JNMC Womens & Childs Research Unit

JNMC Women’s and Children’s Health Research Unit’s Community Based Research Initiatives for Reducing Maternal and Newborn Mortality in North Karnataka

India contributes to the greatest number of the 2.6 million stillbirths, 3.1 million neonatal deaths and the 342,900 maternal deaths that occur globally every year. The international community and the ministries of health are looking for evidence based health care strategies that can be implemented in low-resource community settings to make a significant impact on this alarming mortality burden. J N Medical College, Belgaum has taken a special initiative for improving the health status of the mothers and newborns in the north Karnataka region. In that noble endeavor, the year 1999 represents a significant landmark. Spurred by the encouragement of Dr Prabhakar Kore, MP, and the visionary Chairman of KLE Society, an academic collaboration was established with the University of Illinois at Chicago, USA. The major emphasis of the collaboration was to strengthen Medical Education as well as develop research capacity and clinical care services in Maternal and Child Health.

The National Institute of Child Health and Human Development of the National Institutes of Health, USA for the first time ever formed a Global Network for Women’s and Children’s Health Research in the year 2001. The objective of the Global Network is to implement community based research studies to improve maternal, neonatal, infant and early childhood health and accelerate the achievement of Millennium Development Goals 4 and 5 (of reducing maternal and newborn mortality) in low and middle income countries across Asia, Africa and Latin America. JNMC has the unique distinction of being selected as one of the sites of the research network. For realizing the Global Network mandate, JNMC established a Women’s and Children’s Health Research Unit in 2001. In fulfilling its mission, the JNMC Research Unit has forged a strong Public Private Partnership with the public sector health care system. Building on the expanded research capacity emanating from Global Network participation, JNMC has forged collaborations with nine Universities of the USA and two from Canada as well as other international not-for-profit organizations.

Over the past twelve years, JNMC’s multi-disciplinary research team has conducted a number of community based research projects with support from other NIH agencies, the World Health Organization, Geneva, the American Academy of Pediatrics, the International Atomic Energy Agency, the Thrasher Research Foundation, the Norwegian Agency for Development Cooperation (NORAD), the Laerdal Medical Foundation and the Bill and Melinda Gates Foundation. The research areas relate to: identifying strategies for preventing excessive bleeding during child birth; optimizing delivery practices of birth attendants; improving the skills of birth attendants for initiating newborn resuscitation in babies who fail to breathe spontaneously after birth; developing a home-to-hospital continuum of Emergency Obstetric and Newborn Care health system model through community participation and improvement of quality of health care services at hospitals; training community health workers like ASHAs to identify pregnant women with increased risk for preterm delivery and facilitating the administration of corticosteroids for reducing mortality among preterm low birth weight babies; promoting optimal childhood growth and development through home based education of families; and testing the effectiveness of nutritional supplementation prior to pregnancy on the growth and development of the baby. The site has pioneered a population based registry for tracking maternal and newborn health outcomes. The overarching intent of these research projects is to develop sustainable service delivery models for informing policy that could be scaled up programmatically by countries to meet MDGs 4 and 5. The results of these insightful research studies have had a profound impact at national and international levels in shaping public health policies.

Misoprostol-tablet, first tested in Belgaum district for preventing excessive bleeding in women after delivery, is now endorsed by the Government of India for community level prevention of postpartum bleeding. The study provided the critical evidence for the inclusion of misoprostol on the World Health Organization’s List of Essential Medicines for prevention of postpartum hemorrhage and stronger advocacy of misoprostol for PPH prevention by the United Nations’ Commission on Life-Saving Commodities for Maternal Health. It also prompted expansion of the registration and use of misoprostol for prevention of postpartum bleeding by the Ministries of Health of 21 countries. However, the skill of birth attendants in conducting delivery and management of the immediate postpartum period is a critical factor in determining the extent of blood loss after childbirth. Studies conducted by the JNMC Research Unit have demonstrated that simplified practices for managing the third stage of delivery, and training birth attendants for adopting them, are capable of improving the health outcomes of mothers.

Failure to breathe spontaneously at birth (birth asphyxia) is one of the leading causes of early newborn mortality. Inappropriate and unscientific resuscitation practices for reviving such babies are prevalent widely and contribute significantly to the high number of stillbirths and newborn deaths witnessed in our communities. Between 2005 and 2008, the ‘Global Network’ launched a major initiative of training community-based birth attendants in Neonatal Resuscitation for reducing early neonatal mortality in developing countries. The results of this “First Breath: Community Based Training and Intervention in Neonatal Resuscitation” research project led to the incorporation of the neonatal resuscitation training curriculum in the Basic Newborn Care & Resuscitation Program called “Navajat Shishu Suraksha Karyakram” (NSSK) program of the Government of India.

While ‘First Breath’ attempted reduction of early newborn mortality from birth asphyxia, it was speculated that the survivors may end up with varying degree of impaired neurological development. The burden on families and the communities assumes greater significance in view of the scarcity of supportive care available to children of rural population. The “Brain Research to Ameliorate Impaired Neurodevelopment: Home-based Intervention Trial (BRAIN HIT)” addressed this concern by testing the feasibility of a home based early intervention program on babies resuscitated from birth asphyxia in improving their physical, mental and social development. The BRAIN-HIT study findings demonstrate that simple home based strategies could be effective in reducing neurodevelopmental disabilities in young children from low and middle income countries.

Health care systems in many developing countries struggle to provide safe delivery by skilled birth attendants and necessary emergency obstetric and newborn care. While the Misoprostol study and First Breath project focused on reducing maternal and newborn deaths from specific causes, community-participatory approaches and health system strengthening are essential if the maternal and newborn mortality has to be reduced drastically. The Emergency Obstetric and Newborn Care study implemented by the JNMC Research Unit tested an integrated package of these strategies for improving pregnancy outcomes. The strategies included creating awareness in the communities for birth planning and hospital transport, birth attendant training for early recognition of pregnancy and newborn complications, and hospital staff training in the management of obstetric and neonatal emergencies. Although, this comprehensive, large-scale, multi-sector intervention did not result in the anticipated impact on pregnancy outcomes, the results were encouraging. Lessons learnt from this project suggest that achieving improvement in pregnancy outcomes in these settings will require substantially more obstetric and newborn care infrastructure and provider training and community mobilization alone will not be sufficient.

Recently, the Research Unit has completed two more major research projects aimed at reducing newborn mortality in Belgaum and Bagalkot districts. While the Antenatal Corticosteroid Trial involved training community health workers in over 150 villages to identify women at high risk for preterm delivery and reduce newborn mortality, the Helping Babies Breathe project trained over 1,200 birth attendants working in 25 public sector (District Hospital, Belgaum, 7 Taluka hospitals, 2 Community Health Centers and 15 Primary Health Centers) and 8 private sector hospitals of Belgaum district for newborn resuscitation. The strategies used in the research studies to-date have demonstrated positive impact on maternal and neonatal outcomes. It is hoped that these will be incorporated by the Ministry of Health for improving the health outcomes of mothers and newborns throughout the country.

Additionally, three new research projects have been initiated by the JNMC Research Unit during the year 2013. The PRE-EMPT Initiative of the Bill & Melinda Gates Foundation is implementing community level interventions for reducing maternal and new-born mortality from hypertensive disorders during pregnancy all over the world. J N Medical College, Belgaum is collaborating with S Nijalingappa Medical College, Bagalkot and University of British Columbia, Vancouver, Canada for implementing this project in Belgaum and Bagalkot districts. Dr Prabhakar Kore, Chancellor of KLE University and Chairman, KLE Society inaugurated the research project in Delhi on November 12, 2013. The inaugural function was attended by more than 100 leading public health researchers in the area of maternal health from 13 countries. Representatives of WHO, Geneva and ICMR, New Delhi were also present at the Inaugural Function. The second project – “Women First: Stree Sanjeevini” – study supported by NICHD Global Network and the Bill and Melinda Gates Foundation is aimed at assessing the effect of nutritional supplementation prior to pregnancy on newborn growth. A third research project funded by Thrasher Foundation – the Clindamycin Trial – focuses on the use of antibiotics for treating infection during pregnancy for reducing preterm births in rural areas. The results of these trials will likely have implications in shaping public health policy nationally and internationally.

