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Laparotomy in women with severe acute maternal morbidity: secondary analysis of a nationwide cohort study

Overview of attention for article published in BMC Pregnancy and Childbirth, February 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (70th percentile)

Mentioned by

blogs
1 blog

Citations

dimensions_citation
4 Dimensions

Readers on

mendeley
37 Mendeley
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Title
Laparotomy in women with severe acute maternal morbidity: secondary analysis of a nationwide cohort study
Published in
BMC Pregnancy and Childbirth, February 2018
DOI 10.1186/s12884-018-1688-2
Pubmed ID
Authors

Tom Witteveen, Athanasios Kallianidis, Joost J. Zwart, Kitty W. Bloemenkamp, Jos van Roosmalen, Thomas van den Akker

Abstract

Although pregnancy-related laparotomy is a major intervention, literature is limited to small case-control or single center studies. We aimed to identify national incidence rates for postpartum laparotomy related to severe acute maternal morbidity (SAMM) in a high-income country and test the hypothesis that risk of postpartum laparotomy differs by mode of birth. In a population-based cohort study in all 98 hospitals with a maternity unit in the Netherlands, pregnant women with SAMM according to specified disease and management criteria were included from 01/08/2004 to 01/08/2006. We calculated the incidence of postpartum laparotomy after vaginal and cesarean births. Laparotomies were analyzed in relation to mode of birth using all births in the country as reference. Relative risks (RR) were calculated for laparotomy following emergency and planned cesarean section compared to vaginal birth, excluding laparotomies following births before 24 weeks' gestation and hysterectomies performed during cesarean section. The incidence of postpartum laparotomy in women with SAMM in the Netherlands was 6.0 per 10,000 births. Incidence was 30.1 and 1.8 per 10,000 following cesarean and vaginal birth respectively. Compared to vaginal birth, RR of laparotomy after cesarean birth was 16.7 (95% confidence interval [95% CI] 12.2-22.6). RR was 21.8 (95% CI 15.8-30.2) for emergency and 10.5 (95% CI 7.1-15.6) for planned cesarean section. Risk of laparotomy, although small, was considerably elevated in women who gave birth by cesarean section. This should be considered in counseling and clinical decision making.

Mendeley readers

The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 19%
Unspecified 3 8%
Student > Doctoral Student 3 8%
Researcher 3 8%
Lecturer > Senior Lecturer 2 5%
Other 10 27%
Unknown 9 24%
Readers by discipline Count As %
Medicine and Dentistry 9 24%
Nursing and Health Professions 8 22%
Unspecified 3 8%
Business, Management and Accounting 2 5%
Arts and Humanities 2 5%
Other 3 8%
Unknown 10 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 6. 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 27 February 2018.
All research outputs
#2,865,310
of 12,570,318 outputs
Outputs from BMC Pregnancy and Childbirth
#782
of 2,303 outputs
Outputs of similar age
#79,162
of 271,265 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#1
of 1 outputs
Altmetric has tracked 12,570,318 research outputs across all sources so far. Compared to these this one has done well and is in the 76th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,303 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one has gotten more attention than average, scoring higher than 61% 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 271,265 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 70% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them