Evidence map›Paper›PMID 38253494›Full record

ArticleAnnals of family medicine

Communication and Birth Experiences Among Black Birthing People Who Experienced Preterm Birth.

Emily F Gregory, Geminesse T Johnson, Alejandra Barreto, Arthurine K Zakama, Adya I Maddox, Lisa D Levine, Scott A Lorch, Alexander G Fiks, Peter F Cronholm

Abstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. 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

9 authors.

Emily F GregoryDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania gregorye@email.chop.edu.
Geminesse T JohnsonPolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Alejandra BarretoPolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Arthurine K ZakamaLeonard Davis Institute of Health Economics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Adya I MaddoxClinical Futures, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Lisa D LevineLeonard Davis Institute of Health Economics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Scott A LorchDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Alexander G FiksDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Peter F CronholmPolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

The role of pediatric interconception care in preventing adverse birth outcomesK23HD102560 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI GREGORY, EMILY F · 2020 to 2024
$833k
NICHD NIH HHS K23 HD102560
6 · The paper itself

Abstract

purposePhysically or psychologically distressing birth experiences can influence postpartum health, parenting efficacy, and future pregnancy plans. Communication deficits contribute to negative birth experiences. This qualitative analysis explored themes related to communication and negative birth experiences among Black birthing people who experienced preterm birth.

methodsWe conducted qualitative interviews with non-Hispanic Black, English language-proficient birthing people with Medicaid-insured preterm infants. Interviews were designed to explore experiences with health care access and well-being after birth. Interviews were audio recorded, transcribed, and coded following an integrated approach where we applied a priori codes and captured emergent themes from the data.

resultsWe interviewed 30 participants from October 2018 to July 2021. Median gestational age at birth was 30 weeks (range 22-36 weeks). Interviews occurred a median of 7 months postpartum (range 2-34 months). Themes emerged related to negative birth experiences and communication: (1) communication gaps during urgent or emergent intrapartum procedures contributed to negative birth experiences; (2) postpartum opportunities to share birth experiences, particularly with peers, sometimes mitigated the psychological consequences of negative birth experiences; (3) participants did not consistently discuss concerns about future pregnancy risk related to negative birth experiences with clinical teams.

conclusionsThemes from this sample of Black birthing people who experienced preterm birth suggest 3 ways health systems might intervene to improve communication to mitigate the consequences of negative birth experiences. Improvement efforts in these areas may improve postpartum health, future pregnancy outcomes, and long-term health.

Indexed as

Premature BirthCommunicationFemaleHealth Services AccessibilityHumansInfantInfant, NewbornInfant, PrematureMedicaidPregnancyUnited StatesAfrican Americanbirth traumaBlackBlack birthing peoplehealth communicationinterconception careintrapartum carenegative birth experiencepostpartum carepreconception carereproductive justice

Identifiers

PMID38253494
PMCPMC11233086

What OpenQuestion holds

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Registered trials

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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.