Evidence map›Paper›PMID 36053602›Full record

ArticleBMJ paediatrics open2022

Neonatal outcomes associated with mode of subsequent birth after a previous caesarean section in a first pregnancy: a Swedish population-based register study between 1999 and 2015.

Anna Dencker, Ida Lyckestam Thelin, Valerie Smith, Ingela Lundgren, Christina Nilsson, Huiqi Li, Lars Ladfors, Anders Elfvin

Open access · diamondAbstract read
In one paragraph

Article in BMJ paediatrics open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. 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

8 authors at 5 institutions in 3 countries.

Anna DenckerInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden anna.dencker@gu.se.ORCID 0000-0001-6047-330X
Ida Lyckestam ThelinInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden.
Valerie SmithThe School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Ingela LundgrenInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden.
Christina NilssonMunkebäck Antenatal Clinic, Västra Götalandsregionen, Gothenburg, Sweden.
Huiqi LiSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, Goteborg, Sweden.
Lars LadforsDepartment of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, Goteborg, Sweden.
Anders ElfvinDepartment of Pediatrics, Institute of Clinical Sciences, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden.ORCID 0000-0002-1912-9563
University of Gothenburg · SERegion Västra Götaland · SESahlgrenska University Hospital · SETrinity College Dublin · IEUiT The Arctic University of Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate neonatal outcomes within 28 days in the subsequent birth in women who gave birth to their first baby by caesarean section (CS). DESIGN AND

settingNational retrospective population-based register study. A cohort of 94 451 neonates who were born in Sweden between 1999 and 2015 as a second child to a mother who had her first birth by emergency or planned caesarean.

methodsData were retrieved from the national registers held by Statistics Sweden and the National Board of Health and Welfare. Logistic regression was used to calculate unadjusted and adjusted ORs (aOR) with 95% CIs for each outcome.

main outcome measuresNeonatal infection, neonatal asphyxia/respiratory distress, neonatal hospital care and neonatal death within 28 days.

resultsEmergency CS and instrumental vaginal birth were associated with a doubled risk of neonatal infection (aOR 2.0) and planned CS with a decreased risk (aOR 0.7) compared with spontaneous vaginal birth. Compared with spontaneous vaginal birth, an increased risk of birth asphyxia and/or respiratory distress was identified with all other modes of birth (aOR 2.2-3.2). Emergency CS and instrumental vaginal birth, but not planned CS, were associated with neonatal hospital care (aOR 1.8 and 1.7) and an increased mortality rate during the neonatal period (aOR 2.9 and 3.2), compared with spontaneous vaginal birth.

conclusionsIn childbirth following a previous birth by CS, spontaneous vaginal birth appears to confer better neonatal outcomes within 28 days after birth overall than other modes of birth.

Indexed as

Cesarean SectionRespiratory Distress SyndromeAsphyxiaChildFemaleHumansInfantInfant, NewbornParturitionPregnancyRetrospective StudiesSwedenneonatology

Identifiers

PMID36053602
PMCPMC9289021
OpenAlexW4285405304

What OpenQuestion holds

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LicenceCC BY-NC
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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.