Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case-control study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

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Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar : a case-control study. / Maaløe, Nanna; Housseine, Natasha; Bygbjerg, Ib Christian; Meguid, Tarek; Khamis, Rashid Saleh; Mohamed, Ali Gharib; Nielsen, Birgitte Bruun; van Roosmalen, Jos.

I: B M C Pregnancy and Childbirth, Bind 16, 351, 10.11.2016, s. 1-12.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Maaløe, N, Housseine, N, Bygbjerg, IC, Meguid, T, Khamis, RS, Mohamed, AG, Nielsen, BB & van Roosmalen, J 2016, 'Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case-control study', B M C Pregnancy and Childbirth, bind 16, 351, s. 1-12. https://doi.org/10.1186/s12884-016-1142-2

APA

Maaløe, N., Housseine, N., Bygbjerg, I. C., Meguid, T., Khamis, R. S., Mohamed, A. G., ... van Roosmalen, J. (2016). Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case-control study. B M C Pregnancy and Childbirth, 16, 1-12. [351]. https://doi.org/10.1186/s12884-016-1142-2

Vancouver

Maaløe N, Housseine N, Bygbjerg IC, Meguid T, Khamis RS, Mohamed AG o.a. Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case-control study. B M C Pregnancy and Childbirth. 2016 nov 10;16:1-12. 351. https://doi.org/10.1186/s12884-016-1142-2

Author

Maaløe, Nanna ; Housseine, Natasha ; Bygbjerg, Ib Christian ; Meguid, Tarek ; Khamis, Rashid Saleh ; Mohamed, Ali Gharib ; Nielsen, Birgitte Bruun ; van Roosmalen, Jos. / Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar : a case-control study. I: B M C Pregnancy and Childbirth. 2016 ; Bind 16. s. 1-12.

Bibtex

@article{a6c9e94e8ec6454daa4ad647def7f617,
title = "Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case-control study",
abstract = "Background: The aim of the RCT study was to investigate if the effect of a multidisciplinary intervention on return to work (RTW) and health care utilization differed by participants’ self-reported health status at baseline, defined by a) level of somatic symptoms, b) health anxiety and c) self-reported general health.Methods: A total of 443 individuals were randomized to the intervention (n = 301) or the control group (n = 142) and responded to a questionnaire measuring health status at baseline. Participants were followed in registries measuring RTW and health care utilization. Relative risk (RR) and odds ratio (OR) were used as measures of associations. Results were adjusted for gender, age, educational level, work ability and previous sick leave.Results: Among all responders we found no effect of the intervention on RTW. Among participants with low health anxiety, the one-year probability of RTW was lower in the intervention than in the control group (RR = 0.79 95 {\%} CI 0.68-0.93), but for those with high health anxiety there was no difference between the groups (RR = 1.15 95 {\%} CI 0.84-1.57). Neither general health nor somatic symptoms modified the effect of the intervention on RTW. The intervention had no effect on health care utilization.Conclusions: The multidisciplinary intervention did not facilitate RTW or decrease health care utilization compared to ordinary case management in subgroups with multiple somatic symptoms, health anxiety or low self-rated health. However, the intervention resulted in a reduced chance of RTW among participants with low health anxiety levels.Trial registration: ISRCTN43004323, and ISRCTN51445682",
keywords = "Tanzania, Low resource, Stillbirths, Labour, Quality of care, PartoMa, Caesarean section, Severe hypertensive disorders, Oxytocin, Criterion-based audit, Case-control study, Guidelines, Partograph",
author = "Nanna Maal{\o}e and Natasha Housseine and Bygbjerg, {Ib Christian} and Tarek Meguid and Khamis, {Rashid Saleh} and Mohamed, {Ali Gharib} and Nielsen, {Birgitte Bruun} and {van Roosmalen}, Jos",
year = "2016",
month = "11",
day = "10",
doi = "10.1186/s12884-016-1142-2",
language = "English",
volume = "16",
pages = "1--12",
journal = "B M C Pregnancy and Childbirth",
issn = "1471-2393",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar

