Evidence map›Paper›PMID 36700375›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Interventional radiology in obstetric patients: A population-based record linkage study of use and outcomes.

Heather J Baldwin, Deborah A Randall, Richard Maher, Simon P West, Siranda Torvaldsen, Jonathan M Morris, Jillian A Patterson

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

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Prenatal hypertension as the risk of eclampsia, HELLP syndrome, and critical obstetric hemorrhage.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  3. 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

7 authors at 2 institutions in 1 country.

Heather J BaldwinThe University of Sydney Northern Clinical School, Women and Babies Research, St Leonards, New South Wales, Australia.
Deborah A RandallThe University of Sydney Northern Clinical School, Women and Babies Research, St Leonards, New South Wales, Australia.ORCID 0000-0002-5075-0227
Richard MaherDepartment of Radiology, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Simon P WestDepartment of Obstetrics and Gynaecology, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Siranda TorvaldsenThe University of Sydney Northern Clinical School, Women and Babies Research, St Leonards, New South Wales, Australia.
Jonathan M MorrisThe University of Sydney Northern Clinical School, Women and Babies Research, St Leonards, New South Wales, Australia.
Jillian A PattersonThe University of Sydney Northern Clinical School, Women and Babies Research, St Leonards, New South Wales, Australia.ORCID 0000-0002-9888-9818
The University of Sydney · AURoyal North Shore Hospital · AU

Funding

National Blood Authority ID405NSW Ministry of Health Prevention Research Support Program
6 · The paper itself

Abstract

introductionInterventional radiology (IR) is a technique for controlling hemorrhage and preserving fertility for women with serious obstetric conditions such as placenta accreta spectrum (PAS) or postpartum hemorrhage. This study examined maternal, pregnancy and hospital characteristics and outcomes for women receiving IR in pregnancy and postpartum. MATERIAL AND

methodsA population-based record linkage study was conducted, including all women who gave birth in hospital in New South Wales or the major tertiary hospital in the neighboring Australian Capital Territory, Australia, between 2003 and 2019. Data were obtained from birth and hospital records. Characteristics and outcomes of women who underwent IR in pregnancy or postpartum are described. Outcomes following IR were compared in a high-risk cohort of women: those with PAS who had a planned cesarean with hysterectomy. Women were grouped by those who did and those who did did not have IR and were matched using propensity score and other factors.

resultsWe identified IR in 236 pregnancies of 1 584 708 (15.0 per 100 000), including 208 in the delivery and 26 in a postpartum admission. Two-thirds of women receiving IR in the birth admission received a transfusion of red cells or blood products, 28% underwent hysterectomy and 12.5% were readmitted within 6 weeks. Other complications included: severe maternal morbidity (29.8%), genitourinary tract trauma/repair (17.3%) and deep vein thrombosis/pulmonary embolism (4.3%). Outcomes for women with PAS who underwent planned cesarean with hysterectomy were similar for those who did and did not receive IR, with a small reduction in transfusion requirement for those who received IR.

conclusionsInterventional radiology is infrequently used in pregnant women. In our study it was performed at a limited number of hospitals, largely tertiary centers, with the level of adverse outcomes reflecting use in a high-risk population. For women with PAS undergoing planned cesarean with hysterectomy, most outcomes were similar for those receiving IR and those not receiving IR, but IR may reduce bleeding.

Indexed as

Placenta AccretaPostpartum HemorrhageAustraliaCesarean SectionFemaleHumansHysterectomyParturitionPregnancyRadiology, InterventionalRetrospective Studiesballoon occlusion catheterizationobstetric hemorrhagepelvic arterial embolizationplacenta accreta spectrumpostpartum hemorrhageradiology

Identifiers

PMID36700375
PMCPMC9951351
OpenAlexW4318064986

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.