Interventions for trichomoniasis in pregnancy

Gülmezoglu, A Metin; Azhar, Maimoona

doi:10.1002/14651858.cd000220.pub2

Cited by 58 publications

(31 citation statements)

References 13 publications

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“…Impact analysis: For the treatment of trichomoniasis the review by Gülmezoglu et al [152] Composite analysis: Treatment of trichomoniasis in pregnancy with metronidazole yielded non-significant impact on the composite outcome of failure to achieve parasitological/ microbiological cure in the mother and neonatal morbidities, such as preterm birth (RR 0.46; 95% CI: 0.03 to 6.50) (Figure 16). …”

Section: Trichomoniasismentioning

confidence: 99%

The interconnections between maternal and newborn health – evidence and implications for policy

Lassi

Majeed

Rashid

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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The past decade has witnessed increasing global attention and political support for maternal, newborn and child health. Despite this increased attention, actual progress has been slow and sporadic: coverage of key maternal and newborn health interventions remains low and there are wide disparities in access to care, within and across countries. Strategies for improving maternal and newborn health are closely linked, and can be delivered most effectively through a continuum of care approach. While these interventions are largely known, there is little information on which interventions have a positive health impact for both women and newborns. This supplement identifies the interventions during the preconception, pregnancy, intrapartum and postnatal periods found to have a positive, synergistic effect on maternal and neonatal outcomes. These interventions are then grouped into packages of care for delivery at the community, health center or hospital levels.

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Section: Trichomoniasismentioning

confidence: 99%

The interconnections between maternal and newborn health – evidence and implications for policy

Lassi

Majeed

Rashid

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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“…The review of interventions for trichomoniasis in pregnancy 395 included two studies (n = 842); one RCT 396 and one quasi-RCT. 397 Further details of the review can be found in Appendix 6, Table 118.…”

Section: Antibiotics For Trichomoniasis In Pregnancymentioning

confidence: 99%

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

Honest

Ca²,

Durée³

et al. 2009

Health Technol Assess

189

146

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For primary prevention, an effective, affordable and safe intervention applied to all mothers without preceding testing is likely to be the most cost-effective approach in asymptomatic women in early pregnancy. For secondary prevention among women at risk of preterm labour in later pregnancy, a management strategy based on the results of testing is likely to be more cost-effective. Implementation of a treat-all strategy with simple interventions, such as fish oils, would be premature for asymptomatic women. Universal provision of high-quality ultrasound machines in labour wards is more strongly indicated for predicting spontaneous preterm birth among symptomatic women than direct management, although staffing issues and the feasibility and acceptability to mothers and health providers of such strategies need to be explored. Further research should include investigations of low-cost and effective tests and treatments to reduce and delay spontaneous preterm birth and reduce the risk of perinatal mortality arising from preterm birth.

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“…60 Meta-analyses have concluded that there is no evidence of teratogenicity from the use of metronidazole in women during the first trimester of pregnancy (Evidence level Ia). [60][61][62][63] Metronidazole can be used in all stages of pregnancy and during breast feeding. Symptomatic women should be treated at diagnosis, although some clinicians have preferred to defer treatment until the second trimester.…”

Section: Pregnancy and Breast Feedingmentioning

confidence: 99%

United Kingdom National Guideline on the Management of Trichomonas vaginalis 2014

et al. 2014

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Interventions for trichomoniasis in pregnancy

Cited by 58 publications

References 13 publications

The interconnections between maternal and newborn health – evidence and implications for policy

The interconnections between maternal and newborn health – evidence and implications for policy

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

United Kingdom National Guideline on the Management of Trichomonas vaginalis 2014

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