Evidence map›Paper›PMID 23467050›Full record

ArticleAmerican journal of obstetrics and gynecology2013

Radiographic measures of the mid pelvis to predict cesarean delivery.

Lorie M Harper, Anthony O Odibo, David M Stamilio, George A Macones

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.0field-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

10 citing papers in PubMed, 44 citations in OpenAlex.

  1. Observational
  2. Article
  3. Magnetic resonance imaging pelvimetric measurements as predictors for emergent cesarean delivery in obstructed labor.European journal of obstetrics & gynecology and reproductive biology: X · 2023
    Article
  4. Developmental origins of variability in pelvic dimensions: Evidence from nulliparous South Asian women in the United Kingdom.American journal of human biology : the official journal of the Human Biology Council · 2020
    Article
  5. Article
  6. Which Foetal-Pelvic Variables Are Useful for Predicting Caesarean Section and Instrumental Assistance?Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2017
    Article
  7. Article
  8. Determining the Incidence of Gynecoid Pelvis Using Three-Dimensional Computed Tomography in Nonpregnant Multiparous Women.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2016
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Lorie M HarperDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Anthony O Odibo
David M Stamilio
George A Macones
Washington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Reproductive Epidemiology Training Program at Washington University in St. LouisT32HD055172 · NICHD · WASHINGTON UNIVERSITY · PI MADDEN, TESSA · 2009 to 2018
$2.5M
Predicting Labor Outcomes in Women Attempting VBACR01HD039441 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI STAMILIO, DAVID M. · 2001 to 2004
$2.2M
NCATS NIH HHS UL1 TR000448NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1RR024992NICHD NIH HHS R01 HD039441NICHD NIH HHS R01HD039441NICHD NIH HHS T32 HD055172NICHD NIH HHS T32HD055172
6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine whether x-ray measures of the mid pelvis can be used to predict cesarean delivery. STUDY

designWomen were enrolled prospectively; x-ray pelvimetry was performed after delivery; the readers were blinded to the outcome. Groups were determined by mid pelvis measures (transverse diameter, anteroposterior diameter, and circumference ≤ 10th percentile. The primary outcome was cesarean delivery. Univariable, stratified, and multivariable analyses were performed to estimate the effect of mid pelvis measures on cesarean delivery. Receiver operator characteristics curves were created to estimate the predictive value of mid pelvis measures of cesarean delivery.

resultsFour hundred twenty-six women were included. Subjects with anteroposterior diameter or circumference ≤ 10th percentile were at greater risk of cesarean delivery (risk ratio for anteroposterior diameter, 4.8; 95% confidence interval, 3.9-5.8; risk ratio for circumference ≤ 10th percentile, 3.8; 95% confidence interval, 3.1-4.8). Transverse diameter ≤ 10th percentile was not associated with an increased risk of cesarean delivery. The area under the receiver operator characteristics curves for anteroposterior diameter, circumference ≤ 10th percentile, and transverse diameter were 0.88, 0.85, and 0.69, respectively (P < .01).

conclusionSimple radiographic measures of the mid pelvis on x-ray can provide a useful adjunct to clinical information in the determination of who should attempt a vaginal delivery.

Indexed as

Cesarean SectionPelvimetryAdolescentAdultCohort StudiesFemaleHumansOdds RatioPelvisPostpartum PeriodPredictive Value of TestsProspective StudiesRadiographyRisk AssessmentROC CurveYoung Adult

Identifiers

PMID23467050
PMCPMC3672361
OpenAlexW2062482118

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Registered trials

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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.