What Do We Know about Risk Factors for Fetal Growth Restriction in Africa at the Time of Sustainable Development Goals? A Scoping Review

2017 ◽  
Vol 32 (2) ◽  
pp. 184-196 ◽  
Author(s):  
Manfred Accrombessi ◽  
Jennifer Zeitlin ◽  
Achille Massougbodji ◽  
Michel Cot ◽  
Valérie Briand
Author(s):  
Yakubova D.I.

Objective of the study: Comprehensive assessment of risk factors, the implementation of which leads to FGR with early and late manifestation. To evaluate the results of the first prenatal screening: PAPP-A, B-hCG, made at 11-13 weeks. Materials and Methods: A retrospective study included 110 pregnant women. There were 48 pregnant women with early manifestation of fetal growth restriction, 62 pregnant women with late manifestation among them. Results of the study: The risk factors for the formation of the FGR are established. Statistically significant differences in the indicators between groups were not established in the analyses of structures of extragenital pathology. According to I prenatal screening, there were no statistical differences in levels (PAPP-A, b-hCG) in the early and late form of FGR.


2021 ◽  
Vol 9 (2) ◽  
pp. 92-99
Author(s):  
L.V. Posiseeva ◽  
◽  
O.Yu. Kiseleva ◽  
M.V. Glik ◽  
◽  
...  

Author(s):  
Heera Shenoy T. ◽  
Sonia X. James ◽  
Sheela Shenoy T.

Background: Fetal Growth Restriction (FGR) is the single largest contributing factor to perinatal morbidity in non-anomalous foetuses. Synonymous with Intrauterine Growth Restriction (IUGR), it is defined as an estimated fetal weight less than the10th percentile. Obstetric Doppler has helped in early detection and timely intervention in babies with FGR with significant improvements in perinatal outcomes.  Hence, authors evaluated the maternal risk factors and diagnosis-delivery intervals and perinatal outcomes in FGR using Doppler.Methods: This research conducted in a tertiary care hospital in South Kerala included 82 pregnant women who gave birth to neonates with birth weight less than the 10th percentile over a period of1 year (Jan 1, 2017-Dec 31, 2017). Socio-demographic, maternal risk, Diagnosis- delivery interval in FGR and neonatal morbidities were studied.Results: Mean GA at diagnosis in weeks was 34.29 and 35.19 respectively for abnormal and normal Doppler respectively (p value-0.032). The mean birthweight in Doppler abnormal FGR was 272.34 g lesser than in Doppler normal group (p value-0.001). Growth restricted low birth weight neonates had Doppler   pattern abnormalities (p value-0.0009). FGR <3rd percentile and AFI <5 had abnormal Doppler (OR:6.7). Abnormal biophysical profile (OR:14) and Non-Reactive NST (OR:3.5) correlated with abnormal Doppler. Growth restricted with normal Doppler had shorter NICU stays than with abnormalities (p value-0.003). Term FGR went home early than early preterm. (p value-0.001).Conclusions: Abnormal Doppler velocimetry is significantly associated with earlier FGR detection, shorter decision- delivery interval, reduction in the mean birthweight and longer NICU stay. Hence, Umbilical artery Doppler and Cerebroplacental index is an integral part of in-utero fetal surveillance to identify impending fetal hypoxia, appropriate management, optimising the timing of delivery and improve perinatal health in FGR.


2020 ◽  
Vol 19 (4) ◽  
pp. 336-362
Author(s):  
Victor Chidubem Iwuoha

Abstract Herders-farmers violent conflicts and flare-ups have spread throughout central and southern communities in Nigeria, but exclude the urban areas. I examine ‘herders – urban residents’ conflicts. Herders roam their cattle from outskirts to city roads, disrupting traffic and leaving behind trails of excrement and offensive smells causing dangerous nuisance. I argue that the new practice of cattle herders’ encroachments on city roads poses some socio-economic risks such as environmental decay, air pollution, displacement of urban livelihoods, road accidents and non-violent conflicts. Primary data was elicited from herders and residents in four major cities in Nigeria such as Aba, Awka, Nsukka and Owerri. I conclude by reflecting on the consequences of these socio-economic and environment-related risk factors which combine to undermine the attainment of Sustainable Development Goals (SDG s), and proffer solutions to address them. I make forecast in the form of early warning system that; cattle herders – urban residents cantankerous and confrontational interrelationships (though ‘non-violent conflicts’) could escalate and implode into dangerous ‘violent conflict’ scenarios if neglected.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e035789
Author(s):  
Justine H Zhang ◽  
Jacqueline Ramke ◽  
Nyawira Mwangi ◽  
João Furtado ◽  
Sumrana Yasmin ◽  
...  

IntroductionIn 2015, most governments of the world committed to achieving 17 sustainable development goals (SDGs) by the year 2030. Efforts to improve eye health contribute to the advancement of several SDGs, including those not exclusively health-related. This scoping review will summarise the nature and extent of the published literature that demonstrates a link between improved eye health and advancement of the SDGs.Methods and analysisSearches will be conducted in MEDLINE, Embase and Global Health for published, peer-reviewed manuscripts, with no time period, language or geographic limits. All intervention and observational studies will be included if they report a link between a change in eye health and (1) an outcome related to one of the SDGs or (2) an element on a pathway between eye health and an SDG (eg, productivity). Two investigators will independently screen titles and abstracts, followed by full-text screening of potentially relevant articles. Reference lists of all included articles will be examined to identify further potentially relevant studies. Conflicts between the two independent investigators will be discussed and resolved with a third investigator. For included articles, data regarding publication characteristics, study details and SDG-related outcomes will be extracted. Results will be synthesised by mapping the extracted data to a logic model, which will be refined through an iterative process during data synthesis.Ethics and disseminationAs this scoping review will only include published data, ethics approval will not be sought. The findings of the review will be published in an open-access, peer-reviewed journal. A summary of the results will be developed for website posting, stakeholder meetings and inclusion in the ongoing Lancet Global Health Commission on Global Eye Health.


2004 ◽  
Vol 21 (4) ◽  
pp. 227-234 ◽  
Author(s):  
Khalid A Yunis ◽  
Hind Beydoun ◽  
Hala Tamim ◽  
Yolla Nassif ◽  
Mustafa Khogali ◽  
...  

2015 ◽  
Vol 54 (6) ◽  
pp. 700-704 ◽  
Author(s):  
Oya Demirci ◽  
Selçuk Selçuk ◽  
Pınar Kumru ◽  
Mehmet Reşit Asoğlu ◽  
Didar Mahmutoğlu ◽  
...  

2010 ◽  
Vol 70 (4) ◽  
pp. 291-298 ◽  
Author(s):  
Natalija Vedmedovska ◽  
Dace Rezeberga ◽  
Uldis Teibe ◽  
Jana Zodzika ◽  
Gilbert G.G. Donders

2019 ◽  
Vol 57 (220) ◽  
Author(s):  
Kishori Mahat ◽  
Badri Thapa

The burden of non-communicable diseases is growing and countries are committed to combat this and achieve the sustainable development goals and targets. Non-communicable diseases are complex conditions attributed by multiple behavioural risk factors and without understanding the whole ecosystem of such diseases, it is difficult to determine the global goals and targets for them and to take action to address them. Countries are trying to take the multi-sectoral approach in addressing the non-communicable diseases and often encounter challenges in operationalizing the approach. Therefore, it is essential to nuance the multi-sectoral approach to non-communicable diseases in order to better inform application to achieving the sustainable development goals for which multisectoral approach is imperative.


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