Publications by authors named "Sushil DasGupta"
Article Synopsis
- The study found a 8.9% prevalence of urinary tract infections (UTIs) among pregnant women in Sylhet, Bangladesh, with half being asymptomatic.
- Key risk factors identified included maternal undernutrition, being a first-time mother, and low paternal education.
- The main uro-pathogen was E. coli, with concerning levels of antibiotic resistance, highlighting the need for improved UTI screening and management in low-middle income countries.
Background: One-third of preterm births are attributed to pregnancy infections. We implemented a community-based intervention to screen and treat maternal genitourinary tract infections, with the aim of reducing the incidence of preterm birth.
Methods: We did an unblinded cluster-randomised controlled trial in two subdistricts of Sylhet, Bangladesh.
Article Synopsis
- The study investigates the impact of abnormal vaginal flora (AVF) on pregnancy outcomes, revealing that 16.5% of pregnant women screened had AVF, with risks heightened among those with lower economic and educational status.
- Persistent AVF was found in one-third of those affected, significantly increasing the likelihood of negative outcomes, such as preterm births and late miscarriages.
- Results indicate a need for further research on the microbiome to better understand the causes and implications of persistent AVF in pregnancy.
Objective: The objective of the Alliance for Maternal and Newborn Health Improvement (AMANHI) gestational age study is to develop and validate a programmatically feasible and simple approach to accurately assess gestational age of babies after they are born. The study will provide accurate, population-based rates of preterm birth in different settings and quantify the risks of neonatal mortality and morbidity by gestational age and birth weight in five South Asian and sub-Saharan African sites.
Methods: This study used on-going population-based cohort studies to recruit pregnant women early in pregnancy (<20 weeks) for a dating ultrasound scan.
Background: Gestational age (GA) is frequently unknown or inaccurate in pregnancies in low-income countries. Early identification of preterm infants may help link them to potentially life-saving interventions.
Methods: We conducted a validation study in a community-based birth cohort in rural Bangladesh.
Background: Approximately half of preterm births are attributable to maternal infections, which are commonly undetected and untreated in low-income settings. Our primary aim is to determine the impact of early pregnancy screening and treatment of maternal genitourinary tract infections on the incidence of preterm live birth in Sylhet, Bangladesh. We will also assess the effect on other adverse pregnancy outcomes, including preterm birth (stillbirth and live birth), late miscarriage, maternal morbidity, and early onset neonatal sepsis.
View Article and Find Full Text PDFObjectives: This study aims to measure the economic costs of maternal complication and to understand household coping strategies for financing maternal healthcare cost.
Methods: A household survey of the 706 women with maternal complication, of whom 483 had normal delivery, was conducted to collect data at 6 weeks and 6 months post-partum. Data were collected on socio-economic information of the household, expenditure during delivery and post-partum, coping strategies adopted by households and other related information.
Background: There has been no population-based study on human papillomavirus (HPV) prevalence or its genotypes in Bangladesh; a country eligible for GAVI funding for HPV vaccine.
Methods: We used baseline survey data of a prospective cohort study that was conducted in one urban and one rural area of Bangladesh. A total of 997 urban and 905 rural married women, aged 13 to 64 years, were enrolled in the baseline during July-December, 2011.
This paper assesses both out-of-pocket payments for healthcare and losses of productivity over six months postpartum among women who gave birth in Matlab, Bangladesh. The hypothesis of the study objective is that obstetric morbidity leads women to seek care at which time out-of-pocket expenditure is incurred. Second, a woman may also take time out from employment or from doing her household chores.
View Article and Find Full Text PDFWorldwide, for an estimated 358,000 women, pregnancy and childbirth end in death and mourning, and beyond these maternal deaths, 9-10% of pregnant women or about 14 million women per year suffer from acute maternal complications. This paper documents the types and severity of maternal and foetal complications among women who gave birth in hospitals in Matlab and Chandpur, Bangladesh, during 2007-2008. The Community Health Research Workers (CHRWs) of the icddr,b service area in Matlab prospectively collected data for the study from 4,817 women on their places of delivery and pregnancy outcomes.
View Article and Find Full Text PDFBackground: The effect of a parent's death on the survival of the children has been assessed in only a few studies. We therefore investigated the effect of the death of the mother or father on the survival of the child up to age 10 years in rural Bangladesh.
Methods: We used data from population surveillance during 1982-2005 in Matlab, Bangladesh.
Background: Few studies have assessed whether the poorest people in developing countries benefit from giving birth at home rather than in a facility. We analysed whether socioeconomic status results in differences in the use of professional midwives at home and in a basic obstetric facility in a rural area of Bangladesh, where obstetric care was free of charge.
Methods: We routinely obtained data from Matlab, Bangladesh between 1987 and 2001.