Evidence map›Paper›PMID 42733496›Full record

ReviewCureus2026

Maternal and Fetal Outcomes of Contemporary Obstetric Interventions: A Systematic Review.

Nikeeta Ashokrao Khanorkar, Sayantan Choudhury, Mimansa Bharti, Sujit Das, Jewel Jacob, Krishna Meher, Bhaskar Jyoti Paul

Abstract readReview
In one paragraph

Review in Cureus, 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

7 authors.

Nikeeta Ashokrao KhanorkarDepartment of Obstetrics and Gynaecology, Government Medical College, Nagpur, IND.
Sayantan ChoudhuryDepartment of Obstetrics and Gynaecology, Agartala Government Medical College (AGMC), Agartala, IND.
Mimansa BhartiDepartment of Obstetrics and Gynaecology, Maharani Laxmibai Medical College, Jhansi, IND.
Sujit DasDepartment of Obstetrics and Gynaecology, Agartala Government Medical College, Agartala, IND.
Jewel JacobDepartment of Obstetrics and Gynaecology, TSC Hospital, Thiruvananthapuram, IND.
Krishna MeherDepartment of Prasuti and Stree Roga, Sri Sri Nrusinghnath Ayurved College and Research Institute, Bargarh, IND.
Bhaskar Jyoti PaulDepartment of Obstetrics and Gynaecology, College of Medicine, University of Shaqra, Shaqraa, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Labour and delivery interventions play an important role in maternal and neonatal care, particularly when labour progress is delayed, fetal well-being is uncertain, or high-risk obstetric conditions are present. Current literature often examines these interventions separately, whereas clinical practice typically involves overlapping decisions regarding induction, augmentation, monitoring, caesarean timing, operative delivery, and newborn care. This review narratively summarised findings from 10 completed studies examining maternal, delivery, surgical, and neonatal outcomes across distinct obstetric interventions. As each intervention was represented by only one or two primary studies, the findings were presented as intervention-specific evidence and interpreted with appropriate caution. A systematic review approach was followed, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Database searching identified 337 records; after duplicate removal, screening, and eligibility assessment, 10 studies were included. The studies covered labour induction, oxytocin augmentation, electronic fetal monitoring, placenta previa, placenta accreta spectrum, caesarean delay, operative vaginal delivery, episiotomy, manual rotation, and essential newborn care practices. Combined misoprostol and Foley balloon use shortened the induction-to-delivery time, while sequential Foley use after misoprostol was linked to longer labour and a higher rate of caesarean delivery. Continuous fetal monitoring increased operative delivery without a clear neonatal benefit in low-risk labour. Planned delivery improved outcomes in placenta previa and placenta accreta spectrum, while caesarean delay increased severe maternal outcomes. Mediolateral episiotomy reduced obstetric anal sphincter injury in selected operative deliveries. Overall, timely, selective, and risk-based obstetric care appears essential for improving maternal and neonatal safety.

Indexed as

cesarean deliveryfetal monitoringlabour inductionneonatal outcomesobstetric interventions

Identifiers

PMID42733496
PMCPMC13571032

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.