Evidence map›Paper›PMID 39663788›Full record

ArticleTurkish journal of obstetrics and gynecology2024

Comparison of obstetric, neonatal, and surgical outcomes of emergency and planned deliveries in pregnancies complicated by placenta previa and in subgroups with and without placenta accreta spectrum.

Emre Sertel, Merve Demir, Şimal Üçüzler, Çağcıl Yetim, Arzu Yavuz

Abstract read
In one paragraph

Article in Turkish journal of obstetrics and gynecology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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.

Emre SertelKocaeli City Hospital, Clinic of Obstetrics and Gynecology, Kocaeli, Turkey.ORCID 0000-0001-5797-906X
Merve DemirBahçeşehir University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey.ORCID 0000-0003-3721-8647
Şimal ÜçüzlerBahçeşehir University Faculty of Medicine, İstanbul, Turkey.ORCID 0009-0009-1390-095X
Çağcıl YetimMedicana Ataköy Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID 0000-0001-5859-5391
Arzu YavuzKocaeli City Hospital, Clinic of Obstetrics and Gynecology, Kocaeli, Turkey.ORCID 0000-0001-9137-1963

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to compare emergency and planned cesarean section cases in pregnancies complicated with placenta previa (PP) and subgroups with and without placenta accreta spectrum (PAS) in terms of obstetric, neonatal, and surgical outcomes. Materials and Methods: This retrospective cohort study included 128 patients diagnosed with PP who underwent cesarean section. Obstetric, neonatal, and surgical outcomes of all cases with PP and subgroups with and without PAS were compared according to whether they were emergency or planned cesarean section. Results: Of the 128 women with PP, 60 planned and 68 underwent emergency cesarean section. In all patients with PP and in the PAS and non-PAS subgroups, the neonatal outcomes of patients who underwent emergency cesarean section were more negative than those of patients who underwent planned cesarean section. It was observed that more hysterectomy were performed in the emergency group than in the elective group in all patients with PP and PAS patients (p=0.027 and p=0.012 respectively). It was observed that patients with PP and non-PAS were hospitalized after cesarean section for a longer period of time in the emergency group than in the planned group (p=0.044 and p=0.002 respectively). Conclusion: Planned cesarean section leads to better obstetric, neonatal, and surgical outcomes compared with emergency cesarean section in pregnancies complicated by PP, especially in those with PAS. Our findings suggest that planned delivery strategies should be considered for patients with PP. Decisions regarding the timing of delivery should balance maternal risks and benefits with fetal and fetal risks and benefits.

Indexed as

emergency deliveryhysterectomyplacenta accreta spectrumPlacenta previasurgical outcomes

Identifiers

PMID39663788
PMCPMC11635728

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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.