Evidence map›Paper›PMID 34304237›Full record

ArticleAsian spine journal2022

Association between Pelvic Parameters and Vaginal Delivery.

Tomohiro Yamada, Yu Yamato, Tomohiko Hasegawa, Go Yoshida, Tatsuya Yasuda, Tomohiro Banno, Hideyuki Arima, Shin Oe, Yuki Mihara, Hiroki Ushirozako and 4 more

Abstract read
In one paragraph

Article in Asian spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Review
  2. Article
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

14 authors.

Tomohiro YamadaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yu YamatoDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomohiko HasegawaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Go YoshidaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tatsuya YasudaDepartment of Orthopaedic Surgery, Iwata City Hospital, Iwata, Japan.
Tomohiro BannoDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hideyuki ArimaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Shin OeDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuki MiharaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hiroki UshirozakoDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Koichiro IdeDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuh WatanabeDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hironobu HosinoDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yukihiro MatsuyamaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Funding

Japan Medical Dynamic Marketing Inc.Medtronic Sofamor Danek Inc.Meitoku Medical Institution Jyuzen Memorial Hospital
6 · The paper itself

Abstract

STUDY

designCross-sectional study. PURPOSE: To investigate the association between vaginal delivery and pelvic parameters and clarify the effect of parity on parameter fluctuations. OVERVIEW OF LITERATURE: During vaginal delivery, the sacroiliac joint widens and the sacrum nutates (nods). However, the association between these pelvic parameters and parity is unknown.

methodsAs part of a 2016 health screening, 320 female volunteers underwent whole-spine radiographs. Age-matched healthy women were grouped according to the number of vaginal deliveries (0, 1-2, or ≥3). Demographic variables and spinopelvic parameters were compared among the three groups.

resultsOf the 320 volunteers, 213 were enrolled (mean age, 71.1±7.2 years). The mean number of vaginal deliveries was 2.2. The average pelvic incidence (PI) was 55.6°±11.1° and was significantly higher in the 90 women with three or more vaginal deliveries than in the other two groups (p<0.001). The average sacral slope was 33.4°±11.1° and was significantly higher in the women with three or more vaginal deliveries than in the 18 who did not deliver vaginally (p<0.001). The 105 women with one or two vaginal deliveries had significantly higher PIs and sacral slopes than did those who did not deliver vaginally (p<0.001).

conclusionsThis is the first study documenting an association between vaginal delivery and pelvic parameters. Bony birth canal realignment during vaginal delivery can affect postnatal PI. Our study helps in understanding the PI changes over a woman's life span.

Indexed as

Cesarean sectionPelvic incidenceVaginal delivery

Identifiers

PMID34304237
PMCPMC9066266

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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.