. Although the overall trend is decreasing, this is mainly in high-income countries (HIC). The rate remains high in low-and middle-income countries...

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Main Author: Alim, Swarray-Deen (author)
Other Authors: Sepenu, Perez (author), Mensah, Teresa E. (author), Osei-Agyapong, Jeff (author), Sefogah, Promise E. (author), Appiah-Sakyi, Kwabena (author), Ahmed, Badreldeen (author), Konje, Justin C. (author)
Format: article
Published: 2024
Subjects:
Online Access:http://dx.doi.org/10.1016/j.bpobgyn.2024.102518
https://www.sciencedirect.com/science/article/pii/S1521693424000646
http://hdl.handle.net/10576/60796
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author Alim, Swarray-Deen
author2 Sepenu, Perez
Mensah, Teresa E.
Osei-Agyapong, Jeff
Sefogah, Promise E.
Appiah-Sakyi, Kwabena
Ahmed, Badreldeen
Konje, Justin C.
author2_role author
author
author
author
author
author
author
author_facet Alim, Swarray-Deen
Sepenu, Perez
Mensah, Teresa E.
Osei-Agyapong, Jeff
Sefogah, Promise E.
Appiah-Sakyi, Kwabena
Ahmed, Badreldeen
Konje, Justin C.
author_role author
dc.creator.none.fl_str_mv Alim, Swarray-Deen
Sepenu, Perez
Mensah, Teresa E.
Osei-Agyapong, Jeff
Sefogah, Promise E.
Appiah-Sakyi, Kwabena
Ahmed, Badreldeen
Konje, Justin C.
dc.date.none.fl_str_mv 2024-11-03T08:03:09Z
2024-07-20
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://dx.doi.org/10.1016/j.bpobgyn.2024.102518
Swarray-Deen, A., Sepenu, P., Mensah, T. E., Osei-Agyapong, J., Sefogah, P. E., Appiah-Sakyi, K., ... & Konje, J. C. (2024). Preterm birth in low-middle income countries. Best Practice & Research Clinical Obstetrics & Gynaecology, 102518.
1521-6934
https://www.sciencedirect.com/science/article/pii/S1521693424000646
http://hdl.handle.net/10576/60796
95
1532-1932
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Preterm birth
Preterm labour
Phenotyping
Low and middle income countries
Cervical cerclage
Tocolysis
Linear approach model
Political economy approach model knowledge transfer exchange and evidence into policy
dc.title.none.fl_str_mv Preterm birth in low-middle income Countries
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Preterm birth (PTB), remains a major cause of significant morbidity and mortality world-wide with about 12–15million preterm births occurring every year. Although the overall trend is decreasing, this is mainly in high-income countries (HIC). The rate remains high in low-and middle-income countries (LMIC) varying on average between 10 and 12% compared to 9% in HIC. The pathogenesis of PTB is complex and multifactorial. Attempts to reduce rates that have focused on PTB as a single condition have in general been unsuccessful. However, more recent attempts to phenotype PTB have resulted in targeted preventative approaches which are yielding better results. Prevention (primary or secondary) is the only approach that has been shown to make a difference to rates of PTB. These include identifying risk factors pre-pregnancy and during pregnancy and instituting appropriate measures to address these. In LMIC, although some approaches that have been shown to be effective in some HIC are adaptable, there is a need to involve stakeholders at all levels in utilizing evidence preferrably generated in LMIC to implement strategies that are likely to reduce the rate of PTB. In this review, we focus on prevention and how to involve policy makers in the process of applying evidence into policy that would reduce PTB in LMIC.
eu_rights_str_mv openAccess
format article
id qu_3beba6de712879826dd9c2828daa987f
identifier_str_mv Swarray-Deen, A., Sepenu, P., Mensah, T. E., Osei-Agyapong, J., Sefogah, P. E., Appiah-Sakyi, K., ... & Konje, J. C. (2024). Preterm birth in low-middle income countries. Best Practice & Research Clinical Obstetrics & Gynaecology, 102518.
1521-6934
95
1532-1932
language_invalid_str_mv en
network_acronym_str qu
network_name_str Qatar University repository
oai_identifier_str oai:qspace.qu.edu.qa:10576/60796
publishDate 2024
publisher.none.fl_str_mv Elsevier
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0/
spelling Preterm birth in low-middle income CountriesAlim, Swarray-DeenSepenu, PerezMensah, Teresa E.Osei-Agyapong, JeffSefogah, Promise E.Appiah-Sakyi, KwabenaAhmed, BadreldeenKonje, Justin C.Preterm birthPreterm labourPhenotypingLow and middle income countriesCervical cerclageTocolysisLinear approach modelPolitical economy approach model knowledge transfer exchange and evidence into policyPreterm birth (PTB), remains a major cause of significant morbidity and mortality world-wide with about 12–15million preterm births occurring every year. Although the overall trend is decreasing, this is mainly in high-income countries (HIC). The rate remains high in low-and middle-income countries (LMIC) varying on average between 10 and 12% compared to 9% in HIC. The pathogenesis of PTB is complex and multifactorial. Attempts to reduce rates that have focused on PTB as a single condition have in general been unsuccessful. However, more recent attempts to phenotype PTB have resulted in targeted preventative approaches which are yielding better results. Prevention (primary or secondary) is the only approach that has been shown to make a difference to rates of PTB. These include identifying risk factors pre-pregnancy and during pregnancy and instituting appropriate measures to address these. In LMIC, although some approaches that have been shown to be effective in some HIC are adaptable, there is a need to involve stakeholders at all levels in utilizing evidence preferrably generated in LMIC to implement strategies that are likely to reduce the rate of PTB. In this review, we focus on prevention and how to involve policy makers in the process of applying evidence into policy that would reduce PTB in LMIC.Elsevier2024-11-03T08:03:09Z2024-07-20Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.bpobgyn.2024.102518Swarray-Deen, A., Sepenu, P., Mensah, T. E., Osei-Agyapong, J., Sefogah, P. E., Appiah-Sakyi, K., ... & Konje, J. C. (2024). Preterm birth in low-middle income countries. Best Practice & Research Clinical Obstetrics & Gynaecology, 102518.1521-6934https://www.sciencedirect.com/science/article/pii/S1521693424000646http://hdl.handle.net/10576/60796951532-1932enhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/607962024-11-03T19:05:33Z
spellingShingle Preterm birth in low-middle income Countries
Alim, Swarray-Deen
Preterm birth
Preterm labour
Phenotyping
Low and middle income countries
Cervical cerclage
Tocolysis
Linear approach model
Political economy approach model knowledge transfer exchange and evidence into policy
status_str publishedVersion
title Preterm birth in low-middle income Countries
title_full Preterm birth in low-middle income Countries
title_fullStr Preterm birth in low-middle income Countries
title_full_unstemmed Preterm birth in low-middle income Countries
title_short Preterm birth in low-middle income Countries
title_sort Preterm birth in low-middle income Countries
topic Preterm birth
Preterm labour
Phenotyping
Low and middle income countries
Cervical cerclage
Tocolysis
Linear approach model
Political economy approach model knowledge transfer exchange and evidence into policy
url http://dx.doi.org/10.1016/j.bpobgyn.2024.102518
https://www.sciencedirect.com/science/article/pii/S1521693424000646
http://hdl.handle.net/10576/60796