Evidence map›Paper›PMID 37198580›Full record

SynthesisBMC pregnancy and childbirth2023

A systematic review of brachial plexus injuries after caesarean birth: challenging delivery?

Shireen Jaufuraully, Anjana Lakshmi Narasimhan, Daniel Stott, George Attilakos, Dimitrios Siassakos

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

Synthesis in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

5 authors at 2 institutions in 1 country.

Shireen JaufuraullyElizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK. s.jaufuraully@ucl.ac.uk.
Anjana Lakshmi NarasimhanUCL Medical School, University College London, London, UK.
Daniel StottElizabeth Garrett Anderson Wing, University College Hospital, London, UK.
George AttilakosElizabeth Garrett Anderson Wing, University College Hospital, London, UK.
Dimitrios SiassakosElizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.
University College London · GBNational Institute for Health Research · GB

Funding

Wellcome TrustWellcome Trust 203145/Z/16/Z
6 · The paper itself

Abstract

backgroundCaesarean section (CS) is widely perceived as protective against obstetric brachial plexus injury (BPI), but few studies acknowledge the factors associated with such injury. The objectives of this study were therefore to aggregate cases of BPI after CS, and to illuminate risk factors for BPI.

methodsPubmed Central, EMBASE and MEDLINE databases were searched using free text: ("brachial plexus injury" or "brachial plexus injuries" or "brachial plexus palsy" or "brachial plexus palsies" or "Erb's palsy" or "Erb's palsies" or "brachial plexus birth injury" or "brachial plexus birth palsy") and ("caesarean" or "cesarean" or "Zavanelli" or "cesarian" or "caesarian" or "shoulder dystocia"). Studies with clinical details of BPI after CS were included. Studies were assessed using the National Institutes for Healthy Study Quality Assessment Tool for Case Series, Cohort and Case-Control Studies. MAIN

results39 studies were eligible. 299 infants sustained BPI after CS. 53% of cases with BPI after CS had risk factors for likely challenging handling/manipulation of the fetus prior to delivery, in the presence of considerable maternal or fetal concerns, and/or in the presence of poor access due to obesity or adhesions.

conclusionsIn the presence of factors that would predispose to a challenging delivery, it is difficult to justify that BPI could occur due to in-utero, antepartum events alone. Surgeons should exercise care when operating on women with these risk factors.

Indexed as

Birth InjuriesBrachial PlexusBrachial Plexus NeuropathiesDystociaCase-Control StudiesCesarean SectionFemaleHumansParalysisPregnancyRisk FactorsBirth injuryBrachial plexus injuryCaesarean sectionerb’s palsyNeonatal injuryOperative birthZavanelli

Identifiers

PMID37198580
PMCPMC10190031
OpenAlexW4377010536

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.