Evidence map›Paper›PMID 33176728›Full record

ArticleBMC pregnancy and childbirth2020

Adequate antenatal care and ethnicity affect preterm birth in pregnant women living in the tropical rainforest of Suriname.

G K Baldewsingh, B C Jubitana, E D van Eer, A Shankar, A D Hindori-Mohangoo, H H Covert, L Shi, M Y Lichtveld, C W R Zijlmans

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

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

G K BaldewsinghMedical Mission Primary Health Care Suriname, Paramaribo, Suriname. gbaldewsingh@medischezending.sr.ORCID http://orcid.org/0000-0001-7430-1576
B C JubitanaMedical Mission Primary Health Care Suriname, Paramaribo, Suriname.
E D van EerMedical Mission Primary Health Care Suriname, Paramaribo, Suriname.
A ShankarTulane University School of Public Health and Tropical Medicine, New Orleans, USA.
A D Hindori-MohangooTulane University School of Public Health and Tropical Medicine, New Orleans, USA.
H H CovertTulane University School of Public Health and Tropical Medicine, New Orleans, USA.
L ShiTulane University School of Public Health and Tropical Medicine, New Orleans, USA.
M Y LichtveldTulane University School of Public Health and Tropical Medicine, New Orleans, USA.
C W R ZijlmansFaculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname.
Tulane University · USAnton de Kom University of Suriname · SR

Funding

1/2-Neurotoxicant exposures:impact maternal and child health in Suriname-SurinameU01TW010087 · FIC · ACADEMISCH ZIEKENHUIS PARAMARIBO · PI LICHTVELD, MAUREEN Y., MANS, DENNIS R.A. · 2015 to 2020
$1.9M
2/2-Neurotoxicant Exposures: Impact on Maternal and Child Health in Suriname-USU2RTW010104 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LICHTVELD, MAUREEN Y., MANS, DENNIS R.A. · 2015 to 2020
$1.5M
FIC NIH HHS U01 TW010087FIC NIH HHS U2R TW010104NIH HHS U01TW010087
6 · The paper itself

Abstract

backgroundAdequate antenatal care (ANC) services are key for early identification of pregnancy related risk factors and maintaining women's health during pregnancy. This study aimed to assess the influence of ANC provided by the Medical Mission Primary Health Care Suriname (MMPHCS) and of ethnicity on adverse birth outcomes in Tribal and Indigenous women living in Suriname's remote tropical rainforest interior.

methodFrom April 2017 to December 2018 eligible Tribal and Indigenous women with a singleton pregnancy that received ANC from MMPHCS were included in the study. Data on low birth weight (LBW < 2500 g), preterm birth (PTB < 37 weeks), low Apgar score (< 7 at 5 min), parity (≤1 vs. > 1) and antenatal visits utilization (≥8 vs. < 8) in 15 interior communities were retrospectively analyzed using descriptive statistics, crosstabs and Fisher's exact tests.

resultsA total of 204 women were included, 100 (49%) were Tribal, mean age was 26 ± 7.2 years and 126 women (62%) had 8 or more ANC visits. One participant had a miscarriage; 22% had adverse birth outcomes: 16 (7.9%) LBW and 30 (14.8%) PTB; 7 women had a child with both PTB and LBW; 5 women had stillbirths. None of the newborns had low Apgar scores. Maternal age, ethnicity, ANC and parity were associated with PTB (χ

conclusionDespite an almost 100% study adherence over one fifth of women that received ANC in the interior of Suriname had adverse birth outcomes, in particular PTB and LBW. Younger nulliparous Indigenous women with less than the recommended 8 ANC visits had a higher risk for PTB. The rate of adverse birth outcomes highlights the need for further research to better assess factors influencing perinatal outcomes and to put strategies in place to improve perinatal outcomes. Exposure assessment of this sub-cohort and neurodevelopment testing of their children is ongoing and will further inform on potential adverse health effects associated with environmental exposures including heavy metals such as mercury and lead.

Indexed as

Environmental ExposureEthnicityAdultFemaleHumansInfant, Low Birth WeightInfant, NewbornLeadLogistic ModelsMaternal AgeMercuryParityPregnancyPregnancy OutcomePremature BirthPrenatal CareLeadMercuryAntenatal care utilization and contentBirth outcomesIndigenousSurinameTribal

Identifiers

PMID33176728
PMCPMC7656737
OpenAlexW3102041440

What OpenQuestion holds

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LicenceCC BY
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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.