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The safety of Canadian rural maternity services: a multi-jurisdictional cohort analysis

Overview of attention for article published in BMC Health Services Research, September 2015
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Title
The safety of Canadian rural maternity services: a multi-jurisdictional cohort analysis
Published in
BMC Health Services Research, September 2015
DOI 10.1186/s12913-015-1034-6
Pubmed ID
Authors

Stefan Grzybowski, John Fahey, Barbara Lai, Sharon Zhang, Nancy Aelicks, Brenda M. Leung, Kathrin Stoll, Rebecca Attenborough

Abstract

Small Canadian rural maternity services are struggling to maintain core staffing and remain open. Existing evidence states that having to travel to access maternity services is associated with adverse outcomes. The goal of this study is to systematically examine rural maternal and newborn outcomes across three Canadian provinces. We analyzed maternal newborn outcomes data through provincial perinatal registries in British Columbia, Alberta and Nova Scotia for deliveries that occurred between April 1st 2003 and March 31st 2008. All births were allocated to maternity service catchments based on the residence of the mothers. Individual catchments were stratified to service levels based on distance to access intrapartum maternity services or the model of maternity services available in the community. The amalgamation of analyses from each jurisdiction involved comparison of logistic regression effect estimates. The number of singleton births included in the study is 150,797. Perinatal mortality is highest in communities that are greater than 4 h from maternity services overall. Rates of prematurity at less than 37 weeks gestation are higher for rural women without local access to services. Caesarean section rates are highest in communities served by general surgical models. Composite analysis of data from three Canadian provinces provides the strongest evidence to date demonstrating that we need to sustain small community maternity services with and without caesarean section capability.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 79 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 1%
Unknown 78 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 23%
Student > Bachelor 8 10%
Student > Ph. D. Student 7 9%
Researcher 6 8%
Student > Doctoral Student 4 5%
Other 14 18%
Unknown 22 28%
Readers by discipline Count As %
Nursing and Health Professions 16 20%
Medicine and Dentistry 15 19%
Social Sciences 6 8%
Biochemistry, Genetics and Molecular Biology 3 4%
Unspecified 3 4%
Other 13 16%
Unknown 23 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 November 2015.
All research outputs
#14,240,471
of 22,831,537 outputs
Outputs from BMC Health Services Research
#5,072
of 7,638 outputs
Outputs of similar age
#142,088
of 274,804 outputs
Outputs of similar age from BMC Health Services Research
#93
of 143 outputs
Altmetric has tracked 22,831,537 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,638 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 274,804 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 143 others from the same source and published within six weeks on either side of this one. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.