Evidence map›Paper›PMID 36002697›Full record

ArticleMaternal and child health journal2022

Analysis of the Perinatal Care System in a Remote and Mountainous District of Nepal.

James Wylie Thomas, David Phillip Levy, Ang Jangmu Sherpa, Lakpa Lama, Allison Judkins, Amber A Chambers, Hillary Crandall, Sarah Schoenhals, Kirk B Bjella, Jordan H Vaughan and 2 more

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Article in Maternal and child health journal, 2022. 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
–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.

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.

  1. Review
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

12 authors.

James Wylie ThomasPediatrics - Neonatology, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA. james.thomas@hsc.utah.edu.ORCID http://orcid.org/0000-0003-4780-8931
David Phillip LevyOneworld Community Health Center Inc - Pediatrics, 4920 S 30th St, STE 103, Omaha, NE, 68107, USA.
Ang Jangmu SherpaHuman Right, Peace and Development Forum Nepal, Khumbupasanglhamu 2, Solukhumbu, Nepal.
Lakpa LamaHuman Right, Peace and Development Forum Nepal, Solududhkunda 4, Solukhumbu, Nepal.
Allison JudkinsPediatrics - Neonatology, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Amber A ChambersPediatrics - Inpatient Medicine, University of Utah, 100 N Mario Capecchi Drive, Salt Lake City, UT, 84113, USA.
Hillary CrandallPediatrics - Critical Care Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Sarah SchoenhalsSurgery - General, University of Utah, 30 N 1900 E, Salt Lake City, UT, 84132, USA.
Kirk B BjellaCHC - Pediatrics, Northern Valley Indian Health, 1515 Springfield Dr, STE 175, Chico, CA, 95926, USA.
Jordan H VaughanPediatrics, University of Utah, 81 N Mario Capecchi Drive, Salt Lake City, UT, 84113, USA.
Peter H GrubbPediatrics - Neonatology, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Bernhard FasslCenter for Global Health Innovation, Northeast Ohio Medical University, 4209 St, OH-44, Rootstown, OH, 44272, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite significant improvements in recent years, maternal and neonatal health outcomes remain poor in many regions of the world. One such area is in the remote mountainous regions of Nepal. The purpose of this study is to describe the current antenatal care practices and delivery support in a mountainous district of Nepal.

methodsThis study took place in Solukhumbu District between December 2015 and February 2018. A household survey was created using evidence-based maternal and neonatal care indicators. Women who had delivered within the previous two years were surveyed regarding antenatal and delivery care they received. A standardized health facility survey was used to evaluate the operational status of health facilities. The study was approved by the Nepal Ministry of Health and the University of Utah IRB.

resultsA total of 487 households and 19 facilities were surveyed. 35.7% (174/487) of deliveries occurred in a health facility (hospital, primary health care center or birthing center). 35.2% (171/486) of deliveries were attended by a skilled birth attendant. 52.8% (47/89) of women who did not deliver in a facility noted that transportation issues and not having sufficient time to travel during labor prevented them from delivering in a facility. No health posts had staff trained in obstetric and neonatal emergencies. DISCUSSION: The majority of women in Solukhumbu District do not receive high quality antenatal and delivery care. An intervention that would make antenatal care and delivery support more accessible could improve maternal and infant outcomes in this district and other similar regions.

Indexed as

Birthing CentersMaternal Health ServicesPerinatal CareChildDelivery, ObstetricFemaleHealth FacilitiesHealth Services AccessibilityHumansInfant, NewbornNepalPregnancyPrenatal CareAntenatal careDelivery careNeeds assessmentNepalRemote and mountainous

Identifiers

PMID36002697

What OpenQuestion holds

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Registered trials

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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.