{"id":"https://openalex.org/W7215901596","doi":"https://doi.org/10.17605/osf.io/7f56y","title":"Developing a Core Outcome Set for Interventions Undertaken During Caesarean Birth for the Management of an Impacted Fetal Head","display_name":"Developing a Core Outcome Set for Interventions Undertaken During Caesarean Birth for the Management of an Impacted Fetal Head","publication_year":2026,"publication_date":"2026-10-02","ids":{"openalex":"https://openalex.org/W7215901596","doi":"https://doi.org/10.17605/osf.io/7f56y"},"language":"en","primary_location":{"id":"doi:10.17605/osf.io/7f56y","doi":"https://doi.org/10.17605/osf.io/7f56y","is_oa":true,"landing_page_url":"https://doi.org/10.17605/osf.io/7f56y","pdf_url":null,"source":{"id":"https://openalex.org/S7407050956","display_name":"Open Science Framework","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"},"parent_works":[],"lineage":["https://openalex.org/W7215901596"],"child_works_count":0,"type":"study-registration","is_traditional":false,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.17605/osf.io/7f56y","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079983971","display_name":"Andrew Demetri","orcid":"https://orcid.org/0000-0002-2820-5919","observed_orcids":["https://orcid.org/0000-0002-2820-5919"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Andrew Demetri","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-2820-5919","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5079983971"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9185000061988831,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9185000061988831,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12443","display_name":"Delphi Technique in Research","score":0.06800000369548798,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.005799999926239252,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/impacted-fetal-head","display_name":"impacted fetal head","score":0.9729999899864197},{"id":"https://openalex.org/keywords/caesarean-birth","display_name":"caesarean birth","score":0.9509999752044678},{"id":"https://openalex.org/keywords/core-outcome-set","display_name":"core outcome set","score":0.8339999914169312},{"id":"https://openalex.org/keywords/obstetric-emergencies","display_name":"obstetric emergencies","score":0.7490000128746033},{"id":"https://openalex.org/keywords/outcome-standardization","display_name":"outcome standardization","score":0.5789999961853027},{"id":"https://openalex.org/keywords/disimpaction","display_name":"disimpaction","score":0.5299999713897705},{"id":"https://openalex.org/keywords/uterine-relaxation","display_name":"uterine relaxation","score":0.6639999747276306}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8547999858856201},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7164000272750854},{"id":"https://openalex.org/C2776279924","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Caesarean section","level":3,"score":0.6762999892234802},{"id":"https://openalex.org/C2779811377","wikidata":"https://www.wikidata.org/wiki/Q5445900","display_name":"Fetal head","level":4,"score":0.5906000137329102},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.46630001068115234},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.4120999872684479},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.3853999972343445},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.37709999084472656},{"id":"https://openalex.org/C2781144099","wikidata":"https://www.wikidata.org/wiki/Q1811189","display_name":"Obstructed labour","level":4,"score":0.3564999997615814},{"id":"https://openalex.org/C201305675","wikidata":"https://www.wikidata.org/wiki/Q852998","display_name":"Stakeholder","level":2,"score":0.3246999979019165},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3188000023365021},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C2908597655","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Caesarean delivery","level":4,"score":0.27230000495910645},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.27079999446868896},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.26669999957084656},{"id":"https://openalex.org/C2779319320","wikidata":"https://www.wikidata.org/wiki/Q901433","display_name":"Uterine