Evidence map›Paper›PMID 36735030›Full record

ArticleArchives of gynecology and obstetrics2024

Obstetric outcomes in Jehovah's Witnesses: case series over nine years in a London teaching hospital.

L Berg, A Dave, H Ye, J Wei, P Pattanakamjonkit, M Farah, W Yoong

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Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
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 3 institutions in 2 countries.

L BergDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK.
A DaveDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK.
H YeDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK.
J WeiSt. George's International School of Medicine, St. George's, Grenada.
P PattanakamjonkitSt. George's International School of Medicine, St. George's, Grenada.
M FarahDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK.
W YoongDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK. waiyoong@nhs.net.ORCID 0000-0001-7286-5968
North Middlesex Hospital · GBSt. George's University · GDNorth Middlesex University Hospital NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the study is to assess obstetric and fetal outcomes of Jehovah's Witnesses (JWs) mothers in an inner city teaching hospital, as well as to examine the acceptance rates of various blood fractions and blood transfusion alternatives.

methodsCase series to evaluate the maternal and fetal outcomes of JWs over a nine period between 2013 and 2021.

resultsThere were 146 pregnancies extracted from our database, of which 10 were early pregnancy losses. Data from 136 deliveries > 24 weeks' gestation were assessed, with a mean maternal age and gestational age of 30.26 (± 5.4) years and 38.7 (± 5.3) weeks, respectively. 57% had normal vaginal deliveries, 8% had instrumental births and 35% had caesarean births. Mean estimated blood loss at caesarean was 575 (± 305.6) mls, while the overall mean estimated loss was 427.8 (± 299.8) mls. Cell salvage was performed in all caesarean sections but autologous transfusion was only necessary for 26%. Consultant presence was documented in 62% of caesarean births. The mean birthweight and 5-min Apgar scores were 3.31 (± 0.05) kg and 9.1 (± 0.09), respectively. There were no maternal deaths or admissions to the adult intensive care unit and the most serious complication was a uterine rupture following a trial of scar, after which the baby required cooling for hypoxic ischaemic encephalopathy.

conclusionsPregnant JWs received obstetric care led by senior clinicians, with optimisation of haematinics, minimizing of blood loss at delivery and access to technology such as cell salvage.

Indexed as

Jehovah's WitnessesAdultBlood TransfusionDelivery, ObstetricFemaleHospitals, TeachingHumansLondonPregnancyCell salvageHaemorrhageJehovah’s WitnessPregnancy

Identifiers

PMID36735030
OpenAlexW4319062819

What OpenQuestion holds

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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.