Maternal Newborn Health Registry (MNH)

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ClinicalTrials.gov Identifier: NCT01073475

Recruitment Status : Recruiting

First Posted : February 23, 2010

Last Update Posted : March 4, 2019

See Contacts and Locations

Sponsor:

Information provided by (Responsible Party):

NICHD Global Network for Women's and Children's Health

Study Description

Brief Summary:

The primary purpose of this population-based study is to quantify and understand the trends in pregnancy outcomes in defined low-resource geographic areas over time, in order to provide population-based data on stillbirths, neonatal and maternal mortality.

Condition or disease	Intervention/treatment
Pregnancy Outcome Trends in Low-resource Geographic Areas	Other: There is no intervention associated with this study.

Detailed Description:

The purpose of the Global Network for Women's and Children's Health Research is to develop and test feasible, sustainable interventions to improve the outcome of women and children and to develop research capacity in resource-poor settings. Because most of the sites have weak health care systems, unacceptably high rates of maternal and neonatal mortality and lack birth and death registries, they lack precise data on outcomes and measures of care. Information from a vital registry system will allow the Global Network to document maternal and neonatal mortality, design trials to address the major causes of poor outcome, assess the outcome of our interventions, and ultimately disseminate the results as the basis of public health policy.

Study Design

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Study Type :	Observational
Estimated Enrollment :	750000 participants
Observational Model:	Cohort
Time Perspective:	Prospective
Official Title:	Global Network for Women's and Children's Health Research Maternal Newborn Health Registry
Study Start Date :	May 2008
Estimated Primary Completion Date :	May 2020
Estimated Study Completion Date :	May 2020

Groups and Cohorts

Group/Cohort	Intervention/treatment
Pregnant women Pregnant women in the MNH cluster	Other: There is no intervention associated with this study. There is no intervention associated with this study
Male and Female Infants Male and Female Infants delivered in the clusters	Other: There is no intervention associated with this study. There is no intervention associated with this study

Outcome Measures

Primary Outcome Measures :

Maternal mortality rate [ Time Frame: 42 days post delivery ]
Maternal mortality rate by site and cluster
Stillbirth rate [ Time Frame: Delivery ]
Stillbirth rate by site and cluster
Early neonatal mortality rate [ Time Frame: 28 days post delivery ]
ENM by site and by cluster

Secondary Outcome Measures :

Cause of maternal death at less than or equal to 42 days [ Time Frame: 42 days post delivery ]
Data collected by site and by cluster
Cause of neonatal death at less than or equal to 28 days [ Time Frame: 28 days post delivery ]
Data collected by site and by cluster

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:	Child, Adult, Older Adult
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	Yes
Sampling Method:	Non-Probability Sample

Study Population

All pregnant women meeting participant-level criteria and the infant(s) from their pregnancy.

Criteria

Inclusion Criteria:

Community-level
- Appropriate for long-term registry data collection and the conduct of ongoing Global Network research
- At least 300 deliveries per year
Participant-level
- Pregnant women intending to deliver within study cluster
- Women who deliver within the study cluster
- Women who reside in the community but are transferred for care at delivery

Exclusion Criteria:

Participant-level
- Opt out of consent to include data in the study

Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01073475

Contacts

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Contact: Marion Koso-Thomas, MD	301-435-6873	marion.koso-thomas@nih.gov
Contact: Elizabeth McClure, PHD	919-316-3773	mcclure@rti.org

