Evidence map›Paper›PMID 36156354›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2023

Maternal sudden death: A nationwide retrospective study.

Sophia Braund, Juliette Leviel, Estelle Morau, Catherine Deneux-Tharaux, Eric Verspyck, ENCMM study group

Open access · hybridAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. 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 5 institutions in 2 countries.

Sophia BraundDepartment of Gynaecology and Obstetrics, Rouen University Hospital, Rouen, France.
Juliette LevielDepartment of Gynaecology and Obstetrics, Rouen University Hospital, Rouen, France.
Estelle MorauDepartment of Anaesthetics, Nîmes University Hospital, Nîmes, France.
Catherine Deneux-TharauxCentre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité, INSERM U1153, Obstetrical, Perinatal and Pediatric Epidemiology (EPOPé) Research Team, Paris, France.ORCID 0000-0002-6561-3321
Eric VerspyckDepartment of Gynaecology and Obstetrics, Rouen University Hospital, Rouen, France.
ENCMM study group
Université de Rouen Normandie · FRAssociated Colleges of the Midwest · USEuropean Organisation for Rare Diseases · FRInserm · FRUniversité de Nîmes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence of maternal sudden death (MSD) and to compare the characteristics of death between women with explained and unexplained sudden death.

designA national retrospective study in France. POPULATION: Maternal deaths related to an unexpected sudden cardiac arrest were extracted from the French National Confidential Enquiry into Maternal Deaths database for 2007-2012.

methodsMaternal, pregnancy, sudden death characteristics and maternal investigations were compared between women with explained and unexplained cause of death.

resultsA total of 83 maternal sudden deaths and 4 949 890 live births occurred over the period studied, thus accounting for 16% of all maternal deaths (n = 510). Death was explained in 51 (61%) women and unexplained in 32 women (39%). Compared with women with unexplained death, women with explained death were more often found to have in-hospital cardiac arrest (47% versus 12%, P < 0.01), witnessed cardiac arrest (86% versus 62%, P = 0.03) and in-hospital death (82% versus 47%, P < 0.01). Postmortem investigations such as autopsy and/or CT scan (65% versus 31%, P < 0.01) were also more often carried out in women with explained death. The proportion of deaths for which the preventability factors could not be assessed was 58% among unexplained MSD and 7% among explained MSD.

conclusionMaternal sudden death is a rare event but accounts for a high proportion of all maternal deaths. This highlights the importance of providing training in diagnostic and management strategy for care providers. Systematic postmortem investigations are required to help understand causes and improve practices.

Indexed as

Maternal DeathCause of DeathDeath, Sudden, CardiacFemaleHospital MortalityHumansMaleMaternal MortalityPregnancyRetrospective Studiesautopsycardiac arrestcausesmaternal mortalitysudden death

Identifiers

PMID36156354
PMCPMC10092016
OpenAlexW4297255273

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.