Evidence map›Paper›PMID 28786063›Full record

ArticleJournal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban2017

Association between prenatal care utilization and risk of preterm birth among Chinese women.

Bin Zhang, Rong Yang, Sheng-Wen Liang, Jing Wang, Jen Jen Chang, Ke Hu, Guang-Hui Dong, Rong-Hua Hu, Louise H Flick, Yi-Ming Zhang and 6 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

16 authors at 7 institutions in 3 countries.

Bin ZhangWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015, China.
Rong YangWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015, China.
Sheng-Wen LiangWuhan Environmental Monitoring Center, Wuhan, 430015, China.
Jing WangCollege for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, 63104, USA.
Jen Jen ChangCollege for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, 63104, USA.
Ke HuWuhan Environmental Monitoring Center, Wuhan, 430015, China.
Guang-Hui DongSchool of Public Health, Sun Yat-sen University, Guangzhou, 510080, China.
Rong-Hua HuWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015, China.
Louise H FlickCollege for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, 63104, USA.
Yi-Ming ZhangWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015, China.
Dan ZhangWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015, China.
Qing-Jie LiWuhan Environmental Monitoring Center, Wuhan, 430015, China.
Tong-Zhang ZhengSchool of Public Health, Brown University, Providence, Rhode Island, 02912, USA.
Shun-Qing XuSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Shao-Ping YangWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015, China. 1464502946@qq.com.
Zheng-Min QianCollege for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, 63104, USA. zqian2@slu.edu.
Wuhan Children's Hospital · CNHuazhong University of Science and Technology · CNSaint Louis University · USZhejiang Environmental Monitoring Center · CNJohn Brown University · USSun Yat-sen University · CNUCLouvain Saint-Louis Brussels · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is recognized that prenatal care plays an important role in reducing adverse birth. Chinese pregnant women with medical condition were required to seek additional health care based on the recommended at least 5 times health care visits. This study was to estimate the association between prenatal care utilization (PCU) and preterm birth (PTB), and to investigate if medical conditions during pregnancy modified the association. This population-based case control study sampled women with PTB as cases; one control for each case was randomly selected from women with term births. The Electronic Perinatal Health Care Information System (EPHCIS) and a questionnaire were used for data collection. The PCU was measured by a renewed Prenatal Care Utilization (APNCU) index. Logistic regression models were used to estimate odds ratios (OR) and the 95% confidence interval (95% CI). Totally, 2393 women with PTBs and 4263 women with term births were collected. In this study, 695 (10.5%) women experienced inadequate prenatal care, and 5131 (77.1%) received adequate plus prenatal care. Inadequate PCU was associated with PTB (adjusted OR: 1.41, 95% CI: 1.32-1.84); the similar positive association was found between adequate plus PCU and PTB. Among women with medical conditions, these associations still existed; but among women without medical conditions, the association between inadequate PCU and PTB disappeared. Our data suggests that women receiving inappropriate PCU are at an increased risk of having PTB, but it does depend on whether the woman has a medical condition during pregnancy.

Indexed as

Asian PeopleAdultCase-Control StudiesConfounding Factors, EpidemiologicFemaleHumansPremature BirthPrenatal CareRisk Factorsmoderate preterm birthprenatal careprenatal care utilizationpreterm birthvery preterm birth

Identifiers

PMID28786063
OpenAlexW2746720026

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.