Evidence map›Paper›PMID 36697050›Full record

ArticleBMJ open2023

Group antenatal care compared with standard antenatal care for Somali-Swedish women: a historically controlled evaluation of the Hooyo Project.

Malin Ahrne, Ulrika Byrskog, Birgitta Essén, Ewa Andersson, Rhonda Small, Erica Schytt

Registry-linked trialOpen access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03879200 (Group Antenatal Care for Somali Born Women), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 5% 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.

NCT03879200 naterminatednot on this map

Group Antenatal Care for Somali Born Women: a Feasibility Study Including Intervention Development and Evaluation

TypeinterventionalSponsorKarolinska InstitutetRan2018 to 2020Enrolled136ConditionsAntenatal Care, Immigrant, PregnancyArmsGroup antenatal care
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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  3. Interventions to Address Disparities in Perinatal Outcomes by Ethnicity: A Systematic Review.BJOG : an international journal of obstetrics and gynaecology · 2025
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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

6 authors at 4 institutions in 3 countries.

Malin AhrneDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden malin.ahrne@ki.se.ORCID 0000-0002-3946-5847
Ulrika ByrskogSchool of Education, Health and Social Studies, Dalarna University, Falun, Sweden.ORCID 0000-0002-1713-6014
Birgitta EssénWomen's and Children's Health, Uppsala University, Uppsala, Sweden.
Ewa AnderssonDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Rhonda SmallDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Erica SchyttCenter for Clinical Research Dalarna, Uppsala University, Falun, Sweden.ORCID 0000-0002-6018-9082
Karolinska Institutet · SEUppsala University · SEDalarna University · SELa Trobe University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesComparing language-supported group antenatal care (gANC) and standard antenatal care (sANC) for Somali-born women in Sweden, measuring overall ratings of care and emotional well-being, and testing the feasibility of the outcome measures.

designA quasi-experimental trial with one intervention and one historical control group, nested in an intervention development and feasibility study.

settingMidwifery-led antenatal care clinic in a mid-sized Swedish town.

participantsPregnant Somali-born women (<25 gestational weeks); 64 women in gANC and 81 in sANC.

interventionLanguage-supported gANC (2017-2019). Participants were offered seven 60-minute group sessions with other Somali-born women led by one to two midwives, in addition to 15-30 min individual appointments with their designated midwife. OUTCOMES: Primary outcomes were women's overall ratings of antenatal care and emotional well-being (Edinburgh Postnatal Depression Scale (EPDS)) in gestational week ≥35 and 2 months post partum. Secondary outcomes were specific care experiences, information received, social support, knowledge of pregnancy danger signs and obstetric outcomes.

resultsRecruitment and retention of participants were challenging. Of eligible women, 39.3% (n=106) declined to participate. No relevant differences regarding overall ratings of antenatal care between the groups were detected (late pregnancy OR 1.42, 95% CI 0.50 to 4.16 and 6-8 weeks post partum OR 2.71, 95% CI 0.88 to 9.41). The reduction in mean EPDS score was greater in the intervention group when adjusting for differences at baseline (mean difference -1.89; 95% CI -3.73 to -0.07). Women in gANC were happier with received pregnancy and birth information, for example, caesarean section where 94.9% (n=37) believed the information was sufficient compared with 17.5% (n=7) in standard care (p<0.001) in late pregnancy.

conclusionsThis evaluation suggests potential for language-supported gANC to improve knowledge acquisition among pregnant Somali-born women with residence in Sweden ˂10 years. An adequately powered randomised trial is needed to evaluate the effectiveness of the intervention. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Registry (NCT03879200).

Indexed as

Cesarean SectionPrenatal CareFemaleHumansLanguageParturitionPregnancySomaliaSwedenAntenatalMaternal medicinePrenatal diagnosisReproductive medicineSOCIAL MEDICINE

Identifiers

PMID36697050
PMCPMC9884917
OpenAlexW4318169388

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.