Evidence map›Paper›PMID 28183709›Full record

ArticleBMJ case reports2017

Consequences of delivery at home in a woman without prenatal care.

Nakul Kumar, Lisa Gilbert, Terry Ellis, Sandeep Krishnan

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
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

4 authors at 2 institutions in 2 countries.

Nakul KumarDepartment of Anesthesiology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Lisa GilbertDepartment of Anesthesiology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Terry EllisDepartment of Anesthesiology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Sandeep KrishnanDepartment of Anesthesiology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Wayne State University · USRamakrishna Mission Vidyamandira · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a case report of a 39-year-old multigravida woman without allopathic prenatal care who, after three previous caesarean sections, attempted to deliver her fourth child at home with the help of a direct entry midwife. During labour, fetal movement and fetal heart tones became undetectable, at which time the patient was referred by the midwife to the hospital. The patient was diagnosed with uterine rupture, bladder rupture and fetal demise; she was rushed to emergency surgery. The patient's lack of allopathic prenatal care, attempt of vaginal birth after three previous caesarean sections, coupled with her desire for delivery at home, led to her complicated course. The patient related that she was never made aware that attempting a home birth after three prior caesarean sections put her at increased risk for complications, and she was also unaware that midwives could have varying levels of training.

Indexed as

Delivery, ObstetricFetal MonitoringPrenatal CareVaginal Birth after CesareanAdultEmergency Service, HospitalFemaleFetal DeathHome ChildbirthHumansMidwiferyPregnancyUterine Rupture

Identifiers

PMID28183709
PMCPMC5307272
OpenAlexW2586156369

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.