WorldCat Identities

Carroli, Guillermo

Overview
Works: 21 works in 23 publications in 2 languages and 42 library holdings
Roles: Contributor, Author, Other
Publication Timeline
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Most widely held works by Guillermo Carroli
Active management of the third stage of labour without controlled cord traction: a randomized non-inferiority controlled trial by A. Metin Gülmezoglu( )

2 editions published in 2009 in English and held by 8 WorldCat member libraries worldwide

BACKGROUND: The third stage of labour refers to the period between birth of the baby and complete expulsion of the placenta. Some degree of blood loss occurs after the birth of the baby due to separation of the placenta. This period is a risky period because uterus may not contract well after birth and heavy blood loss can endanger the life of the mother. Active management of the third stage of labour (AMTSL) reduces the occurrence of severe postpartum haemorrhage by approximately 60-70%. Active management consists of several interventions packaged together and the relative contribution of each of the components is unknown. Controlled cord traction is one of those components that require training in manual skill for it to be performed appropriately. If it is possible to dispense with controlled cord traction without losing efficacy it would have major implications for effective management of the third stage of labour at peripheral levels of health care. OBJECTIVE: The primary objective is to determine whether the simplified package of oxytocin 10 IU IM/IV is not less effective than the full AMTSL package. METHODS: A hospital-based, multicentre, individually randomized controlled trial is proposed. The hypothesis tested will be a non-inferiority hypothesis. The aim will be to determine whether the simplified package without CCT, with the advantage of not requiring training to acquire the manual skill to perform this task, is not less effective than the full AMTSL package with regard to reducing blood loss in the third stage of labour.The simplified package will include uterotonic (oxytocin 10 IU IM) injection after delivery of the baby and cord clamping and cutting at approximately 3 minutes after birth. The full package will include the uterotonic injection (oxytocin 10 IU IM), controlled cord traction following observation of uterine contraction and cord clamping and cutting at approximately 3 minutes after birth. The primary outcome measure is blood loss of 1000 ml or more at one hour and up to two hours for women who continue to bleed after one hour. The secondary outcomes are blood transfusion, the use of additional uterotonics and measure of severe morbidity and maternal death.We aim to recruit 25,000 women delivering vaginally in health facilities in eight countries within a 12 month recruitment period. MANAGEMENT: Overall trial management will be from HRP/RHR in Geneva. There will be eight centres located in Argentina, Egypt, India, Kenya, Philippin
WHO Programme to Map the Best Reproductive Health Practices : how effective is antenatal care in preventing maternal mortality and serious morbidity? by Guillermo Carroli( Book )

2 editions published in 2001 in English and held by 4 WorldCat member libraries worldwide

A cluster randomized controlled trial to evaluate the effectiveness of the clinically integrated RHL evidence -based medicine course by Regina Kulier( )

1 edition published in 2010 in English and held by 2 WorldCat member libraries worldwide

Womens' opinions on antenatal care in developing countries: results of a study in Cuba, Thailand, Saudi Arabia and Argentina by Gustavo Nigenda( )

1 edition published in 2003 in English and held by 2 WorldCat member libraries worldwide

Maternal and perinatal health research priorities beyond 2015: an international survey and prioritization exercise by João Paulo Souza( )

1 edition published in 2014 in English and held by 2 WorldCat member libraries worldwide

The world health organization multicountry survey on maternal and newborn health: study protocol by WHOMCS Research Group( )

1 edition published in 2011 in English and held by 2 WorldCat member libraries worldwide

WHO Global Survey on Maternal and Perinatal Health in Latin America: classifying caesarean sections by Ana P Betrán( )

1 edition published in 2009 in English and held by 2 WorldCat member libraries worldwide

Antenatal care packages with reduced visits and perinatal mortality: a secondary analysis of the WHO Antenatal Care Trial by Joshua P Vogel( )

1 edition published in 2013 in English and held by 2 WorldCat member libraries worldwide

Are women and providers satisfied with antenatal care? Views on a standard and a simplified, evidence-based model of care in four developing countries by Ana Langer( )

1 edition published in 2002 in English and held by 2 WorldCat member libraries worldwide

Outcomes of non-vertex second twins, following vertex vaginal delivery of first twin: a secondary analysis of the WHO Global Survey on Maternal and Perinatal Health by Joshua P Vogel( )

1 edition published in 2014 in English and held by 2 WorldCat member libraries worldwide

