Evidence map›Paper›PMID 28825512›Full record

ReviewJournal of women's health (2002)2017

What Are Optimal Cesarean Section Rates in the U.S. and How Do We Get There? A Review of Evidence-Based Recommendations and Interventions.

Diana Montoya-Williams, Dominick J Lemas, Lisa Spiryda, Keval Patel, Josef Neu, Tiffany L Carson

Abstract readReview
In one paragraph

Review in Journal of women's health (2002), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Regional differences in autism and intellectual disability risk associated with cesarean section delivery.Autism research : official journal of the International Society for Autism Research · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
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

6 authors.

Diana Montoya-Williams1 Division of Neonatology, Department of Pediatrics, University of Florida , Gainesville, Florida.
Dominick J Lemas2 Department of Health Outcomes and Policy, University of Florida , Gainesville, Florida.
Lisa Spiryda3 Department of Obstetrics and Gynecology, University of Florida , Gainesville, Florida.
Keval Patel4 Department of Biology, College of Liberal Arts and Sciences, University of Florida, Gainesville, Florida.
Josef Neu1 Division of Neonatology, Department of Pediatrics, University of Florida , Gainesville, Florida.
Tiffany L Carson5 Division of Preventive Medicine, Department of Medicine, University of Alabama , Birmingham, Alabama.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cesarean sections (CSs) are the most commonly performed surgical procedures in the world today. Global epidemiological studies from the last decade suggest that the optimal CS rates in developed countries exist somewhere between 15% and 19%. Despite these findings, CS rates in the United States have remained stable at slightly over 32% over the past 10 years. Using primary and secondary literature published from 2010 to 2015, this review discusses how optimal CS rates were developed. In addition, we define a category of potentially avoidable CS (i.e., those conducted on nulliparous low-risk women who present with vertex infants at term) and explore how CS in this population appear to be one of the main drivers of high CS rates overall. The institutional, provider, and patient-related factors, which may be related to higher-than-recommended rates of CS, particularly those conducted in low-risk women, will be discussed. This review will then delve into clinician and patient-oriented interventions that have been shown to effectively reduce the rate of potentially avoidable CS. Our analysis showed that large-scale, multifaceted interventions that include audit and feedback cycles as well as peer review strategies were the most effective in decreasing rates of potentially avoidable CS. This review concludes with an agenda for future research into interventions that aim to achieve optimal CS rates.

Indexed as

Cesarean SectionElective Surgical ProceduresFemaleHumansInfant, NewbornLabor, InducedParityPregnancyPregnancy ComplicationsPregnancy OutcomeUnnecessary Proceduresasthmacesarean sectionsC-sectionsdiabetesobesity

Identifiers

PMID28825512
PMCPMC7643764

What OpenQuestion holds

Textmetadata
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.