Evidence map›Paper›PMID 39103622›Full record

ArticleArchives of gynecology and obstetrics2024

Predictors of maternal and neonatal outcomes in labors complicated by shoulder dystocia: a comparative analysis.

Daniel Tairy, Shalhevet Frank, Shir Lev, Yael Ganor Paz, Jacob Bar, Giulia Barda, Eran Weiner, Michal Levy

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

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 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. 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

8 authors.

Daniel TairyDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel. danieltairy1@gmail.com.ORCID 0000-0003-2690-5513
Shalhevet FrankDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel.
Shir LevDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel.
Yael Ganor PazDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel.
Jacob BarDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel.
Giulia BardaDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel.
Eran WeinerDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel.
Michal LevyDepartments of Obstetrics and Gynecology, The Edith Wolfson Medical Center Holon, Israel Affiliated with Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 5, Holon 58100, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStudies investigating the risk factors associated with unfavorable maternal/neonatal outcomes in cases of shoulder dystocia are scarce. This study aims to uncover the predictive factors that give rise to unfavorable outcomes within the context of shoulder dystocia. MATERIALS AND

methodsMedical records of pregnancies complicated by shoulder dystocia was obtained between 2008-2022 from a single tertiary center. This study involved the comparison of sociodemographic, sonographic, and delivery characteristics among pregnancies complicated by shoulder dystocia resulting in favorable vs. unfavorable maternal/neonatal outcomes.

resultsA total of 275 pregnancies were analyzed, with 111 (40.3%) classified as unfavorable outcomes and 164 (59.7%) as favorable outcomes. Employing a multivariable regression analysis, several independent associations were identified with unfavorable maternal/neonatal outcomes. Specifically, short maternal stature, pre-gestational diabetes, vacuum extraction, Wood's screw maneuver, and macrosomia merged as significant predictors of unfavorable maternal/neonatal outcomes.

conclusionShort maternal stature, pre-gestational diabetes, vacuum extraction, Wood's screw maneuver, and macrosomia may all contribute to poor maternal/neonatal outcomes in shoulder dystocia cases. This knowledge allows clinicians to improve their decision-making, patient care, and counseling.

Indexed as

Fetal MacrosomiaShoulder DystociaAdultBody HeightDiabetes, GestationalFemaleHumansInfant, NewbornPregnancyPregnancy OutcomeRetrospective StudiesRisk FactorsVacuum Extraction, ObstetricalMaternal outcomesNeonatal outcomesPredictorsShoulder dystocia

Identifiers

PMID39103622
PMCPMC11485283

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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.