WHO multicentre study for the development of growth standards from fetal life to childhood: the fetal component by Mario Merialdi( )

1 edition published in 2014 in English and held by 2 WorldCat member libraries worldwide

Maternal near miss and predictive ability of potentially life-threatening conditions at selected maternity hospitals in Latin America by Latin American Near Miss Group (LANe-MG)( )

1 edition published in 2016 in English and held by 2 WorldCat member libraries worldwide

Parto pretermino : deteccion de riesgos y tratamientos preventivos by Fernando Althabe( )

1 edition published in 1999 in Spanish and held by 1 WorldCat member library worldwide

La longitud craneo-caudal en la estimacion de la edad gestacional by Guillermo Carroli( )

1 edition published in 1988 in Spanish and held by 1 WorldCat member library worldwide

El conocimiento de la edad getacional es un factor fundamental en el seguimiento de los embarazos, particularmente en aquellos de alto riesgo. Se correlaciono la edad gestacional con la longitud creneo-caudal (LCC) en setenta y cuantro embarzadas con fecha de ultima menstruacion conocida, con ciclos menstruales regulares de 28 a 30 dias y cuyos neonatos no difirieron entre la amenorrea y la estimacion clinica de la edad gestacional en mas de 14 dias. Al comparar esta estimacion con lo reportado por otros autores en paises desarrollasdos se observan escasa diferencia siendo la mayor diferencia de 3 dias. Se concluye que existe coincidencia entre las distintas estimaciones y que pueden utilizarse patrones provenientes de otras regiones o poblaciones
Factores de riesgo de bajo peso al nacer en un grupo de embarazadas de Rosario, Argentina by Jose Miguel Belizan( )

1 edition published in 1989 in Spanish and held by 1 WorldCat member library worldwide

A study aimed at determining the means of reducing the prevalence of low birthweight was conducted from August 1984 to January 1985. Fifteen risk factors were selected that can be identified in the first prenatal consultation. The prevalence of these factors was calculated on the basis of 1 209 clinical histories of mothers who had given birth at the Martin Maternity Hospital in Rosario, Argentina. Also calculated were the relative risk and the attributable percentage of risk for low birthweight, retarded intrauterine growth, and preterm birth. A previous history of the mother having delivered low-weight newborns coupled with her having worked more than four hours a day was associated with a significant relative risk of low birthweigh (3.48 and 2.15). Also, those with a history of having delivered low-weight newborns whose weight at the same time was below the 10th percentile were at significant relative risk for retarded intrauterine growth (3.75 and 2.17). The relative risk factors of: previous delivery of low-weight newborns, husband without schooling, mother under 18 years of age, husband unemployed, and mother without any schooling or only incomplete primary education (1.81, 2.04, 1.46, 1.56, and 1.53, respectively). None of the other factors traditionally regarded as risk were significant in this study
Capacidad predictiva de los meta-analisis de investigaciones clinicas aleatorizadas by José Villar( )

1 edition published in 1996 in Spanish and held by 1 WorldCat member library worldwide

Aunque existe un incremento constante en el uso del meta-analisis (MA) de investigaciones clinicas aleatorizadas (ICA), no ha sido evaluada su capacidad en la prediccion de los resultados de investigaciones clinicas aleatorizadas con gran numero de pacientes. Hemos calculado el riesgo relativo (y los correspondientes intervalos de confianza del 95 por ciento) para 30 meta-analisis de diferentes intervenciones en medicina perinatal, abarcando 185 investigaciones clinicas aleatorizadas, pero excluyendo el estudio con mayor numero de pacientes. Luego procedimos a comparar los resultados de los meta-analisis con los resultados del estudio grande (tamano muestral mayor de 1.000 pacientes) realizados con la misma intervencion y el mismo punto final de resultado. Veinticuatro meta-analisis predijeron correctamente la direccion del efecto de la intervencion, pero solo dieciocho de los treinta acordaron con el estudio grande en la direccion del efecto de la intervencion y en la significacion estadistica. Se observo una moderada coincidencia mas alla del azar, entre los resultados del meta-analisis y el estudio mas grande (estadistica Kappa 0,46-0,53). Un meta-analisis que muestra un efecto protector de la intervencion mayor de 40 por ciento posee un 60 por ciento de probabilidad de predecir correctamente resultados de la misma magnitud que el estudio grande. Investigadores y agencias que apoyan las investigaciones pueden usar el meta-analisis para recomendar una practica clinica o para resumir los resultados de investigaciones clinicas aleatorizadas antes de decidir sobre la realizacion de nuevos estudios de intervenciones promisorias. Sin embargo, son necesarias evaluaciones adicionales del metodo meta-analitico para una mejor interpretacion de los resultados cualitativos y cuantitativos que brinda tal metodologia (AU)
Costs of publicly provided maternity services in Rosario, Argentina by Josephine Borghi( )