T2 - a case-control study

AU - Maaløe, Nanna

AU - Housseine, Natasha

AU - Bygbjerg, Ib Christian

AU - Meguid, Tarek

AU - Khamis, Rashid Saleh

AU - Mohamed, Ali Gharib

AU - Nielsen, Birgitte Bruun

AU - van Roosmalen, Jos

PY - 2016/11/10

Y1 - 2016/11/10

N2 - Background: The aim of the RCT study was to investigate if the effect of a multidisciplinary intervention on return to work (RTW) and health care utilization differed by participants’ self-reported health status at baseline, defined by a) level of somatic symptoms, b) health anxiety and c) self-reported general health.Methods: A total of 443 individuals were randomized to the intervention (n = 301) or the control group (n = 142) and responded to a questionnaire measuring health status at baseline. Participants were followed in registries measuring RTW and health care utilization. Relative risk (RR) and odds ratio (OR) were used as measures of associations. Results were adjusted for gender, age, educational level, work ability and previous sick leave.Results: Among all responders we found no effect of the intervention on RTW. Among participants with low health anxiety, the one-year probability of RTW was lower in the intervention than in the control group (RR = 0.79 95 % CI 0.68-0.93), but for those with high health anxiety there was no difference between the groups (RR = 1.15 95 % CI 0.84-1.57). Neither general health nor somatic symptoms modified the effect of the intervention on RTW. The intervention had no effect on health care utilization.Conclusions: The multidisciplinary intervention did not facilitate RTW or decrease health care utilization compared to ordinary case management in subgroups with multiple somatic symptoms, health anxiety or low self-rated health. However, the intervention resulted in a reduced chance of RTW among participants with low health anxiety levels.Trial registration: ISRCTN43004323, and ISRCTN51445682

AB - Background: The aim of the RCT study was to investigate if the effect of a multidisciplinary intervention on return to work (RTW) and health care utilization differed by participants’ self-reported health status at baseline, defined by a) level of somatic symptoms, b) health anxiety and c) self-reported general health.Methods: A total of 443 individuals were randomized to the intervention (n = 301) or the control group (n = 142) and responded to a questionnaire measuring health status at baseline. Participants were followed in registries measuring RTW and health care utilization. Relative risk (RR) and odds ratio (OR) were used as measures of associations. Results were adjusted for gender, age, educational level, work ability and previous sick leave.Results: Among all responders we found no effect of the intervention on RTW. Among participants with low health anxiety, the one-year probability of RTW was lower in the intervention than in the control group (RR = 0.79 95 % CI 0.68-0.93), but for those with high health anxiety there was no difference between the groups (RR = 1.15 95 % CI 0.84-1.57). Neither general health nor somatic symptoms modified the effect of the intervention on RTW. The intervention had no effect on health care utilization.Conclusions: The multidisciplinary intervention did not facilitate RTW or decrease health care utilization compared to ordinary case management in subgroups with multiple somatic symptoms, health anxiety or low self-rated health. However, the intervention resulted in a reduced chance of RTW among participants with low health anxiety levels.Trial registration: ISRCTN43004323, and ISRCTN51445682

KW - Tanzania

KW - Low resource

KW - Stillbirths

KW - Labour

KW - Quality of care

KW - PartoMa

KW - Caesarean section

KW - Severe hypertensive disorders

KW - Oxytocin

KW - Criterion-based audit

KW - Case-control study

KW - Guidelines

KW - Partograph

U2 - 10.1186/s12884-016-1142-2

DO - 10.1186/s12884-016-1142-2

M3 - Journal article

C2 - 27832753

VL - 16

SP - 1

EP - 12

JO - B M C Pregnancy and Childbirth

JF - B M C Pregnancy and Childbirth

SN - 1471-2393

M1 - 351

ER -

ID: 169433549