Publications by authors named "J Dossou"
Prevalence and management of ectopic and molar pregnancies in 17 countries in Africa and Latin America and the Caribbean: a secondary analysis of the WHO multi-country cross-sectional survey on abortion.
BMJ Open
October 2024
Article Synopsis
- The study investigates the prevalence, complications, and management of ectopic pregnancy (EP) and molar pregnancy (MP) in selected healthcare facilities across 17 countries in Africa and Latin America and the Caribbean (LAC).
- Data were collected from 280 healthcare facilities, revealing that 9.9% of women had EP or MP, with EP having more severe complications compared to MP.
- Findings suggest a need for improving quality care for EP and MP, emphasizing the importance of evidence-based management practices to reduce maternal morbidity and mortality in these regions.
Growing evidence suggests that extreme heat events affect both pregnant women and their infants, but few studies are available from sub-Saharan Africa. Using data from 138,015 singleton births in 16 hospitals in Benin, Malawi, Tanzania and Uganda, we investigated the association between extreme heat and early perinatal deaths, including antepartum and intrapartum stillbirths, and deaths within 24 h after birth using a time-stratified case-crossover design. We observed an association between an increase from the 75th to the 99th percentile in mean temperature 1 week (lag 0-6 d) before childbirth and perinatal mortality (odds ratio (OR) = 1.
View Article and Find Full Text PDFBackground: Patient autonomy is central to the provision of respectful maternity care. Enabling women to make decisions free of discrimination and coercion, and respecting their privacy and confidentiality can contribute to positive childbirth experiences. This study aimed to deepen the understanding of how patient autonomy is reflected through social practices during intrapartum care in Benin.
View Article and Find Full Text PDFObjective: To assess stillbirth mortality by Robson ten-group classification and the usefulness of this approach for understanding trends.
Design: Cross-sectional study.
Setting: Prospectively collected perinatal e-registry data from 16 hospitals in Benin, Malawi, Tanzania and Uganda.
Objective: To demonstrate that successful health systems strengthening (HSS) projects have addressed disparities and inequities in maternal and perinatal care in low-income countries.
Methods: A comprehensive literature review covered the period between 1980 and 2022, focusing on successful HSS interventions within health systems' seven core components that improved maternal and perinatal care.
Results: The findings highlight the importance of integrating quality interventions into robust health systems, as this has been shown to reduce maternal and newborn mortality.