{"id":13244,"date":"2016-07-20T15:19:00","date_gmt":"2016-07-20T22:19:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=13244"},"modified":"2023-01-29T13:11:47","modified_gmt":"2023-01-29T21:11:47","slug":"symphysiotomy-for-obstructed-labour-a-systematic-review-and-meta-analysis","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=13244","title":{"rendered":"Symphysiotomy for obstructed labour: a systematic review and meta-analysis"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">A Wilson, EG Truchanowicz, D Elmoghazy, C MacArthur, A Coomarasamy<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"173\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgyn.jpg\" alt=\"British Journal of Obstetrics and Gynaecology\" class=\"wp-image-15493\"\/><figcaption class=\"wp-element-caption\">British Journal of Obstetrics and Gynaecology<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br><strong>Background: <\/strong>Obstructed labour is a major cause of maternal mortality. Caesarean section can be associated with risks, particularly in low- and middle-income countries, where it is not always readily available. Symphysiotomy can be an alternative treatment for obstructed labour and requires fewer resources. However, there is uncertainty about the safety and effectiveness of this procedure. <\/p>\n\n\n\n<p><strong>Objectives: <\/strong>To compare symphysiotomy and caesarean section for obstructed labour. Search strategy: MEDLINE, EMBASE, Cochrane library, CINAHL, African Index Medicus, Reproductive Health Library and Science Citation Index (from inception to November 2015) without language restriction. <\/p>\n\n\n\n<p><strong>Selection criteria<\/strong>: Studies comparing symphysiotomy and caesarean section in all settings, with maternal and perinatal mortality as key outcomes. <\/p>\n\n\n\n<p><strong>Data collection and analysis<\/strong>: Quality of the included studies was assessed using the STROBE checklist and the Newcastle Ottawa scale. Relative risks (RR) were pooled using the random effects model. Heterogeneity was assessed using I2 tests. <\/p>\n\n\n\n<p><strong>Main results<\/strong>: Seven studies (n = 1266 women), all of which were set in low- and middle-income countries (as per the World Bank definition) and compared symphysiotomy and caesarean section were identified. Meta-analyses showed no significant difference in maternal (RR 0.48, 95% CI 0.13\u20131.76; P = 0.27) or perinatal (RR 1.12, 95% CI 0.64\u20131.96; P = 0.69) mortality with symphysiotomy when compared with caesarean section. There was a reduction in infection (RR 0.30, 95% CI 0.14\u20130.62) but an increase in fistulae (RR 4.19, 95% CI 1.07\u201316.39) and stress incontinence with symphysiotomy (RR 10.04, 95% CI 3.23\u201331.21). <\/p>\n\n\n\n<p><strong>Conclusion:<\/strong> There was no difference in key outcomes of maternal and perinatal mortality with symphysiotomy when compared with caesarean section. <\/p>\n\n\n\n<p><strong>Tweetable abstract: <\/strong>Symphysiotomy could be an alternative to caesarean section when resources are limited.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Wilson A, Truchanowicz E, Elmoghazy D, MacArthur C, Coomarasamy A. <a href=\"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.14040\">Symphysiotomy for obstructed labour: a systematic review and meta-analysis<\/a>. BJOG: An International Journal of Obstetrics and Gynaecology. 2016 Jul 20;1453-1461. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>A Wilson, EG Truchanowicz, D Elmoghazy, C MacArthur, A Coomarasamy AbstractBackground: Obstructed labour is a major cause of maternal mortality. Caesarean section can be associated with risks, particularly in low- and middle-income countries, where it is not always readily available. Symphysiotomy can be an alternative treatment for obstructed labour and requires fewer resources. However, there &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=13244\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Symphysiotomy for obstructed labour: a systematic review and meta-analysis&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,1405],"tags":[1667,1663,1664,1666,1665],"post_folder":[],"class_list":["post-13244","post","type-post","status-publish","format-standard","hentry","category-journal-article","category-obstetrics","tag-a-coomarasamy","tag-a-wilson","tag-c-macarthur","tag-d-elmoghazy","tag-eg-truchanowicz"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Symphysiotomy for obstructed labour: a systematic review and meta-analysis - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"No difference in maternal &amp; perinatal mortality in symphysiotomy &amp; caesarean. Symphysiotomy a possible alternative if resources are limited.