Locations

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United States, Alabama
University of Alabama at Birmingham	Recruiting
Birmingham, Alabama, United States, 35233
Contact: Waldemar A. Carlo, MD 205-934-4680 Wcarlo@PEDS.UAB.EDU
Principal Investigator: Waldemar A. Carlo, MD
United States, Colorado
University of Colorado Denver	Recruiting
Aurora, Colorado, United States, 80045
Contact: Michael Hambidge, MD 303-724-3206 Michael.Hambidge@ucdenver.edu
Principal Investigator: Michael Hambidge, MD
Sub-Investigator: Nancy Krebs, MD
United States, Indiana
Indiana University School of Medicine	Recruiting
Indianapolis, Indiana, United States, 46202-5119
Contact: Ed Liechty, MD 317-274-4715 eliecht@iu.edu
Principal Investigator: Ed Liechty, MD
United States, Massachusetts
Boston University	Recruiting
Boston, Massachusetts, United States, 02115
Contact: Patricia L. Hibberd, MD, PhD 617-636-2431 plh0@bu.edu
Principal Investigator: Patricia L. Hibberd, MD, PhD
United States, New York
Columbia University	Recruiting
New York, New York, United States, 10032
Contact: Robert Goldenberg, MD 215-762-2014 rlg88@cumc.columbia.edu
Principal Investigator: Robert Goldenberg, MD
United States, North Carolina
University of North Carolina	Recruiting
Chapel Hill, North Carolina, United States, 27510
Contact: Carl Bose, MD 984-974-7849 carl_bose@med.unc.edu
Principal Investigator: Carl Bose, MD
United States, Pennsylvania
Thomas Jefferson University	Recruiting
Philadelphia, Pennsylvania, United States, 19107
Contact: Richard J. Derman, MD, MPH 302-733-3350 Richard.Derman@jefferson.edu
Principal Investigator: Richard J. Derman, MD, MPH
United States, Virginia
University of Virgina	Not yet recruiting
Charlottesville, Virginia, United States, 22908
Contact: Principal Investigator 434-924-5621 wap3g@virginia.edu
Principal Investigator: William A. Petri, MD
Bangladesh
ICDDRB	Not yet recruiting
Dhaka, Bangladesh, 1212
Contact: Site Principal Investigator rhaque@icddrb.org
Principal Investigator: Rashidul Haque, MD
Congo, The Democratic Republic of the
Kinshasa School of Public Health	Recruiting
Kinshasa, Congo, The Democratic Republic of the
Contact: Antoinette Tshefu, MD, MPH, PhD +243 810 156 910 antotshe@yahoo.com
Principal Investigator: Antoinette Tshefu, MD, MPH, PhD
Guatemala
Institute for Nutrition of Central America and Panama (INCAP)	Recruiting
Guatemala City, Guatemala, 01011
Contact: Ana Garces, MD, MPH (502) 2471-3299 agarces@incap.int
Principal Investigator: Ana Lucia Garces, MD, MPH
India
Jawaharlal Nehru Medical College	Recruiting
Belgaum, Karnataka, India
Contact: Bhalchandra S. Kodkany, MD, MBBS drkodkany@jnmc.edu
Principal Investigator: Bhalchandra S. Kodkany, MD, MBBS
Lata Medical Research Foundation	Recruiting
Nagpur, India
Contact: Archana Patel, MD, DNB, MSCE 91-98 2315 4463 dr_apatel@yahoo.com
Principal Investigator: Archana Patel, MD, DNB, MSCE
Kenya
Moi University School of Medicine	Recruiting
Eldoret, Kenya
Contact: Fabian Esamai, MMed, PhD +254 733 836 410 fesamai2007@gmail.com
Principal Investigator: Fabian Esamai, MMed, PhD
Pakistan
The Aga Khan University	Recruiting
Karachi, Pakistan, 74800
Contact: Sarah Saleem, MD 92-213-486-4819 Sarah.saleem@aku.edu
Principal Investigator: Sarah Saleem, MD
Zambia
University Teaching Hospital	Recruiting
Lusaka, Zambia
Contact: Elwyn Chomba, MBChB,DCH,MRCP +260 211 252 094 echomba@zamnet.zm
Principal Investigator: Elwyn Chomba, MBChB,DCH,MRCP

Sponsors and Collaborators

NICHD Global Network for Women's and Children's Health

Investigators

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Study Director:	Marion Koso-Thomas, MD	Center for Research for Mothers and Children (NICHD)

Study Documents (Full-Text)

Documents provided by NICHD Global Network for Women's and Children's Health:

Informed Consent Form [PDF] November 3, 2016

More Information

Additional Information:

The Global Network for Women's and Children's Health Research website contains information for the MNH Registry as well as other Global Network studies This link exits the ClinicalTrials.gov site

This link exits the ClinicalTrials.gov site

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Patel A, Pusdekar YV, Prakash AA, Simmons E, Waikar M, Rao SR, Hibberd PL. Trends and determinants of increasing caesarean sections from 2010 to 2013 in a prospective population-based registry in eastern rural Maharashtra, India. BMJ Open. 2019 Aug 5;9(8):e024654. doi: 10.1136/bmjopen-2018-024654.

