Evidence map›Paper›PMID 35340404›Full record

ArticleHealthcare technology letters

Standardising the assessment of caesarean birth using an oxford caesarean prediction score for mothers with gestational diabetes.

Huiqi Lu, Jane Hirst, Jenny Yang, Lucy Mackillop, David Clifton

Open access · goldAbstract read
In one paragraph

Article in Healthcare technology letters. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Prediction Models for Maternal and Offspring Short- and Long-Term Outcomes Following Gestational Diabetes: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Systematic Review of Clinical Prediction Models for the Risk of Emergency Caesarean Births.BJOG : an international journal of obstetrics and gynaecology · 2025
    Pooled it
  3. Artificial Intelligence in Gestational Diabetes Care: A Systematic Review.Journal of diabetes science and technology · 2025
    Review
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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

5 authors at 2 institutions in 2 countries.

Huiqi LuDepartment of Engineering Science Institute of Biomedical Engineering University of Oxford Oxford UK.ORCID https://orcid.org/0000-0002-6140-3394
Jane HirstNuffield Department of Women's and Reproductive Health University of Oxford Oxford UK.
Jenny YangDepartment of Engineering Science Institute of Biomedical Engineering University of Oxford Oxford UK.ORCID https://orcid.org/0000-0002-0176-2651
Lucy MackillopNuffield Department of Women's and Reproductive Health University of Oxford Oxford UK.ORCID https://orcid.org/0000-0002-1927-1594
David CliftonDepartment of Engineering Science Institute of Biomedical Engineering University of Oxford Oxford UK.
University of Oxford · GBThe George Institute for Global Health · GB

Funding

Medical Research Council MR/T040750/1Wellcome Trust
6 · The paper itself

Abstract

Mothers with gestational diabetes are at increased risk of giving birth by caesarean section. A standardised assessment method may help to guide in recommendations in planning caesarean birth. We analysed 203 women with gestational diabetes managed in a single centre and developed an aggregate heuristic risk score. Among 155 women who had not had a previous caesarean birth, five risk factors (previous birth, weight gain during pregnancy, mother's height, and glycated haemoglobin and fasting blood glucose results at the beginning of pregnancy) were found associated with primary caesarean birth. Risk of primary caesarean birth in low-risk women (score 0-1) was 13.8%, medium-risk (score 2-3) 24.5% and high risk (score ≥ 4) 66.7%. The area under the receiver operating characteristic (AUROC) for primary caesarean birth prediction is 0.726 ± 0.003. Machine learning models were then deployed on 97 patients to explore the role of temporal blood glucose in predicting caesarean birth, achieving an AUROC of 0.857 ± 0.008. In conclusion, Oxford caesarean prediction score could help clinicians counselling women with gestational diabetes about their individual risk of primary caesarean birth. Temporal blood glucose measurements may improve the prediction subject to further validation.

Identifiers

PMID35340404
PMCPMC8928011
OpenAlexW4221087297

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.