Evidence map›Paper›PMID 37669487›Full record

ArticleHealth affairs (Project Hope)2023

Perinatal Care Measures Are Incomplete If They Do Not Assess The Birth Parent-Infant Dyad As A Whole.

Sara C Handley, Brielle Formanowski, Molly Passarella, Katy B Kozhimannil, Stephanie A Leonard, Elliott K Main, Ciaran S Phibbs, Scott A Lorch

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Disparities in delivery hospital risk-adjusted outcomes for very low birthweight infants: the role of NICU volume and level of care.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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  6. Integrating postnatal care into the redesign of group care beyond birth.Archives of public health = Archives belges de sante publique · 2025
    Article
  7. Article
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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

8 authors at 5 institutions in 2 countries.

Sara C HandleySara C. Handley (handleys@chop.edu), Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania.
Brielle FormanowskiBrielle Formanowski, Children's Hospital of Philadelphia.
Molly PassarellaMolly Passarella, Children's Hospital of Philadelphia.
Katy B KozhimannilKaty B. Kozhimannil, University of Minnesota, Minneapolis, Minnesota.
Stephanie A LeonardStephanie A. Leonard, Stanford University, Stanford, California.
Elliott K MainElliott K. Main, Stanford University.
Ciaran S PhibbsCiaran S. Phibbs, Palo Alto Veterans Affairs Medical Center, Menlo Park, California; and Stanford University.
Scott A LorchScott A. Lorch, Children's Hospital of Philadelphia and University of Pennsylvania.
Children's Hospital of Philadelphia · USSchott (Germany) · DEStanford University · USUniversity of Minnesota · USVeterans Health Administration · US

Funding

Obstetric delivery volume, regionalization, and maternal and infant outcomesR01HD099197 · NICHD · STANFORD UNIVERSITY · PI PHIBBS, CIARAN S. · 2020 to 2023
$2.7M
NICHD NIH HHS R01 HD099197
6 · The paper itself

Abstract

Measures of perinatal care quality and outcomes often focus on either the birth parent or the infant. We used linked vital statistics and hospital discharge data to describe a dyadic measure (including both the birth parent and the infant) for perinatal care during the birth hospitalization. In this five-state cohort of 2010-18 births, 21.6 percent of birth parent-infant dyads experienced at least one complication, and 9.6 percent experienced a severe complication. Severe infant complications were eight times more prevalent than severe birth parent complications. Among birth parents with a severe complication, the co-occurrence of a severe infant complication ranged from 2 percent to 51 percent, whereas among infants with a severe complication, the co-occurrence of a severe birth parent complication was rare, ranging from 0.04 percent to 5 percent. These data suggest that measures, clinical interventions, public reporting, and policies focused on either the birth parent or the infant are incomplete in their assessment of a healthy dyad. Thus, clinicians, administrators, and policy makers should evaluate dyadic measures, incentivize positive outcomes for both patients (parent and infant), and create policies that support the health of the dyad.

Indexed as

Administrative PersonnelPerinatal CareChildFemaleHealth StatusHospitalizationHumansInfantInfant, NewbornParentsPregnancy

Identifiers

PMID37669487
PMCPMC10901240
OpenAlexW4386447814

What OpenQuestion holds

Textmetadata
LicenceTDM
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.