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/library.consciencelaws.org\/?p=13244\" \/>\r\n<meta property=\"og:locale\" content=\"en_GB\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Symphysiotomy for obstructed labour: a systematic review and meta-analysis - Protection of Conscience Project Library\" \/>\r\n<meta property=\"og:description\" content=\"No difference in maternal &amp; perinatal mortality in symphysiotomy &amp; caesarean. Symphysiotomy a possible alternative if resources are limited.\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/library.consciencelaws.org\/?p=13244\" \/>\r\n<meta property=\"og:site_name\" content=\"Protection of Conscience Project Library\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.youtube.com\/user\/consciencepro\" \/>\r\n<meta property=\"article:published_time\" content=\"2016-07-20T22:19:00+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2023-01-29T21:11:47+00:00\" \/>\r\n<meta property=\"og:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgynog.jpg\" \/>\r\n\t<meta property=\"og:image:width\" content=\"600\" \/>\r\n\t<meta property=\"og:image:height\" content=\"338\" \/>\r\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\r\n<meta name=\"author\" content=\"Project Administrator\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgynog.jpg\" \/>\r\n<meta name=\"twitter:creator\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:site\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Project Administrator\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244\"},\"author\":{\"name\":\"Project Administrator\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\"},\"headline\":\"Symphysiotomy for obstructed labour: a systematic review and meta-analysis\",\"datePublished\":\"2016-07-20T22:19:00+00:00\",\"dateModified\":\"2023-01-29T21:11:47+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244\"},\"wordCount\":308,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/britjobstetgyn.jpg\",\"keywords\":[\"A Coomarasamy\",\"A Wilson\",\"C MacArthur\",\"D Elmoghazy\",\"EG Truchanowicz\"],\"articleSection\":[\"Journal Articles\",\"Obstetrics &amp; Gynecology\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244\",\"name\":\"Symphysiotomy for obstructed labour: a systematic review and meta-analysis - Protection of Conscience Project Library\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/britjobstetgyn.jpg\",\"datePublished\":\"2016-07-20T22:19:00+00:00\",\"dateModified\":\"2023-01-29T21:11:47+00:00\",\"description\":\"No difference in maternal & perinatal mortality in symphysiotomy & caesarean. Symphysiotomy a possible alternative if resources are limited.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#primaryimage\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/britjobstetgyn.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/britjobstetgyn.jpg\",\"width\":173,\"height\":230,\"caption\":\"British Journal of Obstetrics and Gynaecology\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13244#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/library.consciencelaws.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Symphysiotomy for obstructed labour: a systematic review and meta-analysis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"name\":\"Protection of Conscience Project Library\",\"description\":\"Service, not Servitude\",\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/library.consciencelaws.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\",\"name\":\"Protecton of Conscience Project\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"width\":1123,\"height\":1376,\"caption\":\"Protecton of Conscience Project\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.youtube.com\\\/user\\\/consciencepro\",\"https:\\\/\\\/x.com\\\/consciencpro\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\",\"name\":\"Project Administrator\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"caption\":\"Project Administrator\"},\"sameAs\":[\"https:\\\/\\\/www.consciencelaws.org\"],\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?author=1\"}]}<\/script>\r\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Symphysiotomy for obstructed labour: a systematic review and meta-analysis - Protection of Conscience Project Library","description":"No difference in maternal & perinatal mortality in symphysiotomy & caesarean. Symphysiotomy a possible alternative if resources are limited.