Evidence map›Paper›PMID 23360713›Full record

ArticleReproductive health2013

Use of antenatal corticosteroids for preterm birth in Latin America: providers knowledge, attitudes and practices.

Alicia Aleman, Maria L Cafferata, Luz Gibbons, Fernando Althabe, Jose Ortiz, Xochitl Sandoval, Nicolás Padilla-Raygoza, José M Belizán

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Reproductive health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02738892 (Preventing Preterm Birth in Zambia), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% of its field
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.

NCT02738892 active not recruitingnot on this mapstarted 2015, after this paper: background citation

Preventing Preterm Birth in Zambia

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2015 to 2026Enrolled9,000ConditionsPregnancy, Stillbirth, Preterm Birth
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 5 countries.

Alicia AlemanDepartment of Preventive Medicine, School of Medicine, University of Uruguay, Montevideo, Uruguay. aaleman@unicem-web.org
Maria L Cafferata
Luz Gibbons
Fernando Althabe
Jose Ortiz
Xochitl Sandoval
Nicolás Padilla-Raygoza
José M Belizán
Instituto de Efectividad Clínica y Sanitaria · ARUniversidad de Guanajuato · MXUniversidad de Montevideo · UYUniversidad Evangelica de El Salvador · SVUniversity of Cuenca · EC

Funding

Antenatal Corticosteroids in Latin American CountriesR01TW006970 · FIC · UNIVERSITY OF THE REPUBLIC · PI ALEMAN, ALICIA · 2004 to 2007
$212k
FIC NIH HHS 1R01 TW006970-01
6 · The paper itself

Abstract

backgroundAntenatal corticosteroids administered to women at risk of preterm birth is an intervention which has been proved to reduce the risk of respiratory distress syndrome, intraventricular hemorrhage, and neonatal mortality. There is a significant gap in the literature regarding the prevalence of the use of antenatal corticosteroids in Latin American countries and the attitudes and opinions of providers regarding this practice. The aim of this study was to assess the knowledge, attitudes and practices of health care providers regarding the use of antenatal corticosteroids in women at risk of preterm birth in Latin America.

methodsThis was a multicenter, prospective, descriptive study conducted in maternity hospitals in Ecuador, El Salvador, Mexico and Uruguay. Physicians and midwives who provide prenatal care or intrapartum care for women delivering in the selected hospitals were approached using a self-administered questionnaire. Descriptive statistics was used.

resultsThe percentage of use of ACT in threatened preterm labour (TPL) reported by providers varies from 70% in Mexico to 97% in Ecuador. However, 60% to 20% of the providers mentioned that they would not use this medication in women at risk and would limit its use when there was a threatened preterm labour. In only one country recommended regimens of antenatal corticosteroids are followed by around 90% of providers whereas in the other three countries recommended regimens are followed by only 21%, 61%, 69% of providers. Around 40% of providers mentioned that they would administer a new dose of corticosteroids again, regardless the patient already receiving an entire regimen. Between 11% and 35% of providers, according to the countries, mentioned that they do not have adequate information on the correct use of this medication.

conclusionsThis study shows that the use of this intervention could be improved by increasing the knowledge of Latin American providers on its indications, benefits, and regimens.

Indexed as

Clinical CompetenceAdultAttitude of Health PersonnelDrug Administration ScheduleDrug UtilizationFemaleGlucocorticoidsHumansInfant, NewbornInfant, PrematureLatin AmericaMaleMiddle AgedPractice Patterns, Physicians'PregnancyPregnancy ComplicationsGlucocorticoids

Identifiers

PMID23360713
PMCPMC3598882
OpenAlexW2103327154

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.