Ms Kathleen Sebelius, Secretary of Health, heading the Department of Health and Human Services of the USA visited J N Medical College, Belgaum to observe the research activities conducted at the village level. Congratulating the JNMC research team for the outcomes in community based studies focused on women’s and children’s health, she lauded KLE for its commitment to improve the health status of rural India. On this glorious occasion, she lauded the leadership of Dr Prabhakar Kore and his encouragement to community based research for the benefit of rural women and children. She also gave a special invitation to the Hon’ble Chancellor Dr Prabhakar Kore and the members of the JNMC Research Unit to participate in a meeting of the Global Network in Washington held in June 2012. Acknowledging the outstanding research contribution of the research team, she reaffirmed the continued support of US Government for the next five years through 2018.

In order to strengthen the health care services in the north Karnataka region, the JNMC Research Unit has networked with S Nijalingappa Medical College of BVV Sangha, Bagalkot and Sri B M Patil Medical College of BLDE University, Bijapur. The Research Unit’s activities now encompass over 700 villages spread over the districts of Belgaum, Bijapur and Bagalkot and cover a population of over 20 lakhs. The scientific productivity of the research unit has been phenomenal. Over the past 12 years the Research Unit scientists have authored more than 50 scientific papers that have been published in internationally reputed biomedical journals like the Lancet, the New England Journal of Medicine and Pediatrics.

In conclusion, the JNMC Research Unit has made a humble effort at fulfilling its social responsibility towards improving the health of our mothers and children. But, it recognizes that a lot more needs to be done in the years to come if we have to ensure a safe childbirth and a healthy newborn in our communities. It earnestly desires that the entire community will join hands with it in this earnest endeavor.

Dr Shivaprasad S Goudar MD MHPE
Professor of Physiology & Research Coordinator,
Women’s and Children’s Health Research Unit,
KLE University’s J N Medical College,
belagavi – 590010.
Karnataka, INDIA.
e-Mail: sgoudar@jnmc.edu
Tel (Work): +91 831 244 4194
Fax: +91 831 247 2891
Mobile: +91 94481 26371

