Evidence map›Paper›PMID 31048420›Full record

Trial reportBMJ open2019

The Ghana PrenaBelt trial: a double-blind, sham-controlled, randomised clinical trial to evaluate the effect of maternal positional therapy during third-trimester sleep on birth weight.

Jerry Coleman, Maxfield Okere, Joseph Seffah, Allan Kember, Louise M O'Brien, Ali Borazjani, Michael Butler, Jesse Wells, Sarah MacRitchie, Andre Isaac and 2 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02379728 nacompletednot on this map

A Maternal Device to Reduce the Risk of Stillbirth and Low Birth-Weight

TypeinterventionalSponsorAllan KemberRan2015 to 2016Enrolled200ConditionsSleep, Pregnancy, Stillbirth, Infant, Low Birth WeightArmsPrenaBelt, Body Position Sensor, sham-PrenaBelt
NCT04437407 naterminatednot on this mapstarted 2020, after this paper: background citation

UniSA BackOff! Study: A Randomized, Controlled, Five-way, Cross-over Trial to Evaluate the Effect of a Positional Therapy Device on Maternal Sleeping Position in the Third Trimester of Pregnancy

TypeinterventionalSponsorShiphrah Biomedical Inc.Ran2020 to 2021Enrolled6ConditionsStillbirth, Infant, Low Birth Weight, Infant, Very Low Birth Weight, Sleep-Disordered BreathingArmsPB2-1 prototype, PB2-2 prototype, PB2-3 prototype, PB2-4 prototype, PB2-5 prototype
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
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

12 authors.

Jerry ColemanObstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Greater Accra, Ghana.
Maxfield OkereBiostatistics, Korle Bu Teaching Hospital, Accra, Greater Accra, Ghana.
Joseph SeffahObstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Greater Accra, Ghana.
Allan KemberObstetrics & Gynaecology, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-9804-1040
Louise M O'BrienUniversity of Michigan Department of Obstetrics and Gynaecology, Ann Arbor, Michigan, USA.
Ali BorazjaniGlobal Innovations for Reproductive Health & Life, Cleveland, Ohio, USA.
Michael ButlerDalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada.
Jesse WellsDalhousie University, Halifax, Nova Scotia, Canada.
Sarah MacRitchieDalhousie University, Halifax, Nova Scotia, Canada.
Andre IsaacInnovative Canadians for Change, Edmonton, Alberta, Canada.
Kaishin ChuMethod Squared Designhaus, Surrey, British Columbia, Canada.
Heather ScottObstetrics & Gynaecology, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect, on birth weight and birth weight centile, of use of the PrenaBelt, a maternal positional therapy device, during sleep in the home setting throughout the third trimester of pregnancy.

designA double-blind, sham-controlled, randomised clinical trial.

settingConducted from September 2015 to May 2016, at a single, tertiary-level centre in Accra, Ghana.

participantsTwo-hundred participants entered the study. One-hundred-eighty-one participants completed the study. Participants were women, 18 to 35 years of age, with low-risk, singleton, pregnancies in their third-trimester, with body mass index <35 kg/m

interventionsParticipants were randomised by computer-generated, one-to-one, simple randomisation to receive either the PrenaBelt or sham-PrenaBelt. Participants were instructed to wear their assigned device to sleep every night for the remainder of their pregnancy (approximately 12 weeks in total) and were provided a sleep diary to track their use. Allocation concealment was by unmarked, security-tinted, sealed envelopes. Participants and the outcomes assessor were blinded to allocation. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcomes were birth weight and birth weight centile. Secondary outcomes included adherence to using the assigned device nightly, sleeping position, pregnancy outcomes and feedback from participants and maternity personnel.

resultsOne-hundred-sixty-seven participants were included in the primary analysis. The adherence to using the assigned device nightly was 56%. The mean ±SD birth weight in the PrenaBelt group (n=83) was 3191g±483 and in the sham-PrenaBelt group (n=84) was 3081g±484 (difference 110 g, 95% CI -38 to 258, p=0.14). The median (IQR) customised birth weight centile in the PrenaBelt group was 43% (18 to 67) and in the sham-PrenaBelt group was 31% (14 to 58) (difference 7%, 95% CI -2 to 17, p=0.11).

conclusionsThe PrenaBelt did not have a statistically significant effect on birth weight or birth weight centile in comparison to the sham-PrenaBelt. TRIAL REGISTRATION NUMBER: NCT02379728.

Indexed as

Equipment and SuppliesPregnancy Trimester, ThirdSleepSupine PositionAdultBirth WeightBody Mass IndexDouble-Blind MethodFemaleGestational AgeGhanaHumansLinear ModelsMultivariate AnalysisPregnancyPregnancy Complicationsfetal medicinelow birth weightmaternal medicineobstetricspositional therapystillbirth

Identifiers

PMID31048420
PMCPMC6502032

What OpenQuestion holds

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LicenceCC BY-NC
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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.