Evidence map›Paper›PMID 35193505›Full record

SynthesisBMC pregnancy and childbirth2022

The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis.

Kate Evans, Hannah Fraser, Olalekan Uthman, Osemeke Osokogu, Samantha Johnson, Lena Al-Khudairy

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

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  10. Effect of mode of delivery on postpartum health-related quality of life.Revista da Associacao Medica Brasileira (1992) · 2024
    Article
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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

6 authors at 1 institution in 1 country.

Kate EvansWarwick Medical School, University of Warwick, Coventry, CV4 7AL, England. k.evans.1@warwick.ac.uk.
Hannah FraserWarwick Medical School, University of Warwick, Coventry, CV4 7AL, England.
Olalekan UthmanWarwick Medical School, University of Warwick, Coventry, CV4 7AL, England.
Osemeke OsokoguWarwick Medical School, University of Warwick, Coventry, CV4 7AL, England.
Samantha JohnsonWarwick Medical School, University of Warwick, Coventry, CV4 7AL, England.
Lena Al-KhudairyWarwick Medical School, University of Warwick, Coventry, CV4 7AL, England.
University of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research is inconclusive on the effects of mode of delivery on maternal health-related quality-of-life (HRQoL). We conducted a systematic review and meta-analysis to assess the current evidence for associations between mode of delivery and postpartum health-related quality-of-life.

methodsElectronic databases MEDLINE ALL (OVID), Web of Science, The Cochrane Library, CINAHL and EMBASE (OVID) were searched for English written articles investigating the relationship between mode of delivery and quality-of-life published form inception to 15th October 2020. Two reviewers independently screened titles and abstracts, assessed full texts, and extracted data. Meta-analysis was conducted where possible.

resultsTwenty-one studies, including 19,879 women, met the inclusion criteria. A meta-analysis of 18 studies found HRQoL scores were significantly higher for women after vaginal delivery in comparison to caesarean (emergency and elective combined) (Effect Size (ES) 0.17, 95% CI 0.01-0.25, n = 7665) with highest scores after assisted vaginal delivery (ES 0.21, 95% CI 0.13-0.30, n = 2547). Physical functioning (ES 11.18, 95% CI = 2.29-20.06, n = 1746), physical role (ES 13.10, 95% CI = 1.16-25.05, n = 1471), vitality (ES 6.31, 95% CI = 1.14-10.29, n = 1746) and social functioning (ES 5.69, 95% CI = 1.26-10.11, n = 1746) were significantly higher after vaginal delivery compared to caesarean.

conclusionsHealth-related quality-of-life scores were higher for women after vaginal delivery in comparison to caesarean section. Consequently, women should be encouraged to deliver vaginally where possible. The findings of this research should be available to the relevant population to help support informed choice.

Indexed as

Quality of LifeAdolescentAdultDelivery, ObstetricFemaleHumansMiddle AgedParturitionPostpartum PeriodYoung AdultCaesarean sectionChildbirthMeta-analysisMode of deliveryQuality-of-lifeSystematic reviewVaginal delivery

Identifiers

PMID35193505
PMCPMC8864819
OpenAlexW4220796566

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.