Beverly Winikoff

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OBJECTIVE We adapted kangaroo mother care for immediate postnatal community-based application in rural Bangladesh, where the incidence of home delivery, low birth weight, and neonatal and infant mortality is high and neonatal intensive care is unavailable. This trial tested whether community-based kangaroo mother care reduces the overall neonatal mortality(More)
OBJECTIVES Previous research has demonstrated the effectiveness of misoprostol for treatment of incomplete abortion; however, few studies have systematically compared misoprostol's effectiveness with that of standard surgical care. This study documents the effectiveness of a single 600 micrograms dose of oral misoprostol versus manual vacuum aspiration(More)
OBJECTIVES Prenatal iron supplementation has been the standard recommendation for reducing maternal anemia in developing countries for the past 30 years. This article reviews the efficacy of iron supplementation on hemoglobin levels in pregnant women in developing countries. METHODS Data from randomized controlled trials published between 1966 and 1998(More)
OBJECTIVE To explore the clinical practices, risks, and maternal outcomes associated with postpartum haemorrhage (PPH). DESIGN Secondary analysis of cross-sectional data. SETTING A total of 352 health facilities in 28 countries. SAMPLE A total of 274 985 women giving birth between 1 May 2010 and 31 December 2011. METHODS We used multivariate(More)
OBJECTIVE To assess the effectiveness of 600 microg oral misoprostol on postpartum haemorrhage (PPH) and postpartum anaemia in a low income country home birth situation. DESIGN Double blind randomised controlled trial. SETTING Twenty-six villages in rural Gambia with 52 traditional birth attendants (TBAs). SAMPLE One thousand, two hundred and(More)
OBJECTIVE Working with a multidisciplinary team of Ecuadorians, Bangladeshis and Americans, we developed a simple protocol for community-based implementation of kangaroo mother care (CKMC) that does not require birth weight or clinical judgment to identify which newborns should receive CKMC. CKMC could stabilize newborns and possibly reduce neonatal(More)
OBJECTIVE To explore what triggers an elevated body temperature of > or =40.0 degrees C in some women given misoprostol, a prostaglandin E1 analogue, for postpartum haemorrhage (PPH). DESIGN Post hoc analysis. SETTING One tertiary-level hospital in Quito, Ecuador. POPULATION A cohort of 58 women with a fever of above 40 degrees C following treatment(More)
OBJECTIVE To investigate the safety, efficacy, and acceptability of misoprostol versus manual vacuum aspiration (MVA) for treatment of incomplete abortion. DESIGN A prospective open-label randomised trial. SETTING Kagera Regional Hospital, Bukoba, Tanzania. SAMPLE Three hundred women with a clinical diagnosis of incomplete abortion and a uterine size(More)
OBJECTIVE To compare the safety, efficacy, and acceptability of misoprostol versus manual vacuum aspiration (MVA) for treatment of incomplete abortion in Maputo, Mozambique. METHODS A total of 270 women with clinically diagnosed incomplete abortions of up to 12 weeks of gestation were randomized to either 600 mug oral misoprostol or MVA. Women were(More)
Emergency contraceptive pills are now available on a nonprescription basis in over 25 countries worldwide. In an effort to learn about women's experiences with this new means of emergency contraception (EC) service delivery, we conducted focus-group discussions with nonprescription EC users from France, Norway, Portugal and Sweden. Participants from these(More)