Evidence map›Paper›PMID 33098114›Full record

Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2021

Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.

Kylea L Liese, Esnath Kapito, Ellen Chirwa, Li Liu, Xiaohan Mei, Kathleen F Norr, Crystal L Patil

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02999334 nacompletednot on this map

HIV With Innovative Group Antenatal Care in Two African Countries

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2013 to 2016Enrolled218ConditionsPrenatal CareArmsGroup Antenatal Care
NCT03673709 nacompletednot on this map

Group Antenatal Care: Effectiveness for Maternal/Infant and HIV Prevention Outcomes and Contextual Factors Linked to Implementation Success in Malawi

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2019 to 2024Enrolled1,887ConditionsPremature BirthArmsAntenatal Care
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Experiential Training Workshops for Group Antenatal Care in Malawi.Journal of midwifery & women's health · 2022
    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

7 authors.

Kylea L LieseDepartment of Human Development Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
Esnath KapitoKamuzu College of Nursing, University of Malawi, Blantyre, Malawi.
Ellen ChirwaKamuzu College of Nursing, University of Malawi, Blantyre, Malawi.
Li LiuSchool of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
Xiaohan MeiSchool of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
Kathleen F NorrDepartment of Human Development Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
Crystal L PatilDepartment of Human Development Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.

Funding

Group Antenatal Care: Effectiveness for Maternal/Infant and HIV Prevention Outcomes and Contextual Factors Linked to Implementation Success in MalawiR01NR018115 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI NORR, KATHLEEN F, PATIL, CRYSTAL LAUREN · 2018 to 2022
$3.1M
Integrating HIV with Innovative Group Antenatal Care in Two African CountriesR21NR014413 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PATIL, CRYSTAL LAUREN · 2013 to 2014
$388k
NINR NIH HHS R01 NR018115NINR NIH HHS R21 NR014413
6 · The paper itself

Abstract

objectiveTo examine whether group prenatal care (PNC) increased key services and educational topics women reported receiving, compared with individual PNC in Malawi and Tanzania.

methodsData come from a previously published randomized trial (n=218) and were collected using self-report surveys. Late pregnancy surveys asked whether women received all seven services and all 13 topics during PNC. Controlling for sociodemographics, country, and PNC attendance, multivariate logistic regression used forward selection to produce a final model showing predictors of receipt of all key services and topics.

resultsIn multivariate logistic regression, women in group PNC were 2.49 times more likely to receive all seven services than those in individual care (95% confidence interval [CI] 1.78-3.48) and 5.25 times more likely to have received all 13 topics (95% CI 2.62-10.52).

conclusionThis study provides strong evidence that group PNC meets the clinical standard of care for providing basic clinical services and perinatal education for pregnant women in sub-Saharan Africa. The greater number of basic PNC services and educational topics may provide one explanatory mechanism for how group PNC achieves its impact on maternal and neonatal outcomes. ClinicalTrials.gov: NCT03673709, NCT02999334.

Indexed as

AdultFemaleHumansLogistic ModelsMalawiPilot ProjectsPregnancyPregnant PeoplePrenatal CarePrenatal EducationTanzaniaYoung AdultGroup prenatal careMalawiMaternal healthPregnancyPrenatal carePrenatal educationSub-Saharan AfricaTanzania

Identifiers

PMID33098114
PMCPMC8073885

What OpenQuestion holds

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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.