International Collaborations

National Collaborations

Funding Agencies

JNMC Women’s and Children’s Health Research Unit

  1. Krebs NF, Hambidge KM, Westcott JL, Garcés AL, Figueroa L, Tsefu AK, Lokangaka AL, Goudar SS, Dhaded SM, Saleem S, Ali SA, Bose CL, Derman RJ, Goldenberg RL, Thorsten VR, Sridhar A, Chowdhury D, Das A; Women First Preconception Maternal Nutrition Study Group; Growth from Birth through Six Months for Infants of Mothers in the “Women First” Preconception Maternal Nutrition Trial. J Pediatr. 2020 Sep 18:S0022-3476(20)31165-3. doi: 10.1016/j.jpeds.2020.09.032. Online ahead of print. PMID: 32956698
  2. Laura A Magee, Sumedha Sharma, Esperança Sevene, Rahat N Qureshi, Ashalata Mallapur, Salésio E Macuácua, Shivaprasad Goudar, Mrutunjaya B Bellad, Olalekan O Adetoro, Beth A Payne, John Sotunsa, Anifa Valá, Jeffrey Bone, Andrew H Shennan, Marianne Vidler, Zulfiqar A Bhutta, & Peter von Dadelszen & the Community-Level Interventions for Pre-eclampsia Study Group; Population-level data on antenatal screening for proteinuria; India, Mozambique, Nigeria, Pakistan; Bull World Health Organ 2020;98:661–670; doi: http://dx.doi.org/10.2471/BLT.19.248898
  3. von Dadelszen P, Bhutta ZA, Sharma S, Bone J, Singer J, Wong H, Bellad MB, Goudar SS, Lee T, Li J, Mallapur AA, Munguambe K, Payne BA, Qureshi RN, Sacoor C, Sevene E, Vidler M, Magee LA; CLIP Trials Working Group. The Community-Level Interventions for Pre-eclampsia (CLIP) cluster randomised trials in Mozambique, Pakistan, and India: an individual participant-level meta-analysis. Lancet. 2020 Aug 22;396(10250):553-563. doi: 10.1016/S0140-6736(20)31128-4. PMID: 32828187
  4. Feroz AS, Paganelli C, Bunei M, Eshetu B, Parveen S, Reza S, Sanji C, Tikmani SS, Goudar SS, Goudar G, Saleem S, McClure EM, Goldenberg RL. A comparison of MITS counseling and informed consent processes in Pakistan, India, Bangladesh, Kenya, and Ethiopia. Reprod Health. 2020 Aug 12;17(1):120. doi: 10.1186/s12978-020-00969-w. PMID: 32787868
  5. Bellad MB, Goudar SS, Mallapur AA, Sharma S, Bone J, Charantimath US, Katageri GM, Ramadurg UY, Mark Ansermino J, Derman RJ, Dunsmuir DT, Honnungar NV, Karadiguddi C, Kavi AJ, Kodkany BS, Lee T, Li J, Nathan HL, Payne BA, Revankar AP, Shennan AH, Singer J, Tu DK, Vidler M, Wong H, Bhutta ZA, Magee LA, von Dadelszen P; CLIP India Working Group (Table S1). Community level interventions for pre-eclampsia (CLIP) in India: A cluster randomised controlled trial. Pregnancy Hypertens. 2020 May 19;21:166-175. doi: 10.1016/j.preghy.2020.05.008. Online ahead of print.PMID: 32554291
  6. Harrison MS, Garces A, Figueroa L, Esamai F, Bucher S, Bose C, Goudar S, Derman R, Patel A, Hibberd PL, Chomba E, Mwenechanya M, Hambidge M, Krebs NF. Caesarean birth by maternal request: a poorly understood phenomenon in low- and middle-income countries. Int Health. 2020 May 30:ihaa020. doi: 10.1093/inthealth/ihaa020. Online ahead of print. PMID: 32478383
  7. Vousden N, Holmes E, Seed PT, Gidiri MF, Goudar S, Sandall J, Chinkoyo S, Kumsa LY, Brown A, Charantimath U, Bellad M, Nakimuli A, Vwalika B, Chappell LC, Shennan AH; CRADLE Trial Collaborative Group. Incidence and characteristics of pregnancy-related death across ten low and middle-income geographical regions: secondary analysis of a cluster randomised controlled trial. BJOG. 2020 May 7. doi: 10.1111/1471-0528.16309. Online ahead of print. PMID: 32383337
  8. Umesh Charantimath, Roopa Bellad, Niranjana Majantashetti, Yukiko Washio, Richard Derman, Patricia J. Kelly, Vanessa Short, Esther Chung, Shivaprasad Goudar; Facilitators and challenges to exclusive breastfeeding in Belagavi District, Karnataka, India. PLoS One. 2020; 15(5): e0231755. Published online 2020 May 4. doi: 10.1371/journal.pone.0231755. PMCID: PMC7197767
  9. Shah R, Gustafson E, Dhaded S, Herekar V, Metgud D, Mastiholi S, Kim H, Goudar S, Atkins M. Integrating an Adapted, Low-Intensity Program to Promote Early Childhood Development in Routine Health Visits in Rural India: A Feasibility Study. J Dev Behav Pediatr. 2019 Dec 13. doi: 10.1097/DBP.0000000000000763. PMID: 31842065
  10. Makacha L, Makanga PT, Dube YP, Bone J, Munguambe K, Katageri G, Sharma S, Vidler M, Sevene E, Ramadurg U, Charantimath U, Revankar A, von Dadelszen P. Is the closest health facility the one used in pregnancy care-seeking? A cross-sectional comparative analysis of self-reported and modelled geographical access to maternal care in Mozambique, India and Pakistan. Int J Health Geogr. 2020 Feb 3;19(1):1. doi: 10.1186/s12942-020-0197-5. PMID: 32013994
  11. Sangappa M. Dhaded, K. Michael Hambidge, Sumera Aziz Ali, Manjunath Somannavar, Sarah Saleem, Omrana Pasha, Umber Khan, Veena Herekar, Sunil Vernekar, Yogesh Kumar S., Jamie E. Westcott, Vanessa R. Thorsten, Amaanti Sridhar, Abhik Das, Elizabeth McClure, Richard J. Derman, Robert L. Goldenberg, Marion Koso-Thomas, Shivaprasad S. Goudar, Nancy F. Krebs; Preconception nutrition intervention improved birth length and reduced stunting and wasting in newborns in South Asia: The Women First Randomized Controlled Trial; PLoS One. 2020; 15(1): e0218960. Published online 2020 Jan 29. doi: 10.1371/journal.pone.0218960; PMCID: PMC6988936
  12. Hoffman MK, Goudar SS, Kodkany BS, Metgud M, Somannavar M, Okitawutshu J, Lokangaka A, Tshefu A, Bose CL, Mwapule A, Mwenechanya M, Chomba E, Carlo WA, Chicuy J, Figueroa L, Garces A, Krebs NF, Jessani S, Zehra F, Saleem S, Goldenberg RL, Kurhe K, Das P, Patel A, Hibberd PL, Achieng E, Nyongesa P, Esamai F, Liechty EA, Goco N, Hemingway-Foday J, Moore J, Nolen TL, McClure EM, Koso-Thomas M, Miodovnik M, Silver R, Derman RJ; ASPIRIN Study Group. Low-dose aspirin for the prevention of preterm delivery in nulliparous women with a singleton pregnancy (ASPIRIN): a randomised, double-blind, placebo-controlled trial. Lancet. 2020 Jan 25;395(10220):285-293. doi: 10.1016/S0140-6736(19)32973-3. PMID: 31982074
  13. Widmer M, Piaggio G, Hofmeyr GJ, Carroli G, Coomarasamy A, Gallos I, Goudar S, Gülmezoglu AM, Lin Lin S, Lumbiganon P, Mugerwa K, Owa O, Qureshi Z, Althabe F. Maternal characteristics and causes associated with refractory postpartum haemorrhage after vaginal birth: a secondary analysis of the WHO CHAMPION trial data. BJOG. 2019 Dec 6. doi: 10.1111/1471-0528.16040. PMID: 31808245
  14. Hambidge KM, Bann CM, McClure EM, Westcott JE, Garcés A, Figueroa L, Goudar SS, Dhaded SM, Pasha O, Ali SA, Derman RJ, Goldenberg RL, Koso-Thomas M, Somannavar MS, Herekar V, Khan U, Krebs NF.; Maternal Characteristics Affect Fetal Growth Response in the Women First Preconception Nutrition Trial; Nutrients. 2019 Oct 21;11(10). pii: E2534. doi: 10.3390/nu11102534; PMID: 31640153
