Evidence map›Paper›PMID 34158580›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Conjoined twins: an obstetrician's guide to prenatal care and delivery management.

Patricia S Greco, D'Angela Pitts, William J Weadock, Maria Ladino-Torres, Naomi T Laventhal, George Mychaliska, Marjorie C Treadwell, Alissa Carver

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  7. Review
  8. Thoraco-omphalopagus conjoined twin: A rare case report.International journal of surgery case reports · 2022
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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

8 authors at 2 institutions in 1 country.

Patricia S GrecoDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA. psszmal@med.umich.edu.ORCID http://orcid.org/0000-0002-3347-1445
D'Angela PittsDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
William J WeadockDepartment of Pediatrics, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-1414-4553
Maria Ladino-TorresDepartment of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Naomi T LaventhalDepartment of Pediatrics, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-8110-7621
George MychaliskaDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Marjorie C TreadwellDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Alissa CarverDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
University of Michigan · USHenry Ford Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveObstetricians infrequently encounter conjoined twins. Much of the clinical care literature focuses on postnatal management from a neonatology and pediatric surgery perspective; guidance on obstetrical management is limited. We outline steps for prenatal evaluation, obstetrical care, and delivery planning. STUDY

designExperiences with two cases of conjoined twins.

resultsWe identified several points throughout the planning, delivery, and postnatal process that are important to highlight for optimizing clinical outcome, patient safety, and parental satisfaction.

conclusionAfter diagnosis, patients should be referred to a center experienced in the management of conjoined twins. Specialists in fields including maternal fetal medicine, pediatric surgery, neonatology, and radiology play a vital role in the management of these patients. Early referral allows for timely family counseling and decision-making. Prenatal evaluation beyond the first trimester should include a detailed ultrasound, fetal echocardiogram, and fetal MRI. 3D printed life-sized models can improve delivery planning and patient understanding.

Indexed as

Twins, ConjoinedChildFemaleHumansPregnancyPregnancy Trimester, FirstPrenatal CareUltrasonographyUltrasonography, Prenatal

Identifiers

PMID34158580
OpenAlexW3177290705

What OpenQuestion holds

Textmetadata
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.