Evidence map›Paper›PMID 33105122›Full record

ReviewPhysiological measurement2020

A review of fetal cardiac monitoring, with a focus on low- and middle-income countries.

Camilo E Valderrama, Nasim Ketabi, Faezeh Marzbanrad, Peter Rohloff, Gari D Clifford

Abstract readReview
In one paragraph

Review in Physiological measurement, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

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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

5 authors.

Camilo E ValderramaData Intelligence for Health Lab, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Nasim KetabiDepartment of Biomedical Informatics, Emory University, Atlanta, GA, United States of America.ORCID 0000-0003-0551-1611
Faezeh MarzbanradDepartment of Electrical and Computer Systems Engineering, Monash University, Clayton, VIC, Australia.ORCID 0000-0003-0551-1611
Peter RohloffWuqu' Kawoq, Maya Health Alliance, Santiago Sacatepéquez, Guatemala.
Gari D CliffordDepartment of Biomedical Informatics, Emory University, Atlanta, GA, United States of America.

Funding

Mobile Health Intervention to Improve Perinatal Continuum of Care in GuatemalaR21HD084114 · NICHD · EMORY UNIVERSITY · PI CLIFFORD, GARI DAVID · 2015 to 2016
$374k
NICHD NIH HHS R21 HD084114
6 · The paper itself

Abstract

There is limited evidence regarding the utility of fetal monitoring during pregnancy, particularly during labor and delivery. Developed countries rely on consensus 'best practices' of obstetrics and gynecology professional societies to guide their protocols and policies. Protocols are often driven by the desire to be as safe as possible and avoid litigation, regardless of the cost of downstream treatment. In high-resource settings, there may be a justification for this approach. In low-resource settings, in particular, interventions can be costly and lead to adverse outcomes in subsequent pregnancies. Therefore, it is essential to consider the evidence and cost of different fetal monitoring approaches, particularly in the context of treatment and care in low-to-middle income countries. This article reviews the standard methods used for fetal monitoring, with particular emphasis on fetal cardiac assessment, which is a reliable indicator of fetal well-being. An overview of fetal monitoring practices in low-to-middle income counties, including perinatal care access challenges, is also presented. Finally, an overview of how mobile technology may help reduce barriers to perinatal care access in low-resource settings is provided.

Indexed as

Developing CountriesFetal MonitoringLabor, ObstetricMonitoring, PhysiologicFemaleHeartHumansPregnancy

Identifiers

PMID33105122
PMCPMC9216228

What OpenQuestion holds

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LicenceCC BY
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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.