Evidence map›Paper›PMID 33530956›Full record

ArticleBMC pregnancy and childbirth2021

The acceptability to women of techniques for managing an impacted fetal head at caesarean section and of randomised trials evaluating those techniques: a qualitative study.

Gabriella Romano, Eleanor Mitchell, Rachel Plachcinski, Natalie Wakefield, Kate Walker, Susan Ayers

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Trial
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.

Gabriella RomanoCentre for Maternal and Child Health Research, School of Health Sciences, City, University of London, Northampton Square, London, EC1V 0HB, UK.
Eleanor MitchellNottingham Clinical Trials Unit, University of Nottingham, Building 42 University Park, Nottingham, NG7 2RD, UK.
Rachel PlachcinskiNational Childbirth Trust, NCT, 30 Euston Square, London, NW1 2FB, UK.
Natalie WakefieldNottingham Clinical Trials Unit, University of Nottingham, Building 42 University Park, Nottingham, NG7 2RD, UK.
Kate WalkerNottingham Clinical Trials Unit, University of Nottingham, Building 42 University Park, Nottingham, NG7 2RD, UK. Kate.Walker@nottingham.ac.uk.ORCID http://orcid.org/0000-0001-5794-7324
Susan AyersCentre for Maternal and Child Health Research, School of Health Sciences, City, University of London, Northampton Square, London, EC1V 0HB, UK.

Funding

Health Technology Assessment Programme 17/75/09
6 · The paper itself

Abstract

backgroundThis study aimed to explore women's views on the acceptability of different techniques for managing an impacted fetal head at caesarean; and the feasibility and acceptability of conducting a trial in this area.

methodsQualitative semi-structured interviews with a systematic sample of women who experienced second stage emergency caesarean section at a tertiary National Health Service (NHS) hospital in England, UK. Thematic analysis was used to extract women's views.

resultsWomen varied in their perceptions of the acceptability of different techniques for managing impacted fetal head. Trust in medical expertise and prioritising the safety of the baby were important contextual factors. Greater consensus was found around informed choice in trials where subthemes considered the timing of invitation, reduced capacity to give consent in emergency situations, and the importance of birth outcomes and having good rapport with healthcare professionals who invite women into trials. Finally, women reflected on the importance of supportive antenatal and postpartum education for impacted fetal head.

conclusionsThis research provides information on the acceptability of techniques and any trial to evaluate these techniques. Findings illustrate the importance of context and quality of care to both acceptability and approaching women to take part in a future trial.

Indexed as

Cesarean SectionHealth Knowledge, Attitudes, PracticeAdultExtraction, ObstetricalFemaleHumansInformed ConsentInterviews as TopicPatient Education as TopicPatient SafetyPregnancyPrenatal CareSampling StudiesAcceptabilityCaesareanFeasibilityQualitativeTechniques for impacted fetal head

Identifiers

PMID33530956
PMCPMC7852117

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.