Evidence map›Paper›PMID 34078408›Full record

Trial reportReproductive health2021

Planned early delivery for late preterm pre-eclampsia in a low- and middle-income setting: a feasibility study.

Alice Beardmore-Gray, Nicola Vousden, Sergio A Silverio, Umesh Charantimath, Geetanjali Katageri, Mrutyunjaya Bellad, Sebastian Chinkoyo, Bellington Vwalika, Shivaprasad Goudar, Jane Sandall and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

12 authors.

Alice Beardmore-GrayDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK. alice.1.beardmore-gray@kcl.ac.uk.ORCID http://orcid.org/0000-0001-9923-4912
Nicola VousdenDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Sergio A SilverioDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Umesh CharantimathWomen's and Children's Health Research Unit, KLE Academy of Higher Education and Research, JNMC, Belagavi, Karnataka, India.
Geetanjali KatageriBVV Sangha's S Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot, Karnataka, India.
Mrutyunjaya BelladWomen's and Children's Health Research Unit, KLE Academy of Higher Education and Research, JNMC, Belagavi, Karnataka, India.
Sebastian ChinkoyoDepartment of Obstetrics and Gynaecology, Ndola Teaching Hospital, Ndola, Zambia.
Bellington VwalikaDepartment of Obstetrics and Gynaecology, University of Zambia, Lusaka, Zambia.
Shivaprasad GoudarWomen's and Children's Health Research Unit, KLE Academy of Higher Education and Research, JNMC, Belagavi, Karnataka, India.
Jane SandallDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Lucy C ChappellDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Andrew H ShennanDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.

Funding

Department of Biotechnology , Ministry of Science and Technology MR/R021376/1Medical Research Council MR/N006240/1Medical Research Council MR/R021376/1
6 · The paper itself

Abstract

backgroundPre-eclampsia is a leading cause of maternal and perinatal mortality and morbidity globally. Planned delivery between 34

methodsWe used mixed methods to understand the disease burden and current management of pre-eclampsia at our proposed trial sites and explore the acceptability of the intervention. We undertook a case notes review of women with pre-eclampsia who delivered at the proposed trial sites over a 3-month period, alongside facilitating focus group discussions with women and partners and conducting semi-structured interviews with healthcare providers. Descriptive statistics were used to analyse audit data. A thematic framework analysis was used for qualitative data.

resultsCase notes data (n = 326) showed that in our settings, 19.5% (n = 44) of women with pre-eclampsia delivering beyond 34 weeks experienced an adverse outcome. In women delivering between 34

conclusionsThis study demonstrated a clear need to evaluate the intervention and highlighted several challenges relating to trial context that enabled us to adapt our protocol and design an acceptable intervention. Our study demonstrates the importance of assessing feasibility when developing complex interventions, particularly in a low-resource setting. Additionally, it provides a unique insight into the management of pre-eclampsia at our trial settings and an understanding of the knowledge, attitudes and beliefs underpinning the acceptability of planned early delivery.

Indexed as

Delivery, ObstetricPremature BirthFeasibility StudiesFemaleFocus GroupsHumansIndiaInfantInfant, NewbornPre-EclampsiaPregnancyZambiaAcceptabilityDeliveryFeasibilityLow- and middle-incomePre-eclampsiaPregnancy

Identifiers

PMID34078408
PMCPMC8173959

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.