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Table 5 GRADE summary table for the impact of community skilled birth attendants on perinatal-neonatal outcomes

From: Care during labor and birth for the prevention of intrapartum-related neonatal deaths: a systematic review and Delphi estimation of mortality effect

 

Study Quality

Summary of Findings

    

Directness

Endline

Baseline

 

No of studies

Design

Limitations

Consistency

Generalizability to Population of Interest

Generalizability to intervention of interest

Events

Births

Events

Births

Relative Risk (95% CI)

Neonatal Mortality ( Intrapartum-related ) : Low outcome specific quality

1 [50]

Quasi-experimental

Several interventions simultaneously and changes also in comparison villages

 

Community-setting LIC-MIC, South Asia

Yes

NS

19,085

NS

22,413

0.78 (0.64-0.95)

Neonatal Mortality ( All Cause ) : Low outcome specific quality

2[49, 50]

Observational, before-after

Low quality, before-after comparisons

No evidence of heterogeneity (p=0.28)

Community-setting LIC-MIC

Yes

794

21383

1186

26798

0.82 (0.75-0.90)a

Early Neonatal Mortality ( All Cause ) : Low outcome specific quality

3 [4850]

Observational, before-after

Low quality, before-after comparisons

No evidence of heterogeneity (p=0.50)

Community-setting LIC-MIC

Yes

597

23718

837

29010

0.87 (0.79-0.97)a

Perinatal Mortality ( All Cause ) : Low outcome specific quality

4 [4851]

Observational, before-after

Low quality, before-after comparisons

Evidence of heterogeneity (p=0.12)

Community-setting LIC-MIC

Yes

670

21981

909

27621

0.88 (0.83-.95)b

  1. NS= Not Stated
  2. a) MH pooled RR; b) D & L pooled RR random effect meta-analysis