Evidence map›Paper›PMID 30606156›Full record

ArticleBMC pregnancy and childbirth2019

Advanced cervical dilatation as a predictor for low emergency cesarean delivery: a comparison between migrant and non-migrant Primiparae - secondary analysis in Berlin, Germany.

Jürgen Breckenkamp, Eileen Marie Läcke, Wolfgang Henrich, Theda Borde, Silke Brenne, Matthias David, Oliver Razum

Abstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

7 authors.

Jürgen BreckenkampSchool of Public Health, Department of Epidemiology & International Public Health, Bielefeld University, Bielefeld, Germany. juergen.breckenkamp@uni-bielefeld.de.
Eileen Marie LäckeSchool of Public Health, Department of Epidemiology & International Public Health, Bielefeld University, Bielefeld, Germany.
Wolfgang HenrichObstetrics Clinics, Charité University Medicine Berlin, Campus Virchow-Klinikum and Mitte, Berlin, Germany.
Theda BordeAlice Salomon Hochschule Berlin, University of Applied Sciences, Berlin, Germany.
Silke BrenneClinic for Gynaecology, Charité University Medicine Berlin, Campus Virchow-Klinikum, Berlin, Germany.
Matthias DavidClinic for Gynaecology, Charité University Medicine Berlin, Campus Virchow-Klinikum, Berlin, Germany.
Oliver RazumSchool of Public Health, Department of Epidemiology & International Public Health, Bielefeld University, Bielefeld, Germany.

Funding

Deutsche Forschungsgemeinschaft DA 1199/2-1
6 · The paper itself

Abstract

backgroundCesarean rates are higher in women admitted to labor ward during early stages rather than at later stages of labor. In a study in Germany, crude cesarean rates among Turkish and Lebanese immigrant women were low compared to non-immigrant women. We evaluated whether these immigrant women were admitted during later stages of labor, and if so, whether this explains their lower cesarean rates.

methodsWe enrolled 1413 nulliparous women with vertex pregnancies, singleton birth, and 37+ week of gestation, excluding elective cesarean deliveries, in three Berlin obstetric hospitals. We applied binary logistic regression to adjust for social and obstetric factors; and standardized coefficients to rank predictors derived from the regression model.

resultsAt the time of admission to labor ward, a smaller proportion of Turkish migrant women was in the active phase of labor (cervical dilation: 4+ cm), compared to women of Lebanese origin and non-immigrant women. Rates of cesarean deliveries were lower in women of Turkish and Lebanese origin (15.8 and 13.9%) than in non-immigrant women (23.9%). In the logistic regression analysis, more advanced cervical dilatation was inversely associated with the outcome cesarean delivery (OR: 0.76, 95%CI: 0.70-0.82). In addition, higher maternal age (OR: 1.06, 95%CI: 1.04-1.09), application of oxytocic agents (OR: 0.55, 95%CI: 0.42-0.72), and obesity (OR: 2.25, 95%CI: 1.51-3.34) were associated with the outcome. Ranking of predictors indicate that cervical dilatation is the most relevant predictor derived from the regression model.

conclusionsAdvanced cervical dilatation at the time of admission to labor ward does not explain lower emergency cesarean delivery rates in Turkish and Lebanese migrant women, despite the fact that this is the strongest among the predictors for emergency cesarean delivery identified in this study.

Indexed as

AdolescentAdultBerlinCesarean SectionFemaleHumansLabor, ObstetricLabor Stage, FirstLebanonLogistic ModelsMaternal AgeMiddle AgedParityPatient AdmissionPregnancyRisk FactorsCesarean deliveryFetal macrosomiaGestational weight gainImmigrant womenMaternal obesity

Identifiers

PMID30606156
PMCPMC6318868

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.