Evidence map›Paper›PMID 31803582›Full record

ArticlePublic health action2019

Does the presence of conflict affect maternal and neonatal mortality during Caesarean sections?

J Gil Cuesta, M Trelles, A Naseer, A Momin, L Ngabo Mulamira, S Caluwaerts, D Guha-Sapir

Abstract read
In one paragraph

Article in Public health action, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. Article
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

7 authors.

J Gil CuestaOperational Centre Brussels, Médecins Sans Frontières, Brussels, Belgium.
M TrellesOperational Centre Brussels, Médecins Sans Frontières, Brussels, Belgium.
A NaseerTimurgara Hospital, Operational Centre Brussels, Médecins Sans Frontières, Timurgara, Pakistan.
A MominOperational Centre Brussels, Médecins Sans Frontières, Ahmad Shah Baba Hospital, Kabul, Afghanistan.
L Ngabo MulamiraMasisi Hospital, Operational Centre Brussels, Médecins Sans Frontières, Masisi, Democratic Republic of Congo.
S CaluwaertsOperational Centre Brussels, Médecins Sans Frontières, Brussels, Belgium.
D Guha-SapirCentre for Research on the Epidemiology of Disasters, Université Catholique de Louvain, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConflicts frequently occur in countries with high maternal and neonatal mortality and can aggravate difficulties accessing emergency care. No literature is available on whether the presence of conflict influences the outcomes of mothers and neonates during Caesarean sections (C-sections) in high-mortality settings.

objectiveTo determine whether the presence of conflict was associated with changes in maternal and neonatal mortality during C-sections.

methodsWe analysed routinely collected data on C-sections from 17 Médecins Sans Frontières (MSF) health facilities in 12 countries. Exposure variables included presence and intensity of conflict, type of health facility and other types of access to emergency care.

resultsDuring 2008-2015, 30,921 C-sections were performed in MSF facilities; of which 55.4% were in areas of conflict. No differences were observed in maternal mortality in conflict settings (0.1%) vs. non-conflict settings (0.1%) (

conclusionsMaternal and neonatal mortality did not appear to be affected by the presence of conflict in a large number of MSF facilities. This finding should encourage humanitarian organisations to support C-sections in conflict settings to ensure access to quality maternity care.

Indexed as

armed conflictsemergency medicinematernal healthsurvival

Identifiers

PMID31803582
PMCPMC6827494

What OpenQuestion holds

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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.