Evidence map›Paper›PMID 22972040›Full record

SynthesisThe Cochrane database of systematic reviews2012

Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour.

Natalia Novikova, G Justus Hofmeyr, George Essilfie-Appiah

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% 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, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Amnioinfusion for third trimester preterm premature rupture of membranes.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Amnioinfusion for meconium-stained liquor in labour.The Cochrane database of systematic reviews · 2014
    Pooled it
  3. Pooled it
  4. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Natalia NovikovaDepartment of Obstetrics and Gynaecology, East London Hospital Complex, Walter Sisulu University, East London, South Africa.
G Justus Hofmeyr
George Essilfie-Appiah
Nelson Mandela Academic Hospital · ZAUniversity of the Witwatersrand · ZAWalter Sisulu University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmnioinfusion aims to relieve umbilical cord compression during labour by infusing a liquid into the uterine cavity.

objectivesThe objective of this review was to assess the effects of prophylactic amnioinfusion for women in labour with oligohydramnios, but not fetal heart deceleration, compared with therapeutic amnioinfusion only if fetal heart rate decelerations or thick meconium-staining of the liquor occur. SEARCH

methodsWe searched the Cochrane Pregnancy and Childbirth Group's Trials Register (28 February 2012). SELECTION CRITERIA: Randomised trials comparing prophylactic amnioinfusion in women in labour with oligohydramnios but not fetal heart rate deceleration in labour with therapeutic amnioinfusion. DATA COLLECTION AND ANALYSIS: The authors assessed trial quality and extracted data. MAIN

resultsOne randomized trial of 116 women was included. No differences were found in the rate of caesarean section (risk ratio 1.29, 95% confidence interval 0.60 to 2.74). There were no differences in cord arterial pH, oxytocin augmentation, neonatal pneumonia or postpartum endometritis. Prophylactic amnioinfusion was associated with increased intrapartum fever (risk ratio 3.48, 95% confidence interval 1.21 to 10.05). AUTHORS'

conclusionsThere appears to be no advantage of prophylactic amnioinfusion over therapeutic amnioinfusion carried out only when fetal heart rate decelerations or thick meconium-staining of the liquor occur.

Indexed as

AmnionFemaleFetal DistressFetal HeartHeart Rate, FetalHumansInjectionsObstetric Labor ComplicationsOligohydramniosPregnancyRandomized Controlled Trials as Topic

Identifiers

PMID22972040
PMCPMC7044805
OpenAlexW2170551902

What OpenQuestion holds

Textmetadata
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.