Evidence map›Paper›PMID 29020399›Full record

ArticleEuropean journal of public health2018

International variations in the gestational age distribution of births: an ecological study in 34 high-income countries.

Marie Delnord, Laust Mortensen, Ashna D Hindori-Mohangoo, Béatrice Blondel, Mika Gissler, Michael R Kramer, Jennifer L Richards, Paromita Deb-Rinker, Jocelyn Rouleau, Naho Morisaki and 7 more

Abstract read
In one paragraph

Article in European journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Timing of Term Births and Associated Mortality Risks: Ecological Analysis Across 28 European Countries.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  5. Review
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  16. Neonatal healthcare-associated infections in Brazil: systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2021
    Review
  17. Incidence, Risk Factors, and Outcomes of Preterm and Early Term Births: A Population-Based Register Study.International journal of environmental research and public health · 2021
    Article
  18. Article
  19. Article
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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

17 authors.

Marie DelnordInserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Centre for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Paris, France.
Laust MortensenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Ashna D Hindori-MohangooDepartment Child Health, TNO, The Netherlands Organisation for Applied Scientific Research, Leiden, The Netherlands.
Béatrice BlondelInserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Centre for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Paris, France.
Mika GisslerTHL National Institute for Health and Welfare, Helsinki, Finland.
Michael R KramerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Jennifer L RichardsDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Paromita Deb-RinkerSurveillance and Epidemiology Division, Centre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Jocelyn RouleauSurveillance and Epidemiology Division, Centre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Naho MorisakiDepartment of Lifecourse Epidemiology, Department of Social Medicine, National Center for Child Health and Development, Setagayaku, Tokyo, Japan.
Natasha NassarMenziesKids, Menzies Centre for Health Policy, Sydney School of Public Health, University of Sydney, Sydney, Australia.
Francisco BolumarUnit of Public Health Sciences. University of Alcalá, Madrid, Spain.
Sylvie BerrutFederal Department of Home Affairs FDHA, Federal Statistical Office FSO, Health Section, Neuchâtel, Switzerland.
Anne-Marie Nybo AndersenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Michael S KramerDepartments of Pediatrics and of Epidemiology, Biostatistics and Occupational Health, McGill University Faculty of Medicine, Montreal, Quebec, Canada.
Jennifer ZeitlinInserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Centre for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Paris, France.
Euro-Peristat Scientific Committee

Funding

Training in Reproductive, Perinatal, Pediatric EpidemiologyT32HD052460 · NICHD · EMORY UNIVERSITY · PI DREWS-BOTSCH, CAROLYN DAWSON · 2006 to 2015
$2.2M
NICHD NIH HHS T32 HD052460
6 · The paper itself

Abstract

Background: Few studies have investigated international variations in the gestational age (GA) distribution of births. While preterm births (22-36 weeks GA) and early term births (37-38 weeks) are at greater risk of adverse health outcomes compared to full term births (39-40 weeks), it is not known if countries with high preterm birth rates also have high early term birth rates. We examined rate associations between preterm and early term births and mean term GA by mode of delivery onset. Methods: We used routine aggregate data on the GA distribution of singleton live births from up to 34 high-income countries/regions in 1996, 2000, 2004, 2008 and 2010 to study preterm and early term births overall and by spontaneous or indicated onset. Pearson correlation coefficients were adjusted for clustering in time trend analyses. Results: Preterm and early term births ranged from 4.1% to 8.2% (median 5.5%) and 15.6% to 30.8% (median 22.2%) of live births in 2010, respectively. Countries with higher preterm birth rates in 2004-2010 had higher early term birth rates (r > 0.50, P < 0.01) and changes over time were strongly correlated overall (adjusted-r = 0.55, P < 0.01) and by mode of onset. Conclusion: Positive associations between preterm and early term birth rates suggest that common risk factors could underpin shifts in the GA distribution. Targeting modifiable population risk factors for delivery before 39 weeks GA may provide a useful preterm birth prevention paradigm.

Indexed as

Gestational AgeTerm BirthAustraliaCanadaDeveloped CountriesEuropeFemaleHumansIncomeInfant, NewbornJapanMalePremature BirthUnited States

Identifiers

PMID29020399
PMCPMC6454414

What OpenQuestion holds

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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.