Evidence map›Paper›PMID 34493234›Full record

ArticleBMC pregnancy and childbirth2021

Impact of childbirth policy changes on obstetric workload over a 13-year period in a regional referral center in China - implications on service provision planning.

Min Xie, Terence T Lao, Junnan Ma, Tianying Zhu, Dajin Liu, Shengnan Yu, Mingyu Du, Qian Sun, Runmei Ma

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

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 5 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

9 authors at 4 institutions in 1 country.

Min Xie *Department of Obstetrics and Gynecology, the First Affiliated Hospital of Kunming Medical University, China, PO Box 650032, No.295 Xi Chang Rd, Kunming, Yunnan, China.
Terence T Lao *Department of Obstetrics and Gynecology, the Chinese University of Hong Kong, Hong Kong, China.
Junnan MaDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Kunming Medical University, China, PO Box 650032, No.295 Xi Chang Rd, Kunming, Yunnan, China.
Tianying ZhuDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Kunming Medical University, China, PO Box 650032, No.295 Xi Chang Rd, Kunming, Yunnan, China.
Dajin LiuDepartment of Medical Records, the First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Shengnan YuDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Kunming Medical University, China, PO Box 650032, No.295 Xi Chang Rd, Kunming, Yunnan, China.
Mingyu DuDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Kunming Medical University, China, PO Box 650032, No.295 Xi Chang Rd, Kunming, Yunnan, China.
Qian SunDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Kunming Medical University, China, PO Box 650032, No.295 Xi Chang Rd, Kunming, Yunnan, China.
Runmei MaDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Kunming Medical University, China, PO Box 650032, No.295 Xi Chang Rd, Kunming, Yunnan, China. marunmeikmmc@163.com.
First Affiliated Hospital of Kunming Medical University · CNKunming Medical University · CNChinese University of Hong Kong · CNKunming Children's Hospital · CN

Funding

Kunming Medical University 2015BS018National Natural Science Foundation of China 81760274Yunnan Provincial Science and Technology Department 2015FA003Yunnan Provincial Science and Technology Department 2018ZF009Yunnan Provincial Science and Technology Department 2019FE001(-146)
6 · The paper itself

Abstract

backgroundWe aimed to appraise the impact of the changing national childbirth policy since 2002, currently allowing two children per family, on obstetric workload in a regional referral center in China.

methodsIn a retrospective cohort study, temporal changes were examined in relation with maternal demographics, incidence of women with high risk pregnancies and resource statistics in our hospital in managing singleton viable pregnancies (birth from 28 weeks gestational age onwards) for the period 2005-2017.

resultsDuring this 13-year period, the number of singleton livebirths from 28 weeks gestational age onwards was 49,479. Annual numbers of births increased from 1,941 to 2005 to 5,777 in 2017. There were concomitant and significant increases in the incidence of multiparous women (10.6-50.8 %), of age ≥35 years (6.5-24.3 %), with prior caesarean Sec. (2.6-23.6 %), with ≥3 previous pregnancy terminations (1.0-4.9 %), with pre-gestational diabetes (0.2-0.9 %), and with chronic hypertension (0.2-1.2 %). There were associated increases in beds and staff complement and reduced average hospital stay. Nevertheless, while the workload of medical staff remained stable with increasing staff complement, that of midwives increased significantly as reflected by the total births: midwife ratio which increased from 194.1:1 to 320.9:1 (p < 0.001).

conclusionsIn our hospital, progressively increasing numbers of annual births in combination with an increased incidence of women with high risk pregnancies took place following the revised national childbirth policy. Only the increase in medical and nursing, but not midwifery, staff was commensurate with workload. Remedial measures are urgently required before the anticipated progressive increase in care demand would overwhelm maternity care with potentially disastrous consequences.

Indexed as

Family Planning PolicyMedical Staff, HospitalParturitionTertiary Care CentersWorkloadChinaFemaleHealth Services Needs and DemandHumansMaternal Health ServicesPregnancyChinaHigh risk pregnancyMedical staffingMidwifery staffingWorkload

Identifiers

PMID34493234
PMCPMC8424970
OpenAlexW3197935875

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.