Evidence map›Paper›PMID 28099725›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2017

Maternal and newborn outcomes at a tertiary care hospital in Lusaka, Zambia, 2008-2012.

Bellington Vwalika, Marie C D Stoner, Mulindi Mwanahamuntu, K Cherry Liu, Eugene Kaunda, Getrude G Tshuma, Somwe W Somwe, Yusuf Ahmed, Elizabeth M Stringer, Jeffrey S A Stringer and 1 more

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Trial
  2. Trends and Inequalities in Maternal and Newborn Health Services for Unplanned Settlements of Lusaka City, Zambia.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Quantifying bias between reported last menstrual period and ultrasonography estimates of gestational age in Lusaka, Zambia.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2019
    Article
  9. Risk of stillbirth among Zambian women with a prior cesarean delivery.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2018
    Article
  10. 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

11 authors.

Bellington VwalikaDepartment of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
Marie C D StonerDepartment of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.
Mulindi MwanahamuntuDepartment of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
K Cherry LiuDepartment of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Eugene KaundaDepartment of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
Getrude G TshumaDepartment of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
Somwe W SomweDepartment of Paediatrics, University Teaching Hospital, Lusaka, Zambia.
Yusuf AhmedDepartment of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
Elizabeth M StringerDepartment of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Jeffrey S A StringerDepartment of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Benjamin H ChiDepartment of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Linked: Improving maternal & child health through specialty training in ZambiaR24TW008877 · FIC · UNIVERSITY OF ZAMBIA · PI MULLA, YAKUB F · 2010 to 2014
$2.4M
Mentoring new investigators in PMTCT implementation researchK24AI120796 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Benjamin H. Chi · 2016 to 2026
$1.3M
FIC NIH HHS R24 TW008877NIAID NIH HHS K24 AI120796NIAID NIH HHS P30 AI050410NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

objectiveTo measure key obstetric and neonatal outcomes recorded at a tertiary hospital in Zambia over a 5-year period.

methodsA retrospective analysis was conducted among women who had delivered at the University Teaching Hospital in Lusaka, between January 1, 2008, and December 31, 2012. Data were extracted from electronic medical records. The main outcomes were maternal mortality, cesarean delivery, prenatal or intrapartum hemorrhage, stillbirth, a 5-minute Apgar score of less than 7, and admission to the neonatal intensive care unit.

resultsA total of 62 470 deliveries were recorded. Rates of maternal mortality, cesarean delivery, and hemorrhage during pregnancy all declined over time. Decreased admissions to the neonatal intensive care unit were observed; however, the rate spiked temporarily in late 2011 and early 2012 before returning to previous levels. The proportion of stillbirths remained stable over time but reports of a 5-minute Apgar score of less than 7 rose.

conclusionRoutinely collected obstetric and neonatal data could aid ongoing program monitoring and should be used to guide quality improvement activities.

Indexed as

AdultApgar ScoreCesarean SectionElectronic Health RecordsFemaleHumansInfant, NewbornIntensive Care Units, NeonatalLinear ModelsMaternal MortalityPregnancyPregnancy ComplicationsRetrospective StudiesStillbirthTertiary Care CentersYoung AdultAfricaHospitalObstetric outcomesPregnancyPrenatal careTrendsZambia

Identifiers

PMID28099725
PMCPMC5245182

What OpenQuestion holds

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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.