Evidence map›Paper›PMID 39152408›Full record

Trial reportBMC pregnancy and childbirth2024

Effect of group antenatal care versus individualized antenatal care on birth preparedness and complication readiness: a cluster randomized controlled study among pregnant women in Eastern Region of Ghana.

Vida A Kukula, Elizabeth Awini, Bidisha Ghosh, Veronica Apetorgbor, Ruth Zielinski, Georgina Amankwah, Winfred K Ofosu, Katherine James, John E O Williams, Jody R Lori and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04033003 (Group Antenatal Care to Promote a Healthy Pregnancy and Optimize Maternal and Newborn Outcomes), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

NCT04033003 nacompletednot on this map

Group Antenatal Care to Promote a Healthy Pregnancy and Optimize Maternal and Newborn Outcomes: A Cluster Randomized Controlled Trial

TypeinterventionalSponsorUniversity of MichiganRan2019 to 2023Enrolled1,761ConditionsAntenatal CareArmsGroup ANC
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

11 authors.

Vida A KukulaDodowa Health Research Center, Ghana Health Service, Dodowa, Ghana.
Elizabeth AwiniDodowa Health Research Center, Ghana Health Service, Dodowa, Ghana.
Bidisha GhoshUniversity of Michigan School of Nursing, Ann Arbor, MI, USA.
Veronica ApetorgborDodowa Health Research Center, Ghana Health Service, Dodowa, Ghana.
Ruth ZielinskiUniversity of Michigan School of Nursing, Ann Arbor, MI, USA.
Georgina AmankwahDodowa Health Research Center, Ghana Health Service, Dodowa, Ghana.
Winfred K OfosuRegional Health Directorate, Ghana Health Service, Koforidua, Eastern Region, Ghana.
Katherine JamesRegional Health Directorate, Ghana Health Service, Koforidua, Eastern Region, Ghana.
John E O WilliamsDodowa Health Research Center, Ghana Health Service, Dodowa, Ghana.
Jody R LoriDodowa Health Research Center, Ghana Health Service, Dodowa, Ghana.
Cheryl A MoyerUniversity of Michigan Medical School, Ann Arbor, MI, USA. camoyer@umich.edu.

Funding

Group Antenatal Care to Promote a Healthy Pregnancy and Optimize Maternal and Newborn Outcomes: A Cluster Randomized Controlled TrialR01HD096277 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LORI, JODY RAE · 2018 to 2022
$2.6M
NICHD NIH HHS R01 HD096277NIH HHS R01HD096277
6 · The paper itself

Abstract

backgroundAs utilization of individual antenatal care (I-ANC) has increased throughout sub-Saharan Africa, questions have arisen about whether individual versus group-based care might yield better outcomes. We implemented a trial of group-based antenatal care (G-ANC) to determine its impact on birth preparedness and complication readiness (BPCR) among pregnant women in Ghana.

methodsWe conducted a cluster randomized controlled trial comparing G-ANC to routine antenatal care in 14 health facilities in the Eastern Region of Ghana. We recruited women in their first trimester to participate in eight two-hour interactive group sessions throughout their pregnancies. Meetings were facilitated by midwives trained in G-ANC methods, and clinical assessments were conducted in addition to group discussions and activities. Data were collected at five timepoints, and results are presented comparing baseline (T0) to 34 weeks' gestation to 3 weeks post-delivery (T1) for danger sign recognition, an 11-point additive scale of BPCR, as well as individual items comprising the scale.

results1285 participants completed T0 and T1 assessments (N = 668 I-ANC, N = 617, G-ANC). At T1, G-ANC participants were able to identify significantly more pregnancy danger signs than I-ANC participants (mean increase from 1.8 to 3.4 in G-ANC vs. 1.7 to 2.2 in I-ANC, p < 0.0001). Overall BPCR scores were significantly greater in the G-ANC group than the I-ANC group. The elements of BPCR that showed the greatest increases included arranging for emergency transport (I-ANC increased from 1.5 to 11.5% vs. G-ANC increasing from 2 to 41% (p < 0.0001)) and saving money for transportation (19-32% in the I-ANC group vs. 19-73% in the G-ANC group (p < 0.0001)). Identifying someone to accompany the woman to the facility rose from 1 to 3% in the I-ANC group vs. 2-20% in the G-ANC group (p < 0.001).

conclusionsG-ANC significantly increased BPCR among women in rural Eastern Region of Ghana when compared to routine antenatal care. Given the success of this intervention, future efforts that prioritize the implementation of G-ANC are warranted.

trial registrationClinicalTrials.gov Identifier: NCT04033003 (25/07/2019). PROTOCOL AVAILABLE: Protocol Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9508671/ .

Indexed as

Prenatal CareAdultFemaleGhanaGroup ProcessesHumansParturitionPregnancyPregnancy ComplicationsYoung AdultAntenatal careCare seekingGhanaGroup antenatal careMaternal morbidityMaternal outcomesNeonatal morbidityNeonatal outcomesPrenatal careSub-saharan Africa

Identifiers

PMID39152408
PMCPMC11328422

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.