Practices for predicting and preventing preterm birth in Ireland: a national survey

Smith, Valerie; Devane, Declan; Higgins, Shane

doi:10.1007/s11845-010-0604-1

Cited by 2 publications

(16 citation statements)

References 31 publications

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“…Quantitative evidence supported the qualitative findings around variable knowledge on ACS [ 53 , 54 , 59 , 65 , 73 , 76 , 78 ]. In India, health providers were reported to be confident in administering ACS, despite poor score on knowledge assessment regarding the intervention [ 78 ].…”

Section: Resultssupporting

confidence: 58%

“…Table 2 reports the characteristics of included studies. In summary, the 46 included studies were conducted in 32 countries in Region of the Americas (6 countries: United States of America [ 24 , 40 – 51 ], Canada [ 44 , 52 – 54 ], Mexico [ 55 , 56 ], Ecuador [ 56 ], El Salvador [ 56 ], and Uruguay [ 56 ]), Western Pacific Region (7 countries: Australia [ 23 , 57 – 63 ],New Zealand [ 58 – 64 ], Vietnam [ 22 ], Singapore [ 65 ], Taiwan [ 66 , 67 ], Cambodia [ 68 ], and Philippines [ 68 ]), European Region (4 countries: United Kingdom [ 69 – 72 ], Ireland [ 73 ], Sweden [ 74 ], and France [ 75 , 76 ]), Southeast Asia Region (4 countries: Thailand [ 77 ], Bangladesh [ 22 ], India [ 22 , 78 ], and Nepal [ 22 ]), Eastern Mediterranean Region (2 countries: Afghanistan [ 22 ] and Pakistan [ 22 ]), Africa region (9 countries: Cameroon [ 22 ], Democratic Republic of Congo [ 22 , 79 ], Kenya [ 22 ], Malawi [ 22 , 79 – 81 ], Nigeria [ 22 , 79 ], Uganda [ 22 , 79 ], Ethiopia [ 79 ], Sierra Leone […”

Section: Resultsmentioning

confidence: 99%

“…Thirty-two studies used quantitative methods (typically surveys) [ 22 , 41 – 50 , 52 – 61 , 64 , 69 – 71 , 73 – 78 ], 11 studies used qualitative methods (typically in-depth interviews or focus group discussions) [ 23 , 24 , 40 , 51 , 62 , 63 , 66 , 67 , 79 – 81 ], and 3 studies used mixed-methods (audit and feedback, qualitative evaluation) [ 68 , 72 , 82 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (32/46) reported factors on ACS use [ 22 , 24 , 40 – 47 , 49 , 50 , 52 , 53 , 55 – 57 , 59 , 61 – 64 , 68 – 70 , 73 , 74 , 77 – 81 ], while comparatively fewer reported on tocolytics (13/46) [ 24 , 40 , 44 , 51 , 53 , 54 , 57 , 59 , 66 , 67 , 73 , 76 , 80 ], magnesium sulphate for fetal neuroprotection (9/46) [ 23 , 42 , 58 , 60 , 65 , 72 , 75 , 80 , 82 ], or antibiotics for PPROM use (5/46) [ 48 , 57 , 70 , 71 , 73 ], with some studies reported use on more than one intervention, with mostly reported ACS and tocolytics at the same time [ 24 , 40 , 42 , 44 , 53 , 57 , 59 , 70 , …”

Section: Resultsmentioning

confidence: 99%

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Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis

et al. 2022

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Background Preterm birth-related complications are the leading cause of death in newborns and children under 5. Health outcomes of preterm newborns can be improved with appropriate use of antenatal corticosteroids (ACSs) to promote fetal lung maturity, tocolytics to delay birth, magnesium sulphate for fetal neuroprotection, and antibiotics for preterm prelabour rupture of membranes. However, there are wide disparities in the rate and consistency in the use of these interventions across settings, which may underlie the differential health outcomes among preterm newborns. We aimed to assess factors (barriers and facilitators) affecting the appropriate use of ACS, tocolytics, magnesium sulphate, and antibiotics to improve preterm birth management. Methods and findings We conducted a mixed-methods systematic review including primary qualitative, quantitative, and mixed-methods studies. We searched MEDLINE, EMBASE, CINAHL, Global Health, and grey literature from inception to 16 May 2022. Eligible studies explored perspectives of women, partners, or community members who experienced preterm birth or were at risk of preterm birth and/or received any of the 4 interventions, health workers providing maternity and newborn care, and other stakeholders involved in maternal care (e.g., facility managers, policymakers). We used an iterative narrative synthesis approach to analysis, assessed methodological limitations using the Mixed Methods Appraisal Tool, and assessed confidence in each qualitative review finding using the GRADE-CERQual approach. Behaviour change models (Theoretical Domains Framework; Capability, Opportunity, and Motivation (COM-B)) were used to map barriers and facilitators affecting appropriate use of these interventions. We included 46 studies from 32 countries, describing factors affecting use of ACS (32/46 studies), tocolytics (13/46 studies), magnesium sulphate (9/46 studies), and antibiotics (5/46 studies). We identified a range of barriers influencing appropriate use of the 4 interventions globally, which include the following: inaccurate gestational age assessment, inconsistent guidelines, varied knowledge, perceived risks and benefits, perceived uncertainties and constraints in administration, confusion around prescribing and administering authority, and inadequate stock, human resources, and labour and newborn care. Women reported hesitancy in accepting interventions, as they typically learned about them during emergencies. Most included studies were from high-income countries (37/46 studies), which may affect the transferability of these findings to low- or middle-income settings. Conclusions In this study, we identified critical factors affecting implementation of 4 interventions to improve preterm birth management globally. Policymakers and implementers can consider these barriers and facilitators when formulating policies and planning implementation or scale-up of these interventions. Study findings can inform clinical preterm birth guidelines and implementation to ensure that barriers are addressed, and enablers are reinforced to ensure these interventions are widely available and appropriately used globally.

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Section: Resultssupporting

confidence: 58%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis

et al. 2022

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“…The overall response rate of 54% averaged that of similar surveys [8,23,28] . However, non-responders may introduce a potential selection bias in the results as the responses may not be representative for the entire population of obstetricians and midwifes in Denmark.…”

Section: Discussionmentioning

confidence: 84%

Recommendations of activity restriction in high-risk pregnancy scenarios: a Danish national survey

Bendix

Hegaard

Bergholt

et al. 2014

Journal of Perinatal Medicine

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Practices for predicting and preventing preterm birth in Ireland: a national survey

Abstract: The findings of this survey, for the most part, reflect the empirical evidence base, international practices and best practice recommendations.

Cited by 2 publications

References 31 publications

Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis

Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis

Recommendations of activity restriction in high-risk pregnancy scenarios: a Danish national survey

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