ArticleActa obstetricia et gynecologica Scandinavica2019
Malpresentation in low- and middle-income countries: Associations with perinatal and maternal outcomes in the Global Network.
Article in Acta obstetricia et gynecologica Scandinavica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Stillbirths by maternal-obstetric characteristics and Robson classification system: a cross-sectional study from eight district hospitals in Bangladesh.Journal of global health · 2026Article
- Case control study on determinants of emergency peripartum hysterectomy among mothers managed at Hawassa University Comprehensive Specialized Hospital.BMC pregnancy and childbirth · 2026Article
- Postpartum hemorrhage in electronic health records: risk factors at admission and in-hospital occurrence.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024Article
- Management of postpartum hemorrhage in a patient with bicornuate uterus using the B-Lynch suture. Case report and review of the literatureRevista colombiana de obstetricia y ginecologia · 2023Review
- Risk factors of stillbirths in four district hospitals on Pemba Island, Tanzania: a prospective cohort study.BMC pregnancy and childbirth · 2023Article
- A mobile-optimized artificial intelligence system for gestational age and fetal malpresentation assessment.Communications medicine · 2022Article
- Stillbirth and infant death: mental health among low-income mothers in Mumbai.BMC pregnancy and childbirth · 2021Observational
- Maternal and neonatal data collection systems in low- and middle-income countries for maternal vaccines active safety surveillance systems: A scoping review.BMC pregnancy and childbirth · 2021Article
- Could Subtle Obstetrical Brachial Plexus Palsy Be Related to Unilateral B Glenoid Osteoarthritis?Journal of clinical medicine · 2021Article
- Perinatal Grief Among Poor Rural and Urban Women in Central India.International journal of women's health · 2021Article
- Adverse Neonatal Outcome are More Common among Babies Born by Cesarean Section than Naturally Born Babies at Public Hospitals in Eastern Ethiopia: A Comparative Prospective Follow-Up Study at Eastern Ethiopia.Global pediatric health · 2021Article
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Authors and funding
20 authors.
Funding
Abstract
introductionUncertainty exists regarding the impact of malpresentation on pregnancy outcomes and the optimal mode of delivery in low- and middle-income countries. We sought to compare outcomes between cephalic and non-cephalic pregnancies. MATERIAL AND
methodsUsing the NICHD Global Network's prospective, population-based registry of pregnancy outcomes from 2010 to 2016, we studied outcomes in 436 112 singleton pregnancies. Robust Poisson regressions were used to estimate the risk of adverse outcomes associated with malpresentation. We examined rates of cesarean delivery for malpresentation and compared outcomes between cesarean and vaginal delivery by region.
resultsAcross all regions, stillbirth and neonatal mortality rates were higher among deliveries with malpresentation. In adjusted analysis, malpresentation was significantly associated with stillbirth (adjusted relative risk [aRR] 4.0, 95% confidence interval [CI] 3.7-4.5) and neonatal mortality (aRR 2.3, 95% CI 2.1-2.6). Women with deliveries complicated by malpresentation had higher rates of morbidity and mortality. Rates of cesarean delivery for malpresentation ranged from 27% to 87% among regions. Compared with cesarean delivery, vaginal delivery for malpresentation was associated with increased maternal risk, especially postpartum hemorrhage (aRR 5.0, 95% CI; 3.6-7.1).
conclusionsIn a cohort of deliveries in low- and middle-income countries, malpresentation was associated with increased perinatal and maternal risk. Further research is needed to determine the best management of these pregnancies.
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