Evidence map›Paper›PMID 21087498›Full record

SynthesisBMC medicine2010

One life ends, another begins: Management of a brain-dead pregnant mother-A systematic review-.

Majid Esmaeilzadeh, Christine Dictus, Elham Kayvanpour, Farbod Sedaghat-Hamedani, Michael Eichbaum, Stefan Hofer, Guido Engelmann, Hamidreza Fonouni, Mohammad Golriz, Jan Schmidt and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 107 citations in OpenAlex.

  1. A structured analysis of the concept of brain death.Theoretical medicine and bioethics · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Cryonics, euthanasia, and the doctrine of double effect.Philosophy, ethics, and humanities in medicine : PEHM · 2023
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Double Effect Donation.The Linacre quarterly · 2021
    Article
  13. South African guidelines on the determination of death.The Southern African journal of critical care : the official journal of the Critical Care Society · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Majid EsmaeilzadehDepartment of General, Visceral and Transplantation Surgery, University of Heidelberg, Germany.
Christine Dictus
Elham Kayvanpour
Farbod Sedaghat-Hamedani
Michael Eichbaum
Stefan Hofer
Guido Engelmann
Hamidreza Fonouni
Mohammad Golriz
Jan Schmidt
Andreas Unterberg
Arianeb Mehrabi
Rezvan Ahmadi
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn accident or a catastrophic disease may occasionally lead to brain death (BD) during pregnancy. Management of brain-dead pregnant patients needs to follow special strategies to support the mother in a way that she can deliver a viable and healthy child and, whenever possible, also be an organ donor. This review discusses the management of brain-dead mothers and gives an overview of recommendations concerning the organ supporting therapy.

methodsTo obtain information on brain-dead pregnant women, we performed a systematic review of Medline, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL). The collected data included the age of the mother, the cause of brain death, maternal medical complications, gestational age at BD, duration of extended life support, gestational age at delivery, indication of delivery, neonatal outcome, organ donation of the mothers and patient and graft outcome.

resultsIn our search of the literature, we found 30 cases reported between 1982 and 2010. A nontraumatic brain injury was the cause of BD in 26 of 30 mothers. The maternal mean age at the time of BD was 26.5 years. The mean gestational age at the time of BD and the mean gestational age at delivery were 22 and 29.5 weeks, respectively. Twelve viable infants were born and survived the neonatal period.

conclusionThe management of a brain-dead pregnant woman requires a multidisciplinary team which should follow available standards, guidelines and recommendations both for a nontraumatic therapy of the fetus and for an organ-preserving treatment of the potential donor.

Indexed as

Brain DeathPregnancy ComplicationsBrain InjuriesDelivery, ObstetricFemaleHumansLifePregnancyTissue and Organ Procurement

Identifiers

PMID21087498
PMCPMC3002294
OpenAlexW2002158370

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.