Improving Perinatal Care in Latin America

Summary

Many obstetrical interventions used in Latin America, as in other parts of the world, have been shown to be ineffective or harmful, while effective interventions remain underutilized. This study will develop and evaluate an intervention intended to implement two evidence-based practices among birth attendants in Latin America, the selective use of episiotomies and active management of the third stage of labor.

Conditions

• Episiotomy
• Pregnancy

Interventions

BEHAVIORAL

Opinion Leaders, Academic Detailing, Reminders, and Feedback

Sponsors & Collaborators

• Global Network for Women's and Children's Health Research

  collaborator OTHER

• Bill and Melinda Gates Foundation

  collaborator OTHER

• Fogarty International Center of the National Institute of Health

  collaborator NIH

• National Center for Complementary and Integrative Health (NCCIH)

  collaborator NIH

• National Institute of Dental and Craniofacial Research (NIDCR)

  collaborator NIH

• National Cancer Institute (NCI)

  collaborator NIH

• RTI International

  collaborator OTHER

• Latin American Center for Perinatology

  collaborator OTHER

• Pan American Health Organization

  collaborator OTHER

• World Health Organization

  collaborator OTHER

• Tulane University School of Public Health and Tropical Medicine

  collaborator OTHER

• University of North Carolina, Chapel Hill

  collaborator OTHER

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

  lead NETWORK

Principal Investigators

• Pierre Buekens, MD, PhD · Tulane School of Public Health and Tropical Medicine

Study Design

Allocation

RANDOMIZED

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2003-09-30

Completion

2006-12-31

Countries

• Uruguay

Study Locations