Evidence map›Paper›PMID 35639711›Full record

ArticlePloS one2022

Perinatal care in Western Uganda: Prevalence and factors associated with appropriate care among women attending three district hospitals.

Mercy Muwema, Dan K Kaye, Grace Edwards, Gorrette Nalwadda, Joanita Nangendo, Jaffer Okiring, Wilson Mwanja, Elizabeth N Ekong, Joan N Kalyango, Joaniter I Nankabirwa

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 15 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

10 authors at 3 institutions in 1 country.

Mercy MuwemaClinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.ORCID 0000-0001-9181-3055
Dan K KayeDepartment of Obstetrics and Gynecology, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Grace EdwardsSchool of Nursing and Midwifery, Aga Khan University, Kampala, Uganda.
Gorrette NalwaddaDepartment of Nursing, School of Health Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
Joanita NangendoClinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Jaffer OkiringClinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Wilson MwanjaWhale Consult Limited, Kampala, Uganda.ORCID 0000-0003-4055-1328
Elizabeth N EkongDepartment of Nursing, Faculty of Health Sciences, Uganda Christian University, Uganda.
Joan N KalyangoClinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Joaniter I NankabirwaClinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Makerere University · UGInfectious Diseases Research Collaboration · UGUganda Christian University · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerinatal mortality remains high globally and remains an important indicator of the quality of a health care system. To reduce this mortality, it is important to provide the recommended care during the perinatal period. We assessed the prevalence and factors associated with appropriate perinatal care (antenatal, intrapartum, and postpartum) in Bunyoro region, Uganda. Results from this study provide valuable information on the perinatal care services and highlight areas of improvement for better perinatal outcomes.

methodsA cross sectional survey was conducted among postpartum mothers attending care at three district hospitals in Bunyoro. Following consent, a questionnaire was administered to capture the participants' demographics and data on care received was extracted from their antenatal, labour, delivery, and postpartum records using a pre-tested structured tool. The care received by women was assessed against the standard protocol established by World Health Organization (WHO). Poisson regression with robust standard errors was used to assess factors associated with appropriate postpartum care.

resultsA total of 872 mothers receiving care at the participating hospitals between March and June 2020 were enrolled in the study. The mean age of the mothers was 25 years (SD = 5.95). None of the mothers received appropriate antenatal or intrapartum care, and only 3.8% of the participants received appropriate postpartum care. Factors significantly associated with appropriate postpartum care included mothers being >35 years of age (adjusted prevalence ratio [aPR] = 11.9, 95% confidence interval [CI] 2.8-51.4) and parity, with low parity (2-3) and multiparous (>3) mothers less likely to receive appropriate care than prime gravidas (aPR = 0.3, 95% CI 0.1-0.9 and aPR = 0.3, 95% CI 0.1-0.8 respectively).

conclusionsAntenatal, intrapartum, and postpartum care received by mothers in this region remains below the standard recommended by WHO, and innovative strategies across the continuum of perinatal care need to be devised to prevent mortality among the mothers. The quality of care also needs to be balanced for all mothers irrespective of the age and parity.

Indexed as

Hospitals, DistrictPerinatal CareAdultChildCross-Sectional StudiesFemaleHumansInfant, NewbornPregnancyPrevalenceUganda

Identifiers

PMID35639711
PMCPMC9154186
OpenAlexW4281718737

What OpenQuestion holds

Textmetadata
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.