  15. Tang M, Frank DN, Tshefu A, Lokangaka A, Goudar SS, Dhaded SM, Somannavar MS, Hendricks AE, Ir D, Robertson CE, Kemp JF, Lander RL, Westcott JE, Hambidge KM, Krebs NF; Different Gut Microbial Profiles in Sub-Saharan African and South Asian Women of Childbearing Age Are Primarily Associated With Dietary Intakes; Front Microbiol. 2019 Aug 14;10:1848. doi: 10.3389/fmicb.2019.01848. eCollection 2019; PMID: 31474951
  16. WHO ACTION Trials Collaborators; The World Health Organization ACTION-I (Antenatal CorTicosteroids for Improving Outcomes in preterm Newborns) Trial: a multi-country, multi-centre, two-arm, parallel, double-blind, placebo-controlled, individually randomized trial of antenatal corticosteroids for women at risk of imminent birth in the early preterm period in hospitals in low-resource countries; Trials. 2019 Aug 16;20(1):507. doi: 10.1186/s13063-019-3488-z; PMID: 31420064
  17. Lander RL, Hambidge KM, Westcott JE, Tejeda G, Diba TS, Mastiholi SC, Khan US, Garcés A, Figueroa L, Tshefu A, Lokangaka A, Goudar SS, Somannavar MS, Ali SA, Saleem S, McClure EM, Krebs NF, Group OBOTWFPNT; Pregnant Women in Four Low-Middle Income Countries Have a High Prevalence of Inadequate Dietary Intakes That Are Improved by Dietary Diversity; Nutrients. 2019 Jul 10;11(7). pii: E1560. doi: 10.3390/nu11071560; PMID: 31295916
  18. Tikmani SS, Ali SA, Saleem S, Bann CM, Mwenechanya M, Carlo WA, Figueroa L, Garces AL, Krebs NF, Patel A, Hibberd PL, Goudar SS, Derman RJ, Aziz A, Marete I, Tenge C, Esamai F, Liechty E, Bucher S, Moore JL, McClure EM, Goldenberg RL. Trends of antenatal care during pregnancy in low- and middle-income countries: Findings from the global network maternal and newborn health registry. Semin Perinatol. 2019 Mar 16. pii: S0146-0005(19)30045-X. doi: 10.1053/j.semperi.2019.03.020. [Epub ahead of print] Review. PMID: 31005357
  19. Magee LA, Sharma S, Nathan HL, Adetoro OO, Bellad MB, Goudar S, Macuacua SE, Mallapur A, Qureshi R, Sevene E, Sotunsa J, Valá A, Lee T, Payne BA, Vidler M, Shennan AH, Bhutta ZA, von Dadelszen P; CLIP Study Group. The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis. PLoS Med. 2019 Apr 12;16(4):e1002783. doi: 10.1371/journal.pmed.1002783. eCollection 2019 Apr. PMID: 30978179
  20. Vousden N, Lawley E, Seed PT, Gidiri MF, Charantimath U, Makonyola G, Brown A, Yadeta L, Best R, Chinkoyo S, Vwalika B, Nakimuli A, Ditai J, Greene G, Chappell LC, Sandall J, Shennan AH; CRADLE Trial Collaborative Group. Exploring the effect of implementation and context on a stepped-wedge randomised controlled trial of a vital sign triage device in routine maternity care in low-resource settings. Implement Sci. 2019 Apr 18;14(1):38. doi: 10.1186/s13012-019-0885-3. PMID: 30999963
  21. Vousden N, Lawley E, Seed PT, Gidiri MF, Goudar S, Sandall J, Chappell LC, Shennan AH; CRADLE Trial Collaborative Group. Incidence of eclampsia and related complications across 10 low- and middle-resource geographical regions: Secondary analysis of a cluster randomised controlled trial. PLoS Med. 2019 Mar 29;16(3):e1002775. doi: 10.1371/journal.pmed.1002775. eCollection 2019 Mar. PMID: 30925157
  22. Vousden N, Lawley E, Nathan HL, Seed PT, Gidiri MF, Goudar S, Sandall J, Chappell LC, Shennan AH; CRADLE Trial Collaborative Group. Effect of a novel vital sign device on maternal mortality and morbidity in low-resource settings: a pragmatic, stepped-wedge, cluster-randomised controlled trial. Lancet Glob Health. 2019 Mar;7(3):e347-e356. doi: 10.1016/S2214-109X(18)30526-6. PMID: 30784635
  23. Hambidge KM, Westcott JE, Garcés A, Figueroa L, Goudar SS, Dhaded SM, Pasha O, Ali SA, Tshefu A, Lokangaka A, Derman RJ, Goldenberg RL, Bose CL, Bauserman M, Koso-Thomas M, Thorsten VR, Sridhar A, Stolka K, Das A, McClure EM, Krebs NF; Women First Preconception Trial Study Group. A multicountry randomized controlled trial of comprehensive maternal nutrition supplementation initiated before conception: the Women First trial. Am J Clin Nutr. 2019 Feb 1;109(2):457-469. doi: 10.1093/ajcn/nqy228. PMID: 30721941
  24. Parks S, Hoffman MK, Goudar SS, Patel A, Saleem S, Ali SA, Goldenberg RL, Hibberd PL, Moore J, Wallace D, McClure EM, Derman RJ. Maternal anaemia and maternal, fetal, and neonatal outcomes in a prospective cohort study in India and Pakistan. BJOG. 2019 May;126(6):737-743. doi: 10.1111/1471-0528.15585. Epub 2019 Jan 24. PMID: 30554474
  25. Duffy CR, Moore JL, Saleem S, Tshefu A, Bose CL, Chomba E, Carlo WA, Garces AL, Krebs NF, Hambidge KM, Goudar SS, Derman RJ, Patel A, Hibberd PL, Esamai F, Liechty EA, Wallace DD, McClure EM, Goldenberg RL; NICHD Global Network for Women’s and Children’s Health Research. Malpresentation in low- and middle-income countries: Associations with perinatal and maternal outcomes in the Global Network. Acta Obstet Gynecol Scand. 2019 Mar;98(3):300-308. doi: 10.1111/aogs.13502. Epub 2018 Dec 20. PMID: 30414270
  26. Harrison MS, Saleem S, Ali S, Pasha O, Chomba E, Carlo WA, Garces AL, Krebs NF, Hambidge KM, Goudar SS, Dhaded SM, Kodkany B, Derman RJ, Patel A, Hibberd PL, Esamai F, Liechty EA, Tshefu A, Lokangaka A, Bauserman M, Bose CL, Althabe F, Belizan JM, Buekens P, Moore JL, Wallace DD, Miodovnik M, Koso-Thomas M, McClure EM, Goldenberg RL. A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016. Am J Perinatol. 2019 Jun;36(7):730-736. doi: 10.1055/s-0038-1673656. Epub 2018 Oct 29. PMID: 30372772
  27. Nathan HL, Vousden N, Lawley E, de Greeff A, Hezelgrave NL, Sloan N, Tanna N, Goudar SS, Gidiri MF, Sandall J, Chappell LC, Shennan AH. Development and evaluation of a novel Vital Signs Alert device for use in pregnancy in low-resource settings. BMJ Innov. 2018 Oct;4(4):192-198. doi: 10.1136/bmjinnov-2017-000235. Epub 2018 Sep 19. PMID: 30319784
  28. Goldenberg RL, Muhe L, Saleem S, Dhaded S, Goudar SS, Patterson J, Nigussie A, McClure EM. Criteria for assigning cause of death for stillbirths and neonatal deaths in research studies in low-middle income countries. J Matern Fetal Neonatal Med. 2019 Jun;32(11):1915-1923. doi: 10.1080/14767058.2017.1419177. Epub 2018 Aug 23. PMID: 30134756
  29. Belizán JM, Minckas N, McClure EM, Saleem S, Moore JL, Goudar SS, Esamai F, Patel A, Chomba E, Garces AL, Althabe F, Harrison MS, Krebs NF, Derman RJ, Carlo WA, Liechty EA, Hibberd PL, Buekens PM, Goldenberg RL. An approach to identify a minimum and rational proportion of caesarean sections in resource-poor settings: a global network study. Lancet Glob Health. 2018 Aug;6(8):e894-e901. doi: 10.1016/S2214-109X(18)30241-9. PMID: 30012270
