ArticleAmerican journal of obstetrics and gynecology2015
Two practice models in one labor and delivery unit: association with cesarean delivery rates.
Article in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.
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.
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Who cites it
15 citing papers in PubMed, 58 citations in OpenAlex.
- Trial
- The Association of Expanded Access to a Collaborative Midwifery and Laborist Model With Cesarean Delivery Rates.Obstetrics and gynecology · 2015Trial
- Characteristics and outcomes associated with multiple triage visits among patients with suspected preterm labor or preterm premature rupture of membranes.AJOG global reports · 2025Article
- Analysis and trends of caesarean sections using Robson's classification over 7-year period at a rural teaching hospital.Journal of family medicine and primary care · 2024Article
- Staff Resources in Public and Private Hospitals and Their Implication for Medical Practice: A French Study of Caesareans.Healthcare (Basel, Switzerland) · 2024Article
- Examining provider practice-level disparities in delivery outcomes among patients with a history of Cesarean Delivery.BMC pregnancy and childbirth · 2024Article
- Clinicians' views of factors influencing decision-making for CS for first-time mothers-A qualitative descriptive study.PloS one · 2022Article
- Factors Associated with Meeting Obstetric Care Consensus Guidelines for Nulliparous, Term, Singleton, Vertex Cesarean Births.AJP reports · 2021Article
- Improving the Caesarean Decision by Robson Classification: A Population-Based Study by 5,323,500 Livebirth Data.Annals of global health · 2020Article
- Using the Robson 10-Group Classification System to Compare Cesarean Birth Utilization Between US Centers With and Without Midwives.Journal of midwifery & women's health · 2020Article
- Preventing Cesarean Birth in Women with Obesity: Influence of Unit-Level Midwifery Presence on Use of Cesarean among Women in the Consortium on Safe Labor Data Set.Journal of midwifery & women's health · 2020Article
- Variation in the Nulliparous, Term, Singleton, Vertex Cesarean Delivery Rate.Obstetrics and gynecology · 2018Observational
- Association between provider type and cesarean birth in healthy nulliparous laboring women: A retrospective cohort study.Birth (Berkeley, Calif.) · 2018Article
- Obstetrician call schedule and obstetric outcomes among women eligible for a trial of labor after cesarean.American journal of obstetrics and gynecology · 2017Article
- Variation in primary cesarean delivery rates by individual physician within a single-hospital laborist model.American journal of obstetrics and gynecology · 2016Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThe objective of the study was to examine the association between labor and delivery practice model and cesarean delivery rates at a community hospital. STUDY DESGIN: This was a retrospective cohort study of 9381 singleton live births at 1 community hospital, at which women were provided labor and delivery care under 1 of 2 distinct practice models: a traditional private practice model and a midwife-physician laborist practice model. Cesarean rates were compared by practice model, adjusting for potential sociodemographic and clinical confounders. Statistical comparisons were performed using the χ(2) test and multivariable logistical regression.
resultsCompared with women managed under the midwife/laborist model, women in the private model were significantly more likely to have a cesarean delivery (31.6% vs 17.3%; P < .001; adjusted odds ratio [aOR], 2.11; 95% confidence interval [CI], 1.73-2.58). Women with nulliparous, term, singleton, vertex gestations also were more likely to have a cesarean delivery if they were cared for in the private model (29.8% vs 15.9%; P < .001; aOR, 1.86; 95% CI, 1.33-2.58) as were women who had a prior cesarean delivery (71.3% vs 41.4%; P < .001; aOR, 3.19; 95% CI, 1.74-5.88).
conclusionIn this community hospital setting, a midwife-physician laborist practice model was associated with lower cesarean rates than a private practice model.
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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.