Evidence map›Paper›PMID 31230168›Full record

ArticleMaternal and child health journal2019

Effects of a Multi-site Expansion of Group Prenatal Care on Birth Outcomes.

Amy H Crockett, Emily C Heberlein, Jessica C Smith, Pelin Ozluk, Sarah Covington-Kolb, Carla Willis

Abstract read
PubMed Publisher
In one paragraph

Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 32 citations in OpenAlex.

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  7. Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
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  8. Patient Characteristics Associated With Group Prenatal Care Attendance in a Randomized Controlled Trial.Women's health issues : official publication of the Jacobs Institute of Women's Health
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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

6 authors at 3 institutions in 1 country.

Amy H CrockettPrisma Health Upstate, University of South Carolina School of Medicine Greenville, Greenville, SC, USA.
Emily C HeberleinGeorgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA, USA. eheberlein@gsu.edu.
Jessica C SmithGeorgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA, USA.
Pelin OzlukDepartment of Economics, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA, USA.
Sarah Covington-KolbPrisma Health Upstate, Greenville, SC, USA.
Carla WillisGeorgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA, USA.
Georgia State University · USPrisma Health · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives Perinatal Quality Collaboratives across the United States are initiating projects to improve health and healthcare for women and infants. We compared an evidence-based group prenatal care model to usual individual prenatal care on birth outcomes in a multi-site expansion of group prenatal care supported by a state-wide multidisciplinary Perinatal Quality Collaborative. Methods We analyzed 15,330 pregnant women aged 14-48 across 13 healthcare practices in South Carolina (2013-2017) using a preferential-within cluster matching propensity score method and logistic regression. Outcomes were extracted from birth certificate data. We compared outcomes for (a) women at the intent-to-treat level and (b) for women participating in at least five group prenatal care visits to women with less than five group visits with at least five prenatal visits total. Results In the intent-to-treat analyses, women who received group prenatal care were significantly less likely to have preterm births (absolute risk difference - 3.2%, 95% CI - 5.3 to - 1.0%), low birth weight births (absolute risk difference - 3.7%, 95% CI - 5.5 to - 1.8%) and NICU admissions (absolute risk difference - 4.0%, 95% CI - 5.6 to - 2.3%). In the as-treated analyses, women had greater improvements compared to intent-to-treat analyses in preterm birth and low birth weight outcomes. Conclusions for Practice CenteringPregnancy group prenatal care is effective across a range of real-world clinical practices for decreasing the risk of preterm birth and low birth weight. This is a feasible approach for other Perinatal Quality Collaboratives to attempt in their ongoing efforts at improving maternal and infant health outcomes.

Indexed as

Pregnancy OutcomeAdolescentAdultFemaleHumansMiddle AgedPostnatal CarePregnancyProgram DevelopmentQuality ImprovementSouth CarolinaBirth outcomesCenteringPregnancyGroup prenatal careLow birthweightPreterm birth

Identifiers

PMID31230168
OpenAlexW2951269149

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.