Evidence map›Paper›PMID 24758701›Full record

ArticleBMC pediatrics2014

Incidence and risk factors of preterm birth in a rural Bangladeshi cohort.

Rashed Shah, Luke C Mullany, Gary L Darmstadt, Ishtiaq Mannan, Syed Moshfiqur Rahman, Radwanur Rahman Talukder, Jennifer A Applegate, Nazma Begum, Dipak Mitra, Shams El Arifeen and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% 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.

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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
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  20. Associations between early marriage and preterm delivery: Evidence from lowland Nepal.American journal of human biology : the official journal of the Human Biology Council · 2022
    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

12 authors at 3 institutions in 2 countries.

Rashed ShahInternational Center for Maternal and Newborn Health (ICMNH), Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N, Wolfe Street, Room # E8624, Baltimore, MD 21205, USA. mshah@savechildren.org.
Luke C Mullany
Gary L Darmstadt
Ishtiaq Mannan
Syed Moshfiqur Rahman
Radwanur Rahman Talukder
Jennifer A Applegate
Nazma Begum
Dipak Mitra
Shams El Arifeen
Abdullah H Baqui
ProjAHNMo Study Group in Bangladesh
Johns Hopkins University · USInternational Centre for Diarrhoeal Disease Research · BDGates Foundation · US

Funding

Research Training on Infectious Diseases in Mothers and Children in BangladeshD43TW007587 · FIC · JOHNS HOPKINS UNIVERSITY · PI BAQUI, ABDULLAH HEL, BLACK, ROBERT E. · 2007 to 2017
$1.9M
FIC NIH HHS D43TW7587
6 · The paper itself

Abstract

backgroundGlobally, about 15 million neonates are born preterm and about 85% of global preterm birth occurs in Asia and Africa regions. We aimed to estimate the incidence and risk factors for preterm birth in a rural Bangladeshi cohort.

methodsBetween June 2007 and September 2009, community health workers prospectively collected data from 32,126 mother-live-born baby pairs on household socio-demographic status, pregnancy history, antenatal care seeking and newborn gestational age determined by recall of date of last menstrual period.

resultsAmong all live births, 22.3% were delivered prior to 37 weeks of gestation (i.e. preterm); of which 12.3% were born at 35-36 weeks of gestation (late preterm), 7.1% were born at 32-34 weeks (moderate preterm), and 2.9% were born at 28-31 weeks of gestation (very preterm). Overall, the majority of preterm births (55.1%) were late preterm. Risk of preterm birth was lower among women with primary or higher level of education (RR: 0.92; 95% CI: 0.88, 0.97), women who sought antenatal care at least once during the index pregnancy (RR: 0.86; 95% CI: 0.83, 0.90), and women who had completed all birth preparedness steps (RR: 0.32; 95% CI: 0.30, 0.34). In contrast, risk of preterm birth was higher among women with a history of child death (RR: 1.05; 95% CI: 1.01, 1.10), who had mid-upper arm circumference (MUAC) ≤250 mm, indicative of under nutrition (for women having MUAC <214 mm the risk was higher; RR: 1.26; 95% CI: 1.17, 1.35), who reported an antenatal complication (RR: 1.32; 95% CI: 1.14, 1.53), and who received iron-folic acid supplementation for 2-6 months during the index pregnancy (RR: 1.33; 95% CI: 1.24, 1.44).

conclusionsIn resource poor settings with high burden of preterm birth, alike Bangladesh, preterm birth risk could be reduced by close monitoring and/or frequent follow-up of women with history of child death and antenatal complications, by encouraging women to seek antenatal care from qualified providers, to adopt birth preparedness planning and to maintain good nutritional status. Additional research is needed to further explore the associations of antenatal iron supplementation and maternal nutritional status on preterm birth.

Indexed as

Abortion, SpontaneousAdultBangladeshDietary SupplementsEducational StatusFemaleFolic AcidGestational AgeHumansIncidenceInfant, NewbornIronMalnutritionPregnancyPregnancy ComplicationsPregnancy, MultipleFolic AcidIronTrace ElementsVitamin B Complex

Identifiers

PMID24758701
PMCPMC4021459
OpenAlexW2157848622

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.