Patel A, Prakash AA, Das PK, Gupta S, Pusdekar YV, Hibberd PL. Maternal anemia and underweight as determinants of pregnancy outcomes: cohort study in eastern rural Maharashtra, India. BMJ Open. 2018 Aug 8;8(8):e021623. doi: 10.1136/bmjopen-2018-021623.

Saleem S, Tikmani SS, McClure EM, Moore JL, Azam SI, Dhaded SM, Goudar SS, Garces A, Figueroa L, Marete I, Tenge C, Esamai F, Patel AB, Ali SA, Naqvi F, Mwenchanya M, Chomba E, Carlo WA, Derman RJ, Hibberd PL, Bucher S, Liechty EA, Krebs N, Michael Hambidge K, Wallace DD, Koso-Thomas M, Miodovnik M, Goldenberg RL. Trends and determinants of stillbirth in developing countries: results from the Global Network's Population-Based Birth Registry. Reprod Health. 2018 Jun 22;15(Suppl 1):100. doi: 10.1186/s12978-018-0526-3.

Dhaded SM, Somannavar MS, Jacob JP, McClure EM, Vernekar SS, Yogesh Kumar S, Kavi A, Ramadurg UY, Moore JL, Wallace DP, Derman RJ, Goldenberg RL, Goudar SS. Early pregnancy loss in Belagavi, Karnataka, India 2014-2017: a prospective population-based observational study in a low-resource setting. Reprod Health. 2018 Jun 22;15(Suppl 1):95. doi: 10.1186/s12978-018-0525-4.

Patel A, Prakash AA, Pusdekar YV, Kulkarni H, Hibberd P. Detection and risk stratification of women at high risk of preterm birth in rural communities near Nagpur, India. BMC Pregnancy Childbirth. 2017 Sep 19;17(1):311. doi: 10.1186/s12884-017-1504-4.

Patel AB, Prakash AA, Raynes-Greenow C, Pusdekar YV, Hibberd PL. Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India. BMC Health Serv Res. 2017 May 19;17(1):360. doi: 10.1186/s12913-017-2302-4.

Wang ME, Patel AB, Hansen NI, Arlington L, Prakash A, Hibberd PL. Risk factors for possible serious bacterial infection in a rural cohort of young infants in central India. BMC Public Health. 2016 Oct 19;16(1):1097.

Hibberd PL, Hansen NI, Wang ME, Goudar SS, Pasha O, Esamai F, Chomba E, Garces A, Althabe F, Derman RJ, Goldenberg RL, Liechty EA, Carlo WA, Hambidge KM, Krebs NF, Buekens P, McClure EM, Koso-Thomas M, Patel AB. Trends in the incidence of possible severe bacterial infection and case fatality rates in rural communities in Sub-Saharan Africa, South Asia and Latin America, 2010-2013: a multicenter prospective cohort study. Reprod Health. 2016 May 24;13(1):65. doi: 10.1186/s12978-016-0177-1.

Bucher S, Marete I, Tenge C, Liechty EA, Esamai F, Patel A, Goudar SS, Kodkany B, Garces A, Chomba E, Althabe F, Barreuta M, Pasha O, Hibberd P, Derman RJ, Otieno K, Hambidge K, Krebs NF, Carlo WA, Chemweno C, Goldenberg RL, McClure EM, Moore JL, Wallace DD, Saleem S, Koso-Thomas M. A prospective observational description of frequency and timing of antenatal care attendance and coverage of selected interventions from sites in Argentina, Guatemala, India, Kenya, Pakistan and Zambia. Reprod Health. 2015;12 Suppl 2:S12. doi: 10.1186/1742-4755-12-S2-S12. Epub 2015 Jun 8.

