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A multi-faceted intervention including antenatal corticosteroids to reduce neonatal mortality associated with preterm birth: a case study from the Guatemalan Western Highlands

Overview of attention for article published in Reproductive Health, May 2016
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Title
A multi-faceted intervention including antenatal corticosteroids to reduce neonatal mortality associated with preterm birth: a case study from the Guatemalan Western Highlands
Published in
Reproductive Health, May 2016
DOI 10.1186/s12978-016-0178-0
Pubmed ID
Authors

Ana Garces, Elizabeth M. McClure, Lester Figueroa, Sayury Pineda, K. Michael Hambidge, Nancy F. Krebs, Vanessa R. Thorsten, Dennis D. Wallace, Fernando Althabe, Robert L. Goldenberg

Abstract

The Global Network for Women's and Children's Health Research undertook a cluster-randomized trial to assess the impact of a multi-faceted intervention to identify women at high-risk of preterm birth at all levels of care, to administer corticosteroids to women and refer for facility delivery compared with standard care. Of the seven sites that participated in the ACT trial, only two sites had statistically significant reductions in the neonatal mortality among the target group of <5th percentile infants, and of the two, Guatemala's improvement in neonatal mortality was by far the largest. We used data available from the ACT trial as well as pretrial data in an attempt to understand why neonatal mortality may have decreased in the intervention clusters in <5(th) percentile infants in Chimaltenango, Guatemala. The intervention and control clusters were compared in regards to ACS use, the various types of medical care, outcomes in facility and community births and among births in various birth weight categories. Neonatal mortality decreased to a greater extent in the intervention compared to the control clusters in the <5(th) percentile infants in Guatemala during the ACT Trial. ACS use for the <5(th) percentile infants in the intervention clusters was 49.1 % compared to 13.8 % in the control clusters. Many measures of the quality of obstetric and neonatal care improved to a greater extent in the intervention compared to the control clusters during the trial. Births in facilities and births weighing 1500 to 2500 g had the greatest reduction in neonatal mortality. The combination of improved care and greater ACS use may potentially account for the observed difference in neonatal mortality between the intervention and control clusters. Clinicaltrials.gov: NCT01084096 .

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 85 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 85 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 14 16%
Student > Master 12 14%
Student > Ph. D. Student 4 5%
Student > Doctoral Student 4 5%
Other 4 5%
Other 13 15%
Unknown 34 40%
Readers by discipline Count As %
Medicine and Dentistry 21 25%
Nursing and Health Professions 13 15%
Psychology 6 7%
Social Sciences 5 6%
Agricultural and Biological Sciences 2 2%
Other 3 4%
Unknown 35 41%
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 06 June 2016.
All research outputs
#14,854,433
of 22,876,619 outputs
Outputs from Reproductive Health
#1,085
of 1,418 outputs
Outputs of similar age
#198,134
of 334,091 outputs
Outputs of similar age from Reproductive Health
#24
of 28 outputs
Altmetric has tracked 22,876,619 research outputs across all sources so far. This one is in the 33rd percentile – i.e., 33% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,418 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.1. This one is in the 21st percentile – i.e., 21% 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 334,091 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 28 others from the same source and published within six weeks on either side of this one. This one is in the 7th percentile – i.e., 7% of its contemporaries scored the same or lower than it.