Evidence map›Paper›PMID 20708166›Full record

ArticleAmerican journal of obstetrics and gynecology2010

Contemporary cesarean delivery practice in the United States.

Jun Zhang, James Troendle, Uma M Reddy, S Katherine Laughon, D Ware Branch, Ronald Burkman, Helain J Landy, Judith U Hibbard, Shoshana Haberman, Mildred M Ramirez and 9 more

Abstract readMulticenter Study
In one paragraph

Article in American journal of obstetrics and gynecology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 246 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
246citing 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

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

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186 more citing papers are in PubMed but not listed here.

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

19 authors.

Jun ZhangEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
James Troendle
Uma M Reddy
S Katherine Laughon
D Ware Branch
Ronald Burkman
Helain J Landy
Judith U Hibbard
Shoshana Haberman
Mildred M Ramirez
Jennifer L Bailit
Matthew K Hoffman
Kimberly D Gregory
Victor H Gonzalez-Quintero
Michelle Kominiarek
Lee A Learman
Christos G Hatjis
Paul van Veldhuisen
Consortium on Safe Labor

Funding

Consortium on Safe LaborZIAHD008794 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GRANTZ, KATHERINE · 2009 to 2022
$3.2M
Intramural NIH HHS ZIA HD008794NICHD NIH HHS HHSN267200603425C
6 · The paper itself

Abstract

objectiveTo describe contemporary cesarean delivery practice in the United States. STUDY

designConsortium on Safe Labor collected detailed labor and delivery information from 228,668 electronic medical records from 19 hospitals across the United States, 2002-2008.

resultsThe overall cesarean delivery rate was 30.5%. The 31.2% of nulliparous women were delivered by cesarean section. Prelabor repeat cesarean delivery due to a previous uterine scar contributed 30.9% of all cesarean sections. The 28.8% of women with a uterine scar had a trial of labor and the success rate was 57.1%. The 43.8% women attempting vaginal delivery had induction. Half of cesarean for dystocia in induced labor were performed before 6 cm of cervical dilation.

conclusionTo decrease cesarean delivery rate in the United States, reducing primary cesarean delivery is the key. Increasing vaginal birth after previous cesarean rate is urgently needed. Cesarean section for dystocia should be avoided before the active phase is established, particularly in nulliparous women and in induced labor.

Indexed as

AdultCesarean SectionCesarean Section, RepeatCicatrixDatabases, FactualDystociaFemaleFetal DistressGestational AgeHumansLabor, InducedLabor PresentationLabor Stage, FirstMaternal AgeObesityParity

Identifiers

PMID20708166
PMCPMC2947574

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.