Evidence map›Paper›PMID 22685465›Full record

ArticleObstetrics and gynecology international2012

Nitroglycerin for management of retained placenta: a multicenter study.

Maria Bullarbo, Hans Bokström, Håkan Lilja, Elisabeth Almström, Nina Lassenius, Agneta Hansson, Erling Ekerhovd

Open access · goldAbstract read
In one paragraph

Article in Obstetrics and gynecology international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Nitroglycerin for management of retained placenta.The Cochrane database of systematic reviews · 2015
    Pooled it
  2. Trial
  3. Retained placenta: will medical treatment ever be possible?Acta obstetricia et gynecologica Scandinavica · 2016
    Article
  4. 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

7 authors at 6 institutions in 2 countries.

Maria BullarboDepartment of Obstetrics and Gynecology, Södra Älvsborg Hospital, 501 82 Borås, Sweden.
Hans Bokström
Håkan Lilja
Elisabeth Almström
Nina Lassenius
Agneta Hansson
Erling Ekerhovd
Sahlgrenska University Hospital · SEKarlstad Central Hospital · SENorra Älvsborgs Länssjukhus · SESödra Älvsborg Hospital · SETelemark Hospital · NOVrinnevisjukhuset i Norrköping · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primary aim was to determine if sequential administration of oxytocin and nitroglycerin is effective for management of retained placenta when performed by obstetricians with no experience of the method. Secondary aims were to examine possible adverse effects of nitroglycerin. One hundred and five women with retained placenta were randomly selected to receive either 1 mg nitroglycerin or placebo tablets sublingually if intravenous oxytocin had failed to expel the placenta. At two of the hospitals some of the midwives were familiar with the use of nitroglycerin. The other midwives and all the participating obstetricians had no clinical experience of the method. In the treatment group, detachment of placenta following nitroglycerin occurred in 37.3% of the women compared to 20.4% in the placebo group (P = 0.056). In the two hospitals with some experience of the method, placenta was removed in 9 of 19 (47.4%) women in the nitroglycerin group compared to 3 of 17 (15.0%) women in the placebo group. No adverse effects of clinical importance were registered. Although the difference between the two groups did not reach statistical significance, the higher success rate in the two hospitals with some experience could indicate that clinical experience is of importance in order to achieve placental detachment.

Identifiers

PMID22685465
PMCPMC3364587
OpenAlexW2120828005

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.