Evidence map›Paper›PMID 36478662›Full record

ArticleAJOG global reports2022

Does provision of antenatal care in Southern Asia improve neonatal survival? A systematic review and meta-analysis.

Millie A O'Dair, Andrew Demetri, Gemma L Clayton, Deborah Caldwell, Katie Barnard, Christy Burden, Abigail Fraser, Abi Merriel

Open access · goldAbstract read
In one paragraph

Article in AJOG global reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 1 country.

Millie A O'DairAcademic Women's Health Unit, Bristol Medical School, University of Bristol, Bristol, United Kingdom (O'Dair, Demetri, Barnard, Burden, Merriel).
Andrew DemetriAcademic Women's Health Unit, Bristol Medical School, University of Bristol, Bristol, United Kingdom (O'Dair, Demetri, Barnard, Burden, Merriel).
Gemma L ClaytonMedical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom (Clayton).
Deborah CaldwellPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom (Caldwell, Fraser).
Katie BarnardAcademic Women's Health Unit, Bristol Medical School, University of Bristol, Bristol, United Kingdom (O'Dair, Demetri, Barnard, Burden, Merriel).
Christy BurdenAcademic Women's Health Unit, Bristol Medical School, University of Bristol, Bristol, United Kingdom (O'Dair, Demetri, Barnard, Burden, Merriel).
Abigail FraserPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom (Caldwell, Fraser).
Abi MerrielAcademic Women's Health Unit, Bristol Medical School, University of Bristol, Bristol, United Kingdom (O'Dair, Demetri, Barnard, Burden, Merriel).
University of Bristol · GBMedical Research Council · GBUniversity of Liverpool · GB

Funding

Medical Research Council MC_UU_00011/6
6 · The paper itself

Abstract

backgroundSouthern Asia has one of the highest burdens of neonatal mortality worldwide (26/1000 live births). Ensuring that women receive antenatal care from a skilled provider may play an important role in reducing this burden.

objectiveThis study aimed to determine whether antenatal care received from a skilled provider could reduce neonatal mortality in Southern Asia by systematically reviewing existing evidence. STUDY

designSeven databases were searched (MEDLINE, Embase, Cochrane Library, CINAHL, PubMed, PsycINFO, and International Bibliography of the Social Sciences [IBSS]). The key words included: "neonatal mortality," "antenatal care," and "Southern Asia." Nonrandomized comparative studies conducted in Southern Asia reporting on neonatal mortality in women who received antenatal care compared with those who did not were included. Two authors carried out the screening and data extraction. The Risk of Bias Assessment tool for Non-randomized Studies (RoBANS) was used to assess quality of studies. Results were reported using a random-effects model based on odds ratios with 95% confidence intervals.

resultsFour studies were included in a meta-analysis of adjusted results. The pooled odds ratio was 0.46 (95% confidence interval, 0.24 to 0.86) for neonatal deaths among women having at least 1 antenatal care visit during pregnancy compared with women having none. In the final meta-analysis, 16 studies could not be included because of lack of adjustment for confounders, highlighting the need for further higher-quality studies to evaluate the true impact.

conclusionThis review suggests that in Southern Asia, neonates born to women who received antenatal care have a lower risk of death in the neonatal period compared with neonates born to women who did not receive antenatal care. This should encourage health policy to strengthen antenatal care programs in Southern Asia.

Indexed as

antenatal carematernal health servicesneonatal deathneonatal mortalityprenatal careSouthern Asia

Identifiers

PMID36478662
PMCPMC9720596
OpenAlexW4308476680

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.