SynthesisThe Cochrane database of systematic reviews2017
Planned caesarean section versus planned vaginal birth for severe pre-eclampsia.
Synthesis in The Cochrane database of systematic reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Organoids in the Clinic: A Systematic Review of Outcomes.Cells, tissues, organs · 2023Pooled it
- The Association Between ABO Blood Group and Preeclampsia: A Systematic Review and Meta-Analysis.Frontiers in cardiovascular medicine · 2021Pooled it
- Beyond Assumptions: Racial and Delivery Method Outcomes in Pregnant Patients With Chiari Malformation.Cureus · 2025Article
- The Impact of Maternal Education on Neonatal Outcomes in Preeclamptic Pregnancies from a Low-Resource Settings.Journal of clinical medicine · 2025Article
- Planned Induction of Labour Versus Planned Caesarean Delivery in Women with Severe Pre-eclampsia at Term-a Randomized Controlled Trial.Journal of obstetrics and gynaecology of India · 2025Article
- Perceptions and experiences of the prevention, identification and management of pre-eclampsia and eclampsia: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Article
- Hypertensive Disorders of Pregnancy: Diagnosis, Management and Timing of Birth.Balkan medical journal · 2024Review
- AI-based preeclampsia detection and prediction with electrocardiogram data.Frontiers in cardiovascular medicine · 2024Article
- High prevalence of pre-eclampsia in women with coarctation of the aorta.European heart journal open · 2023Article
- Socioeconomic and epidemiological milieu of maternal death due to eclampsia in West Bengal, India: A mixed methods study.Health care science · 2023Article
- Maternal-fetal outcomes of women with hypertensive disorders of pregnancy.Revista da Associacao Medica Brasileira (1992) · 2023Article
- Description and outcomes of patients with eclampsia and severe pre-eclampsia in a rural hospital in North-Eastern Bihar: A retrospective study.Journal of family medicine and primary care · 2022Article
- Comparison of Fetomaternal Outcome Between Planned Vaginal Delivery and Planned Cesarean Section in Women with Eclampsia: Observational Study.Journal of obstetrics and gynaecology of India · 2021Article
- Effects of Modes and Timings of Delivery on Feto-Maternal Outcomes in Women with Severe Preeclampsia: A Multi-Center Survey in Mainland China.International journal of general medicine · 2021Article
- Clinical Effects of Integrated Traditional Chinese and Western Medicine in Treating Severe Preeclampsia and Its Influence on Maternal and Infant Outcomes after Cesarean Section under Combined Lumbar and Epidural Anesthesia.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Article
- Early preterm preeclampsia outcomes by intended mode of delivery.American journal of obstetrics and gynecology · 2019Article
- Induction, labor length and mode of delivery: the impact on preeclampsia-related adverse maternal outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPre-eclampsia is a very frequent complication of pregnancy, and anticipation of birth is often necessary. However, the best mode of giving birth remains to be established, although observational studies suggest better maternal and perinatal outcomes with vaginal birth.
objectivesTo assess the effects of a policy of planned caesarean section versus planned vaginal birth for women with severe pre-eclampsia on mortality and morbidity for mother and baby. SEARCH
methodsWe searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (6 September 2017) and reference lists of retrieved studies. SELECTION CRITERIA: We planned to include all randomised trials of planned caesarean section versus planned vaginal birth for pregnant women with severe pre-eclampsia. Quasi-randomised and non-randomised studies are not eligible for inclusion in this review.The focus of this review is severe pre-eclampsia; studies of planned caesarean section versus planned vaginal birth in pregnant women with eclampsia are not eligible for inclusion. DATA COLLECTION AND ANALYSIS: We identified no studies that met the inclusion criteria. We excluded two studies. MAIN
resultsThere are no included studies in this review. AUTHORS'
conclusionsThere is a lack of robust evidence from randomised controlled trials that can inform practice regarding planned caesarean section versus planned vaginal birth for women with severe pre-eclampsia. There is a need for high-quality randomised controlled trials to assess the short- and long-term effects of caesarean section and vaginal birth for these women and their babies.
Indexed as
Identifiers
What Socratic holds
Registered trials
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 Socratic graph.