Evidence map›Paper›PMID 36347509›Full record

ArticleAmerican journal of perinatology2023

Severe Maternal Morbidity in Twins.

Anna Binstock, Lisa M Bodnar, Katherine P Himes

Open access · greenAbstract read
In one paragraph

Article in American journal of perinatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

3 authors at 2 institutions in 1 country.

Anna BinstockDepartment of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Lisa M BodnarDepartment of Epidemiology, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Katherine P HimesDepartment of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Pittsburgh · USMagee-Womens Research Institute · US

Funding

Informing Evidence-based Maternal Weight Gain Guidelines for Twin PregnanciesR01NR014245 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BODNAR, LISA M, HUTCHEON, JENNIFER ANNE · 2013 to 2016
$1.9M
NINR NIH HHS R01 NR014245
6 · The paper itself

Abstract

objectiveWhile twin gestations are at increased risk of severe maternal morbidity (SMM), there is limited information about timing and causes of SMM in twins. Furthermore, existing data rely on screening definitions of SMM because a gold standard approach requires chart review. We sought to determine the timing and cause of SMM in twins using a gold standard definition outlined by the American College of Obstetricians and Gynecologists (ACOG). STUDY

designWe used a perinatal database to identify all twin deliveries from 1998 to 2013 at a single academic medical center (

resultsA total of 165 (7%) of twin deliveries screened positive for SMM. After chart review of all screen-positive cases, 2.4% (

conclusionCommonly used approaches to screen for SMM perform poorly in twins. This has important implications for quality initiatives and epidemiologic studies that rely on screening definitions of maternal morbidity. Our study demonstrates that the immediate postpartum period is a critical time for maternal health among women with twin pregnancies. KEY POINTS: · Screening approaches for SMM have low positive predictive value in twins.. · Hemorrhage, hypertensive, and pulmonary complications were the most common morbidities.. · SMM was most common postpartum..

Indexed as

ParturitionPostpartum PeriodFemaleHumansMorbidityPregnancyPregnancy, TwinRetrospective Studies

Identifiers

PMID36347509
PMCPMC10291888
OpenAlexW4308557228

What OpenQuestion holds

Textmetadata
LicenceTDM
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.