Evidence map›Paper›PMID 36709265›Full record

ArticleBMC pregnancy and childbirth2023

Developing and evaluating Birthing on Country services for First Nations Australians: the Building On Our Strengths (BOOSt) prospective mixed methods birth cohort study protocol.

Penny Haora, Yvette Roe, Sophie Hickey, Yu Gao, Carmel Nelson, Jyai Allen, Melanie Briggs, Faye Worner, Sue Kruske, Kristie Watego and 10 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2023. 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
2.7field-weighted citation impact, top 11% 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, 9 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

20 authors at 7 institutions in 1 country.

Penny HaoraMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Yvette RoeMolly Wardaguga Research Centre, Charles Darwin University, Darwin, Australia.
Sophie HickeyMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Yu GaoMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Carmel NelsonInstitute for Urban Indigenous Health, Cox Road, Windsor, QLD, 4030, Australia.
Jyai AllenMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Melanie BriggsMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Faye WornerWaminda South Coast Women's Health & Wellbeing Aboriginal Corporation, Kinghorne Street, Nowra, NSW, 2541, Australia.
Sue KruskeMolly Wardaguga Research Centre, Charles Darwin University, Grevillea Drive, Sadadeen, NT, 0870, Australia.
Kristie WategoInstitute for Urban Indigenous Health, Cox Road, Windsor, QLD, 4030, Australia.
Sarah-Jade MaidmentMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Donna HartzMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Juanita SherwoodMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Lesley BarclayMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Sally TracyThe University of Sydney, Camperdown, NSW, 2006, Australia.
Mark TracyThe University of Sydney, Camperdown, NSW, 2006, Australia.
Liz WilkesMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Roianne WestMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Nerida GrantMolly Wardaguga Research Centre, Charles Darwin University, Ann Street, Brisbane, QLD, 4000, Australia.
Sue KildeaMolly Wardaguga Research Centre, Charles Darwin University, Grevillea Drive, Sadadeen, NT, 0870, Australia. Sue.Kildea@cdu.edu.au.ORCID http://orcid.org/0000-0001-8591-4968
Charles Darwin University · AUThe University of Sydney · AUAboriginal Health Council of South Australia · AUAustralian Institute of Aboriginal and Torres Strait Islander Studies · AUBayside Health Service · AUInstitute for Urban Indigenous Health · AUThe University of Queensland · AU

Funding

National Health & Medical Research Council APP1135125
6 · The paper itself

Abstract

backgroundWith the impact of over two centuries of colonisation in Australia, First Nations families experience a disproportionate burden of adverse pregnancy and birthing outcomes. First Nations mothers are 3-5 times more likely than other mothers to experience maternal mortality; babies are 2-3 times more likely to be born preterm, low birth weight or not to survive their first year. 'Birthing on Country' incorporates a multiplicity of interpretations but conveys a resumption of maternity services in First Nations Communities with Community governance for the best start to life. Redesigned services offer women and families integrated, holistic care, including carer continuity from primary through tertiary services; services coordination and quality care including safe and supportive spaces. The overall aim of Building On Our Strengths (BOOSt) is to facilitate and assess Birthing on Country expansion into two settings - urban and rural; with scale-up to include First Nations-operated birth centres. This study will build on our team's earlier work - a Birthing on Country service established and evaluated in an urban setting, that reported significant perinatal (and organisational) benefits, including a 37% reduction in preterm births, among other improvements.

methodsUsing community-based, participatory action research, we will collaborate to develop, implement and evaluate new Birthing on Country care models. We will conduct a mixed-methods, prospective birth cohort study in two settings, comparing outcomes for women having First Nations babies with historical controls. Our analysis of feasibility, acceptability, clinical and cultural safety, effectiveness and cost, will use data including (i) women's experiences collected through longitudinal surveys (three timepoints) and yarning interviews; (ii) clinical records; (iii) staff and stakeholder views and experiences; (iv) field notes and meeting minutes; and (v) costs data. The study includes a process, impact and outcome evaluation of this complex health services innovation. DISCUSSION: Birthing on Country applies First Nations governance and cultural safety strategies to support optimum maternal, infant, and family health and wellbeing. Women's experiences, perinatal outcomes, costs and other operational implications will be reported for Communities, service providers, policy advisors, and for future scale-up.

trial registrationAustralia & New Zealand Clinical Trial Registry # ACTRN12620000874910 (2 September 2020).

Indexed as

Health Services, IndigenousParturitionAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesCohort StudiesFemaleHumansInfant, NewbornPopulation GroupsPregnancyProspective StudiesAboriginal and Torres Strait islanderBirthing on CountryFirst NationsHealth disparitiesHealth services researchIndigenousMidwiferyPreterm birthProspective birth cohort

Identifiers

PMID36709265
PMCPMC9883816
OpenAlexW4318332946

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.