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Active delivery of the anterior arm and incidence of second-degree perineal tears: a clinical practice evaluation

Overview of attention for article published in BMC Pregnancy and Childbirth, May 2017
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  • Average Attention Score compared to outputs of the same age and source

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1 X user
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2 Facebook pages
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1 Wikipedia page

Citations

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16 Dimensions

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Title
Active delivery of the anterior arm and incidence of second-degree perineal tears: a clinical practice evaluation
Published in
BMC Pregnancy and Childbirth, May 2017
DOI 10.1186/s12884-017-1322-8
Pubmed ID
Authors

Nicolas Mottet, Marine Bonneaud, Astrid Eckman-Lacroix, Rajeev Ramanah, Didier Riethmuller

Abstract

Evaluate the feasibility of active delivery of the anterior arm during spontaneous delivery. This maneuver could decrease incidence of second-degree perineal tears because it reduces fetal biacromial diameter. An observational comparative prospective study was conducted at our teaching maternity from July 2012 to March 2013. The study included 199 nulliparous women ≥18 years, who met the following criteria: singleton pregnancy, vaginal delivery with occiput anterior presentation, on epidural analgesia, from 37 weeks of gestation onward. The distribution of rate and type of perineal tears were compared between two groups: a non-exposed group and a group exposed to the maneuver. A total of 101 patients were exposed to Couder's maneuver (CM) and 98 patients were not exposed. In the intervention group, 3 failures of the maneuver were reported. The maneuver was considered easy in 80% of cases, moderately easy in 12% and difficult in 8% of cases. There was a significant difference (p = 0.03) in the distribution of perineal tears between the two groups. There was a significant reduction (p < 0.001) in the number of second-degree perineal tears in the patients exposed to CM. There was no significant difference in the rate of anterior perineal trauma between the exposed and non-exposed arms. CM in primiparous women at term is feasible with a low failure rate and influences the distribution of perineal tears by lowering second-degree perineal tears in a highly significant manner (p <0.01).

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X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 49 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 49 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 14%
Student > Bachelor 6 12%
Student > Master 5 10%
Professor > Associate Professor 3 6%
Other 2 4%
Other 8 16%
Unknown 18 37%
Readers by discipline Count As %
Medicine and Dentistry 17 35%
Nursing and Health Professions 8 16%
Linguistics 1 2%
Arts and Humanities 1 2%
Psychology 1 2%
Other 1 2%
Unknown 20 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 August 2022.
All research outputs
#6,548,970
of 23,206,358 outputs
Outputs from BMC Pregnancy and Childbirth
#1,836
of 4,270 outputs
Outputs of similar age
#103,371
of 310,581 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#41
of 76 outputs
Altmetric has tracked 23,206,358 research outputs across all sources so far. This one has received more attention than most of these and is in the 70th percentile.
So far Altmetric has tracked 4,270 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.9. This one has gotten more attention than average, scoring higher than 55% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 310,581 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 65% of its contemporaries.
We're also able to compare this research output to 76 others from the same source and published within six weeks on either side of this one. This one is in the 46th percentile – i.e., 46% of its contemporaries scored the same or lower than it.