Evidence map›Paper›PMID 29855296›Full record

ArticleBMC pregnancy and childbirth2018

Influences on birth spacing intentions and desired interventions among women who have experienced a poor obstetric outcome in Lilongwe Malawi: a qualitative study.

Dawn M Kopp, Agatha Bula, Suzanne Maman, Lameck Chinula, Mercy Tsidya, Mwawi Mwale, Jennifer H Tang

Registry-linked trialAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02674542 (Family Planning Intentions and Practices Among Women Who Have Experienced a Poor Obstetric Outcome), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT02674542 completednot on this map

Family Planning Intentions and Practices Among Women Who Have Experienced a Poor Obstetric Outcome: a Qualitative Study

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2015 to 2016Enrolled60ConditionsStillbirthArmsIn-depth interviews, Focus Group
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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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

7 authors.

Dawn M KoppUNC Project-Malawi, Private Bag, A-104, Lilongwe, Malawi. dawn.m.kopp@gmail.com.
Agatha BulaUNC Project-Malawi, Private Bag, A-104, Lilongwe, Malawi.
Suzanne MamanUNC Department of Health Behavior, Chapel Hill, NC, USA.
Lameck ChinulaUNC Project-Malawi, Private Bag, A-104, Lilongwe, Malawi.
Mercy TsidyaUNC Project-Malawi, Private Bag, A-104, Lilongwe, Malawi.
Mwawi MwaleBwaila Hospital, Lilongwe District Health Office, Lilongwe, Malawi.
Jennifer H TangUNC Project-Malawi, Private Bag, A-104, Lilongwe, Malawi.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Malawi HIV Implementation Research Scientist Training Program (MHIRST)D43TW010060 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MINA CHRISTINE HOSSEINIPOUR, Victor Mwapasa · 2015 to 2026
$3.8M
UNC Global Women’s Health FellowshipT32HD075731 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHI, BENJAMIN H. · 2013 to 2024
$2.4M
FIC NIH HHS D43 TW010060National Institute of Child Health and Human Development 5T32 HD075731-01NIAID NIH HHS P30 AI050410NICHD NIH HHS T32 HD075731University of North Carolina at Chapel Hill Cefalo Bowes Research Award
6 · The paper itself

Abstract

backgroundStillbirth and neonatal mortality are very high in many low-income countries, including Malawi. Use of family planning to encourage birth spacing may optimize outcomes for subsequent pregnancies. However, reproductive desires and influences on birth spacing preferences of women who have experienced a stillbirth or neonatal death in low-resource settings are not well understood.

methodsWe conducted a qualitative study using 20 in-depth interviews and four focus group discussions with women who had experienced a stillborn baby or early neonatal death to explore attitudes surrounding birth spacing and potential interventions to promote family planning in this population. Qualitative data were analyzed for recurrent patterns and themes and central ideas were extracted to identify their core meanings.

resultsForty-six women participated in the study. After experiencing a stillbirth or neonatal death, most women wanted to wait to become pregnant again but women with living children wished to wait for longer periods of time than those with no living children. Most women preferred birth spacing interventions led by clinical providers and inclusion of their spouses.

conclusionsMany influences on family size and birth spacing were noted in this population, with the most significant influencing factor being the spouse. Interventions to promote birth spacing and improve maternal and neonatal health in this population need to involve male partners and knowledgeable health care providers to be effective.

trial registrationClinicaltrials.gov NCT02674542 Registered February 1, 2016 (retrospectively registered).

Indexed as

AdolescentAdultBirth IntervalsChildChild, PreschoolFamily Planning ServicesFemaleFocus GroupsHumansIntentionMalawiPerinatal DeathPregnancyQualitative ResearchStillbirthYoung AdultAfricaBirth spacingMalawiNeonatal deathStillbirth

Identifiers

PMID29855296
PMCPMC5984328

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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.