Evidence map›Paper›PMID 42659508›Full record

ArticleRevista brasileira de enfermagem2026

Complexity thinking as a guide for good, evolving, and disruptive obstetric practices.

Roseleia Regina Halmenschlager, Marli Terezinha Stein Backes, Janet Mercedes Arévalo-Ipanaqué, Dirce Stein Backes

Abstract read
In one paragraph

Article in Revista brasileira de enfermagem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Roseleia Regina HalmenschlagerUniversidade Franciscana. Santa Maria, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0001-7172-6018
Marli Terezinha Stein BackesUniversidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.ORCID http://orcid.org/0000-0003-3258-359X
Janet Mercedes Arévalo-IpanaquéUniversidad Peruana Cayetano Heredia. Lima, Peru.ORCID http://orcid.org/0000-0002-2205-0522
Dirce Stein BackesUniversidade Franciscana. Santa Maria, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0001-9447-1126

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesto reflect on good obstetric practices in light of complexity thinking.

methodsa theoretical-reflective essay that considered classic bibliographic sources and contemporary authors who defend the evolutionary dynamics of adaptive systems and, in parallel, provide theoretical-systemic support to the complex and inseparable phenomenon of "pregnancy, childbirth, and birth".

resultsby understanding pregnancy, childbirth, and birth as inseparable phenomena and integral parts of complex adaptive systems, it becomes possible to overcome disciplinary barriers, reduce hierarchical asymmetries, and promote horizontal, collegial, and mother-child dyad-centered care practices. FINAL CONSIDERATIONS: theoretical reflection on good obstetric practices, in light of complexity thinking, gives rise to disruptive, evolutionary, and sustainable formative paths, capable of overcoming disciplinary barriers and establishing horizontal, collegial, and systemic intervention processes in obstetrics.

Indexed as

ObstetricsThinkingFemaleHumansPregnancy

Identifiers

PMID42659508
PMCPMC13505562

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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.