Evidence map›Paper›PMID 31487626›Full record

ArticlePregnancy hypertension2019

Self-reported maternal morbidity: Results from the community level interventions for pre-eclampsia (CLIP) baseline survey in Sindh, Pakistan.

Sana Sheikh, Rahat Najam Qureshi, Farrukh Raza, Javed Memon, Imran Ahmed, Marianne Vidler, Beth A Payne, Tang Lee, Diane Sawchuck, Laura Magee and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Pregnancy hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07489664 (Indigenous Nutritional Supplements for Pregnancy to Improve Resilience in Environmental Heat), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT07489664 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Indigenous Nutritional Supplements for Pregnancy to Improve Resilience in Environmental Heat

TypeinterventionalSponsorAga Khan UniversityRan2026 to 2028Enrolled292ConditionsHeat Stress, Pregnancy, Women of Reproductive Age, Nutrition StatusArmsIndigenous Balanced Diet Arm
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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

13 authors at 5 institutions in 4 countries.

Sana SheikhDivision of Women & Child Health, Department of Obstetrics and Gynaecology, 2(nd) Floor Private Wing, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: sana.sheikh2@aku.edu.
Rahat Najam QureshiDivision of Women & Child Health, Department of Obstetrics and Gynaecology, 2(nd) Floor Private Wing, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: rahat.qureshi@aku.edu.
Farrukh RazaDivision of Women & Child Health, Department of Obstetrics and Gynaecology, 2(nd) Floor Private Wing, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: farrukh.raza@aku.edu.
Javed MemonDivision of Women & Child Health, Department of Obstetrics and Gynaecology, 2(nd) Floor Private Wing, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: javed.memon@aku.edu.
Imran AhmedDivision of Women & Child Health, Department of Obstetrics and Gynaecology, 2(nd) Floor Private Wing, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: imran.ahmed@aku.edu.
Marianne VidlerDepartment of Obstetrics and Gynaecology, University of British Columbia, 2329 West Mall, Vancouver, BC V6T 1Z4, Canada. Electronic address: Marianne.vidler@cw.bc.ca.
Beth A PayneDepartment of Obstetrics and Gynaecology, University of British Columbia, 2329 West Mall, Vancouver, BC V6T 1Z4, Canada; Centre for International Child Health, BC Children's Hospital Research Institute, 950 W 28th Ave, Vancouver, BC V5Z 4H4, Canada. Electronic address: bpayne@cw.bc.ca.
Tang LeeDepartment of Obstetrics and Gynaecology, University of British Columbia, 2329 West Mall, Vancouver, BC V6T 1Z4, Canada. Electronic address: tlee5@cw.bc.ca.
Diane SawchuckVancouver Island Health Authority, 2334 Trent Street, Suite 643 Victoria, Canada. Electronic address: diane.sawchuck@viha.ca.
Laura MageeDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, Strand, London WC2R 2LS, UK. Electronic address: laura.a.magee@kcl.ac.uk.
Peter von DadelszenDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, Strand, London WC2R 2LS, UK. Electronic address: pvd@kcl.ac.uk.
Zulfiqar BhuttaDivision of Women & Child Health, Department of Obstetrics and Gynaecology, 2(nd) Floor Private Wing, Aga Khan University, Stadium Road, Karachi 74800, Pakistan; Program for Global Pediatric Research, Hospital for Sick Children, 555 University Ave, Toronto, ON M5G 1X8, Canada. Electronic address: zulfiqar.bhutta@aku.edu.
CLIP Working Group
Aga Khan University · PKUniversity of British Columbia · CAKing's College London · GBHospital for Sick Children · CAIsland Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCommunity-based data regarding maternal and perinatal morbidity and mortality are scarce in less-developed countries. The aim of the study was to collect representative community-level demographic health information to provide socio-demographic and health outcome data.

methodsA retrospective household survey of women of reproductive age (15-49 years) living in two districts of Sindh Province, Pakistan was conducted. Pregnancy incidence over the past 12 months and during each woman's lifetime; maternal, fetal, infant and child deaths in the past 12 months; and rates of hypertension and seizures in pregnancy were calculated.

resultsFrom June to September 2013, 88,410 households were surveyed with 1.2 (±0.6) women of reproductive age per household. 19,584 women (11.9%) reported pregnancies in the preceding 12 months; 83.0% had live births, 3.5% resulting in stillbirths and 13.6% in miscarriages. 34.2% of deliveries occurred at home. Out of all women who reported a pregnancy in past 12 months, 62.1% reported high blood pressure and 11.9% reported seizures complicating her most recent pregnancy. Blood pressure was not measured during survey to confirm hypertension. The perinatal, neonatal and maternal mortality ratios were 64.7/1000, 39/1000 and 166/100,000 livebirths, respectively.

conclusionThis study estimated population-level mortality ratios that can be used for the planning of health interventions in these regions. Self-reported pregnancy hypertension and seizures was inaccurate, reflecting limited community understanding of these disorders. Mortality estimates are comparable to those reported by the World Health Organization for maternal mortality ratio and neonatal mortality rate of 170/100,000 and 36/1000 live births, respectively.

Indexed as

Community Health ServicesMaternal Health ServicesPrenatal CareAdolescentAdultFamily CharacteristicsFemaleHand HygieneHumansMaternal MortalityMedically Underserved AreaMiddle AgedPakistanPre-EclampsiaPregnancyRisk FactorsCommunityHealth estimatesMaternal newborn and childMorbiditySelf-reported

Identifiers

PMID31487626
PMCPMC6734112
OpenAlexW2946618592

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.