  30. Widmer M, Piaggio G, Nguyen TMH, Osoti A, Owa OO, Misra S, Coomarasamy A, Abdel-Aleem H, Mallapur AA, Qureshi Z, Lumbiganon P, Patel AB, Carroli G, Fawole B, Goudar SS, Pujar YV, Neilson J, Hofmeyr GJ, Su LL, Ferreira de Carvalho J, Pandey U, Mugerwa K, Shiragur SS, Byamugisha J, Giordano D, Gülmezoglu AM; WHO CHAMPION Trial Group. Heat-Stable Carbetocin versus Oxytocin to Prevent Hemorrhage after Vaginal Birth. N Engl J Med. 2018 Jun 27. doi: 10.1056/NEJMoa1805489. PMID: 29949473
  31. Katageri G, Charantimath U, Joshi A, Vidler M, Ramadurg U, Sharma S, Bannale S, Payne BA, Rakaraddi S, Karadiguddi C, Mungarwadi G, Kavi A, Sawchuck D, Derman R, Goudar S, Mallapur A, Bellad M, Magee LA, Qureshi R, von Dadelszen P; Community Level Interventions for Pre-eclampsia (CLIP) India Feasibility Working Group. Availability and use of magnesium sulphate at health care facilities in two selected districts of North Karnataka, India. Reprod Health. 2018 Jun 22;15(Suppl 1):91. doi: 10.1186/s12978-018-0531-6. PMID: 29945665
  32. Charanthimath U, Vidler M, Katageri G, Ramadurg U, Karadiguddi C, Kavi A, Joshi A, Mungarwadi G, Bannale S, Rakaraddi S, Sawchuck D, Qureshi R, Sharma S, Payne BA, von Dadelszen P, Derman R, Magee LA, Goudar S, Mallapur A, Bellad M; and the Community Level Interventions for Pre-eclampsia (CLIP) India Feasibility Working Group, Bhutta Z, Naik S, Mulla A, Kamle N, Dhamanekar V, Drebit SK, Kariya C, Lee T, Li J, Lui M, Khowaja AR, Tu DK, Revankar A. The feasibility of task-sharing the identification, emergency treatment, and referral for women with pre-eclampsia by community health workers in India. Reprod Health. 2018 Jun 22;15(Suppl 1):101. doi: 10.1186/s12978-018-0532-5. PMID: 29945662
  33. Mastiholi SC, Somannavar MS, Vernekar SS, Yogesh Kumar S, Dhaded SM, Herekar VR, Lander RL, Hambidge MK, Krebs NF, Goudar SS. Food insecurity and nutritional status of preconception women in a rural population of North Karnataka, India. Reprod Health. 2018 Jun 22;15(Suppl 1):90. doi: 10.1186/s12978-018-0535-2. PMID: 29945660
  34. Theunissen FJ, Chinery L, Pujar YV. Current research on carbetocin and implications for prevention of postpartum haemorrhage. Reprod Health. 2018 Jun 22;15(Suppl 1):94. doi: 10.1186/s12978-018-0529-0. Review. PMID: 29945640
  35. McClure EM, Saleem S, Goudar SS, Dhaded S, Guruprasad G, Kumar Y, Tikmani SS, Kadir M, Raza J, Yasmin H, Moore JL, Kim J, Bann C, Parlberg L, Aceituno A, Carlo WA, Silver RM, Lamberti L, Patterson J, Goldenberg RL. The project to understand and research preterm pregnancy outcomes and stillbirths in South Asia (PURPOSe): a protocol of a prospective, cohort study of causes of mortality among preterm births and stillbirths. Reprod Health. 2018 Jun 22;15(Suppl 1):89. doi: 10.1186/s12978-018-0528-1. PMID: 29945651
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  1. Berrueta M, Hemingway-Foday J, Thorsten VR, Goldenberg RL, Carlo WA, Garces A, Patel A, Saleem S, Pasha O, Chomba E, Hibberd PL, Krebs NF, Goudar S, Derman RJ, Esamai F, Liechty EA, Moore JL, McClure EM, Koso-Thomas M, Buekens PM, Belizán JM, Althabe F. Use of antenatal corticosteroids at health facilities and communities in low-and-middle income countries. Reprod Health. 2016 May 27;13(1):66. doi: 10.1186/s12978-016-0176-2. PMID: 27228986 PMCID: PMC4882797
  1. 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. PMID: 27221099 PMCID: PMC4877736
  1. Klein K, McClure EM, Colaci D, Thorsten V, Hibberd PL, Esamai F, Garces A, Patel A, Saleem S, Pasha O, Chomba E, Carlo WA, Krebs NF, Goudar S, Derman RJ, Liechty EA, Koso-Thomas M, Buekens PM, Belizán JM, Goldenberg RL, Althabe F. The Antenatal Corticosteroids Trial (ACT): a secondary analysis to explore site differences in a multi-country trial. Reprod Health. 2016 May 24;13(1):64. doi: 10.1186/s12978-016-0179-z. PMID: 27221319 PMCID: PMC4878061
  1. Althabe F, Thorsten V, Klein K, McClure EM, Hibberd PL, Goldenberg RL, Carlo WA, Garces A, Patel A, Pasha O, Chomba E, Krebs NF, Goudar S, Derman RJ, Esamai F, Liechty EA, Hansen NI, Meleth S, Wallace DD, Koso-Thomas M, Jobe AH, Buekens PM, Belizán JM. The Antenatal Corticosteroids Trial (ACT)’s explanations for neonatal mortality – a secondary analysis. Reprod Health. 2016 May 24;13(1):62. doi: 10.1186/s12978-016-0175-3. PMID: 27220987 PMCID: PMC4878056
  2. Widmer M, Piaggio G, Abdel-Aleem H, Carroli G, Chong YS, Coomarasamy A, Fawole B, Goudar S, Hofmeyr GJ, Lumbiganon P, Mugerwa K, Nguyen TM, Qureshi Z, Souza JP, Gülmezoglu AM. Room temperature stable carbetocin for the prevention of postpartum haemorrhage during the third stage of labour in women delivering vaginally: study protocol for a randomized controlled trial. Trials. 2016 Mar 17;17(1):143. doi: 10.1186/s13063-016-1271-y. PMID: 26988231
  3. Bellad MB, Chalasani P, Ganachari MS, Goudar SS, Sloan N, Hoffman M, Derman R. Oral Clindamycin to prevent Preterm Birth: A Randomized Placebo Controlled Trial in South India, Journal of SAFOG, September-December 2015;7(3):191-196
  4. Bann CM, Wallander JL, Do B, Thorsten V, Pasha O, Biasini FJ, Bellad R, Goudar S, Chomba E, McClure E, Carlo WA. Home-Based Early Intervention and the Influence of Family Resources on Cognitive Development. Pediatrics. 2016 Apr;137(4). pii: e20153766. doi: 10.1542/peds.2015-3766. Epub 2016 Mar 14. PMID: 26977079
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  1. Goudar SS, Somannavar MS, Clark R, Lockyer JM, Revankar AP, Fidler HM, Sloan NL, Niermeyer S, Keenan WJ, Singhal N. Stillbirth and Newborn Mortality in India After Helping Babies Breathe® Training. Pediatrics. 2013 Feb;131(2):e344-52. doi: 10.1542/peds.2012-2112. Epub 2013 Jan 21.PMID: 23339215 [PubMed – indexed for MEDLINE]
  2. Fernando Althabe, José M Belizán, Agustina Mazzoni, Mabel Berrueta, Jay Hemingway-Foday, Marion Koso-Thomas, Elizabeth McClure, Elwyn Chomba, Ana Garces, Shivaprasad Goudar, Bhalchandra Kodkany, Sarah Saleem, Omrana Pasha, Archana Patel, Fabian Esamai, Waldemar A Carlo, Nancy F Krebs, Richard J Derman, Robert L Goldenberg, Patricia Hibberd, Edward A Liechty, Linda L Wright, Eduardo F Bergel, Alan H Jobe20 and Pierre Buekens; Antenatal corticosteroids trial in preterm births to increase neonatal survival in developing countries: study protocol; Reprod Health. 2012 Sep 19;9:22. doi: 10.1186/1742-4755-9-22. PMID:22992312 [PubMed – indexed for MEDLINE]
  3. 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. PMID:22738806 [PubMed – indexed for MEDLINE]
