Umbilical cord arterial base deficit and arterial <scp>pH</scp> as predictors of adverse outcomes among term neonates

Knutzen, Liv; Anderson-Knight, Hannah; Svirko, Elena; Impey, Lawrence

doi:10.1002/ijgo.12502

Cited by 21 publications

(27 citation statements)

References 17 publications

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“…When the adherence score obtained by patients with STI reaches 9, we believe that the patient would perform well with good adherence. The same methods for evaluating the predictive value of indicators have been used previously [34][35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Pre-Exposure Prophylaxis (PrEP) Adherence Questionnaire: Psychometric Validation among Sexually Transmitted Infection Patients in China

et al. 2021

IJERPH

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Background: Ensuring adherence guarantees the efficacy of pre-exposure prophylaxis (PrEP). Methods: We conducted a cross-sectional study among 816 sexually transmitted infection (STI) patients in Shanghai. The questionnaire included self-reported demographic characteristics, self-administered items on adherence to free oral PrEP, and PrEP uptake behavior measurement. We conducted item analysis, reliability analysis, validity analysis and receiver operating characteristic (ROC) curve analysis. Results: Not all items were considered acceptable in the item analysis. The questionnaire had a McDonald’s ω coefficient of 0.847. The scale-level content validity index (CVI) was 0.938 and the item-level CVI of each item ranged from 0.750 to 1. In exploratory factor analysis, we introduced a four-factor model accounting for 79.838% of the aggregate variance, which was validated in confirmatory factor analysis. Adding PrEP adherence questionnaire scores contributed to prediction of PrEP uptake behavior (p < 0.001) in regression analysis. The maximum area under the ROC curve was 0.778 (95% IC: 0.739–0.817). Conclusion: The PrEP adherence questionnaire presented psychometric validation among STI patients.

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Section: Discussionmentioning

confidence: 99%

Pre-Exposure Prophylaxis (PrEP) Adherence Questionnaire: Psychometric Validation among Sexually Transmitted Infection Patients in China

et al. 2021

IJERPH

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“…A study in the United States showed that the neonatal admission rate at > 34 weeks is around 10% but varies greatly from 1.1 to 37% across NICUs and only 11% of those admissions were associated with high illness acuity criteria [ 34 ]. Low arterial cord blood pHs have been associated with more complications especially NICU admissions and seizures [ 35 , 36 ]. Nonetheless some authors [ 37 , 38 ] concluded that neonatal morbidity with an arterial cord blood pH < 7 can only be predicted when associated with low five-minute Apgar score and/or an important arterial cord blood base deficit.…”

Section: Discussionmentioning

confidence: 99%

Impact of implementation of a breech clinic in a tertiary hospital

Derisbourg

Costa

Luca

et al. 2020

BMC Pregnancy Childbirth

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Background: The incidence of breech presentation in single pregnancies at term is between three to 5 %. In order to support eligible women in their choice of mode of delivery, a dedicated breech clinic with a care pathway was developed in December 2015 in a tertiary referral centre in Brussels. The primary objective of this study was to evaluate the vaginal birth rate before and after the introduction of a dedicated breech clinic. The secondary objective was to compare the early neonatal outcomes before and after the breech clinic was introduced. Methods: This was a single centre retrospective and prospective study. The inclusion criteria were term (from 37 weeks), singleton fetus and breech presentation at delivery. The exclusion criteria were suspected intrauterine growth restriction, severe fetal malformations and intrauterine fetal demise. We used a composite outcome as an indicator of neonatal morbidity and mortality. Results: After the introduction of the breech clinic, we observed a significant increase in planned vaginal delivery from 7.4% (12/162) to 53.0% (61/115) (OR: 13.5; 95% CI: 6.7-27.0). The effective vaginal breech delivery rate (planned and unexpected) significantly increased from 4.3% (7/162) pre-implementation of breech clinic to 43.5% (50/115) post-implementation (OR: 17.0; 95% CI: 7.3-39.6). Neonatal outcomes were not statistically different between the before and after periods. Conclusion: The introduction of a dedicated breech clinic has led to an increase in vaginal deliveries for breech babies without adversely affecting neonatal outcomes.

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“…The same methods for evaluating the predictive value of indicators have been used previously. [30][31][32][33] Use of the PrEP adherence questionnaire provides the opportunity to evaluate patients' adherence in advance, such that a patient with low adherence can be detected prior to starting PrEP therapy. Individualbased measures can be used to improve adherence or to detect the need to use prevention measures other than PrEP, which could be more suitable for an individual and yield greater bene ts.…”

Section: Discussionmentioning

confidence: 99%

Reliability and Validity of a Free Oral Pre-exposure Prophylaxis (PrEP) Adherence Questionnaire Among Patients with Sexually Transmitted Infection and Without HIV Infection in Shanghai

Chen

et al. 2020

Preprint

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Objective: In this study, we aimed to evaluate the validity and reliability of the free oral pre-exposure prophylaxis (PrEP) adherence questionnaire among patients with sexually transmitted infection who do not have HIV infection in Shanghai. Methods: We conducted a cross-sectional study among 816 patients from sexually transmitted infection (STI) clinics in Shanghai. The questionnaire included self-reported demographic characteristics, items on adherence to free oral pre-exposure prophylaxis (PrEP), and PrEP uptake behavior measurement. Item analysis was carried out by calculating the critical ratio and item-total correlations. Internal consistency and split-half reliability were measured to assess reliability. Content validity, construct validity, convergent validity and discriminant validity were measured to assess validity. We conducted logistic regression with receiver operating characteristic (ROC) curve analysis to assess the predictive value of the adherence questionnaire for PrEP uptake behavior. Results: All items were considered acceptable in the item analysis (P<0.05). The questionnaire had a Cronbach’s alpha of 0.757 and split-half reliability of 0.633. The scale-level content validity index (CVI) was 0.938 and the item-level CVI of each item ranged from 0.750 to 1. In exploratory factor analysis, we introduced a four-factor model accounting for 79.838% of the aggregate variance with all factors loading more than 0.4, which was validated in confirmatory factor analysis (c2=47.1, degrees of freedom=14, root mean square error of approximation=0.078). According to regression analysis, adding PrEP adherence questionnaire scores contributed to prediction of PrEP uptake behavior (P<0.001). The maximum area under the ROC curve was 0.778 (95% confidence interval: 0.739–0.817), corresponding to a cutoff score of 9.Conclusion: The PrEP adherence questionnaire generally has acceptable reliability and validity. This questionnaire can be used as a tool to evaluate PrEP adherence in patients with STI who do not have HIV infection.

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Umbilical cord arterial base deficit and arterial pH as predictors of adverse outcomes among term neonates

Abstract: ABD demonstrated no predictive value for adverse neonatal outcomes beyond using arterial pH alone.

Cited by 21 publications

References 17 publications

Pre-Exposure Prophylaxis (PrEP) Adherence Questionnaire: Psychometric Validation among Sexually Transmitted Infection Patients in China

Pre-Exposure Prophylaxis (PrEP) Adherence Questionnaire: Psychometric Validation among Sexually Transmitted Infection Patients in China

Impact of implementation of a breech clinic in a tertiary hospital

Reliability and Validity of a Free Oral Pre-exposure Prophylaxis (PrEP) Adherence Questionnaire Among Patients with Sexually Transmitted Infection and Without HIV Infection in Shanghai

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