Evidence map›Paper›PMID 31077244›Full record

ArticleReproductive health2019

Perceptions of parents and religious leaders regarding minimal invasive tissue sampling to identify the cause of death in stillbirths and neonates: results from a qualitative study.

Anam Feroz, Mohsina Noor Ibrahim, Elizabeth M McClure, Anum Shiraz Ali, Shiyam Sunder Tikmani, Sayyeda Reza, Zahid Abbasi, Jamal Raza, Haleema Yasmin, Khadija Bano and 4 more

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 38 citations in OpenAlex.

  1. Intersectionality-Informed HIV Cure-Related Research at the End of Life: A Call to Action.International journal of environmental research and public health · 2026
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  14. Factors Associated With Parental Acceptance of Minimally Invasive Tissue Sampling to Identify the Causes of Stillbirth and Neonatal Death.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  15. Guidance for Systematic Integration of Undernutrition in Attributing Cause of Death in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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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

14 authors at 5 institutions in 2 countries.

Anam FerozDepartment of Community Health Sciences, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan. anam.feroz@aku.edu.ORCID http://orcid.org/0000-0003-0180-0213
Mohsina Noor IbrahimNational Institute of Child Health, Karachi, Pakistan.
Elizabeth M McClureRTI International, Durham, USA.
Anum Shiraz AliDepartment of Community Health Sciences, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan.
Shiyam Sunder TikmaniDepartment of Community Health Sciences, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan.
Sayyeda RezaDepartment of Community Health Sciences, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan.
Zahid AbbasiDepartment of Community Health Sciences, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan.
Jamal RazaNational Institute of Child Health, Karachi, Pakistan.
Haleema YasminJinnah Post-graduate Medical Center, Department of Obstetrics and Gynecology-Department of Pathology and Laboratory Medicine, Karachi, Pakistan.
Khadija BanoJinnah Post-graduate Medical Center, Department of Obstetrics and Gynecology-Department of Pathology and Laboratory Medicine, Karachi, Pakistan.
Afia ZafarDepartment of Pathology & Laboratory Medicine, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan.
Sameen SiddiqiDepartment of Community Health Sciences, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan.
Robert L GoldenbergDepartment of Obstetrics and Gynecology, Columbia University, New York, USA.
Sarah SaleemDepartment of Community Health Sciences, The Aga Khan University, Stadium Road, Box 3500, Karachi, PO, 74800, Pakistan.
Aga Khan University · PKJinnah Postgraduate Medical Center · PKNational Institute of Child Health · PKColumbia University · USRTI International · US

Funding

Columbia University/Aga Khan University Global Network Research UnitUG1HD078438 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ROBERT L GOLDENBERG · 2018 to 2026
$5.1M
Columbia University/Aga Khan University Global Network Research UnitU10HD078438 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOLDENBERG, ROBERT L · 2013 to 2017
$3.2M
Bill and Melinda Gates Foundation OPP116824NICHD NIH HHS U10 HD078438NICHD NIH HHS UG1 HD078438
6 · The paper itself

Abstract

backgroundRecently, the minimal invasive tissue sampling (MITS) procedure has been developed to support determination of the cause of death as an alternate to conventional autopsy, especially in countries where complete diagnostic autopsy is not routine. To assess the feasibility of implementation of the MITS procedure for a study to determine cause of death in premature births and stillbirths in south Asia, we explored the views and perceptions of parents and religious leaders on the acceptability of MITS.

methodsA qualitative study was conducted at the National Institute of Child Health (NICH) hospital of Karachi, Pakistan. Focus group discussions (FGDs) were conducted with parents of newborns who visited well-baby clinics of the NICH hospital for post-natal check-ups. Key-informant interviews (KIIs) were conducted with religious leaders. Data were analyzed using NVivo 10 software.

resultsA total of 13 interviews (FGDs = 8; KIIs = 5) were conducted. Three overarching themes were identified: (I) acceptability of MITS; (II) concerns affecting the implementation of MITS; and (III) religious and cultural perspectives. Participants' acceptance of MITS was based on personal, religious, cultural and social beliefs. Parents widely recognized the need for this procedure in cases where the couple had experienced multiple stillbirths, neonatal deaths and miscarriages. Counseling of parents was considered vital to address emotional concerns of the parents and the family. Religious leaders indicated acceptability of the MITS procedure from a religious perspective and advised that respect for the deceased and consent of the guardians is mandatory when performing MITS.

conclusionsThis qualitative study provided a unique opportunity to understand the views of parents and religious leaders towards the use of MITS. Generally, MITS appears to be an acceptable method for identifying the cause of death in neonates and stillbirths, provided that the deceased is respected and buried as soon as possible without any delays and parents are counseled appropriately. Findings from this research are essential in approaching families for consent for MITS.

Indexed as

Cause of DeathStillbirthAutopsyClinical Laboratory TechniquesFemaleHumansMinimally Invasive Surgical ProceduresParentsQualitative ResearchReligious PersonnelSocioeconomic FactorsAcceptabilityCause of deathConcernsCounselingMinimal invasive tissue samplingNeonatesParentsPerceptionsQualitative studyReligious leadersStillbirth

Identifiers

PMID31077244
PMCPMC6509850
OpenAlexW2947701163

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.