  4. Belizán JM, McClure EM, Goudar SS, Pasha O, Esamai F, Patel A, Chomba E, Garces A, Wright LL, Koso-Thomas M, Moore J, Althabe F, Kodkany BS, Sami N, Manasyan A, Derman RJ, Liechty EA, Hibberd P, Carlo WA, Hambidge KM, Buekens P, Jobe AH, Goldenberg RL. Neonatal Death in Low- to Middle-Income Countries: A Global Network Study. Am J Perinatol. 2012 Sep;29(8):649-56. doi: 10.1055/s-0032-1314885. Epub 2012 May 29. PMID:22644832 [PubMed – indexed for MEDLINE]
  5. Garces A, McClure EM, Chomba E, Patel A, Pasha O, Tshefu A, Esamai F, Goudar S, Lokangaka A, Hamidge KM, Wright LL, Koso-Thomas M, Bose C, Carlo WA, Liechty EA, Hibberd PL, Bucher S, Whitworth R, Goldenberg RL. Home birth attendants in low income countries: who are they and what do they do? BMC Pregnancy Childbirth. 2012 May 14;12:34. doi: 10.1186/1471-2393-12-34. PMID:22583622 [PubMed – indexed for MEDLINE]
  6. Spector JM, Agrawal P, Kodkany B, Lipsitz S, Lashoher A, et al. (2012) Improving Quality of Care for Maternal and Newborn Health: Prospective Pilot Study of the WHO Safe Childbirth Checklist Program.PLoS ONE 7(4): e35151. doi: 10.137/journal.pone. 0035151, April 2012 | Volume 7 | Issue 4 | e35151
  7. Bellad MB, Tara D, Ganachari MS, Mallapur MD, Goudar SS, Kodkany BS, Sloan NL, Derman R. Prevention of Postpartum Haemorrhage with Sublingual Misoprostol or Oxytocin: A Double Blind Randomised Controlled Trial. BJOG. 2012 Jul;119(8):975-82; discussion 982-6. doi: 10.1111/j.1471-0528.2012.03341.x. PMID:22703421 [PubMed – indexed for MEDLINE]
  8. A Metin Gülmezoglu, Pisake Lumbiganon, Sihem Landoulsi, Mariana Widmer, Hany Abdel-Aleem, Mario Festin, Guillermo Carroli, Zahida Qureshi, João Paulo Souza, Eduardo Bergel, Gilda Piaggio, Shivaprasad S Goudar, John Yeh, Deborah Armbruster, Mandisa Singata, Cristina Pelaez-Crisologo, Fernando Althabe, Peter Sekweyama, Justus Hofmeyr, Mary-Ellen Stanton, Richard Derman, Diana ElbourneActive management of the third stage of labour with and without controlled cord traction: a randomised, controlled, non-inferiority trial, Lancet. 2012 May 5;379(9827):1721-7. doi: 10.1016/S0140-6736(12)60206-2. Epub 2012 Mar 6. Erratum in: Lancet. 2012 Jul 21;380(9838):218. Lancet. 2012 May 5;379(9827):1704. PMID:22398174 [PubMed – indexed for MEDLINE]
  9. Chor J, Patil K, Goudar S, Kodkany B, Geller S. Provider insights on barriers and opportunities for birth spacing utilization in Karnataka, India. Health Care Women Int. 2012;33(11):1035-45. doi: 10.1080/07399332.2012.700972. PMID: 23066965
  10. Carlo WA1, Goudar SS, Pasha O, Chomba E, Wallander JL, Biasini FJ, McClure EM, Thorsten V, Chakraborty H, Wallace D, Shearer DL, Wright LL; Brain Research to Ameliorate Impaired Neurodevelopment-Home-Based Intervention Trial Committee and the National Institute of Child Health and Human Development Global Network for Women’s and Children’s Health Research Investigators. Randomized trial of early developmental intervention on outcomes in children after birth asphyxia in developing countries.J Pediatr. 2013 Apr;162(4):705-712.e3. doi: 10.1016/j.jpeds.2012.09.052. Epub 2012 Nov 16.
  11. Carlo WA, Goudar SS, Pasha O, Chomba E, McClure EM, Biasini FJ, Wallander JL, Thorsten V, Chakraborty H, Wright LL; Brain Research to Ameliorate Impaired Neurodevelopment- Home Based Intervention Trial Committee and the National Institute of Child Health and Human Development Global Network for Women’s and Children’s Health Research. Neurodevelopmental Outcomes in Infants Requiring Resuscitation in Developing Countries. J Pediatr. 2012 May;160(5):781-5.e1. doi: 10.1016/j.jpeds.2011.10.007. Epub 2011 Nov 17. PMID:22099522 [PubMed – indexed for MEDLINE]
  12. McClure EM, Pasha O, Goudar SS, Chomba E, Garces A, Tshefu A, Althabe F, Esamai F, Patel A, Wright LL, Moore J, Kodkany BS, Belizan JM, Saleem S, Derman RJ, Carlo WA, Hambidge KM, Buekens P, Liechty EA, Bose C, Koso-Thomas M, Jobe AH, Goldenberg RL. Epidemiology of stillbirth in low-middle income countries: a global network study. Acta Obstet Gynecol Scand. 2011 Dec;90(12):1379-85. doi: 10.1111/j.1600-0412.2011.01275.x. Epub 2011 Oct 24. PMID:21916854 [PubMed – indexed for MEDLINE]
  13. Bellad MB, Goudar SS, Edlavitch SA, Mahantshetti NS, Naik V, Hemingway-Foday JJ, Gupta M, Nalina HR, Derman R, Moss N,. Kodkany BS. Consanguinity, Prematurity, Birth Weight and Pregnancy Loss: A Prospective Cohort Study at Four Primary Health Center Areas of Karnataka, India. J Perinatol. 2012 Jun;32(6):431-7. doi: 10.1038/jp.2011.115. Epub 2011 Aug 18. PMID: 21852769 [PubMed – indexed for MEDLINE]
  14. Goudar SS, Dhaded SM, McClure EM, Derman RJ, Wright LL, Bellad RM, Kodkany BS, Moore JM, Carlo WA ENC training reduces perinatal mortality in Karnataka, India The Journal of Maternal-Fetal & Neonatal Medicine, J Matern Fetal Neonatal Med. 2012 Jun;25(6):568-74. doi: 10.3109/14767058.2011.584088. Epub 2011 Jul 27. PMID: 21793707 [PubMed – indexed for MEDLINE]
  15. Patricia J.Kelly, Shivaprasad S.Goudar, Hrishikesh Chakraborty, Janet Moore, Richard Derman, Bhala Kodkany, MrutyunjayaBellad, Vijjaya A.Naik, MubashirAngolkar, MicheleBloch; Pregnant women and children’s exposure to tobacco and solid fuel smoke in southwestern India – Informa Health Care, J Matern Fetal Neonatal Med. 2011 Jul;24(7):973-7. doi: 10.3109/14767058.2010.537411. Epub 2010 Dec 15. PMID: 21158490 [PubMed – indexed for MEDLINE]
  16. Pasha O, Goldenberg RL, McClure EM, Saleem S, Goudar SS, Althabe F, Patel A, Esamai F, Garces A, Chomba E, Mazariegos M, Kodkany B, Belizan JM, Derman RJ, Hibberd PL, Carlo WA, Liechty E, Hambidge KM, Buekens P, Howard-Grabman L, Stalls S, Koso-Thomas M, Jobe AH, Wright LL. Communities, Birth Attendants and Health Facilities: A Continuum of Emergency Maternal and Newborn Care (The Global Network’s EmONC Trial). BMC Pregnancy Childbirth. 2010 Dec 14;10:82. doi: 10.1186/1471-2393-10-82. PMID:21156060[PubMed – indexed for MEDLINE]
  17. Carlo WA, Goudar SS, Jehan I, Chomba E, Tshefu A, Garces A, Parida S, Althabe F, McClure EM, Derman RJ, Goldenberg RL, Bose C, Hambidge M, Panigrahi P, Buekens P, Chakraborty H, Hartwell TD, Moore J, Wright LL; for the First Breath Study Group. High Mortality Rates for Very Low Birth Weight Infants in Developing Countries Despite Training. Pediatrics. 2010 Nov;126(5):e1072-80. doi: 10.1542/peds.2010-1183. Epub 2010 Oct 11. PMID: 20937655 [PubMed – indexed for MEDLINE]
  18. Jan L Wallander, Elizabeth McClure, Fred Biasini, Shivaprasad S Goudar, Omrana Pasha, Elwyn Chomba, Darlene Shearer, Linda Wright, Vanessa Thorsten, Hrishikesh Chakraborty, Sangappa M Dhaded, Niranjana S Mahantshetti, Roopa M Bellad, Zahid Abbasi, Waldemar Carlo for the BRAIN-HIT Investigators: Brain Research to Ameliorate Impaired Neurodevelopment – Home-based Intervention Trial (BRAIN-HIT) – BMC Pediatr. 2010 Apr 30;10:27. doi: 10.1186/1471-2431-10-27. PMID:20433740 [PubMed – indexed for MEDLINE]
