Evidence map›Paper›PMID 35487543›Full record

ArticleGlobal health, science and practice2022

Baseline Assessment of Evidence-Based Intrapartum Care Practices in Medical Schools in 3 States in India: A Mixed-Methods Study.

Kirti Iyengar, Madhu Gupta, Swarnika Pal, Kiranjit Kaur, Neena Singla, Madhur Verma, Anchal Dhiman, Rimpi Singla, Minakshi Rohilla, Vanita Suri and 22 more

Open access · diamondAbstract read
In one paragraph

Article in Global health, science and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
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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

32 authors at 12 institutions in 1 country.

Kirti IyengarUnited Nations Population Fund, New Delhi, India.
Madhu GuptaPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. madhugupta21@gmail.com.
Swarnika PalSeth GS Medical College & KEM Hospital, Mumbai, India.
Kiranjit KaurPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Neena SinglaPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Madhur VermaAll India Institute Medical Science, Bathinda, Punjab, India.
Anchal DhimanPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Rimpi SinglaPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Minakshi RohillaPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Vanita SuriPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Neelam AggarwalPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Tarundeep SinghPostgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Poonam GoelGovernment Medical College and Hospital, Chandigarh, India.
N K GoelGovernment Medical College and Hospital, Chandigarh, India.
Reena PantSwai Maan Singh Medical College, Jaipur, Rajasthan, India.
Kusum Lata GaurSwai Maan Singh Medical College, Jaipur, Rajasthan, India.
Hanslata GehlotDr. Sampurnanand Medical College and Hospital, Jodhpur, Rajasthan, India.
Indra BhatiDr. Sampurnanand Medical College and Hospital, Jodhpur, Rajasthan, India.
Manoj VermaDr. Sampurnanand Medical College and Hospital, Jodhpur, Rajasthan, India.
Sudesh AgarwalSardar Patel Medical College and PBM Hospital, Bikaner Rajasthan, India.
Rekha AcharyaSardar Patel Medical College and PBM Hospital, Bikaner Rajasthan, India.
Keerti SinghRabindranath Tagore Medical College and Hospital, Udaipur, Rajasthan, India.
Madhubala ChauhanRabindranath Tagore Medical College and Hospital, Udaipur, Rajasthan, India.
Radha RastogiRabindranath Tagore Medical College and Hospital, Udaipur, Rajasthan, India.
Renu BediJawaharlal Nehru Medical College and Hospital, Ajmer Rajasthan, India.
Poornima PancholiJawaharlal Nehru Medical College and Hospital, Ajmer Rajasthan, India.
Bipin NayakGMERS Medical College and Hospital, Gandhinagar, Gujarat, India.
Bhavesh ModiGMERS Medical College and Hospital, Gandhinagar, Gujarat, India.
Kanaklata NakumGovernment Medical College and Hospital, Bhavnagar, Gujarat, India.
Atul TrivediGovernment Medical College and Hospital, Bhavnagar, Gujarat, India.
Shonali AggarwalGovernment Medical College and Hospital, Baroda, Gujarat, India.
Sangita PatelGovernment Medical College and Hospital, Baroda, Gujarat, India.
Post Graduate Institute of Medical Education and Research · INGovernment Medical College and Hospital · INRabindranath Tagore Medical College · INGandhi Medical College & Hospital · INGovernment Medical College Bhavnagar · INJawaharlal Nehru Medical College · INSardar Patel Medical College · INSawai ManSingh Medical College and Hospital · INAll India Institute of Medical Sciences · INCentral University of Punjab · INKing Edward Memorial Hospital and Seth G.S. Medical College · INUnited Nations Children's Fund India · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImplementation research with pre- and post-comparison was planned to improve the quality of evidence-based intrapartum care services in Indian medical schools. We present the baseline study results to assess the status of adherence to intrapartum evidence-based practices (IP-EBP) in study schools in 3 states in India and the perception of the faculty.

methodsA concurrent mixed-methods approach was used to conduct the baseline assessment in 9 medical schools in Rajasthan, Gujarat, and Union Territory from October 2018 to June 2019. IP-EBP among pregnant women in uncomplicated first (n=135), second (n=120), and third stage (n=120) of labor were observed using a predesigned, pretested checklist quantitatively. We conducted in-depth interviews with 33 obstetrics and gynecology faculty to understand their perceptions of intrapartum practices. Quantitative data were analyzed using SPSS (version 22). COM-B (Capability, Opportunity, and Motivation Behavior) model was used to understand the behaviors, and thematic analysis was done for the qualitative data.

findingsUnindicated augmentation of labor was done in 64.4%, fundal pressure applied in 50.8%, episiotomy done in 58.3%, and delivery in lithotomy position was performed in 86.7% of women in labor.

conclusionsIntrapartum practices that are not recommended were routinely practiced in the study medical schools due to a lack of staff awareness of evidence-based practices and incorrect beliefs about their impact.

Indexed as

Evidence-Based PracticeSchools, MedicalChecklistFemaleHumansIndiaParturitionPregnancy

Identifiers

PMID35487543
PMCPMC9053154
OpenAlexW4225261019

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.