Althabe F, Moore JL, Gibbons L, Berrueta M, Goudar SS, Chomba E, Derman RJ, Patel A, Saleem S, Pasha O, Esamai F, Garces A, Liechty EA, Hambidge K, Krebs NF, Hibberd PL, Goldenberg RL, Koso-Thomas M, Carlo WA, Cafferata ML, Buekens P, McClure EM. Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study. Reprod Health. 2015;12 Suppl 2:S8. doi: 10.1186/1742-4755-12-S2-S8. Epub 2015 Jun 8.

Pasha O, Goudar SS, Patel A, Garces A, Esamai F, Chomba E, Moore JL, Kodkany BS, Saleem S, Derman RJ, Liechty EA, Hibberd PL, Hambidge K, Krebs NF, Carlo WA, McClure EM, Koso-Thomas M, Goldenberg RL. Postpartum contraceptive use and unmet need for family planning in five low-income countries. Reprod Health. 2015;12 Suppl 2:S11. doi: 10.1186/1742-4755-12-S2-S11. Epub 2015 Jun 8.

McClure EM, Saleem S, Goudar SS, Moore JL, Garces A, Esamai F, Patel A, Chomba E, Althabe F, Pasha O, Kodkany BS, Bose CL, Berreuta M, Liechty EA, Hambidge K, Krebs NF, Derman RJ, Hibberd PL, Buekens P, Manasyan A, Carlo WA, Wallace DD, Koso-Thomas M, Goldenberg RL. Stillbirth rates in low-middle income countries 2010 - 2013: a population-based, multi-country study from the Global Network. Reprod Health. 2015;12 Suppl 2:S7. doi: 10.1186/1742-4755-12-S2-S7. Epub 2015 Jun 8.

Patel A, Bucher S, Pusdekar Y, Esamai F, Krebs NF, Goudar SS, Chomba E, Garces A, Pasha O, Saleem S, Kodkany BS, Liechty EA, Kodkany B, Derman RJ, Carlo WA, Hambidge K, Goldenberg RL, Althabe F, Berrueta M, Moore JL, McClure EM, Koso-Thomas M, Hibberd PL. Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study. Reprod Health. 2015;12 Suppl 2:S10. doi: 10.1186/1742-4755-12-S2-S10. Epub 2015 Jun 8.

Dhaded SM, Somannavar MS, Vernekar SS, Goudar SS, Mwenche M, Derman R, Moore JL, Patel A, Pasha O, Esamai F, Garces A, Althabe F, Chomba E, Liechty EA, Hambidge K, Krebs NF, Berrueta M, Ciganda A, Hibberd PL, Goldenberg RL, McClure EM, Koso-Thomas M, Manasyan A, Carlo WA. Neonatal mortality and coverage of essential newborn interventions 2010 - 2013: a prospective, population-based study from low-middle income countries. Reprod Health. 2015;12 Suppl 2:S6. doi: 10.1186/1742-4755-12-S2-S6. Epub 2015 Jun 8.

Bauserman M, Lokangaka A, Thorsten V, Tshefu A, Goudar SS, Esamai F, Garces A, Saleem S, Pasha O, Patel A, Manasyan A, Berrueta M, Kodkany B, Chomba E, Liechty EA, Hambidge K, Krebs NF, Derman RJ, Hibberd PL, Althabe F, Carlo WA, Koso-Thomas M, Goldenberg RL, Wallace DD, McClure EM, Bose CL. Risk factors for maternal death and trends in maternal mortality in low- and middle-income countries: a prospective longitudinal cohort analysis. Reprod Health. 2015;12 Suppl 2:S5. doi: 10.1186/1742-4755-12-S2-S5. Epub 2015 Jun 8.

