Evidence map›Paper›PMID 32478978›Full record

ReviewJournal of midwifery & women's health2020

An Integrated Review of Uterine Activity Monitoring for Evaluating Labor Dystocia.

Katherine J Kissler, Nancy K Lowe, Teri L Hernandez

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of midwifery & women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Mucosa-interfacing electronics.Nature reviews. Materials · 2022
    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

3 authors at 1 institution in 1 country.

Katherine J KisslerCollege of Nursing, University of Colorado Anschutz Medical Center, Aurora, Colorado.ORCID https://orcid.org/0000-0002-5753-720X
Nancy K LoweCollege of Nursing, University of Colorado Anschutz Medical Center, Aurora, Colorado.ORCID https://orcid.org/0000-0001-9738-1513
Teri L HernandezCollege of Nursing, University of Colorado Anschutz Medical Center, Aurora, Colorado.ORCID https://orcid.org/0000-0002-7024-5017
University of Colorado Anschutz Medical Campus · US

Funding

A Novel Classification of Labor Dystocia: Developing a Physiologic Understanding to Facilitate Precision in Diagnosis and Individualized ManagementF31NR018582 · NINR · UNIVERSITY OF COLORADO DENVER · PI KISSLER, KATHERINE · 2019 to 2021
$75k
NINR NIH HHS F31 NR018582
6 · The paper itself

Abstract

introductionLabor dystocia is the most common cause of cesarean birth in the United States, yet how dystocia develops during labor remains elusive. Uterine activity monitoring has significant potential for advancing our understanding of labor dystocia. While evaluating contraction frequency and amplitude is a common component of labor dystocia management, the literature describing the relationship between measures of uterine activity and labor dystocia is heterogeneous and has not been synthesized to identify the best methods for use in clinical investigation.

methodsWe conducted a literature search for original research exploring the relationship between uterine activity and labor dystocia published between 2000 and 2019. Included articles were critically reviewed and synthesized.

resultsAcross 11 identified studies, investigators employed 3 different techniques for monitoring uterine activity and 9 different measures were employed. Uterine activity measures, including Montevideo units, uterine electromyography power density spectrum and sample entropy, and the fall-to-rise ratio of contraction shape, detected patterns associated with labor dystocia or cesarean birth. DISCUSSION: The use of multiple regression with clinical covariates and a uterine activity measure increased the accuracy of predicting cesarean delivery. Uterine electromyography may be especially useful to evaluate labor dystocia phenotypes to differentiate uterine muscle fatigue from understimulation and lead to algorithms for increased precision in the diagnosis of labor dystocia and innovative approaches to treatment.

Indexed as

AdultCesarean SectionDystociaElectromyographyFemaleHumansLabor, ObstetricObstetric Labor ComplicationsPregnancyUteruscesarean birthintrapartum carelabor: first stagenormal birthobstetric complicationsquantitative research

Identifiers

PMID32478978
PMCPMC7875314
OpenAlexW3030316294

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.