1 edition published in 2003 in English and held by 1 WorldCat member library worldwide

OBJECTIVE: This study estimates the costs of maternal health services in Rosario, Argentina. MATERIAL AND METHODS: The provider costs (US$ 1999) of antenatal care, a normal vaginal delivery and a caesarean section, were evaluated retrospectively in two municipal hospitals. The cost of an antenatal visit was evaluated in two health centres and the patient costs associated with the visit were evaluated in a hospital and a health centre. RESULTS: The average cost per hospital day is $114.62. The average cost of a caesarean section ($525.57) is five times greater than that of a normal vaginal delivery ($105.61). A normal delivery costs less at the general hospital and a c-section less at the maternity hospital. The average cost of an antenatal visit is $31.10. The provider cost is lower at the health centre than at the hospital. Personnel accounted for 72-94 percent of the total cost and drugs and medical supplies between 4-26 percent. On average, an antenatal visit costs women $4.70. Direct costs are minimal compared to indirect costs of travel and waiting time. CONCLUSIONS: These results suggest the potential for increasing the efficiency of resource use by promoting antenatal care visits at the primary level. Women could also benefit from reduced travel and waiting time. Similar benefits could accrue to the provider by encouraging normal delivery at general hospitals, and complicated deliveries at specialised maternity hospitals (AU)
Selection of mothers with increased risk of delivery low birthweight newborns at a public maternity hospital in Rosario, Argentina by Jose Miguel Belizan( )

1 edition published in 1989 in English and held by 1 WorldCat member library worldwide

El parto pretermino: deteccion de riesgos y tratamientos preventivos by Fernando Althabe( )

1 edition published in 1999 in Spanish and held by 1 WorldCat member library worldwide

Todos los anos nacen en el mundo alrededor de 13 millones de niños prematuros. La mayor parte de esos niños nacen en paises en desarrollo y constituyen el componente principal de la morbilidad y la mortalidad perinatales. En el presente estudio de revision se analizaron los datos cientificamente validados sobre las intervenciones que se emplean con la intencion de evitar al menos una parte de los partos pretermino y disminuir su impacto en la salud neonatal. Se consultaron las bases de datos Biblioteca Cochrane y Medline y se estudiaron 50 trabajos de revision y articulos de investigacion relacionados con el tema del parto pretermino en sus siguientes aspectos: factores de riesgo y deteccion precoz del riesgo de parto pretermino; prevencion de la amenaza de parto pretermino; tratamiento del parto pretermino iniciado, y prevencion del sindrome de dificultad respiratoria neonatal. Se encontraron pocos medios ensayados con exito para predecir, prevenir o detectar precozmente la amenaza de parto pretermino. Solo el tamizaje y tratamiento de la bacteriuria asintomatica pueden recomendarse para todas las embarazadas como parte del control prenatal. El tamizaje de la vaginosis bacteriana y su tratamiento ulterior y el cerclaje profilactico reducen, respectivamente, la incidencia de nacimientos adelantados en embarazadas con antecedentes de parto prematuro y en las que tienen antecedentes de mas de tres partos pretermino. Como tratamiento del parto iniciado antes de tiempo, con o sin rotura prematura de membranas, las intervenciones que han mostrado eficacia son la administracion de betamimeticos a la parturienta para prolongar por 48 horas el periodo de latencia del parto y de indometacina con el mismo objetivo como medicamento de segunda eleccion. La administracion prenatal de corticoides a la embarazada puede inducir la maduracion pulmonar del feto y reducir el sindrome de dificultad respiratoria y la hemorragia ventricular, reduciendo asi la mortalidad neonatal. Se recomienda continuar y apoyar las investigaciones basicas y epidemiologicas sobre la prevencion para adquirir mas conocimientos sobre las causas y mecanismos del parto pretermino y como prevenir la morbilidad y mortalidad que produce
 
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