Evidence map›Paper›PMID 38148072›Full record

ArticleIn vivo (Athens, Greece)

Maternal and Perinatal Outcome After Induction of Labor

Mathieu Pfleiderer, Elena Gilman, Berthold Grüttner, Jessika Ratiu, Peter Mallmann, Sunhwa Baek, Dominik Ratiu, Nina Mallmann-Gottschalk

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
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
0.3field-weighted citation impact, top 33% 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, 1 citations in OpenAlex.

  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 at 1 institution in 1 country.

Mathieu PfleidererDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Elena GilmanDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Berthold GrüttnerDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Jessika RatiuDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Peter MallmannDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Sunhwa BaekDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Dominik RatiuDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Nina Mallmann-GottschalkDepartment of Gynecology and Obstetrics, University Hospital of Cologne, Medical Faculty, Cologne, Germany nina.mallmann-gottschalk@uk-koeln.de.
University Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimDue to still controversial discussion regarding appropriate termination of low-risk singleton pregnancies beyond term, this retrospective study aimed to evaluate maternal and perinatal outcomes depending on gestational age and obstetric management. PATIENTS AND

methodsThis is a retrospective cohort analysis including 3.242 low-risk singleton deliveries at the Department of Obstetrics of the University Hospital of Cologne between 2017 and 2022. According to current national guidelines, the cohort was subdivided into three gestational groups, group 1: 40+0-40+6 weeks, group 2: 40+7-40+10 weeks and group 3>40+10 weeks.

resultsIn our cohort, advanced gestational age was associated with higher rates of secondary caesarean sections, lower rates of spontaneous vaginal deliveries, higher rates of meconium-stained amniotic fluid and depressed neonates with APGAR < 7 after 5 min. Analyzing obstetric management, induction of labor significantly increased the rate of secondary sections and reduced the rate of spontaneous deliveries, while the percentage of assistant vaginal deliveries was independent from obstetric management and gestational age. Induction of labor also significantly enhanced the need for tocolytic subpartu and epidural anesthesia and caused higher rates of abnormalities in cardiotocography (CTG), which also resulted in more frequent fetal scalp blood testing; however, the rate of fetal acidosis was independent of both obstetric management and gestational age.

conclusionOur study supports expectant management of low-risk pregnancies beyond term, as induction of labor increased the rate of secondary sections and did not improve perinatal outcome.

Indexed as

Cesarean SectionWatchful WaitingDelivery, ObstetricFemaleGestational AgeHumansInfant, NewbornLabor, InducedPregnancyPregnancy OutcomeRetrospective Studiesdelivery modeinduction of laborLow-risk pregnancymaternal outcomeobstetric management beyond termperinatal outcome

Identifiers

PMID38148072
PMCPMC10756460
OpenAlexW4390236387

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.