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/library.consciencelaws.org\/?p=13244","og_locale":"en_GB","og_type":"article","og_title":"Symphysiotomy for obstructed labour: a systematic review and meta-analysis - Protection of Conscience Project Library","og_description":"No difference in maternal & perinatal mortality in symphysiotomy & caesarean. Symphysiotomy a possible alternative if resources are limited.","og_url":"https:\/\/library.consciencelaws.org\/?p=13244","og_site_name":"Protection of Conscience Project Library","article_publisher":"https:\/\/www.youtube.com\/user\/consciencepro","article_published_time":"2016-07-20T22:19:00+00:00","article_modified_time":"2023-01-29T21:11:47+00:00","og_image":[{"width":600,"height":338,"url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgynog.jpg","type":"image\/jpeg"}],"author":"Project Administrator","twitter_card":"summary_large_image","twitter_image":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgynog.jpg","twitter_creator":"@consciencpro","twitter_site":"@consciencpro","twitter_misc":{"Written by":"Project Administrator","Estimated reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/library.consciencelaws.org\/?p=13244#article","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/?p=13244"},"author":{"name":"Project Administrator","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098"},"headline":"Symphysiotomy for obstructed labour: a systematic review and meta-analysis","datePublished":"2016-07-20T22:19:00+00:00","dateModified":"2023-01-29T21:11:47+00:00","mainEntityOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=13244"},"wordCount":308,"commentCount":0,"publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=13244#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgyn.jpg","keywords":["A Coomarasamy","A Wilson","C MacArthur","D Elmoghazy","EG Truchanowicz"],"articleSection":["Journal Articles","Obstetrics &amp; Gynecology"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/library.consciencelaws.org\/?p=13244#respond"]}]},{"@type":"WebPage","@id":"https:\/\/library.consciencelaws.org\/?p=13244","url":"https:\/\/library.consciencelaws.org\/?p=13244","name":"Symphysiotomy for obstructed labour: a systematic review and meta-analysis - Protection of Conscience Project Library","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=13244#primaryimage"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=13244#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgyn.jpg","datePublished":"2016-07-20T22:19:00+00:00","dateModified":"2023-01-29T21:11:47+00:00","description":"No difference in maternal & perinatal mortality in symphysiotomy & caesarean. Symphysiotomy a possible alternative if resources are limited.","breadcrumb":{"@id":"https:\/\/library.consciencelaws.org\/?p=13244#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/library.consciencelaws.org\/?p=13244"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/?p=13244#primaryimage","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgyn.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/britjobstetgyn.jpg","width":173,"height":230,"caption":"British Journal of Obstetrics and Gynaecology"},{"@type":"BreadcrumbList","@id":"https:\/\/library.consciencelaws.org\/?p=13244#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/library.consciencelaws.org\/"},{"@type":"ListItem","position":2,"name":"Symphysiotomy for obstructed labour: a systematic review and meta-analysis"}]},{"@type":"WebSite","@id":"https:\/\/library.consciencelaws.org\/#website","url":"https:\/\/library.consciencelaws.org\/","name":"Protection of Conscience Project Library","description":"Service, not Servitude","publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/library.consciencelaws.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/library.consciencelaws.org\/#organization","name":"Protecton of Conscience Project","url":"https:\/\/library.consciencelaws.org\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","width":1123,"height":1376,"caption":"Protecton of Conscience Project"},"image":{"@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.youtube.com\/user\/consciencepro","https:\/\/x.com\/consciencpro"]},{"@type":"Person","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098","name":"Project Administrator","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","caption":"Project Administrator"},"sameAs":["https:\/\/www.consciencelaws.org"],"url":"https:\/\/library.consciencelaws.org\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/13244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13244"}],"version-history":[{"count":2,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/13244\/revisions"}],"predecessor-version":[{"id":15495,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/13244\/revisions\/15495"}],"wp:attachment":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13244"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13244"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13244"},{"taxonomy":"post_folder","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fpost_folder&post=13244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}