ArticleObstetrics and gynecology2020
The Case for Standardizing Cesarean Delivery Technique: Seeing the Forest for the Trees.
Article in Obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05312775 (Single Versus Double-layer Closure of The Cesarean Scar In Niche Development), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled 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.
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.
Single Versus Double-layer Closure of The Cesarean Scar In Niche Development: A Randomized Clinical Trial
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Meta-analysis comparing different ultrasound detection methods to accurately assess wound healing and scar formation after caesarean section.International wound journal · 2024Pooled it
- Is cesarean scar defect becoming history? The effect of uterotomy closure.Revista da Associacao Medica Brasileira (1992) · 2025Trial
- Current practices in caesarean section training: A cross-sectional study comparing high- and low-middle-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Vertical versus transverse abdominal incision in placental abruption: a propensity score-matched study on the trade-off between speed and maternal-neonatal safety.Frontiers in medicine · 2026Article
- 'Making the Implicit Explicit': The Recommended Steps of a Caesarean Section, a Delphi Study Among South African Experts.Obstetrics and gynecology international · 2026Article
- Does craniocaudal extension of the hysterotomy reduce intraoperative complications compared with transverse extension in the case of emergency caesarean section?Acta obstetricia et gynecologica Scandinavica · 2026Article
- Prospective evaluation of cerebrospinal fluid concentrations of β-Endorphin as a predictor of opioid use after scheduled cesarean delivery.BMC pregnancy and childbirth · 2025Article
- Perinatal Outcomes in Extra vs. Transperitoneal Cesarean Delivery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of clinical medicine · 2025Review
- Evidence-based medical procedures to optimise caesarean outcomes: an overview of systematic reviews.EClinicalMedicine · 2025Review
- Interactions Between Endocannabinoid and Endogenous Opioid Systems Prospectively Influence Postoperative Opioid Use in Pregnant Patients Undergoing Cesarean Delivery.The journal of pain · 2024Article
- Evidence-based surgical procedures to optimize caesarean outcomes: an overview of systematic reviews.EClinicalMedicine · 2024Review
- Horizontal mattress uterine closure compared to single layered lock suture in cesarean section - A retrospective cohort study.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Does a dedicated "Scoliosis Team" and surgical standardization improve outcomes in adolescent idiopathic scoliosis surgery and is it reproducible?Spine deformity · 2023Article
- Impact of Intraoperative Factors on the Development of Postpartum Septic Complications.Medicina (Kaunas, Lithuania) · 2023Article
- Leveraging quality improvement to promote health equity: standardization of prenatal aspirin recommendations.BMC pregnancy and childbirth · 2023Article
- Article
- Article
- Impact of COVID-19-Related Lockdown on Delivery and Perinatal Outcomes: A Retrospective Cohort Study.Journal of clinical medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In this Commentary, we explain the case for a standardized cesarean delivery surgical technique. There are three strong arguments for a standardized approach to cesarean delivery, the most common major abdominal surgery performed in the world. First, standardization within institutions improves safety, efficiency, and effectiveness in health care delivery. Second, surgical training among obstetrics and gynecology residents would become more consistent across hospitals and regions, and proficiency in performing cesarean delivery measurable. Finally, standardization would strengthen future trials of cesarean delivery technique by minimizing the potential for aspects of the surgery which are not being studied to bias results. Before 2013, more than 155 randomized controlled trials, meta-analyses or systematic reviews were published comparing various aspects of cesarean delivery surgical technique. Since 2013, an additional 216 similar studies have strengthened those recommendations and offered evidence to recommend additional cesarean delivery techniques. However, this amount of cesarean delivery technique data creates a forest for the trees problem, making it difficult for a clinician to synthesize this volume of data. In response to this difficulty, we propose a comprehensive, evidence-based and standardized approach to cesarean delivery technique.
Indexed as
Identifiers
What OpenQuestion holds
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.