Dr. Manisha Nair MBBS, MSc (Oxon), DPhil (Oxon)

Senior Epidemiologist and MRC Career Development Fellow

Biography

Manisha is a clinician by training and specialised in epidemiology and global population health research. She has a MBBS degree from India, MSc in Global Health Science and DPhil in Public Health from University of Oxford, UK. She is currently a Senior Epidemiologist and MRC Career Development Fellow at the National Perinatal Epidemiology Unit, Nuffield Department of Population Health.

Manisha has research projects in India and Uganda. She has established a UK-India collaborative platform for maternal and perinatal health research (called MaatHRI) and is currently using this platform to conduct large epidemiological studies to improve pregnancy care and outcomes of pregnant women with anaemia. Her work in India is investigating the risk factors, outcomes and clinical characteristics of heart failure in pregnant women; examining the safety of induction and augmentation of labour in pregnant women with anaemia; examining the difference in coagulation parameters in pregnant women with and without anaemia; and estimating the incidence of selected severe pregnancy complications. Manisha worked as an epidemiologist for the Confidential Enquiries into Maternal Death in the UK and the UK Obstetric Surveillance System. Her previous work analysed the characteristics of pregnant women who died and the risk factors for progression from severe morbidity to death among pregnant women in the UK. Manisha's research interests are in the areas of maternal and child health, quality of care and medical education.

Manisha was a Weidenfeld-Hoffmann Trust scholar at the University of Oxford during her DPhil. She was a scholar under the Fogarty International Clinical Research Scholars (FICRS) programme, National Institutes of Health, USA, and led a team to design a multicentre surveillance study on cardio-metabolic diseases in South Asia. Manisha previously worked as a consultant for the National Polio Surveillance Project of the World Health Organisation as a Surveillance Medical Officer and State Routine Immunisation Officer in India.

Publications

Journal articles

Bunch K, Roberts N, Knight M, Nair M. Systematic review to investigate the safety of induction and augmentation of labour among pregnant women with iron-deficiency anaemia. BMJ Open 2018; 8(12).

Altijani N, Choudhury SS, Carson C, Rani A, Sarma UC, Knight M, Nair M. Rate and risk factors for stillbirth among women in nine states in India: a study of 886505 women from the Annual Health Survey. BMJ Open 2018; 8(11): e022583.

Nair M, Knight M, Robinson S, Nelson-Piercy C, et al. Pathways of association between maternal haemoglobin and stillbirth: path-analysis of maternity data from two hospitals in England. BMJ Open 2018; 8(4): e020149.

van den Akker T, Nair M, Goedhart M, Schutte J, Schaap T, Knight M. Maternal mortality: 'direct' or 'indirect' has become irrelevant. Lancet Global Health. 2017; 5(12): e1181–e1182

Nair M*, Fellmeth G. Current efforts in medical education to incorporate national health priorities. Medical Education. 2017;  52(1): 24-33.

Bradnock TJ, Knight M, Kenny S, Nair M, Walker GM. The use of stomas in the early management of Hirschsprung's disease: Findings of a national, prospective cohort study. Journal of Pediatric Surgery. 2017; 52(9): 1451-57.

Bradnock TJ, Knight M, Kenny S, Nair M, Walker GM, British Association of Paediatric Surgeons Congenital Anomalies Surveillance S. Hirschsprung's disease in the UK and Ireland: incidence and anomalies. Arch Dis Child 2017: 102: 722-27.

Nair M, Nelson-Piercy C, Knight M. Indirect maternal deaths: UK and global perspectives. Obstetric Medicine. 2017; 10(1): 10-5.

Knight M, Nair M, Brocklehurst P, Kenyon S, Neilson J, Shakespeare J, Tuffnell D, Kurinczuk JJ. Examining the impact of introducing ICD-MM on observed trends in maternal mortality rates in the UK 2003-13. BMC pregnancy and childbirth. 2016;16(1):178.

McCall SJ, Nair M, Knight M. Factors associated with maternal mortality at advanced maternal age: a population-based case-control study. BJOG: An International Journal of Obstetrics & Gynaecology.2016 [Epub ahead of print].

Nair M, Choudhury MK, Choudhury SS, Kakoty SD, Webster P, Sarma UC, Knight M. IndOSS-Assam: Investigating the feasibility of introducing a simple maternal morbidity surveillance and research system in Assam, India. BMJ Global Health. 2016;1:e000024.

Nair M, Choudhury MK, Choudhury SS, Kakoty SD, Webster P, Sarma UC, Knight M. The association between maternal anaemia and pregnancy outcomes: a cohort study in Assam, India. BMJ Global Health. 2016;1:e000026.

Nair M, Kurinczuk JJ, Knight M. Establishing a National Maternal Morbidity Outcome Indicator in England: A Population-Based Study Using Routine Hospital Data. PLoS ONE. 2016;11(4):e0153370.

Nair M, Knight M, Kurinczuk JJ. Risk factors and newborn outcomes associated with maternal deaths in the UK from 2009-13: a national case control study. BJOG. 2016. 123(10):1654-62.

Nair M, Baltag V, Bose K, Boschi-Pinto C, Lambrechts T, Mathai M. Improving the Quality of Health Care Services for Adolescents, Globally: A Standards-Driven Approach.J Adolesc Health. 2015; 57(3): 288-98.

