Trial reportScientific reports2019
Mode of delivery and pregnancy outcomes in preterm birth: a secondary analysis of the WHO Global and Multi-country Surveys.
Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comprehensive evaluation of risk factors for intraventricular hemorrhage in preterm neonates: a systematic review and meta-analysis.European journal of medical research · 2025Pooled it
- A systematic review of the factors influencing microbial colonization of the preterm infant gut.Gut microbesPooled it
- Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial.BMC medicine · 2026Trial
- Ecology of protection: probiotic biogeography and sepsis prevention in the neonatal intestine.mBio · 2026Article
- Obstetric Outcomes Among Underage Mothers: Age-Stratified Analysis from a Romanian Hospital-Based Cohort.Medicina (Kaunas, Lithuania) · 2026Article
- Postpartum Health in Mothers of Preterm Infants in the NICU: Needs, Service Utilization, and Care Gaps-A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Risk of recurrent spontaneous preterm birth following preterm full dilatation cesarean delivery.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Sociodemographic, behavioral, and obstetric factors associated with preterm birth and its severity: A matched case-control study in Cyprus.European journal of midwifery · 2026Article
- A Compassion-Focused Approach to Support Parents After Preterm Birth.Clinical child and family psychology review · 2025Review
- Probiotic biogeography and sepsis prevention in the neonatal intestine.bioRxiv : the preprint server for biology · 2025Article
- Maternal awareness of newborn danger signs before discharge: a secondary analysis of baseline data from a quasi-experimental study in Uganda.Maternal health, neonatology and perinatology · 2025Article
- The Relationship Between Prematurity and Mode of Delivery with Disorders of Gut-Brain Interaction in Children.Children (Basel, Switzerland) · 2025Article
- The association of umbilical hyperlactatemia with short- and tong-term outcomes in extremely low birth weight neonates: a matched cohort study.European journal of pediatrics · 2025Article
- Maternal demography, clinical characteristics, & outcomes at an obstetric intensive care unit of a tertiary-care teaching maternity hospital in the Kashmir Valley.The Indian journal of medical research · 2025Article
- The impact of AMniotic FluId on the development and microBIal colonization of the prEterm intestinal tract (AMFIBIE): study protocol for a multicenter prospective cohort study.Frontiers in pediatrics · 2025Article
- Adverse maternal outcomes among women who gave birth at public hospitals in eastern Ethiopia: a cross-sectional study.Frontiers in global women's health · 2025Article
- Article
- Time to death and predictors of mortality among asphyxiated neonates in southwest Ethiopia, 2022: prospective cohort study.BMJ open · 2024Article
- Is Parity a Risk Factor for Late Preterm Birth? Results from a Large Cohort Study.Journal of clinical medicine · 2024Article
- From Mother to Infant, from Placenta to Gut: Understanding Varied Microbiome Profiles in Neonates.Metabolites · 2023Review
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
Many studies have been conducted to examine whether Caesarean Section (CS) or vaginal birth (VB) was optimal for better maternal and neonatal outcomes in preterm births. However, findings remain unclear. Therefore, this secondary analysis of World Health Organization Global Survey (GS) and Multi-country Survey (MCS) databases was conducted to investigate outcomes of preterm birth by mode of delivery. Our sample were women with singleton neonates (15,471 of 237 facilities from 21 countries in GS; and 15,053 of 239 facilities from 21 countries in MCS) delivered between 22 and <37 weeks of gestation. We assessed association between mode of delivery and pregnancy outcomes in singleton preterm births by multilevel logistic regression adjusted for hierarchical data. The prevalences of women with preterm birth delivered by CS were 31.0% and 36.7% in GS and MCS, respectively. Compared with VB, CS was associated with significantly increased odds of maternal intensive care unit admission, maternal near miss, and neonatal intensive care unit admission but significantly decreased odds of fresh stillbirth, and perinatal death. However, since the information on justification for mode of delivery (MOD) were not available, our results of the potential benefits and harms of CS should be carefully considered when deciding MOD in preterm births.
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