Evidence map›Paper›PMID 30236080›Full record

ArticleBMC pregnancy and childbirth2018

Perinatal death beyond 41 weeks pregnancy: an evaluation of causes and substandard care factors as identified in perinatal audit in the Netherlands.

Joep C Kortekaas, Anke C Scheuer, Esteriek de Miranda, Aimée E van Dijk, Judit K J Keulen, Aafke Bruinsma, Ben W J Mol, Frank P H A Vandenbussche, Jeroen van Dillen

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-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

9 citing papers in PubMed, 22 citations in OpenAlex.

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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

9 authors at 3 institutions in 3 countries.

Joep C KortekaasDepartment of Obstetrics and Gynaecology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6523, GA, Nijmegen, the Netherlands. joep.kortekaas@radboudumc.nl.ORCID http://orcid.org/0000-0002-5851-3728
Anke C ScheuerDepartment of Obstetrics and Gynaecology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6523, GA, Nijmegen, the Netherlands.
Esteriek de MirandaDepartment of Obstetrics and Gynaecology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Aimée E van DijkPerined, Utrecht, the Netherlands.
Judit K J KeulenDepartment of Obstetrics and Gynaecology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Aafke BruinsmaDepartment of Obstetrics and Gynaecology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Ben W J MolDepartment of Obstetrics and Gynaecology, Monash University, Clayton, VIC, Australia.
Frank P H A VandenbusscheDepartment of Obstetrics and Gynaecology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6523, GA, Nijmegen, the Netherlands.
Jeroen van DillenDepartment of Obstetrics and Gynaecology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6523, GA, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLAmsterdam University Medical Centers · NLMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLate- and postterm pregnancy are associated with adverse perinatal outcomes, like perinatal death. We evaluated causes of death and substandard care factors (SSFs) in term and postterm perinatal death.

methodsWe used data from the Perinatal Audit Registry of the Netherlands (PARS). Women with a term perinatal death registered in PARS were stratified by gestational age into early-/full-term (37.0-40.6) and late-/postterm (≥41.0 weeks) death. Cause of death and SSFs ≥41 weeks were scored and classified by the local perinatal audit teams.

resultsDuring 2010-2012, 947/479,097 (0.21%) term deaths occurred, from which 707 cases (75%) were registered and could be used for analyses. Five hundred ninety-eight early-/full-term and 109 late-/postterm audited deaths were registered in the PARS database. Of all audited cases of perinatal death in the PARS database, 55.2% in the early-/fullterm group occurred antepartum compared to 42.2% in the late-/postterm group, while intrapartum death occurred in 7.2% in the early-/full-term group compared to 19.3% in the late-/postterm group in the audited cases from the PARS database. According to the local perinatal audit, the most relevant causes of perinatal death ≥41 weeks were antepartum asphyxia (7.3%), intrapartum asphyxia (9.2%), neonatal asphyxia (10.1%) and placental insufficiency (10.1%). In the group with perinatal death ≥41 weeks there was ≥1SSF identified in 68.8%. The most frequent SSFs concerned inadequate cardiotocography (CTG) evaluation and/or classification (10.1%), incomplete registration or documentation in medical files (4.6%) or inadequate action on decreased foetal movements (4.6%).

conclusionsIn the Netherlands Perinatal Audit Registry, stillbirth occurred relatively less often antepartum and more often intrapartum in pregnancies ≥41 weeks compared to pregnancies at 37.0-40.6 weeks in the audited cases from the PARS database. Foetal, intrapartum and neonatal asphyxia were identified more frequently as cause of death in pregnancies ≥41 weeks. The most identified SSFs related to death in pregnancies ≥41 weeks concerned inadequate CTG monitoring (evaluation, classification, registration or documentation) and inadequate action on decreased foetal movements.

Indexed as

Perinatal MortalityPregnancy, ProlongedAdultAsphyxia NeonatorumCause of DeathFemaleGestational AgeHumansInfant, NewbornMedical AuditNetherlandsPerinatal DeathPregnancyRegistriesStillbirthTerm BirthCTGDeliveryFoetal monitoringLate-term pregnancyMortalityPostterm pregnancyPregnancyStillbirth

Identifiers

PMID30236080
PMCPMC6149052
OpenAlexW2891458519

What OpenQuestion holds

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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.