Evidence map›Paper›PMID 19426513›Full record

ArticleBMC pregnancy and childbirth2009

Caesarean section in four South East Asian countries: reasons for, rates, associated care practices and health outcomes.

Mario R Festin, Malinee Laopaiboon, Porjai Pattanittum, Melissa R Ewens, David J Henderson-Smart, Caroline A Crowther, SEA-ORCHID Study Group

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC pregnancy and childbirth, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Peppermint drop effect on ileus following cesarean section.Journal of family medicine and primary care · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mario R FestinDepartment of Obstetrics and Gynecology, College of Medicine, University of the Philippines Manila, Manila 1000, Philippines. mfestinmd@yahoo.com
Malinee Laopaiboon
Porjai Pattanittum
Melissa R Ewens
David J Henderson-Smart
Caroline A Crowther
SEA-ORCHID Study Group

Funding

Wellcome TrustWellcome Trust 071672/Z/03/Z
6 · The paper itself

Abstract

backgroundCaesarean section is a commonly performed operation on women that is globally increasing in prevalence each year. There is a large variation in the rates of caesarean, both in high and low income countries, as well as between different institutions within these countries. This audit aimed to report rates and reasons for caesarean and associated clinical care practices amongst nine hospitals in the four South East Asian countries participating in the South East Asia-Optimising Reproductive and Child Health in Developing countries (SEA-ORCHID) project.

methodsData on caesarean rates, care practices and health outcomes were collected from the medical records of the 9550 women and their 9665 infants admitted to the nine participating hospitals across South East Asia between January and December 2005.

resultsOverall 27% of women had a caesarean section, with rates varying from 19% to 35% between countries and 12% to 39% between hospitals within countries. The most common indications for caesarean were previous caesarean (7.0%), cephalopelvic disproportion (6.3%), malpresentation (4.7%) and fetal distress (3.3%). Neonatal resuscitation rates ranged from 7% to 60% between countries. Prophylactic antibiotics were almost universally given but variations in timing occurred between countries and between hospitals within countries.

conclusionRates and reasons for caesarean section and associated clinical care practices and health outcomes varied widely between the four South East Asian countries.

Indexed as

Medical AuditOutcome Assessment, Health CarePatient SelectionAntibiotic ProphylaxisAsia, SoutheasternBlood Loss, SurgicalCesarean SectionFemaleHealth StatusHumansInfant, NewbornPostnatal CarePregnancyPregnancy Outcome

Identifiers

PMID19426513
PMCPMC2695422

What OpenQuestion holds

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Registered trials

None linked

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.