Evidence map›Paper›PMID 31088505›Full record

ArticleTrials2019

POPPIE: protocol for a randomised controlled pilot trial of continuity of midwifery care for women at increased risk of preterm birth.

C Fernandez Turienzo, D Bick, M Bollard, L Brigante, A Briley, K Coxon, P Cross, A Healey, M Mehta, A Melaugh and 6 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Unplanned visits and midwife-led antenatal care.European journal of midwifery · 2022
    Article
  8. 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

16 authors at 6 institutions in 1 country.

C Fernandez TurienzoDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
D BickWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Gibbet Hill, Coventry, CV4 7A, UK.
M BollardLewisham and Greenwich NHS Trust, Lewisham High Street, London, SE13 6HL, UK.
L BriganteFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, London, SE1 8WA, UK.
A BrileyDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
K CoxonDepartment of Midwifery, Kingston University and St. George's, University of London, Hunter Wing, Cranmer Terrace, London, SW17 0RE, UK.
P CrossDepartment of Public Health, London Borough of Lewisham, Laurence House, London, SE6 4RU, UK.
A HealeyCentre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, David Goldberg Centre, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK.
M MehtaLewisham and Greenwich NHS Trust, Lewisham High Street, London, SE13 6HL, UK.
A MelaughCentre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, David Goldberg Centre, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK.
J MoullaLewisham and Greenwich NHS Trust, Lewisham High Street, London, SE13 6HL, UK.
P T SeedDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
A H ShennanDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
C SinghDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
R M TribeDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
J SandallDepartment of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK. jane.sandall@kcl.ac.uk.ORCID http://orcid.org/0000-0003-2000-743X
St Thomas' Hospital · GBKing's College London · GBLewisham and Greenwich NHS Trust · GBLondon Borough Of Lewisham · GBSt George's, University of London · GBUniversity of Warwick · GB

Funding

Department of Health NIHR-KMF-2012-01-29
6 · The paper itself

Abstract

backgroundHigh rates of preterm births remain a UK public health concern. Preterm birth is a major determinant of adverse infant and longer-term outcomes, including survival, quality of life, psychosocial effects on the family and health care costs. We aim to test whether a model of care combining continuity of midwife care with rapid referral to a specialist obstetric clinic throughout pregnancy, intrapartum and the postpartum period is feasible and improves experience and outcomes for women at increased risk of preterm birth.

methodsThis pilot, hybrid, type 2 randomised controlled implementation trial will recruit 350 pregnant women at increased risk of preterm birth to a midwifery continuity of care intervention or standard care. The intervention will be provided from recruitment (antenatal), labour, birth and the postnatal period, in hospital and community settings and in collaboration with specialist obstetric clinic care, when required. Standard care will be the current maternity care provision by NHS midwives and obstetricians at the study site. Participants will be followed up until 6-8 weeks postpartum. The composite primary outcome is the appropriate initiation of any specified interventions related to the prevention and/or management of preterm labour and birth. Secondary outcomes are related to: recruitment and attrition rates; implementation; acceptability to women, health care professionals and stakeholders; health in pregnancy and other complications; intrapartum outcomes; maternal and neonatal postnatal outcomes; psycho-social health; quality of care; women's experiences and health economic analysis. The trial has 80% power to detect a 15% increase in the rate of appropriate interventions (40 to 55%). The analysis will be by 'intention to treat' analysis. DISCUSSION: Little is known about the underlying reasons why and how models of midwifery continuity of care are associated with fewer preterm births, better maternal and infant outcomes and more positive experiences; nor how these models of care can be implemented successfully in the health services. This will be the first study to provide direct evidence regarding the effectiveness, implementation and evaluation of a midwifery continuity of care model and rapid access to specialist obstetric services for women at increased risk of preterm birth.

trial registrationISRCTN37733900 . Retrospectively registered on 21 August 2017.

Indexed as

Continuity of Patient CareMidwiferyFemaleHumansLondonNuchal Translucency MeasurementPilot ProjectsPregnancyPregnancy OutcomePremature BirthRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeContinuity of careHybrid type 2 implementation/effectiveness trialMaternal health servicesMaternity careModels of careMRC guidance complex interventionsPreterm birth

Identifiers

PMID31088505
PMCPMC6518651
OpenAlexW2947625040

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.