Current Research: Obstetric ultrasound screening can identify complications and determine gestational age but its impact on maternal and newborn mortality in low resource community settings has not been assessed. This trial will investigate if screening performed by community health care staff has an impact.

Obstetric ultrasound is part of current antenatal care in high-resource settings and used to identify complications of pregnancy as well as to establish accurate gestational age. Ultrasound is increasingly being disseminated in low-resource settings due lower costs and increased durability of the equipment but its impact on maternal and newborn mortality in these settings has not been assessed. The use of compact ultrasound by physician and non-physician health care staff for antenatal identification of high risk pregnancies is a potentially effective intervention and authoritative investigations are needed in low-resource settings to establish its potential impact. This multi-country cluster randomized trial will assess the impact of antenatal ultrasound screening performed by community physician and non-physician health care staff in low-resource community settings. With the support of the Bill and Melinda Gates Foundation, National Institute for Child and Human Development, GE Healthcare and University of Washington we will maximize the resources necessary to conduct the definitive trial on the potential impact of ultrasound to reduce maternal and newborn mortality and maternal morbidity in low-resource settings.
HBB

Investigators
  • Waldemar Carlo, MD
  • Elwyn Chomba, MBChB, DCH, MRCP
  • Michael Hambidge, MD, ScD
  • Ana Garcés, MD, MPH
  • Richard Derman, MD, MPH
  • Bhalchandra Kodkany, MD, MBBS
  • Robert Goldenberg, MD
  • Omrana Pasha, MBBS, MSPH, DABIM
  • Edward Liechty, MD
  • Fabian Esamai, MBChB, MMed, PhD
  • Elizabeth McClure, PhD
Institutions
  • University of Alabama at Birmingham
  • JN Medical College, Belgaum, India
  • University Teaching Hospital, Lusaka, Zambia
  • Columbia University
  • University of Colorado Denver
  • Aga Khan University, Karachi, Pakistan
  • Instituto de Nutrición de Centro América y Panamá
  • Indiana University
  • Christiana Care
  • Moi University, Eldoret, Kenya
  • RTI International
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