Evidence map›Paper›PMID 36222951›Full record

ArticleArchives of gynecology and obstetrics2023

Critical analysis of risk factors for intrapartum fetal death.

Sharon Davidesko, Eitan Levitas, Eyal Sheiner, Tamar Wainstock, Gali Pariente

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In one paragraph

Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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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 1 institution in 1 country.

Sharon DavideskoDepartment of Obstetric and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben Gurion University of the Negev, POB151, 8410100, Beer Sheva, Israel. shazadmoni85@gmail.com.ORCID 0000-0002-3410-1630
Eitan Levitas *Department of Obstetric and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben Gurion University of the Negev, POB151, 8410100, Beer Sheva, Israel.
Eyal SheinerDepartment of Obstetric and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben Gurion University of the Negev, POB151, 8410100, Beer Sheva, Israel.
Tamar WainstockDepartment of Epidemiology and Health Sciences Evaluation, Ben Gurion University of the Negev, Beer Sheva, Israel.
Gali ParienteDepartment of Obstetric and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben Gurion University of the Negev, POB151, 8410100, Beer Sheva, Israel.
Ben-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntrapartum fetal death is devastating for both parents and medical caregivers. The purpose of this study was to evaluate the risk factors for intrapartum fetal death, which often influence management in subsequent pregnancies.

methodsThis population-based cohort study included all singleton deliveries between the years 1991-2016 at Soroka University Medical Center. Trends over the years, risk factors for intrapartum fetal death and the effect of day of the week were examined. A generalized estimation equation (GEE) model was used to control for confounders.

resultsDuring the study period 344,536 deliveries were recorded, of which 251 (0.1%) suffered intrapartum fetal death. Rates did not change significantly over the years (p = 0.130, using the chi-square test for trends). Preterm delivery, placental abruption, uterine rupture, shoulder dystocia, congenital malformations, severe preeclampsia and fetal malpresentation were significantly more common in pregnancies complicated by intrapartum death. Using a GEE model; shoulder dystocia (aOR 23.8, 95% CI 9.9-57.3, p < 0.005), uterine rupture (aOR 19.0, 95% CI 7.0-51.4, p < 0.05), preterm delivery (aOR 11.9, 95% CI 8.6-16.5, p < 0.001), placental abruption (aOR 6.2, 95% CI 4.1-9.4, p < 0.001), fetal malpresentation (aOR 3.6, 95% CI 2.6-4.9, p < 0.005) and congenital malformations (aOR 2.6, 95% CI 1.9-3.5, p < 0.05) were all independent risk factors for intrapartum fetal death. Weekend deliveries were not at increased risk of intrapartum fetal death.

conclusionSeveral risk factors were identified for intrapartum fetal death, with shoulder dystocia demonstrating the highest risk. Unfortunately most factors are neither preventable nor predictable and interventions to decrease the rate of intrapartum fetal death remain elusive.

Indexed as

Abruptio PlacentaePerinatal DeathPremature BirthShoulder DystociaUterine RuptureCohort StudiesFemaleFetal DeathHumansInfant, NewbornPlacentaPregnancyRetrospective StudiesRisk FactorsFetal demiseIntrapartum complicationsIntrapartum fetal deathRisk factorsTrends

Identifiers

PMID36222951
OpenAlexW4304692662

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.