SynthesisThe Cochrane database of systematic reviews2001
Labour assessment programs to delay admission to labour wards.
Synthesis in The Cochrane database of systematic reviews, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
What it found
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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
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Assessment and support during early labour for improving birth outcomes.The Cochrane database of systematic reviews · 2017Pooled it
- Facilitators and barriers to quality of care in maternal, newborn and child health: a global situational analysis through metareview.BMJ open · 2014Pooled it
- Antenatal education for self-diagnosis of the onset of active labour at term.The Cochrane database of systematic reviews · 2000Pooled it
- Effects of algorithm for diagnosis of active labour: cluster randomised trial.BMJ (Clinical research ed.) · 2008Trial
- Article
- Variations in outcomes for women admitted to hospital in early versus active labour: an observational study.BMC pregnancy and childbirth · 2020Observational
- Placental Lesions in Meconium Aspiration Syndrome.Journal of pathology and translational medicine · 2017Article
- Victorian paramedics' encounters and management of women in labour: an epidemiological study.BMC pregnancy and childbirth · 2015Article
- Risk factors differentiating mild/moderate from severe meconium aspiration syndrome in meconium-stained neonates.Obstetrics & gynecology science · 2015Article
- The frequency and clinical significance of intra-amniotic inflammation in women with preterm uterine contractility but without cervical change: do the diagnostic criteria for preterm labor need to be changed?The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2012Article
- Use of uterine electromyography to diagnose term and preterm labor.Acta obstetricia et gynecologica Scandinavica · 2011Review
- An overview of systematic reviews of normal labor and delivery management.Iranian journal of nursing and midwifery researchReview
Corrections and comments
- Update of
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of labour assessment programs is to delay hospital admission until labour is in the active phase, and thereby to prevent unnecessary interventions in women who are not in established labour.
objectivesThe objective of this review was to assess the effects of labour assessment programs that aim to delay hospital admission until labour is in the active phase. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. Date of last search: January 2001. SELECTION CRITERIA: Randomised trials which compare labour assessment programs with direct admission to labour wards. DATA COLLECTION AND ANALYSIS: Trial quality was assessed. MAIN
resultsOne study of 209 women was included. The trial was of excellent quality. Women who were randomised to the labour assessment unit spent less time in the labour ward (weighted mean difference -5.20 hours, 95% confidence interval -7.06, -3.34), were less likely to receive intrapartum oxytocics (odds ratio 0.45, 95% confidence interval 0.25 to 0.80) and analgesia (odds ratio 0.36, 95% confidence interval 0.16 to 0.78), than women who were admitted directly to the labour ward. Women in the labour assessment group reported higher levels of control during labour (weighted mean difference 16.00, 95% confidence interval 7.52 to 24.48). There is insufficient evidence to assess effects on rate of caesarean section and other important measures of maternal and neonatal outcome. REVIEWER'S
conclusionsLabour assessment programs, which aim to delay hospital admission until active labour, may benefit women with term pregnancies.
Indexed as
Identifiers
11686969What OpenQuestion 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 OpenQuestion graph.