Evidence map›Paper›PMID 30849353›Full record

ArticleAmerican journal of obstetrics and gynecology2019

Putting the "M" back in maternal-fetal medicine: A 5-year report card on a collaborative effort to address maternal morbidity and mortality in the United States.

Mary E D'Alton, Alexander M Friedman, Peter S Bernstein, Haywood L Brown, William M Callaghan, Steven L Clark, William A Grobman, Sarah J Kilpatrick, Daniel F O'Keeffe, Douglas M Montgomery and 4 more

Abstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Housing instability and adverse perinatal outcomes: a systematic review.American journal of obstetrics & gynecology MFM · 2021
    Pooled it
  2. Article
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  5. Review
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  7. Addressing Maternal and Child Health Disparities Through Perinatal Home Visiting.WMJ : official publication of the State Medical Society of Wisconsin · 2024
    Article
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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

14 authors.

Mary E D'AltonVagelos College of Physicians and Surgeons, Columbia University, New York, NY. Electronic address: MD511@cumc.columbia.edu.
Alexander M FriedmanVagelos College of Physicians and Surgeons, Columbia University, New York, NY.
Peter S BernsteinAlbert Einstein College of Medicine, Yeshiva University, New York, NY.
Haywood L BrownMorsani College of Medicine, University of South Florida, Tampa, FL.
William M CallaghanDivision of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA.
Steven L ClarkBaylor College of Medicine, Baylor University, Houston, TX.
William A GrobmanFeinberg School of Medicine, Northwestern University, Chicago, IL.
Sarah J KilpatrickCedars-Sinai Medical Center, Los Angeles, CA.
Daniel F O'KeeffeThe Society for Maternal-Fetal Medicine, Phoenix, AZ.
Douglas M MontgomeryKaiser Permanente Riverside Medical Center, Riverside, CA.
Sindhu K SrinivasPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
George D WendelAmerican Board of Obstetrics and Gynecology, Dallas, TX.
Katharine D WenstromWomen and Infants Hospital, Brown University, Providence, RI.
Michael R FoleyUniversity of Arizona College of Medicine Phoenix at Banner University Medical Center Phoenix, Phoenix, AZ.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

The Centers for Disease Control and Prevention have demonstrated continuous increased risk for maternal mortality and severe morbidity with racial disparities among non-Hispanic black women an important contributing factor. More than 50,000 women experienced severe maternal morbidity in 2014, with a mortality rate of 18.0 per 100,000, higher than in many other developed countries. In 2012, the first "Putting the 'M' back in Maternal-Fetal Medicine" session was held at the Society for Maternal-Fetal Medicine's (SMFM) Annual Meeting. With the realization that rising risk for severe maternal morbidity and mortality required action, the "M in MFM" meeting identified the following urgent needs: (i) to enhance education and training in maternal care for maternal-fetal medicine (MFM) fellows; (ii) to improve the medical care and management of pregnant women across the country; and (iii) to address critical research gaps in maternal medicine. Since that first meeting, a broad collaborative effort has made a number of major steps forward, including the proliferation of maternal mortality review committees, advances in research, increasing educational focus on maternal critical care, and development of comprehensive clinical strategies to reduce maternal risk. Five years later, the 2017 M in MFM meeting served as a "report card" looking back at progress made but also looking forward to what needs to be done over the next 5 years, given that too many mothers still experience preventable harm and adverse outcomes.

Indexed as

Delivery of Health CareEducation, Medical, GraduateEthnicityFellowships and ScholarshipsFemaleHealth Status DisparitiesHumansHysterectomyMaternal Health ServicesMaternal MortalityObstetricsPerinatologyPostpartum HemorrhagePre-EclampsiaPregnancyPregnancy Complicationsadvanced cardiac life supportamniotic fluid embolism bundlescertificationclinical guidelinesintensive care unitlevels of maternal carematernal hypertensionmaternal safetynational surveillance programpostpartum hemorrhageresearchsimulationtrainingvenous thromboembolism

Identifiers

PMID30849353
PMCPMC6728226

What OpenQuestion holds

Textmetadata
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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.