Evidence map›Paper›PMID 34215888›Full record

ArticleSouthern medical journal2021

Cesarean Delivery Management of Stillbirth: In-Depth Analysis of 75 Cases in a Rural State.

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

Open access · greenAbstract read
In one paragraph

Article in Southern medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

5 authors at 1 institution in 1 country.

Abigail M RamseyerFrom the Departments of Obstetrics and Gynecology and Biostatistics, and the Department of Epidemiology in the Fay W. Boozman College of Public Health, University of Arkansas for the Medical Sciences, Little Rock.
Julie R WhittingtonFrom the Departments of Obstetrics and Gynecology and Biostatistics, and the Department of Epidemiology in the Fay W. Boozman College of Public Health, University of Arkansas for the Medical Sciences, Little Rock.
Everett F MagannFrom the Departments of Obstetrics and Gynecology and Biostatistics, and the Department of Epidemiology in the Fay W. Boozman College of Public Health, University of Arkansas for the Medical Sciences, Little Rock.
Songthip OunpraseuthFrom the Departments of Obstetrics and Gynecology and Biostatistics, and the Department of Epidemiology in the Fay W. Boozman College of Public Health, University of Arkansas for the Medical Sciences, Little Rock.
Wendy N NembhardFrom the Departments of Obstetrics and Gynecology and Biostatistics, and the Department of Epidemiology in the Fay W. Boozman College of Public Health, University of Arkansas for the Medical Sciences, Little Rock.
University of Arkansas for Medical Sciences · US

Funding

RFA-DD-18-001 Birth Defects Study To Evaluate Pregnancy exposures (BD-STEPS) II Core & Component B Steps -StillbirthU01DD001285 · DD · UNIV OF ARKANSAS FOR MED SCIS · PI NEMBHARD, WENDY N · 2019 to 2022
$5.2M
Component A: Arkansas Proposal to participate in the Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS II)U01DD001229 · DD · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI NEMBHARD, WENDY N · 2018 to 2018
$995k
ACL HHS U01DD001229NCBDD CDC HHS U01 DD001229NCBDD CDC HHS U01 DD001285NCBDD CDC HHS U01 DD001306
6 · The paper itself

Abstract

objectiveTo analyze the characteristics surrounding women who underwent cesarean delivery for stillbirth management in the rural, southern US state of Arkansas.

methodsThis was a planned secondary analysis of a retrospective descriptive study evaluating mode of delivery following the stillbirth of singleton pregnancies without anomalies or aneuploidy delivered in our state between July 2015 and June 2019. Data were extracted from a statewide reproductive health monitoring system and reviewed by the first three authors. Summary statistics were presented as means and standard deviations for continuous measures and frequencies and percentages for categorical variables.

resultsThere were 861 patients diagnosed as having stillbirth between July 2015 and June 2019 in 44 hospitals in Arkansas. Seventy-five of those patients (8.7%) underwent cesarean delivery and are the basis for this analysis. Common indications for cesarean delivery were prior cesarean delivery (41%), malpresentation (18.7%), and abruption or hemorrhage (13.1%). Sixty-five percent of patients had a prior cesarean delivery. The most common complications were infection and hemorrhage, which accounted for 64.3% of known complications. The overall complication rate was 18.7% among stillbirths delivered via cesarean.

conclusionsThis study demonstrates that cesarean delivery remains a common mode of delivery for management of stillbirth and that there is maternal morbidity associated with an abdominal delivery because 22.7% of the women undergoing a cesarean had an operative complication. It also highlights that prior cesarean delivery remains a common indication for a repeat abdominal delivery following a stillbirth despite the lack of fetal benefit.

Indexed as

AdultArkansasCesarean SectionFemaleGestational AgeHumansPregnancyRetrospective StudiesStillbirth

Identifiers

PMID34215888
PMCPMC8579878
OpenAlexW3174324132

What OpenQuestion holds

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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.