  19. Waldemar A. Carlo, Shivaprasad S. Goudar, Imtiaz Jehan, Elwyn Chomba, Antoinette Tshefu, Ana Garces, Sailajanandan Parida, Fernando Althabe, Elizabeth M. McClure, Richard J. Derman, Robert L. Goldenberg, Carl Bose, Nancy F. Krebs, Pinaki Panigrahi, Pierre Buekens, Hrishikesh Chakraborty, Tyler D. Hartwell, Linda L. Wright, and First Breath Study Group. Newborn-Care Training and Perinatal Mortality in Developing Countries – The New England Journal of Medicine. 2010 Feb 18;362(7):614-23. doi:10.1056/NEJMsa0806033. PMID:20164485[PubMed – indexed for MEDLINE]
  20. Kadir MM, McClure EM, Goudar SS, Garces AL, Moore J, Onyamboko M, Kaseba C, Althabe F, Castilla EE, Freire S, Parida S, Saleem S, Wright LL, Goldenberg RL. Exposure of pregnant women to indoor air pollution: a study from nine low and middle income countries. Acta Obstet Gynecol Scand. 2010;89(4):540-8. doi: 10.3109/00016340903473566. PMID:19961275 [PubMed – indexed for MEDLINE]
  21. Bellad MB, Laxmi BV, Goudar SS, Ashwath Kumar Standardized visual estimation of blood loss during vaginal delivery with its correlation hematocrit changes – A descriptive study. Journal of South Asian Federation of Obstetrics and Gynecology 2009 Jan-Apr; 1(1):29-34
  22. Gulmezoglu AM; Widmer M; Merialdi M; Qureshi Z; Piaggio G; Elbourne D; Abdel-Aleem H; Carroli G; Hofmeyr GJ; Lumbiganon P; Derman R; Okong P; Goudar S; Festin M; Althabe F; and Armbruster D Active management of the third stage of labour without controlled cord traction: a randomized non-inferiority controlled trial. Reprod Health. 2009 Jan 21;6:2. doi: 10.1186/1742-4755-6-2. PMID: 19154621[PubMed]
  23. Patted SS; Goudar, SS; Naik VA; Bellad, M B; Edlavitch S; Patel A; Chkraborty H; Kodkany BS; Derman RJ; Geller S. Side Effects of Oral Misoprostol for Prevention of Postpartum Hemorrhage: Results of A Community-Based Randomized Controlled Trial in Rural India. J Matern Fetal Neonatal Med. 2009 Jan;22(1):24-8. doi: 10.1080/14767050802452309. PMID: 19089777 [PubMed – indexed for MEDLINE]
  24. Bloch M, Althabe F, Onyamboko M, MPH, Kaseba-Sata C, Castilla EE, Freire S, Garces AL, Parida S, Goudar SS, Kadir MM, Goco N, Thornberry J, Daniels M, Bartz J, Hartwell T, Moss N, Goldenberg RL. Tobacco Use and Environmental Tobacco Smoke Exposure During Pregnancy: An Investigative Survey of Women in Nine Developing Nations. Am J Public Health. 2008 Oct;98(10):1833-40. doi: 10.2105/AJPH.2007.117887. Epub 2008 Feb 28. PMID: 18309125 [PubMed – indexed for MEDLINE]
  25. Goudar SS, Chakraborty H, Edlavitch SA, Naik VA, Bellad MB, Patted SS, Patel A, Moore J, McClure EM, Hartwell T, Moss N, Derman RJ, Kodkany BS, Geller SE. Variation in the postpartum hemorrhage rate in a clinical trial of oral misoprostol. J Matern Fetal Neonatal Med. 2008 Aug;21(8):559-64. doi: 10.1080/14767050802132158. PMID: 18609354[PubMed – indexed for MEDLINE]
  26. Geller SE, Goudar SS, Adams MG, Naik VA, Patel A, Bellad MB, Patted SS, Edlavitch SA, Moss N, Kodkany BS, Derman RJ. Factors associated with acute postpartum hemorrhage in low-risk women delivering in rural India. Int J Gynaecol Obstet. 2008 Apr;101(1):94-9. doi: 10.1016/j.ijgo.2007.08.025. Epub 2008 Mar 4. PMID:18291401 [PubMed – indexed for MEDLINE]
  27. Elizabeth McClure, Linda L Wright, Robert L Goldenberg, S S Goudar, S N Parida, I Jehan, A Tshefu, E Chomba, Fernando Althabe, Ana Garces, Hillary Harris, Richard J Derman, Pinaki P, Cyril Engmann, Pierre Buekens, Michel H, Carlo WA. NICHD FIRST BREATH Study Group. The Global Network: A prospective study of stillbirths in developing countries Am J Obstet Gynecol. 2007 Sep;197(3):247.e1-5. PMID: 17826406 [PubMed – indexed for MEDLINE]
  28. Patel A, Goudar SS, Geller SE, Kodkany BS, Edlavitch SA, Wagh K, Patted SS, Naik VA, Moss N, Derman RJ. Drape estimation vs. visual assessment for estimating postpartum hemorrhage. Int J Gynaecol Obstet. 2006 Jun;93(3):220-4. Epub 2006 Apr 12. Erratum in: Int J Gynaecol Obstet. 2006 Dec;95(3):312. PMID:16626718 [PubMed – indexed for MEDLINE]
  29. Derman R, Kodkany BS, Goudar SS, Geller SE, Naik VA, Bellad MB, Patted SS, Patel A, Edlavitch SA, Hartwell T, Chakraborty H, Moss N. Oral misoprostol in preventing postpartum haemorrhage in resource-poor communities: a randomised controlled trial. Lancet. 2006 Oct 7;368(9543):1248-53.PMID:17027730 [PubMed – indexed for MEDLINE]
  30. Kodkany BS. From Research to Practice. Int J Gynaecol Obstet. 2006; 94 Suppl 2:S43-4
  31. Geller SE, Naik V, Patel A, Goudar SS, Edlavitch SA, Kodkany BS, Derman RJ. Ethical issues in conducting international research studies. Int J Gynaecol Obstet. 2006;94 Suppl 2:S129-30
  32. Kodkany BS, Goudar SS, Derman RJ. The efficacy of oral misoprostol in preventing postpartum hemorrhage in a community setting: A randomized double-blind placebo-controlled trial. Int J Gynaecol Obstet. 2006;94 Suppl 2:S141-2
  33. Kodkany BS, Derman RJ. Evidence-based interventions to prevent postpartum hemorrhage: Translating research into practice. Int J Gynaecol Obstet. 2006; 94 Suppl 2:S114-5
  34. Chakraborty H, Bartz J, Goudar SS. Estimating the effect of unplanned interventions in the randomized misoprostol trial: A mixed model analysis, Int J Gynaecol Obstet 2006: 94 (Supplement 2), Page S136
  35. Kodkany BS. Ethical issues in health research: historical perspective. Int J Gynaecol Obstet. 2006;94 Suppl 2:S128.
  36. Geller SE, Adams MG, Kelly PJ, Kodkany BS, Derman RJ. Postpartum hemorrhage in resource-poor settings. Int J Gynaecol Obstet. 2006 Mar;92(3):202-11. Epub 2006 Jan 19. Review.PMID:16427056
  37. Goudar SS, Brinkley MF, Forvendel DG, Singh AP, Revankar AP Kodkany BS Derman RJ. Data Management System for Community Based Randomized Controlled Trial in India. Proceedings of the Indian Conference on Medical Informatics and Telemedicine, IIT Kharagpur, February 27-March 1, 2005 p 71-75
  38. Geller SE, Patel A, Naik VA, Goudar SS, Edlavitch SA, Kodkany BS, Derman RJ. Conducting international collaborative research in developing nations. Int J Gynaecol Obstet. 2004 Dec;87(3):267-71. PMID:15548406[PubMed – indexed for MEDLINE]
  39. Kodkany BS, Derman RJ, Goudar SS, Geller SE, Edlavitch SA, Naik VA, Patel A, Bellad MB, Patted SS. Initiating a novel therapy in preventing postpartum hemorrhage in rural India: a joint collaboration between the United States and India. International Journal of Fertility and Women’s Medicine. 2004 Mar-Apr;49(2):91-6. PMID: 15188836[PubMed – indexed for MEDLINE]

