Cochrane Profile: Ashraf Nabhan

My name is…
[in several languages] [music] [sounds of operating room]>>Nabhan: I’m Professor Ashraf Nabhan.
I work in the University of Ain Shams, Cairo in the Department of
Obstetrics and Gynecology. I’m an Obstetrician/Gynecologist. My primary interest is high risk pregnancy
where there’s high mortality for women or for the baby, the fetus or newborn. Perinatal mortality, as you know, we have one
mother dying every minute all over the world and we have six babies dying
every minute all over the world. So this is a very important issue to tackle. Five years ago, I started working
with The Cochrane Collaboration, something was very unique
about Cochrane Reviews; I didn’t know what it is. [sounds of operating room – baby screams] [music] I was looking for something to tell me the evidence in
one of the things that we do every day – Caesarean delivery; the technique, what to do and what not to do,
what’s best for the patient. We have a very high rate of
Caesarean delivery in Cairo, one of the highest rates
in, all over the world. So, and this is one of the major
causes of morbidity and mortality, of maternal mortality and morbidity,
so I needed to know what’s best for my patients, what best to teach my students
and my residents and my staff. So, I was looking for that. I found a lot of literature
regarding Caesarean delivery, but Cochrane Reviews stood alone. Very unique, very good piece
of evidence, very high quality. I was looking for an answer regarding how to know that
this baby is in jeopardy inside the uterus, inside the womb. Can we know that? Can we find the best answer to tell us when to intervene
and when to let the baby in for a longer period to be mature and to deliver at time. I sent this email to the co-ordinator of
the Pregnancy Childbirth Group in Liverpool and she instantly replied,
very co-operative. And then she told me that, “Do you have contact with any consumer group?”
I said, “No.” She said, “Ok, we’ll get
you in contact with someone. Are you in contact with good statisticians
and methodologists?” I said, “No, sorry.” She said, “Ok, we’ll solve that for you.
We’ll get you in contact with someone. Do you have any of other things that you dream of?” And I said, “Ok, I dream of doing something good
that might be of some use to some people.” She said, “Ok, we’ll help you with that.” From 2008 when we published this review,
practice worldwide changed. They changed it. I’ve done something that definitely will be of use and of help
to doctors and to patients, to women and their babies. Maybe this is one of the outcomes
of the January revolt in Cairo; that we’re starting to look for what’s best for everyone,
not for a special group of people in autocracy. So, we are looking for people who can change the
medical education and the health service in the country where it can be evidence based. Better for the people and saving costs.
We have limited resources. So, in my belief and I’m trying to deliver
this message to my students and my colleagues that if we work with evidence,
this will be better for the patients and less consuming, less resource consuming. We save our resources and we save lives. [music]

5 Replies to “Cochrane Profile: Ashraf Nabhan”

  1. I can never forget the collaborative work of those wonderful people upon which my modest contribution is made

  2. ربنا يزيدك من علمه يا أستاذنا

    أفخر انك كنت المشرف على رسالة الماستر بتاعتى 🙂

  3. An excellent interview with Ashraf and not the first one illustrating the tremendous role people like Sonja Henderson had in getting the best out of people's enthusiasm and talent.

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