Nair M, Soffer K, Noor N, Knight M, Griffiths M. Selected maternal morbidities in women with a prior caesarean delivery planning vaginal birth or elective repeat caesarean section: a retrospective cohort analysis using data from the UK Obstetric Surveillance System. BMJ Open. 2015; 5(6): e007434.

Mohamed-Ahmed O, Nair M, Acosta C, Kurinczuk JJ, Knight M. Progression from severe sepsis in pregnancy to death: a UK population-based case-control analysis. BJOG. 2015; 122(11): 1506-15.

Nair M, Kurinczuk JJ, Brocklehurst P, Sellers S, Lewis G, Knight M. Factors associated with maternal death from direct pregnancy complications: a UK national case–control study. BJOG: An International Journal of Obstetrics & Gynaecology. 2015; 122(5): 653-62.

Nair M, Kurinczuk JJ, Knight M. Ethnic Variations in Severe Maternal Morbidity in the UK– A Case Control Study. PLoS ONE 2014; 9(4): e95086.

Nair M, Yoshida S, Lambrechts T, Boschi-Pinto C, Bose K, Mason EM, Mathai M. Facilitators and barriers to quality of care in maternal, newborn and child health: a global situational analysis through meta-review. BMJ Open 2014;4:e004749.

Nair M, Ariana P, Webster P. Impact of mothers’ employment on infant feeding and care: a qualitative study of the experiences of mothers employed through the Mahatma Gandhi National Rural Employment Guarantee Act. BMJ Open 2014;4:e004434.

Nair M, Ariana P, Ohuma EO, Gray R, De Stavola B, Webster P. Effect of the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) on Malnutrition of Infants in Rajasthan, India: A Mixed Methods Study. PLoS ONE. 2013;8(9):e75089.

Nair M, Ariana P, Webster P. What influences the decision to undergo institutional delivery by skilled birth attendants? A cohort study in rural Andhra Pradesh, India. Rural Remote Health. 2012;12:2311.

Nair M, Webster P. Health professionals' migration in emerging market economies: patterns, causes and possible solutions. Journal of public health. 2012; 35(1): 157-63.

Nair M, Ali MK, Ajay VS, Shivashankar R, Mohan V, et al. CARRS Surveillance study: design and methods to assess burdens from multiple perspectives. BMC Public Health. 2012;12(1):1-12.

Nair M, Prabhakaran D.Why Do South Asians Have High Risk for CAD? Global Heart. 2012; 7(4).

Nair M. Protein conjugate polysaccharide vaccines: challenges in development and global implementation. IJCM. 2012; 37(2):79-82.

Nair M, Webster P, Ariana P. Impact of non-health policies on population health through the social determinants pathway [Invited Editorial]. Bull World Health Org. 2011; 89(11):778.

Nair M, Prabhakaran D, Narayan KMV, Sinha R, Lakshmy R, et al. HbA1c values for defining diabetes and impaired fasting glucose in Asian Indians. Primary Care Diabetes.2011;5(2):95-102.

Nair M, Webster P. Education for health professionals in the emerging market economies: a literature review. Medical education. 2010; 44(9):856-63.

Book and report chapters

Nair M, Webster P. Medical education in the emerging market economies. In: Walsh K, editor. Oxford Textbook of Medical Education. Oxford, UK: Oxford University Press; 2013. p. 683-96.

Nair M, Plugge E. Engaging students for professional practice in global health. In: Dunne E, Owen D, editors. The Student Engagement Handbook: Practice in Higher Education. Bingley, UK: Emerald Group Publishing Limited; 2013. p. 412-36.

Nair M and Knight M. Maternal Mortality in the UK 2011-13: Surveillance and Epidemiology. In Knight M, Tuffnell D, Kenyon S, Shakespeare J, Gray R, Kurinczuk JJ (Eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care - Surveillance of maternal deaths in the UK 2011-13 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009-13. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2015: p7-21.

Knight M, Nair M, Shah A, Noor N & Acosta C. Maternal Mortality and Morbidity in the UK 2009–12: Surveillance and Epidemiology. In: Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk J J (eds), on behalf of MBRRACE-UK Saving Lives, Improving Mothers’ Care - Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009-12. Oxford: National Perinatal Epidemiology Unit, University of Oxford.2014.

Technical notes

Porter C, Sanchez A, Nair M. Surveying Siblings: The case for tracking brothers and sisters of Young Lives Index Children in Round 4 and Beyond. Oxford: Young Lives, Oxford Department of International Development (ODID), University of Oxford; April 2012. http://www.younglives.org.uk/files/technical-notes/surveying-siblings-the-case-for-trackng-brothers-and-sisters-of-young-lives-index-children-in-round-4-and-beyond/view

Reports

Knight M, Nair M, Tuffnell D, Kenyon S, Shakespeare J, Kurinczuk JJ (Eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care - Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2013–15. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2017.

Knight M, Nair M, Tuffnell D, Kenyon S, Shakespeare J, Brocklehurst P, Kurinczuk JJ (Eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care - Surveillance of maternal deaths in the UK 2012-14 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009-14. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2016.

Projects