Evidence map›Paper›PMID 30755413›Full record

ArticleCMAJ open

Prenatal care of women who give birth to children with fetal alcohol spectrum disorder in a universal health care system: a case-control study using linked administrative data.

Deepa Singal, Marni Brownell, Elizabeth Wall-Wieler, Dan Chateau, Ana Hanlon-Dearman, Sally Longstaffe, Leslie L Roos

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. 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
0.4field-weighted citation impact, top 35% 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, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Fetal alcohol spectrum disorders.Nature reviews. Disease primers · 2023
    Review
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 1 institution in 2 countries.

Deepa SingalDepartment of Community Health Sciences (Singal, Brownell, Chateau, Roos), Department of Paediatrics and Child Health (Hanlon-Dearman, Longstaffe) and Manitoba Centre for Health Policy (Brownell, Chateau), University of Manitoba, Winnipeg, Man.; Department of Pediatrics (Wall-Wieler), Stanford University, Stanford, Calif. deepakapoorsingal@gmail.com.
Marni BrownellDepartment of Community Health Sciences (Singal, Brownell, Chateau, Roos), Department of Paediatrics and Child Health (Hanlon-Dearman, Longstaffe) and Manitoba Centre for Health Policy (Brownell, Chateau), University of Manitoba, Winnipeg, Man.; Department of Pediatrics (Wall-Wieler), Stanford University, Stanford, Calif.
Elizabeth Wall-WielerDepartment of Community Health Sciences (Singal, Brownell, Chateau, Roos), Department of Paediatrics and Child Health (Hanlon-Dearman, Longstaffe) and Manitoba Centre for Health Policy (Brownell, Chateau), University of Manitoba, Winnipeg, Man.; Department of Pediatrics (Wall-Wieler), Stanford University, Stanford, Calif.
Dan ChateauDepartment of Community Health Sciences (Singal, Brownell, Chateau, Roos), Department of Paediatrics and Child Health (Hanlon-Dearman, Longstaffe) and Manitoba Centre for Health Policy (Brownell, Chateau), University of Manitoba, Winnipeg, Man.; Department of Pediatrics (Wall-Wieler), Stanford University, Stanford, Calif.
Ana Hanlon-DearmanDepartment of Community Health Sciences (Singal, Brownell, Chateau, Roos), Department of Paediatrics and Child Health (Hanlon-Dearman, Longstaffe) and Manitoba Centre for Health Policy (Brownell, Chateau), University of Manitoba, Winnipeg, Man.; Department of Pediatrics (Wall-Wieler), Stanford University, Stanford, Calif.
Sally LongstaffeDepartment of Community Health Sciences (Singal, Brownell, Chateau, Roos), Department of Paediatrics and Child Health (Hanlon-Dearman, Longstaffe) and Manitoba Centre for Health Policy (Brownell, Chateau), University of Manitoba, Winnipeg, Man.; Department of Pediatrics (Wall-Wieler), Stanford University, Stanford, Calif.
Leslie L RoosDepartment of Community Health Sciences (Singal, Brownell, Chateau, Roos), Department of Paediatrics and Child Health (Hanlon-Dearman, Longstaffe) and Manitoba Centre for Health Policy (Brownell, Chateau), University of Manitoba, Winnipeg, Man.; Department of Pediatrics (Wall-Wieler), Stanford University, Stanford, Calif.
Manitoba Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have investigated prenatal care use among women who use alcohol during pregnancy. The objective of this study was to investigate rates of prenatal care usage of women who have given birth to children with fetal alcohol spectrum disorder (FASD).

methodsWe conducted a case-control study of women with children born in Manitoba between Apr. 1, 1984, and Mar. 31, 2012, with follow-up until 2013, using linkable administrative data. The study group included women whose child(ren) was (were) diagnosed with FASD (

resultsWomen in the study group had lower socioeconomic status than women in the comparison group and were more likely to have mental disorders and involvement with the child welfare system. Rates of inadequate prenatal care were higher among women in the study group (adjusted relative risk 2.47, 95% confidence interval [CI] 2.08-2.94), as were rates of no prenatal care (adjusted relative risk 3.55, 95% CI 2.42-5.22). In the study group, 41% of women accessed inadequate or no prenatal care, and 59% received intermediate, adequate or intensive prenatal care.

interpretationWomen who give birth to children with FASD have higher rates of inadequate prenatal care and significant social complexities. Socioeconomic disparities in the use of prenatal care should be addressed; multisector interventions are needed that facilitate the uptake of prenatal care by high-risk women who use alcohol.

Identifiers

PMID30755413
PMCPMC6404961
OpenAlexW2914420249

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.