Evidence map›Paper›PMID 36404523›Full record

ReviewAmerican journal of obstetrics & gynecology MFM2023

For better care we need better data: towards a national obstetrics registry.

Jerome J Federspiel, Lauren M Kucirka, Divya P Mallampati, Sarahn M Wheeler, M Kathyrn Menard, Brenna L Hughes, Johanna Quist-Nelson, Marie-Louise Meng

Abstract readReview
In one paragraph

Review in American journal of obstetrics & gynecology MFM, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Postpartum thromboembolism risk by CHAPregnancy (Hoboken, N.J.) · 2025
    Article
  2. Article
  3. Article
  4. 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

8 authors.

Jerome J FederspielDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC (Drs Federspiel, Wheeler, and Hughes). Electronic address: Jjf7@duke.edu.
Lauren M KucirkaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Durham, NC (Drs Kucirka, Mallampati, Menard, and Quist-Nelson).
Divya P MallampatiDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Durham, NC (Drs Kucirka, Mallampati, Menard, and Quist-Nelson).
Sarahn M WheelerDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC (Drs Federspiel, Wheeler, and Hughes).
M Kathyrn MenardDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Durham, NC (Drs Kucirka, Mallampati, Menard, and Quist-Nelson).
Brenna L HughesDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC (Drs Federspiel, Wheeler, and Hughes).
Johanna Quist-NelsonDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Durham, NC (Drs Kucirka, Mallampati, Menard, and Quist-Nelson).
Marie-Louise MengDivision of Women's Anesthesiology, Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina, USA (Dr Meng).

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
Institutional Career Development CoreKL2TR002554 · NCATS · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2018 to 2022
$8.2M
NRSA Training CoreTL1TR002555 · NCATS · DUKE UNIVERSITY · PI EDELMAN, DAVID · 2018 to 2022
$3.7M
Duke Women's Reproductive Health Research ScholarsK12HD103083 · NICHD · DUKE UNIVERSITY · PI Cindy Amundsen · 2020 to 2026
$2.2M
NCATS NIH HHS KL2 TR002554NCATS NIH HHS TL1 TR002555NCATS NIH HHS UL1 TR001117NCATS NIH HHS UL1 TR002489NCATS NIH HHS UL1 TR002553NICHD NIH HHS K12 HD103083
6 · The paper itself

Abstract

Unacceptably high rates of severe maternal morbidity and mortality in the United States and stark racial disparities in outcomes are generating efforts to improve both research capacity and quality improvement in obstetrical care. Comprehensive, high-quality datasets on which to build these efforts are crucial to the success of obstetrical quality improvement efforts. However, existing data sources in obstetrics have notable limitations. Other medical and surgical specialties have addressed similar challenges through the creation of national registries, and we argue that obstetrics must take the same approach to improve outcomes. In this article, we summarized the current availability and limitations of large-scale data in obstetrics research and compared the data with registries developed in other specialties. Moreover, we have outlined the guiding principles for the development of a national obstetrics registry and have proposed future directions.

Indexed as

ObstetricsFemaleHealthcare DisparitiesHumansPregnancyQuality ImprovementRacial GroupsRegistriesUnited StateshealthcareObstetrics / standardspregnancyquality indicatorsUnited States

Identifiers

PMID36404523
PMCPMC10065844

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.