{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T03:13:28Z","timestamp":1789614808306,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:00:00Z","timestamp":1723161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["No\u20105\/7\/2\/SR\/2023\u2010RCN"],"award-info":[{"award-number":["No\u20105\/7\/2\/SR\/2023\u2010RCN"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stillbirths are a major global health concern. Half of stillbirths occur during intrapartum period, mostly in low\u2010 and middle\u2010income countries of sub\u2010Saharan Africa and South Asia. Achieving a stillbirth rate of less than 12 per 1000 births by 2030 is the global target of Every Newborn Action Plan and Sustainable Development Goals. Evidence suggests that improving intrapartum quality of care can help reduce stillbirths and other adverse pregnancy outcomes. This study will explore whether quality improvement (QI) packages at intrapartum care points can reduce stillbirths and other outcomes such as maternal and neonatal mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We will conduct a systematic literature review and meta\u2010analysis. Comprehensive search strategy will be developed for databases PubMed, Web of Science, ScienceDirect, ProQuest, Cochrane and China National Knowledge Infrastructure. We will include randomized controlled trials, controlled non\u2010randomized trials, controlled clinical trials, interrupted time series, cohort studies, case\u2013control and nested case\u2013control studies which assess the impact of QI interventions at intrapartum points of care on stillbirths and other adverse pregnancy outcomes. We will search grey literature such as unpublished research studies, dissertations and unfinished trials. English and non\u2010English language articles will be included to avoid language bias. We will also evaluate reporting quality and risk of bias. Sensitivity tests will be carried out for heterogeneity. Pooled estimates of effect sizes will be computed with random\u2010effects models. Supplementation of the quantitative synthesis with a qualitative narrative synthesis would be added, if deemed necessary. We will explore publication bias using funnel plot and Egger's regression test will be used for evaluation, if needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We will report pooled effectiveness of different intrapartum QI interventions across multiple settings in averting stillbirths and other adverse outcomes such as maternal mortality and neonatal mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16376","type":"journal-article","created":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T05:16:47Z","timestamp":1723180607000},"page":"2223-2230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of intrapartum quality improvement interventions on stillbirths and other adverse pregnancy outcomes: A protocol for systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"81","author":[{"given":"Preetha","family":"Gopinathan","sequence":"first","affiliation":[{"name":"International Institute of Health Management Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Tripathi","sequence":"additional","affiliation":[{"name":"International Institute of Health Management Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumant","family":"Swain","sequence":"additional","affiliation":[{"name":"International Institute of Health Management Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Lakshman","sequence":"additional","affiliation":[{"name":"International Institute of Health Management Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu","family":"Tolani","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Technology, UPES  Dehradun India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagdish","family":"Prasad","sequence":"additional","affiliation":[{"name":"International Institute of Health Management Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Prajapat","sequence":"additional","affiliation":[{"name":"International Institute of Health Management Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eshika","family":"Bindal","sequence":"additional","affiliation":[{"name":"International Institute of Health Management Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-22-00513"},{"key":"e_1_2_10_3_1","unstructured":"Cochrane Public Health Group. (2011).Cochrane public health group data extraction and assessment template.2011.https:\/\/ph.cochrane.org\/sites\/ph.cochrane.org\/files\/uploads\/CPHG%20Data%20extraction%20template_0.docx"},{"key":"e_1_2_10_4_1","first-page":"1","article-title":"Ending preventable stillbirths. An executive summary for the Lancet's series","author":"Fr\u00f8en F.","year":"2016","journal-title":"Lancet"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.12.04073"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2023.1048441"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01276-3"},{"key":"e_1_2_10_8_1","unstructured":"Johns Hopkins University and MedicineWelch Medical Library. Expert Searching\u2010PubMed search tips. 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(2023).Intrapartum care NICE guideline [NG235].https:\/\/www.nice.org.uk\/guidance\/ng235\/chapter\/Recommendations"},{"key":"e_1_2_10_16_1","unstructured":"PRISMA. (2015).PRISMA for systematic review protocols (PRISMA\u2010P).https:\/\/www.prisma\u2010statement.org\/protocols"},{"key":"e_1_2_10_17_1","unstructured":"PRISMA. 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