Evidence map›Paper›PMID 37529553›Full record

ArticlePublic health action2023

S Huyghe, S Telo, E Danwesse, E Ali, W van den Boogaard, D Lagrou, S Caluwaerts, R N Ngbalé

Abstract readEnglish Abstract
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health action, 2023. 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
–field-weighted citation impact
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.

  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

8 authors.

S HuygheMédecins Sans Frontières Centre Opérationnel de Bruxelles, Mission en République Centrafricaine, Bangui, République Centrafricaine.
S TeloMédecins Sans Frontières Centre Opérationnel de Bruxelles, Mission en République Centrafricaine, Bangui, République Centrafricaine.
E DanwesseMédecins Sans Frontières Centre Opérationnel de Bruxelles, Mission en République Centrafricaine, Bangui, République Centrafricaine.
E AliMinistère de la Santé, Direction de la Santé, Luxembourg, Luxembourg.
W van den BoogaardMédecins Sans Frontières Centre Opérationnel de Bruxelles, Luxembourg Operational Research Unit (LuxOR), Luxembourg, Luxembourg.
D LagrouMédecins Sans Frontières Centre Opérationnel de Bruxelles, Département Médical, Bruxelles, Belgique.
S CaluwaertsMédecins Sans Frontières Centre Opérationnel de Bruxelles, Département Médical, Bruxelles, Belgique.
R N NgbaléCentre Hospitalier Universitaire Communautaire, Bangui, République Centrafricaine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal mortality rates remain high (882/100,000 births) in the Central African Republic (CAR), primarily due to frequent obstetric complications. Médecins Sans Frontières supports a referral maternity ward in the capital, Bangui.

objectivesTo describe the prevalence, associated factors and fatality of one of the most severe complications, uterine rupture, as well as the effect of a history of uterine surgery.

methodsThis is a cross-sectional study based on retrospectively collected data between January 2018 and December 2021 for women who delivered new-borns weighing over 1,000 g.

resultsOf 38,782 deliveries, 229 (0.6%) cases of uterine rupture were recorded. Factors associated with uterine rupture were parity ⩾5 (adjusted odds ratio [aOR] 7.5, 95% confidence interval [CI] 4.6-12.2), non-occipital foetal presentation (aOR 2.8, 95% CI 2.1-3.7) and macrosomia (OR 4, 95% CI 2.6-6.4). The fatality rate was 4.4%, and the stillbirth rate was 64%. Uterine rupture occurred in non-scarred uterus in 150 (66.1%) women. Adverse outcomes were more common in cases of uterine rupture on non-scarred uterus compared to scarred uterus, with higher maternal mortality (6% vs. 0%,

conclusionUterine rupture remains a major issue for maternal and perinatal health in the CAR, and efforts are needed to early detect risk factors and increase coverage of the comprehensive emergency obstetric and neonatal care.

Identifiers

PMID37529553
PMCPMC10380413

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.