Evidence map›Paper›PMID 30873565›Full record

Observational studyRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2019

Exploring Obstetrical Interventions and Stratified Cesarean Section Rates Using the Robson Classification in Tertiary Care Hospitals in the United Arab Emirates.

Mahera Abdulrahman, Sara Saad Abdullah, Aminah Fuad Khalil Alaani, Noora Hassan AlAbdool, Fatma Elzahraa Yehia Sherif, Zainab SalahEldin Ahmed, Hiba Issa Al-Rawi, Nawal Mahmood Hubaishi, Muna AbdulRazzaq Tahlak, Frederick R Carrick

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  9. Robson's Ten Group Classification System to Evaluate Cesarean Section Rates in Honduras: The Relevance of Labor Induction.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 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

10 authors at 3 institutions in 3 countries.

Mahera AbdulrahmanDepartment of Medical Education and Research, Dubai Health Authority, Dubai, United Arab Emirates.ORCID 0000-0001-6271-3776
Sara Saad AbdullahDepartment of Primary Health Care, Dubai Medical College, Dubai, United Arab Emirates.
Aminah Fuad Khalil AlaaniDepartment of Primary Health Care, Dubai Medical College, Dubai, United Arab Emirates.
Noora Hassan AlAbdoolDepartment of Primary Health Care, Dubai Medical College, Dubai, United Arab Emirates.
Fatma Elzahraa Yehia SherifDepartment of Primary Health Care, Dubai Medical College, Dubai, United Arab Emirates.
Zainab SalahEldin AhmedDubai Health Authority, Latifa Hospital, Dubai, United Arab Emirates.
Hiba Issa Al-RawiDubai Health Authority, Dubai Hospital, Dubai, United Arab Emirates.
Nawal Mahmood HubaishiDubai Health Authority, Dubai Hospital, Dubai, United Arab Emirates.
Muna AbdulRazzaq TahlakDubai Health Authority, Latifa Hospital, Dubai, United Arab Emirates.
Frederick R CarrickBedfordshire Centre for Mental Health Research in association with University of Cambridge, Cambridge, United Kingdom.
Dubai Health Authority · AEDubai Medical College · AEHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of the present study was to explore obstetric management in relation to clinical, maternal and child health outcomes by using the Robson classification system.

methodsData was collected from obstetrics registries in tertiary care hospitals in Dubai, United Arab Emirates (UAE).

resultsThe analysis of > 5,400 deliveries (60% of all the deliveries in 2016) in major maternity hospitals in Dubai showed that groups 5, 8 and 9 of Robson's classification were the largest contributors to the overall cesarean section (CS) rate and accounted for 30% of the total CS rate. The results indicate that labor was spontaneous in 2,221 (45%) of the women and was augmented or induced in almost 1,634 cases (33%). The birth indication rate was of 64% for normal vaginal delivery, of 24% for emergency CS, and of 9% for elective CS. The rate of vaginal birth after cesarean was 261 (6%), the rate of external cephalic version was 28 (0.7%), and the rate of induction was 1,168 (21.4%). The prevalence of the overall Cesarean section was 33%; with majority (53.5%) of it being repeated Cesarean section.

conclusionThe CS rate in the United Arab Emirates (UAE) is higher than the global average rate and than the average rate in Asia, which highlights the need for more education of pregnant women and of their physicians in order to promote vaginal birth. A proper planning is needed to reduce the number of CSs in nulliparous women in order to prevent repeated CSs in the future. Monitoring both CS rates and outcomes is essential to ensure that policies, practices, and actions for the optimization of the utilization of CS lead to improved maternal and infant outcomes.

Indexed as

AdultAnalgesia, ObstetricalAnesthesia, EpiduralCesarean SectionChild HealthDelivery, ObstetricFemaleHumansLabor, InducedObstetrical ForcepsOxytocicsOxytocinPregnancyPregnancy, MultiplePregnancy OutcomePrenatal CareOxytocicsOxytocin

Identifiers

PMID30873565
PMCPMC10309271
OpenAlexW2922386708

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.