rupture","level":3,"score":0.266400009393692},{"id":"https://openalex.org/C2776200494","wikidata":"https://www.wikidata.org/wiki/Q7075540","display_name":"Obstetric labor complication","level":3,"score":0.26420000195503235},{"id":"https://openalex.org/C2776210078","wikidata":"https://www.wikidata.org/wiki/Q351870","display_name":"Reproductive medicine","level":3,"score":0.25940001010894775},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2565999925136566},{"id":"https://openalex.org/C2777965401","wikidata":"https://www.wikidata.org/wiki/Q239385","display_name":"Home birth","level":4,"score":0.25279998779296875},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.25189998745918274},{"id":"https://openalex.org/C3018031340","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal morbidity","level":3,"score":0.250900000333786}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.17605/osf.io/7f56y","doi":"https://doi.org/10.17605/osf.io/7f56y","is_oa":true,"landing_page_url":"https://doi.org/10.17605/osf.io/7f56y","pdf_url":null,"source":{"id":"https://openalex.org/S7407050956","display_name":"Open Science Framework","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"}],"best_oa_location":{"id":"doi:10.17605/osf.io/7f56y","doi":"https://doi.org/10.17605/osf.io/7f56y","is_oa":true,"landing_page_url":"https://doi.org/10.17605/osf.io/7f56y","pdf_url":null,"source":{"id":"https://openalex.org/S7407050956","display_name":"Open Science Framework","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3159754184","https://openalex.org/W4392902174","https://openalex.org/W4415953413","https://openalex.org/W6925153998","https://openalex.org/W4385607290","https://openalex.org/W4399502245","https://openalex.org/W7213541498","https://openalex.org/W3046100389","https://openalex.org/W4402526085"],"abstract_inverted_index":{"Impacted":[0],"fetal":[1,75,442,467,521],"head":[2,76],"(IFH)":[3],"at":[4,77,168,330],"caesarean":[5,78,126,172,257,331,437,516],"birth":[6,332,438,517,540],"is":[7,116,120,176,229,296,350,425,554],"an":[8,131,174,335,648],"obstetric":[9,308],"emergency":[10],"which":[11,33],"can":[12,165],"have":[13,312,338],"potentially":[14],"serious":[15],"consequence":[16],"for":[17,291,306,333,411,416,433,465,490,512,565,569,651],"both":[18],"the":[19,65,71,156,169,180,196,199,204,214,225,234,263,276,279,285,303,307,316,324,357,361,370,407,418,447,476,585,589,629,664],"mother":[20,292],"and/or":[21],"fetus.":[22],"Until":[23],"recently,":[24],"there":[25,228,295,349,380],"was":[26,472,499],"no":[27,230,507],"universally":[28],"accepted":[29],"definition":[30,45,86],"of":[31,73,97,105,137,155,163,171,184,239,265,282,354,356,367,372,420,422,463,478,558,593,623,633,641,656,666,676],"IFH,":[32,132,283],"contributed":[34],"to":[35,134,178,202,206,212,216,221,250,254,299,318,391,398,403,426,439,474,518,528,587,662,673],"variation":[36],"in":[37,64,124,152,315,360,369,393,458,494,616,619,647],"clinical":[38,481,677],"recognition":[39],"and":[40,59,99,102,111,236,272,284,293,301,326,401,542,548,596,600,606,631,654],"reporting.":[41],"However,":[42,227,469],"a":[43,51,149,266,320,351,365,428,459,479,486,530,555,570,580,611,620,638],"consensus":[44,54,85,232,451,581],"has":[46,60],"now":[47],"been":[48,62,313],"developed":[49],"through":[50,579],"formal":[52],"stakeholder":[53],"process":[55,583],"involving":[56,584],"maternity":[57,159],"professionals":[58,544],"subsequently":[61],"published":[63],"RCOG":[66],"Scientific":[67],"Impact":[68],"Paper":[69],"on":[70,233,323,385,564],"management":[72,304,410],"impacted":[74,441,466,520],"birth.":[79],"This":[80,389,668],"study":[81,449,525],"will":[82,591,669],"adopt":[83],"that":[84,122,341,379,454,560],"throughout.":[87],"The":[88,140,523],"risks":[89,96,104],"associated":[90],"with":[91,259,364],"IFH":[92,147,175],"include":[93],"increased":[94],"maternal":[95,185],"bleeding":[98],"visceral":[100],"injuries,":[101],"neonatal":[103,187,387],"hypoxic":[106],"brain":[107],"injury,":[108],"intracranial":[109],"haemorrhage":[110],"skull":[112],"fracture.The":[113],"exact":[114],"incidence":[115],"unknown,":[117],"however":[118],"it":[119,625],"estimated":[121],"one":[123,375],"ten":[125],"births":[127],"are":[128,577],"complicated":[129],"by":[130,644],"amounting":[133],"approximately":[135],"1.5%":