Evidence map›Paper›PMID 34956519›Full record

ArticleAmerican journal of translational research2021

Double-uterine-incision in the management of placenta previa complicated by placenta accreta spectrum.

Zhengping Liu, Dazhi Fan, Dongxin Lin, Huishan Zhang, Jiaming Rao, Wen Wang, Shuzhen Wu, Yan Liu, Xiaoling Guo

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Clinical Comparison of Anterior or Posterior Placental Location with Placenta Previa and History of Previous Cesarean Section Delivery.Medical science monitor : international medical journal of experimental and clinical research · 2023
    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

9 authors at 1 institution in 1 country.

Zhengping LiuFoshan Fetal Medicine Research Institute, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Dazhi FanFoshan Fetal Medicine Research Institute, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Dongxin LinFoshan Fetal Medicine Research Institute, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Huishan ZhangFoshan Fetal Medicine Research Institute, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Jiaming RaoFoshan Fetal Medicine Research Institute, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Wen WangDepartment of Obstetrics, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Shuzhen WuDepartment of Obstetrics, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Yan LiuDepartment of Obstetrics, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Xiaoling GuoFoshan Fetal Medicine Research Institute, Affiliated Foshan Women and Children Hospital, Southern Medical University Foshan 528000, Guangdong, China.
Foshan Maternity and Child Health Care Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effectiveness of a new double-uterine-incision, based on Ar's incision, with single-uterine-incision during cesarean section in pregnancy concurrently complicated by placenta previa and placenta accreta spectrum.

methodsA retrospective cohort study including 260 participants was conducted between January 2014 and June 2019. The participants only underwent Ar's incision in the single-uterine-incision group and participants underwent two uterine incisions in the new double-uterine-incision group. The demographic and clinical characteristics were compared between the two groups.

resultsFifty-six participants (21.5%) underwent a double-incision, and the other 204 underwent a single-incision. The incidence of previous cesarean delivery (91.1% vs. 68.6%) and anterior placenta (76.8% vs. 53.4%) was higher in the double-incision group. The blood loss (3400 ml vs. 1600 ml) and the need for blood transfusion (100.0% vs. 82.8%) were higher in the double-incision group. There was no significant difference between the two groups (one (1.8%) in the double-incision group and 10 (4.9%) in the single-incision group) in need for subtotal hysterectomy. After adjusting for confounding factors, there was no significant difference between the two groups concerning blood loss, blood transfusion, maternal ICU, or length of hospital stay; and the incidence of subtotal hysterectomy was lower in the double-incision group.

conclusionThis new double-uterine-incision, based on Ar's incision, is an effective and valuable procedure for pregnant women with placenta previa complicated by placenta accreta spectrum, especially in women with a serious condition. It is an option for pregnant women concurrently complicated by placenta previa and placenta accreta spectrum who desire future fertility.

Indexed as

Ar’s incisiondouble-uterine incisionplacenta accreta spectrumPlacenta previa

Identifiers

PMID34956519
PMCPMC8661199
OpenAlexW4206855621

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.