SynthesisBJOG : an international journal of obstetrics and gynaecology2019
Diagnostic accuracy of the partograph alert and action lines to predict adverse birth outcomes: a systematic review.
Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Routine vaginal examinations compared to other methods for assessing progress of labour to improve outcomes for women and babies at term.The Cochrane database of systematic reviews · 2022Pooled it
- Diagnostic accuracy of the partograph alert and action lines to predict adverse birth outcomes: a systematic review.BJOG : an international journal of obstetrics and gynaecology · 2019Pooled it
- Labour monitoring and decision support: a machine-learning-based paradigm.Frontiers in global women's health · 2025Article
- Inconsistent definitions of prolonged labor in international literature: a scoping review.AJOG global reports · 2024Article
- Labor curves based on cervical dilatation over time and their accuracy and effectiveness: A systematic scoping review.PloS one · 2024Article
- First stage of labour duration and associated risk of adverse neonatal outcomes.Scientific reports · 2023Article
- The evolution of the labor curve and its implications for clinical practice: the relationship between cervical dilation, station, and time during labor.American journal of obstetrics and gynecology · 2023Review
- The duration of spontaneous active and pushing phases of labour among 75,243 US women when intervention is minimal: A prospective, observational cohort study.EClinicalMedicine · 2022Article
- The perspectives of nurse-midwives and doctors on clinical challenges of prolonged labor: A qualitative study from Tanzania.European journal of midwifery · 2022Article
- WHO next-generation partograph: revolutionary steps towards individualised labour care.BJOG : an international journal of obstetrics and gynaecology · 2021Article
- The development of the WHO Labour Care Guide: an international survey of maternity care providers.Reproductive health · 2021Article
- First stage progression in women with spontaneous onset of labor: A large population-based cohort study.PloS one · 2020Article
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4 authors.
Funding
Abstract
backgroundThere are questions about the use of the 'one-centimetre per hour rule' as a valid benchmark for assessing the adequacy of labour progress.
objectivesTo determine the accuracy of the alert (1-cm/hour) and action lines of the cervicograph in the partograph to predict adverse birth outcomes among women in first stage of labour. SEARCH STRATEGY: PubMed, EMBASE, CINAHL, POPLINE, Global Health Library, and reference lists of eligible studies. SELECTION CRITERIA: Observational studies and other study designs reporting data on the correlation between the alert line status of women in labour and the occurrence of adverse birth outcomes. DATA COLLECTION AND ANALYSIS: Two reviewers at a time independently identified eligible studies and independently abstracted data including population characteristics and maternal and perinatal outcomes. MAIN
resultsThirteen studies in which 20 471 women participated were included in the review. The percentage of women crossing the alert line varied from 8 to 76% for all maternal or perinatal outcomes. No study showed a robust diagnostic test accuracy profile for any of the selected outcomes.
conclusionsThis systematic review does not support the use of the cervical dilatation over time (at a threshold of 1 cm/h during active first stage) to identify women at risk of adverse birth outcomes. TWEETABLE ABSTRACT: Alert line of partograph does not identify women at risk of adverse birth outcomes.
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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.