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Effective Care Research Unit (ECRU), Department of Obstetrics and Gynaecology

Unit Director: Professor Justus   Hofmeyr

Clinical  trials

The Unit has sustained an active programme of randomized clinical trials to answer important intervention questions relating to maternal and perinatal health in low-resource settings.

The   Calcium   and   Pre-eclampsia  study   is  in  the fifth  year  of  recruitment, with  90%  of  the  sample size  recruited. ECRU is the lead institution in this placebo-controlled trial of calcium supplementation commencing before pregnancy in women with previous pre-eclampsia.  The study   sites are   East London, CHBH, University of Cape Town, University of Stellenbosch, Harare University and several sites in Argentina.

Co-ordination is by World  Health  Organisation, and funding  via the  University  of British  Columbia,  and Grantee of the  Bill and  Melinda  Gates Foundation. In 2015,  we commenced recruitment for the  Gentle Assisted Pushing study  to  assess the  benefits and risks  of  upright posture  and   upright posture  with controlled manual fundal  pressure, versus routine care   in  the   second stage of  labour. The study   is coordinated and funded by the World Health Organization.

In the biennium, we continued preparations for participation in the ECHO study, a multi-centre randomized trial comparing pregnancy risk and HIV acquisition between three contraceptive options: Depot medroxyprogesterone acetate, levonorgestrel implants and the copper intrauterine device.

Systematic reviews

The Unit has continued to update and add to over fifty Cochrane systematic reviews published in the Cochrane 雷速体育_雷速体育直播.

Innovations

A new method of management of shoulder dystocia called Posterior Axilla Sling Traction has been designed, which   has   been included in obstetric training programme  in several countries.

 

Research training

Research methods courses, funded by World Health Organization, for researchers from South Africa and the WHO AFRO region are run on an annual basis.

Research recognition

The Unit received re-accreditation as a WHO Collaborating Centre for Research Synthesis in Reproductive Health  in 2015

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