Evidence map›Paper›PMID 38148051›Full record

ArticleIn vivo (Athens, Greece)

Shifting Trends in Obstetrics: An 18-year Analysis of Low-risk Births at a German University Hospital.

Dominik Ratiu, Al-Qaddo Hayder, Elena Gilman, Sebastian Ludwig, Jessika Ratiu, Nina Mallmann-Gottschalk, Peter Mallmann, Berthold Gruttner, Sunhwa Baek

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). 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
0.6field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
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.

Dominik RatiuDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Al-Qaddo HayderDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Elena GilmanDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Sebastian LudwigDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Jessika RatiuDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Nina Mallmann-GottschalkDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Peter MallmannDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Berthold GruttnerDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Sunhwa BaekDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany sunhwa.baek@uk-koeln.de.
University Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimAt the beginning of the 21 PATIENTS AND

methodsIn this retrospective study, the low-risk singleton birth of 955 in 2000/2001 and 944 births in 2018 at the Women's University Hospital Cologne were analyzed.

resultsThe age of women who tended to give birth has significantly increased at present compared to 20 years ago. In 2018, labor was induced significantly more often than in 2000/2001. The rate of vaginal operative deliveries has fluctuated between 15% and 20% in the last 20 years. Forceps are no longer used. The use of episiotomy has taken a fundamental turn in the last 20 years. Prophylactic episiotomy is not performed anymore, most vaginal operative deliveries take place without the episiotomy. The birth duration has been significantly shortened at present compared to 20 years ago.

conclusionPregnancy and childbirth over the last years are not considered as a disease, but as a natural course, and the trend of minimizing interventions in low-risk delivery has a positive effect on childbirth.

Indexed as

Delivery, ObstetricObstetricsEpisiotomyFemaleHospitalsHumansPregnancyRetrospective StudiesRisk Factorsbirth inductionbirth injurieschange in trend in obstetricsduration of birthepidural anesthesia during birthepisiotomyEvidence-based medicine in obstetricslow-risk birthvaginal-operative deliveries

Identifiers

PMID38148051
PMCPMC10756433
OpenAlexW4390235809

What OpenQuestion holds

Textmetadata
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.