Evidence map›Paper›PMID 10796178›Full record

SynthesisThe Cochrane database of systematic reviews2000

Support during pregnancy for women at increased risk.

E D Hodnett

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 2 institutions in 1 country.

E D HodnettMaternal, Infant and Reproductive Health Research Unit, 790 Bay Street, Sute 715, Toronto, Ontario, Canada, M5G 1N8. ellen.hodnett@utoronto.ca
Toronto Metropolitan University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies consistently show a relationship between social disadvantage and low birthweight.

objectivesThe objective of this review was to assess the effects of programs offering additional social support for pregnant women who are believed to be at risk for giving birth to preterm or low birthweight babies. SEARCH STRATEGY: The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register were searched. Date of last search: April 1999. SELECTION CRITERIA: Randomised trials of additional support during at-risk pregnancy by either a professional (social worker, midwife, or nurse) or specially trained lay person, compared to routine care. Additional support was defined as some form of emotional support (eg counselling, reassurance, sympathetic listening) and information/advice, either in home visits or during clinic appointments, and could include tangible assistance (eg transportation to clinic appointments, assistance with the care of other children at home). DATA COLLECTION AND ANALYSIS: One reviewer assessed trial quality and extracted data. Study authors were contacted for additional information. MAIN

resultsFourteen trials, involving over 11,000 women, were included. The trials were generally of good to excellent quality, although three used a method likely to introduce bias. Programs offering additional social support for at risk pregnant women were not associated with improvements in any medical outcomes for the index pregnancy. Some improvements in immediate psychosocial outcomes were found in individual trials. REVIEWER'S

conclusionsPrograms which offer additional support during pregnancy have not been shown to reduce the numbers of low birthweight or preterm babies or improve other important medical outcomes for mothers and babies.

Indexed as

Pregnancy, High-RiskSocial SupportFemaleHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematurePregnancyPregnancy Outcome

Identifiers

PMID10796178
OpenAlexW1443643747

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.