Women’s and Children’s Health Research Unit

KLE Academy of Higher Education and Research (Deemed-to-be-University)

J N Medical College, Belgaum, Karnataka, India

 Completed Research Protocols

  1. “Evaluating the WHO Labour Care Guide in clinical settings” Sponsored by World Health Organization, Geneva, Switzerland. (September 2019 to December 2019)
  1. “Prevalence and outcomes of abnormal continuous wave Doppler flow indices in unselected obstetric populations in low- and middle income countries: The Umbiflow™ International Study (A65924)” Sponsored by World Health Organization, Geneva. (August 2018 to July 2019)
  1. “Preconception Maternal Nutrition: A randomized trial” of the Global Network for Women’s and Children’s Health Research in Collaboration with the Bill and Melinda Gates Foundation (December 2012 – April 2019)
  1. “Aspirin Supplementation for Pregnancy Indicated Risk Reduction In Nulliparas (ASPIRIN)” funded by the Global Network for Women’s and Children’s Health Research of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, USA (May 2015 to April 2019)
  1. “The CLIP (Community Level Interventions for Pre- Eclampsia) Cluster Randomized Controlled Trial” in collaboration with University of British Columbia, Vancouver BC, Canada with funding from Bill and Melinda Gates Foundation, USA, (September 2012 to June 2018)
  1. “Evaluation of the introduction of a novel device in the management of hypertension and shock in pregnancy in low-resource settings” in collaboration with King’s College, London co-funded by UK Medical Research Council and Department of Biotechnology, Govt. of India (July 2015 to March 2018)
  1. “A phase III, randomized, double- blind, active, controlled, multinational, multicenter, non-inferiority trial using carbetocin room temperature stable (RTS) for the prevention of postpartum haemorrhage during the third stage of labour in women delivering vaginally”- funded by Department of Reproductive Health & Research, World Health Organization, Geneva (July 2014 – June 2017)
  1. “Clindamycin to reduce preterm birth in low resource setting: A randomized placebo controlled trial” in collaboration with Christiana Care Health Services, USA with funding from Thrasher Research Fund, USA, (March 2012 – March 2016)
  1. “Evaluation of HELPING BABIES BREATHE in Belgaum, Kenya and Nagpur: Does implementation of HELPING BABIES BREATHE Save Lives?” project, funded by National Institute of Child Health and Human Development and Laerdal Foundation and Norwegian Agency for Development Cooperation (Norad) (January 2012-October 2013)
  1. “Antenatal Corticosteroids Trial in Preterm Births to Increase Neonatal Survival in Developing Countries (ACT) in Belgaum District, Karnataka, India” funded by National Institute of Child Health and Human Development, National Institutes of Health, USA. (September 2011 – October 2013)
  1. “Two community strategies comparing use of misoprostol for early treatment/secondary prevention to primary prevention for postpartum hemorrhage: a randomized cluster non-inferiority study in Bijapur district, Karnataka, India” in collaboration with Gynuity Health Projects, New York, USA and University of Illinois at Chicago, and University of California at San Francisco with funding from Bill and Melinda Gates Foundation, USA (January 2011 to August 2013)
  1. “Zinc and Iron bioavailability from bio-fortified pearl millet” in collaboration with University of Colorado Health Sciences Center, USA and sponsored by International Atomic Energy Agency, Vienna. (May 2008 – September 2012)
  1. “Pilot study of an Indicator to Measure Intrapartum Stillbirth and Immediate Neonatal Death” project, funded by National Institute of Child Health and Human Development and Engender Health and Maternal Health Task Force, (June 2011 – February 2012)
  1. “Evaluation of an Emergency Obstetrics and Newborn Care Intervention Package to Reduce Adverse Pregnancy Outcomes in Low Resource Settings (The EmONC Trial)” at 20 Primary Health Center Areas of Belgaum District ” funded by National Institute of Child Health and Human Development, National Institutes of Health, USA. (February 2009 – September 2011)
  1. “Brain Research to Ameliorate Impaired Neurodevelopment: Home-based Intervention Trial (BRAIN HIT)” funded by The National Institute of Child Health and Human Development (NICHD) and The National Institute of Neurological Disorders and Stroke (NINDS) Fogarty International Center. (August 2006 – September 2011)
  1. “Safe Childbirth Checklist” – Single Site Pilot Study, funded by The Children Investment Fund Foundation, USA. In collaboration with Harvard School of Public Health, Boston, USA. (July 2010 – December 2010)
  1. “A Comparison of Two Iron Doses on Zinc Absorption from Sprinkles as Micronutrient Supplement” in collaboration with University of Colorado Health Sciences Center and sponsored by International Atomic Energy Agency, Vienna (October 2007 – September 2008)
  1. “Field Implementation of the Helping Babies Breathe Initiative in Belgaum, Karnataka INDIA” funded by Global Implementation Task Force of American Academy of Pediatrics, USA, in collaboration with University of Calgary, Canada (August 2009 – June 2011)
  1. “Active Management of the Third Stage of Labour without Controlled Cord Traction: A Randomized Non-Inferiority Controlled Trial” funded by RHR Division of World Health Organization, Geneva, Switzerland (March 2008 – February 2010)
  1. “HIV – Cervical Cancer Prevention Research Project” NIH-ICMR funded Indo-US collaborative research grant for Vanderbilt University and the National AIDS Research Institute, Pune Consortium. (October 2007-September 2009)
  1. “A Global Network Study To Estimate Gestational Age By Fundal Height – Tape Study” funded by National Institute of Child Health and Human Development, National Institutes of Health, USA. (September 2007 – August 2008)
  1. First Breath: Community-based Training and Intervention in Neonatal Resuscitation, funded by National Institute of Child Health and Human Development and National Institutes of Health, USA. (January 2005 – April 2008)
  1. “Community-based Survey of Tobacco Use among pregnant women at 10 Primary Health Center Areas of Belgaum District”, funded by National Institute of Child Health and Human Development, National Institutes of Health, USA, National Cancer Institute. (November 2004 – February 2005)
  1. “A Randomized placebo-controlled trial of prophylactic misoprostol for prevention of postpartum haemorrhage at four primary health center areas of Belgaum District, Karnataka” funded by National Institute of Child Health and Human Development, National Institutes of Health, USA. (May 2001 – April 2006)

Women’s and Children’s Health Research Unit

KLE Academy of Higher Education and Research (Deemed-to-be-University)

J N Medical College, Belgaum, Karnataka, India

Ongoing Research Protocols

  1. “Reducing Anemia in Pregnancy in India: The RAPIDIRON Trial” in collaboration with Thomas Jefferson University, Philadelphia, PA, USA and funding by Children’s Investment Fund Foundation (CIFF), UK (August 2020 to June 2023)
  1. “SCOPE – Standardization of COvid in PrEgnancy Standardizing of data collection and protocol for improving the Quality of evidence on clinical characteristics and outcomes of COVID-19 and Pregnancy” with funding from World Health Organization – Country Office for India, New Delhi

(July 2020 – January 2021)

  1. “Limiting Adverse Birth Outcomes in Resource -Limited Settings – The LABOR Study” in collaboration with University of North Carolina at Chapel Hill, USA and funding by Bill & Melinda Gates Foundation, USA (January 2020 to September 2021)
  1. “Sit Down and Play” in collaboration with University of Illinois at Chicago, USA and funded by Eunice Kennedy Shriver National Institute of Child Health and Human Development, USA (November 2019 – December 2020)
  1. “Promoting MITS activities to determine cause of death among neonates and stillbirths in tertiary care teaching hospital” in collaboration with RTI International, NC, USA and funded by Bill & Melinda Gates Foundation, USA (May 2019 to October 2020)
  1. “Prevention of Maternal and Neonatal Death/Infections With a Single Oral Dose of Azithromycin in Women in Labor (in Low- and Middle-income Countries): a Randomized Controlled Trial” funded by the Global Network for Women’s and Children’s Health Research of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, USA (May 2019 to April 2022)
  1. “Performance, Safety and Efficacy of a New Cryotherapy Device for Cervical Dysplasia in Low and Middle Income Countries” project in collaboration with Johns Hopkins Medical Institutions, Karnataka Institute of Medical Sciences, Hubballi and The Karnatak Cancer Therapy and Research Institute and funded by National Institute of Health/National Cancer Institute (NIH/NCI), USA (May 2019 to April 2021)
  1. “Low-birthweight Infant Feeding Exploration (LIFE)” project in collaboration with Ariadne Labs/Harvard T.H. Chan School of Public Health, Boston, MA and funded by Bill & Melinda Gates Foundation (November 2018 to November 2020)
  1. “CRADLE-4: Can Reduction of Adverse pregnancy outcomes occur with planned DeLivery vs. Expectant management in pre-eclampsia?” in collaboration with King’s College, London co-funded by UK Medical Research Council and Department of Biotechnology, Govt. of India (May 2019 to May 2022)
  1. “Study of Cause of Death among Preterm Birth: Asia” in collaboration with RTI International, USA and J J M Medical College Davangere with funding from Bill & Melinda Gates Foundation, USA (November 2017 – October 2020)
  1. “Breastfeeding Education Support Tool for Baby (BEST4Baby)” funded by Fogarty International Center, National Institutes of Health, USA (October 2017 – September 2020)
  1. “The WHO ACTION (Antenatal CorticosTeroids for Improving Outcomes in preterm Newborns) Trials:”
  2. WHO ACTION-I TRIAL – A65913: A multi-country, multi-centre, two-arm, parallel, double-blind, placebo-controlled, randomized trial of antenatal corticosteroids for women at risk of imminent birth in the early preterm period in hospitals in low-resource countries to improve newborn outcomes.
  3. WHO ACTION-II TRIAL – A65916: A multi-country, multi-centre, two-arm, parallel, double-blind, placebo-controlled, randomized trial of antenatal corticosteroids for women at risk of imminent birth in the late preterm period in hospitals in low-resource countries to improve newborn outcomes.
    Sponsored by World Health Organization, Geneva from June 2017 to September 2020
  1. “Maternal and Newborn Health Registry (MNH Registry)”, funded by the Global Network for Women’s and Children’s Health Research of the National Institute of Child Health and Human Development, USA (January 2008 – May 2023)

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