Evidence map›Paper›PMID 36675370›Full record

ArticleJournal of clinical medicine2023

Predictive Value of MRI Pelvimetry in Vaginal Delivery and Its Practicability in Prolonged Labour-A Prospective Cohort Study.

Juan Li, Ying Lou, Cheng Chen, Weizeng Zheng, Yuan Chen, Tian Dong, Mengmeng Yang, Baihui Zhao, Qiong Luo

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06485323 (MRI Pseudo-CT Sequences for Obstetrical Pelvimetry), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.0field-weighted citation impact, top 6% 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.

NCT06485323 narecruitingnot on this map

MRI Pseudo-CT Sequences for Obstetrical Pelvimetry

TypeinterventionalSponsorCliniques universitaires Saint-Luc- Université Catholique de LouvainRan2023 to 2026Enrolled95ConditionsObstetric Labor ComplicationsArmsMRI pelvimetry
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Evidence for the benefit of prenatal pelvimetry in breech presentation at term: A low intertuberous distance is associated with assisted head delivery and short-term neonatal morbidity.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  5. Review
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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

9 authors at 1 institution in 1 country.

Juan LiDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.ORCID 0000-0003-1459-5984
Ying LouDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
Cheng ChenDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
Weizeng ZhengDepartment of Radiology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
Yuan ChenDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
Tian DongDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
Mengmeng YangDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
Baihui ZhaoDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.ORCID 0000-0002-9526-2278
Qiong LuoDepartment of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
Women's Hospital, School of Medicine, Zhejiang University · CN

Funding

Scientific Research Foundation of the National Health Commission WKJ-ZJ-212Zhejiang Provincial Natural Science Foundation LQ20H040008
6 · The paper itself

Abstract

backgroundPelvic dimensions are crucial variables in the labour process. We used magnetic resonance imaging (MRI) pelvimetry to predict the probability of vaginal delivery and distinguish the cephalopelvic disproportion risk in women with prolonged active labour.

methodsThis prospective cohort study enrolled term nulliparous women willing to undergo MRI pelvimetry and a trial of labour. A nomogram, with vaginal birth as the outcome, was developed and evaluated by calibration curve and decision curve analyses. The pairwise association between maternal and fetal parameters and a prolonged first stage of labour was quantified.

resultsHead circumference (HC), abdominal circumference (AC), intertuberous distance (ITD), interspinous diameter (ISD), and body mass index (BMI) were introduced to develop a nomogram with good diagnostic performance (area under the curve = 0.799, sensitivity = 83%, and specificity = 73%). The cephalopelvic index of diameter (CID) in 54 women with a prolonged first stage of labour was much smaller in those who delivered via cesarean section compared with those who delivered vaginally (18.09 ± 1.14 vs. 21.29 ± 1.06;

conclusionsAn MRI pelvimetry-based nomogram may predict the probability of vaginal delivery. Practitioners should reassess the pelvimetry parameters to decide whether the trial of labour should be continued if it is prolonged.

Indexed as

MRI pelvimetrynomogrampredictive modelprolonged labourvaginal delivery

Identifiers

PMID36675370
PMCPMC9862888
OpenAlexW4313569635

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.