Evidence map›Paper›PMID 37658338›Full record

Trial reportBMC pregnancy and childbirth2023

Effects of the online and offline hybrid continuous group care on maternal and infant health: a randomized controlled trial.

Xiaoli Yang, Linwei Li, Rong Zhou, Jieqiong Xia, Minxiang Li, Caihong Zhang, Honghua Guo

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

7 authors at 1 institution in 1 country.

Xiaoli Yang *International Nursing school, Hainan Medical University, 3 Xueyuan Road, Longhua District, Haikou, China.
Linwei Li *International Nursing school, Hainan Medical University, 3 Xueyuan Road, Longhua District, Haikou, China.
Rong ZhouInternational Nursing school, Hainan Medical University, 3 Xueyuan Road, Longhua District, Haikou, China.
Jieqiong XiaInternational Nursing school, Hainan Medical University, 3 Xueyuan Road, Longhua District, Haikou, China.
Minxiang LiThe Second Affiliated Hospital of Hainan Medical University, Haikou, China.
Caihong ZhangInternational Nursing school, Hainan Medical University, 3 Xueyuan Road, Longhua District, Haikou, China. zhangcaihong@hainmc.edu.cn.
Honghua GuoInternational Nursing school, Hainan Medical University, 3 Xueyuan Road, Longhua District, Haikou, China. ghh0627@hainmc.edu.cn.
Hainan Medical University · CN

Funding

Natural Science Foundation of Hainan Province 819QN234
6 · The paper itself

Abstract

backgroundThe group care is a well-established maternal care model that has been widely used in many developed countries, but in China, it is confined to prenatal care services. In addition, affected by traditional birth culture, Chinese women tend to focus more on their fetuses and newborns but lack attention to their own intrapartum and postpartum care. The aim of this study was to construct and implement a prenatal, intrapartum, and the postpartum continuous group care model that combines online and offline service in Hainan Province, China, and to evaluate the effect on maternal women and newborns.

methodsThis study was a randomized controlled trial involving 144 pregnant women in a first-class tertiary general hospital in Hainan Province, China. Women were divided into an intervention group and a control group using the random number table, with 72 women in each group. The control group received routine maternal care services, and the intervention group received the continuous group care based on the routine maternal care services. Count data such as rate of cesarean section and incidence rate of fetal macrosomia were analyzed with the chi-square test or Fisher's exact test, and the General Self-efficacy Scale scores were analyzed by repeated measures ANOVA. P < 0.05 was considered statistically significant, with two-sided probability values.

resultsCompared with the control group, the rate of excessive prenatal weight gain, cesarean section, and 42-day postpartum depression were significantly lower in the intervention group (P < 0.05), and higher General Self-efficacy Scale scores (in the expectant period and 42 days postpartum) and exclusive breastfeeding rate (42 days postpartum) (P < 0.05). The incidence of fetal macrosomia was significantly lower in the intervention group (P < 0.05). But there was no significant difference in birth weight, preterm birth, the incidence of low-birth-weight infants and 1-min Apgar score (P > 0.05).

conclusionThe continuous group care with online and offline service can effectively control the gestational weight gain, reduce the rate of cesarean section, macrosomia, and postpartum depression. It can improve the self-efficacy of women and the rate of exclusive breastfeeding effectively.

trial registrationChinese Clinical Trial Regestry (ChiCTR2200065765, 04/11/2022, Retrospectively registered).

Indexed as

Depression, PostpartumPremature BirthCesarean SectionFemaleFetal MacrosomiaHumansInfantInfant HealthInfant, NewbornPregnancyDeliveryGroup careMidwifery careNewbornSelf-efficacy

Identifiers

PMID37658338
PMCPMC10472587
OpenAlexW4386378987

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.