[136],"all":[138,491,566,617,645],"births.":[139],"NHS":[141],"Resolution":[142],"Early":[143],"Notification":[144],"Scheme":[145],"identified":[146,177],"as":[148,195,210],"contributory":[150],"factor":[151],"nearly":[153],"9%":[154],"most":[157,237,327,408,594],"expensive":[158],"claims.":[160],"A":[161,550],"number":[162],"interventions":[164,208,220,434,464,513],"be":[166,456,562,592,614],"employed":[167],"time":[170],"once":[173],"deliver":[179,203],"baby,":[181,205,294],"reducing":[182],"risk":[183],"or":[186,255,574],"harm.":[188],"These":[189],"range":[190],"from":[191,274,396,446],"simple":[192],"measures":[193],"such":[194,209],"operator":[197],"switching":[198],"hand":[200],"used":[201],"medical":[207],"medications":[211],"relax":[213],"uterus,":[215],"more":[217],"invasive":[218],"surgical":[219],"improve":[222],"access":[223],"into":[224],"uterus.":[226],"clear":[231],"safest":[235,325],"effective":[238,328,409],"these":[240,347],"techniques.":[241],"There":[242,505],"also":[243],"remains":[244,506],"controversy":[245],"over":[246],"some":[247],"newer":[248],"methods":[249],"manage":[251,440,519],"disimpaction":[252],"prior":[253],"during":[256,436,515],"birth,":[258],"recent":[260],"evidence":[261,661],"regarding":[262,287,406,452],"use":[264,665],"Fetal":[267],"Pillow\u2122":[268],"device":[269],"being":[270,344],"scrutinised":[271],"retracted":[273],"within":[275],"literature.":[277],"With":[278],"rising":[280],"prevalence":[281],"concerns":[286],"its":[288],"potential":[289],"consequences":[290],"increasing":[297],"momentum":[298],"research":[300,493,572,590],"evaluate":[302],"options":[305],"emergency.":[309],"Systematic":[310],"reviews":[311],"undertaken":[314,435,500,514,568],"area":[317,573,622,649],"give":[319],"clearer":[321],"picture":[322],"techniques":[329],"managing":[334],"IFH.":[336,412],"Reviews":[337],"suggested,":[339],"however,":[340],"despite":[342],"their":[343],"studies":[345,397,567,618,646,657],"offering":[346],"comparisons,":[348],"high":[352],"degree":[353],"heterogeneity":[355,421],"outcomes":[358,424,453,559,642],"reported":[359,423,563,615,643],"individual":[362],"studies,":[363],"lack":[366],"standardisation":[368],"measurement":[371,630],"outcomes.":[373,388,636],"Additionally,":[374],"systematic":[376],"review":[377],"commented":[378],"were":[381],"very":[382],"few":[383],"data":[384],"specific":[386,480,571,635],"leads":[390,402],"difficulty":[392],"combining":[394],"results":[395],"undertake":[399],"meta-analyses":[400],"inconclusive":[404],"findings":[405],"One":[413],"suggested":[414],"method":[415],"overcoming":[417],"issue":[419],"develop":[427,529],"core":[429,551,639],"outcome":[430,546,552],"set":[431,553,557,640],"(COS)":[432],"head.":[443,468,522],"Previous":[444],"work":[445,471],"MIDAS":[448],"sought":[450],"should":[455,561,613],"included":[457],"future":[460,492],"randomised":[461],"trial":[462,482],"this":[470,495],"designed":[473],"inform":[475],"development":[477],"rather":[483],"than":[484],"establish":[485],"Core":[487,509,531],"Outcome":[488,510,532],"Set":[489,511,533],"area.":[496],"Furthermore,":[497],"prioritisation":[498],"primarily":[501],"among":[502],"professional":[503],"stakeholders.":[504],"stakeholder-informed":[508],"present":[524],"therefore":[526],"aims":[527],"using":[534],"established":[535],"COS":[536,612],"methodology,":[537],"incorporating":[538],"women,":[539],"partners":[541],"healthcare":[543,603],"throughout":[545],"identification":[547],"prioritisation.":[549],"minimum":[556],"intervention.":[575],"They":[576],"created":[578],"driven":[582],"stakeholders":[586],"whom":[588],"interest":[595],"value,":[597],"including":[598],"patients":[599],"patients\u2019":[601],"family,":[602],"professionals,":[604],"researchers":[605],"other":[607,634],"interested":[608],"organisations.":[609],"Whilst":[610],"certain":[621],"research,":[624],"does":[626],"not":[627],"preclude":[628],"reporting":[632],"Having":[637],"allows":[650],"better":[652],"synthesis":[653],"analysis":[655],"producing":[658],"higher":[659],"quality":[660,675],"support":[663],"interventions.":[667],"then":[670],"ultimately":[671],"lead":[672],"improved":[674],"care.":[678]},"counts_by_year":[],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2026-10-03T00:00:00"}
