Evidence map›Paper›PMID 41657851›Full record

ArticleThe Lancet regional health. Western Pacific2026

Effect of the implementation of a Birthing on Country service at a rural site, Waminda, compared to standard care for First Nations Australians: a prospective, non-randomised, interventional trial.

Yu Gao, Sue Kildea, Rebecca Coddington, Melanie Briggs, Cleone Wellington, Faye Worner, Donna Hartz, Juanita Sherwood, Yvette Roe

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Lancet regional health. Western Pacific, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Yu GaoMolly Wardaguga Institute for First Nations Birth Rights, Faculty of Health, Charles Darwin University, Casuarina, Northern Territory, 0810, Australia.
Sue KildeaMolly Wardaguga Institute for First Nations Birth Rights, Faculty of Health, Charles Darwin University, Casuarina, Northern Territory, 0810, Australia.
Rebecca CoddingtonWaminda South Coast Women's Health and Wellbeing Aboriginal Corporation, Kinghorne Street, Nowra, New South Wales, 2541, Australia.
Melanie BriggsWaminda South Coast Women's Health and Wellbeing Aboriginal Corporation, Kinghorne Street, Nowra, New South Wales, 2541, Australia.
Cleone WellingtonWaminda South Coast Women's Health and Wellbeing Aboriginal Corporation, Kinghorne Street, Nowra, New South Wales, 2541, Australia.
Faye WornerWaminda South Coast Women's Health and Wellbeing Aboriginal Corporation, Kinghorne Street, Nowra, New South Wales, 2541, Australia.
Donna HartzSchool of Nursing and Midwifery, Western Sydney University, Sydney, New South Wales, 2751, Australia.
Juanita SherwoodJumbunna Institute for Indigenous Education and Research (JIIER), University of Technology Sydney, Sydney, New South Wales, 2007, Australia.
Yvette RoeMolly Wardaguga Institute for First Nations Birth Rights, Faculty of Health, Charles Darwin University, Casuarina, Northern Territory, 0810, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Clinical and cost-effectiveness of a Birthing on Country service has been demonstrated in a metropolitan centre. We sought to evaluate feasibility, clinical effectiveness and wrap-around supports in the rural setting by evaluating Waminda's Birthing on Country service. Methods: This prospective, non-randomised, interventional study was conducted in Nowra, Australia (ANZCTR: 12620000874910, study completed). Pre-defined primary outcomes were first assessment with health service in 1st trimester, ≥5 antenatal visits, normal birth, preterm birth, healthy baby and exclusive breastfeeding at discharge. Propensity score matching balanced confounders to calculate treatment effect. Waminda's wrap-around services and their interactions are represented using a network analysis. Findings: Relative to standard care, the Birthing on Country service was associated with significantly less women having ≥5 antenatal visits (80·6% versus 94·4%, odds ratio 0·22, 95% CI 0·10, 0·50) (with differences in measurements impacting this outcome), more normal births (32·8% versus 21·7%, odds ratio 1·77, 95% CI 1·08, 2·79), and exclusive breastfeeding at discharge (75·6% versus 63·3%, odds ratio 1·88, 95% CI 1·16, 3·05). No significant differences were observed in other primary outcomes. More than 90% of women accessing Waminda received at least one wrap-around service, some received intensive support. Interpretation: This study is the first to provide evidence towards successful implementation and effectiveness of a Birthing on Country service and the wrap around care in a rural setting and supports the urgent need for maternity service redesign for Aboriginal families. Funding: National Health Medical Research Council of Australia Partnership grant (grant 1135125).

Indexed as

BirthBirthing on CountryPretermWrap-around service

Identifiers

PMID41657851
PMCPMC12873586

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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.