Marete I, Tenge C, Chemweno C, Bucher S, Pasha O, Ramadurg UY, Mastiholi SC, Chiwila M, Patel A, Althabe F, Garces A, Moore JL, Liechty EA, Derman RJ, Hibberd PL, Hambidge K, Goldenberg RL, Carlo WA, Koso-Thomas M, McClure EM, Esamai F. Lost to follow-up among pregnant women in a multi-site community based maternal and newborn health registry: a prospective study. Reprod Health. 2015;12 Suppl 2:S4. doi: 10.1186/1742-4755-12-S2-S4. Epub 2015 Jun 8.

Goudar SS, Stolka KB, Koso-Thomas M, Honnungar NV, Mastiholi SC, Ramadurg UY, Dhaded SM, Pasha O, Patel A, Esamai F, Chomba E, Garces A, Althabe F, Carlo WA, Goldenberg RL, Hibberd PL, Liechty EA, Krebs NF, Hambidge MK, Moore JL, Wallace DD, Derman RJ, Bhalachandra KS, Bose CL. Data quality monitoring and performance metrics of a prospective, population-based observational study of maternal and newborn health in low resource settings. Reprod Health. 2015;12 Suppl 2:S2. doi: 10.1186/1742-4755-12-S2-S2. Epub 2015 Jun 8.

Pasha O, Saleem S, Ali S, Goudar SS, Garces A, Esamai F, Patel A, Chomba E, Althabe F, Moore JL, Harrison M, Berrueta MB, Hambidge K, Krebs NF, Hibberd PL, Carlo WA, Kodkany B, Derman RJ, Liechty EA, Koso-Thomas M, McClure EM, Goldenberg RL. Maternal and newborn outcomes in Pakistan compared to other low and middle income countries in the Global Network's Maternal Newborn Health Registry: an active, community-based, pregnancy surveillance mechanism. Reprod Health. 2015;12 Suppl 2:S15. doi: 10.1186/1742-4755-12-S2-S15. Epub 2015 Jun 8.

Page CM, Patel A, Hibberd PL. Does smoke from biomass fuel contribute to anemia in pregnant women in Nagpur, India? A cross-sectional study. PLoS One. 2015 May 29;10(5):e0127890. doi: 10.1371/journal.pone.0127890. eCollection 2015.

Patel AB, Meleth S, Pasha O, Goudar SS, Esamai F, Garces AL, Chomba E, McClure EM, Wright LL, Koso-Thomas M, Moore JL, Saleem S, Liechty EA, Goldenberg RL, Derman RJ, Hambidge KM, Carlo WA, Hibberd PL. Impact of exposure to cooking fuels on stillbirths, perinatal, very early and late neonatal mortality - a multicenter prospective cohort study in rural communities in India, Pakistan, Kenya, Zambia and Guatemala. Matern Health Neonatol Perinatol. 2015 Jul 21;1:18. doi: 10.1186/s40748-015-0019-0. eCollection 2015.

Goudar SS, Carlo WA, McClure EM, Pasha O, Patel A, Esamai F, Chomba E, Garces A, Althabe F, Kodkany B, Sami N, Derman RJ, Hibberd PL, Liechty EA, Krebs NF, Hambidge KM, Buekens P, Moore J, Wallace D, Jobe AH, Koso-Thomas M, Wright LL, Goldenberg RL. The Maternal and Newborn Health Registry Study of the Global Network for Women's and Children's Health Research. Int J Gynaecol Obstet. 2012 Sep;118(3):190-3. doi: 10.1016/j.ijgo.2012.04.022. Epub 2012 Jun 26.

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Responsible Party:	NICHD Global Network for Women's and Children's Health
ClinicalTrials.gov Identifier:	NCT01073475
Other Study ID Numbers:	CP MNH
First Posted:	February 23, 2010 Key Record Dates
Last Update Posted:	March 4, 2019
Last Verified:	March 2018

Keywords provided by NICHD Global Network for Women's and Children's Health:


Pregnancy Maternal mortality Neonatal mortality	Stillbirth Maternal Cause of Death Neonatal Cause of Death

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