Evidence map›Paper›PMID 36536851›Full record

ArticleAJOG global reports2022

Pregnancy outcomes in breech presentation at term: a comparison between 2 third level birth center protocols.

Elisa Bevilacqua, Jacques C Jani, Federica Meli, Andrew Carlin, Giulia Bonanni, Margot Rimbault, Ilaria Ruggiano, Céline Quenon, Federica Romanzi, Antonio Lanzone and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AJOG global reports, 2022. 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
0.7field-weighted citation impact, top 28% 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, 4 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

11 authors at 3 institutions in 3 countries.

Elisa BevilacquaDepartment of Women's and Child Health Sciences and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy (Dr Bevilacqua, Meli, Romanzi, and Lanzone).
Jacques C JaniDepartment of Obstetrics and Gynaecology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium (Jani, Carlin, Rimbault, Ruggiano, Quenon, and Badr).
Federica MeliDepartment of Women's and Child Health Sciences and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy (Dr Bevilacqua, Meli, Romanzi, and Lanzone).
Andrew CarlinDepartment of Obstetrics and Gynaecology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium (Jani, Carlin, Rimbault, Ruggiano, Quenon, and Badr).
Giulia BonanniClinic of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy (Bonanni, and Lanzone).
Margot RimbaultDepartment of Obstetrics and Gynaecology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium (Jani, Carlin, Rimbault, Ruggiano, Quenon, and Badr).
Ilaria RuggianoDepartment of Women's and Child Health Sciences and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy (Dr Bevilacqua, Meli, Romanzi, and Lanzone).
Céline QuenonDepartment of Obstetrics and Gynaecology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium (Jani, Carlin, Rimbault, Ruggiano, Quenon, and Badr).
Federica RomanziDepartment of Women's and Child Health Sciences and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy (Dr Bevilacqua, Meli, Romanzi, and Lanzone).
Antonio LanzoneDepartment of Women's and Child Health Sciences and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy (Dr Bevilacqua, Meli, Romanzi, and Lanzone).
Dominique A BadrDepartment of Obstetrics and Gynaecology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium (Jani, Carlin, Rimbault, Ruggiano, Quenon, and Badr).
Université Libre de Bruxelles · BEAgostino Gemelli University Polyclinic · ITUniversity of the Sacred Heart · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical literature supports planned cesarean delivery for breech presentation at term because of observed reductions in neonatal morbidity and mortality compared with vaginal breech delivery.

objectiveThis study aimed to compare perinatal outcomes of singleton pregnancies with breech presentation at term according to the different delivery protocols of 2 teaching hospitals, where vaginal breech delivery (protocol 1) or cesarean delivery (protocol 2) is routinely offered, respectively. STUDY

designA retrospective matched cohort study was conducted between January 2015 and May 2021. A total of 1079 women were eligible for analysis. After matching for possible confounding factors, the final analysis was performed on 257 patients in each group. The primary outcomes were a composite of adverse obstetrical outcomes and a composite of neonatal adverse outcomes.

resultsOverall, 1079 women were eligible for analysis. After matching for possible confounding factors, the final analysis was performed on 257 patients in each group. The composite of adverse obstetrical outcomes was similar in the 2 groups (24.1% vs 24.5%;

conclusionShort-term, nonsevere adverse neonatal outcomes were significantly increased in the protocol 1 group. These must be balanced against the possible negative effects of cesarean delivery on long-term infant and maternal health.

Indexed as

breech presentationdelivery routeneonatal outcomeobstetrical outcome

Identifiers

PMID36536851
PMCPMC9758336
OpenAlexW4291238219

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.