Evidence map›Paper›PMID 33263130›Full record

ArticleSouthern medical journal2020

Hospital Annual Delivery Volume and Presence of Graduate Medical Education Influence Mode of Delivery after Stillbirth.

Abigail M Ramseyer, Julie R Whittington, Everett F Magann, Brock Warford, Songthip Ounpraseuth, Wendy N Nembhard

Abstract read
In one paragraph

Article in Southern medical journal, 2020. 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

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

1 citing paper in PubMed.

  1. Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016-2019.International journal of environmental research and public health · 2023
    Observational
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

6 authors.

Abigail M RamseyerFrom the Departments of Obstetrics and Gynecology, Biostatistics, and Epidemiology, University of Arkansas for Medical Sciences, Little Rock.
Julie R WhittingtonFrom the Departments of Obstetrics and Gynecology, Biostatistics, and Epidemiology, University of Arkansas for Medical Sciences, Little Rock.
Everett F MagannFrom the Departments of Obstetrics and Gynecology, Biostatistics, and Epidemiology, University of Arkansas for Medical Sciences, Little Rock.
Brock WarfordFrom the Departments of Obstetrics and Gynecology, Biostatistics, and Epidemiology, University of Arkansas for Medical Sciences, Little Rock.
Songthip OunpraseuthFrom the Departments of Obstetrics and Gynecology, Biostatistics, and Epidemiology, University of Arkansas for Medical Sciences, Little Rock.
Wendy N NembhardFrom the Departments of Obstetrics and Gynecology, Biostatistics, and Epidemiology, University of Arkansas for Medical Sciences, Little Rock.

Funding

ACL HHS U01DD001229NCBDD CDC HHS U01 DD001229NCBDD CDC HHS U01 DD001285NCBDD CDC HHS U01 DD001306
6 · The paper itself

Abstract

objectivesTo evaluate the statewide experience in mode of delivery for pregnancies complicated by stillbirth by annual delivery volume and presence of graduate medical education programs.

methodsThis is a descriptive study of all stillbirths without known congenital anomalies or aneuploidy born in our state from July 1, 2015 to June 30, 2019. Stillbirths were ascertained by the State Reproductive Health Monitoring System, a population-based surveillance system. Stillbirths were identified by the State Reproductive Health Monitoring System from medical facilities and fetal death certificates; trained staff abstracted records. All of the stillbirths with a gestational age of >20 weeks or a birth weight of >500 g if birth weight was unknown and without congenital anomalies or aneuploidy were eligible for this study.

resultsThere were 861 stillbirths from July 2015 through June 2019, 75 (8.7%) of which were delivered by cesarean section. Low-volume hospitals (<1000 deliveries) experienced a higher proportion of their stillbirths delivered by cesarean compared with high-volume hospitals (>1000 deliveries; 13.4% vs 5.5%;

conclusionsAnnual hospital delivery volumes and residency teaching programs in obstetrics influence the mode of delivery in the management of stillbirth. Advancing gestational age, Black race, and parity are associated with an increased risk of cesarean delivery after stillbirth.

Indexed as

StillbirthArkansasCesarean SectionDelivery, ObstetricEducation, Medical, GraduateFemaleHospitalsHospitals, TeachingHumansPregnancy

Identifiers

PMID33263130
PMCPMC8634934

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Registered trials

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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.