التفاصيل البيبلوغرافية
العنوان: |
Maternal positional therapy for fetal growth and customised birth weight centile benefit in a Bayesian reanalysis of a double-blind, sham-controlled, randomised clinical trial |
المؤلفون: |
Jerry Coleman, Allan Kember, Jane Warland, Kuan Liu, Sahibjot Grewal, Sebastian Hobson |
المصدر: |
BMJ Open, Vol 14, Iss 4 (2024) |
بيانات النشر: |
BMJ Publishing Group, 2024. |
سنة النشر: |
2024 |
المجموعة: |
LCC:Medicine |
مصطلحات موضوعية: |
Medicine |
الوصف: |
Objectives To update the Ghana PrenaBelt Trial’s (GPT) primary outcome data with the latest fetal growth standard and reanalyse it. To estimate the posterior probability, under various clinically relevant prior probabilities, of maternal nightly positional therapy (PT) throughout the third-trimester having a beneficial effect on customised birth weight centile (CBWC) using Bayesian analyses.Design A reanalysis of a double-blind, sham-controlled, randomised clinical trial.Setting A single, tertiary-level centre in Accra, Ghana.Participants Two-hundred participants entered, 181 completed and 167 were included in the final analysis. Participants were Ghanaian, healthy, aged 18–35 years, with low-risk, singleton pregnancies in their third-trimester, with Body Mass Index0%, >5% and >10% gain in CBWC with PT, the posterior probabilities were highly probable, probable and unlikely, respectively, given a range of prior probabilities reflecting varying degrees of pre-existing enthusiasm and scepticism.Conclusions Maternal nightly PT throughout the third-trimester did not have a statistically significant effect on CBWC on a frequentist analysis using the latest fetal growth standard. However, from a Bayesian analysis, clinicians can infer that PT is likely to benefit fetal growth but with a modest effect size.Trial registration number NCT02379728. |
نوع الوثيقة: |
article |
وصف الملف: |
electronic resource |
اللغة: |
English |
تدمد: |
2044-6055 |
Relation: |
https://bmjopen.bmj.com/content/14/4/e078315.full; https://doaj.org/toc/2044-6055 |
DOI: |
10.1136/bmjopen-2023-078315 |
URL الوصول: |
https://doaj.org/article/7606e1a28d9f404791a4b45be521abc6 |
رقم الانضمام: |
edsdoj.7606e1a28d9f404791a4b45be521abc6 |
قاعدة البيانات: |
Directory of Open Access Journals |