Evidence map›Paper›PMID 30103732›Full record

ArticleBMC pregnancy and childbirth2018

Effects of midwife-led maternity services on postpartum wellbeing and clinical outcomes in primiparous women under China's one-child policy.

Jing Hua, Liping Zhu, Li Du, Yu Li, Zhuochun Wu, Da Wo, Wenchong Du

Open access · goldAbstract readComparative Study
PubMed Full text at PMC Publisher
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. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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 at 5 institutions in 2 countries.

Jing HuaShanghai First Maternity and Infant Hospital, Tongji University School of Medicine, P.O. 2699 Gaoke Road, Shanghai, 200042, China. szhuaj@hotmail.com.
Liping ZhuShanghai Maternity and Child Health Care Center, P.O. 339 Gaoke Road, Shanghai, 200042, China. shzhuliping@163.com.
Li DuShanghai Maternity and Child Health Care Center, P.O. 339 Gaoke Road, Shanghai, 200042, China.
Yu LiShanghai First Maternity and Infant Hospital, Tongji University School of Medicine, P.O. 2699 Gaoke Road, Shanghai, 200042, China.
Zhuochun WuHealth Statistics and Social Medicine Department of Public health School, Fudan University, Shanghai, 200002, China.
Da WoResearch Center for Translational Medicine, East Hospital, Tongji University School of Medicine, Shanghai, 200002, China.
Wenchong DuDivision of Psychology, Nottingham Trent University, Chaucer Building 4013, Burton Street, Nottingham, NG1 4BU, UK.
Shanghai Changning Maternity and Infant Health Hospital · CNShanghai First Maternity and Infant Hospital · CNFudan University · CNNottingham Trent University · GBShanghai East Hospital · CN

Funding

National Natural Science Foundation of China 81673179,81402687,Shanghai municipal medical and health discipline construction projects 201640060,2017ZZ02015the Fourth Round of Shanghai Three-year Action Plan on Public Health Discipline and Talent Program: Women and Children's Health 15GWZK0401the Shenkang Hospital Development Center SHDC12016239,16CR1014A
6 · The paper itself

Abstract

backgroundThe Midwife-led maternity services have been implemented in China in response to the high rates of primiparous women and Caesarean Sections (CS) which may be related to China's one-child policy. However, few studies in China have been reported on the effectiveness of Midwife-led Care at Delivery (MCD) and the Continuity of Midwife-led Care (CMC) on postpartum wellbeing and other clinical outcomes. Therefore, evidence-based clinical validation is needed to develop an optimal maternity service for childbearing women in China.

methodsA concurrent cohort study design was conducted with 1730 pregnant women recruited from 9 hospitals in Shanghai. Among the 1730 participants at baseline, 1568 participants completed the follow-up questionnaire, with a follow-up rate of 90.6%.

resultsCompared with the routine Obstetrician-led Maternity Care (OMC), Midwife-led Care at Delivery (MCD) was associated with CS rate (OR were 0.16; 95%CI: 0.11 to 0.25) and a higher total score of postpartum wellbeing (βwere 2.70; 95%CI: 0.70 to 4.70) when adjusting for the baseline differences and other confounders during delivery or postpartum period. Moreover, continuity of Midwife-led Care (CMC) was associated with CS rate (OR were 0.30; 95%CI: 0.23 to 0.41), as well as increased rate of breastfeeding within the first 24 h (OR were 2.49; 95% CI: 1.47 to 4.23), higher postpartum satisfaction (β = 4.52; 95% CI: 1.60 to 12.68), lower anxiety (βwere 0.66; 95% CI: 0.16 to 1.17), increased self-control (βwere 0.39; 95% CI: 0.02 to 0.76) and a higher total score of postpartum wellbeing (βwere 3.14; 95% CI: 1.54 to 4.75).

conclusionCMC is the optimal service for low-risk primiparous women under China's one-child policy, and is worthwhile for a general implementation across China.

Indexed as

Mental HealthMidwiferyPostpartum PeriodAdultAnxietyBreast FeedingCesarean SectionChinaDelivery of Health CareFamily Planning PolicyFemaleHumansMaternal Health ServicesObstetricsParityPatient SatisfactionChina’s one-child policyMidwife-led maternity servicesPostpartum wellbeing

Identifiers

PMID30103732
PMCPMC6090670
OpenAlexW2885186070

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.