Evidence map›Paper›PMID 31388662›Full record

ArticleEClinicalMedicine2019

Reducing preterm birth amongst Aboriginal and Torres Strait Islander babies: A prospective cohort study, Brisbane, Australia.

Sue Kildea, Yu Gao, Sophie Hickey, Sue Kruske, Carmel Nelson, Renee Blackman, Sally Tracy, Cameron Hurst, Daniel Williamson, Yvette Roe

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

Article in EClinicalMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
11.8field-weighted citation impact, top 1% 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

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 107 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Sue KildeaMolly Wardaguga Research Centre, College of Nursing and Midwifery, Charles Darwin University, 410 Ann Street, Brisbane City, Queensland 4000, Australia.
Yu GaoMolly Wardaguga Research Centre, College of Nursing and Midwifery, Charles Darwin University, 410 Ann Street, Brisbane City, Queensland 4000, Australia.
Sophie HickeyMolly Wardaguga Research Centre, College of Nursing and Midwifery, Charles Darwin University, 410 Ann Street, Brisbane City, Queensland 4000, Australia.
Sue KruskeInstitute for Urban Indigenous Health, 22 Cox Rd, Windsor, Queensland 4030, Australia.
Carmel NelsonInstitute for Urban Indigenous Health, 22 Cox Rd, Windsor, Queensland 4030, Australia.
Renee BlackmanAboriginal and Torres Strait Islander Community Health Service Brisbane Limited, 55 Annerley Rd, Woolloongabba, Queensland 4102, Australia.
Sally TracyThe University of Sydney, 88 Mallett Street, Camperdown, New South Wales 2050, Australia.
Cameron HurstQIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Queensland 4006, Australia.
Daniel WilliamsonAboriginal and Torres Strait Islander Health Branch, Department of Health, 33 Charlotte Street, Brisbane, Queensland 4001, Australia.
Yvette RoeMolly Wardaguga Research Centre, College of Nursing and Midwifery, Charles Darwin University, 410 Ann Street, Brisbane City, Queensland 4000, Australia.
The University of Queensland · AUAustralian Institute of Aboriginal and Torres Strait Islander Studies · AUQIMR Berghofer Medical Research Institute · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevention of avoidable preterm birth in Aboriginal and Torres Strait Islander (Indigenous) families is a major public health priority in Australia. Evidence about effective, scalable strategies to improve maternal and infant outcomes is urgently needed. In 2013, a multiagency partnership between two Aboriginal Community Controlled Health Organisations and a tertiary maternity hospital co-designed a new service aimed at reducing preterm birth: 'Birthing in Our Community'.

methodsA prospective interventional cohort study compared outcomes for women with an Indigenous baby receiving care through a new service (n = 461) to women receiving standard care (n = 563), January 2013-December 2017. The primary outcome was preterm birth (< 37 weeks gestation). One to one propensity score matching was used to select equal sized standard care and new service cohorts with similar distribution of characteristics. Conditional logistic regression calculated the odds ratio with matched samples.

findingsWomen receiving the new service were less likely to give birth to a preterm infant than women receiving standard care (6·9% compared to 11.6%). After controlling for confounders, the new service significantly reduced the odds of having a preterm birth (unmatched, n = 1024: OR = 0·57, 95% CI 0·37, 0·89; matched, n = 690: OR = 0·50, 95% CI 0·31, 0·83).

interpretationThe short-term results of this service redesign send a strong signal that the preterm birth gap can be reduced through targeted interventions that increase Indigenous governance of, and workforce in, maternity services and provide continuity of midwifery carer, an integrated approach to supportive family services and a community-based hub.

Indexed as

Aboriginal and Torres Strait IslanderAboriginal Community Controlled Health OrganisationsBirth cohortBirthing in Our CommunityBirthing on CountryChild mortalityClosing the gapCo-designCommunityCommunity investment-ownership-activationContinuity of midwifery careHealth disparitiesHealth services researchIndigenousMaternityMidwiferyPreterm birthPropensity score matchingProspective studyThe Indigenous Birthing in an Urban Setting (IBUS) study

Identifiers

PMID31388662
PMCPMC6677659
OpenAlexW2952497071

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.