ReviewSeminars in fetal & neonatal medicine2021
Cesarean delivery in low- and middle-income countries: A review of quality of care metrics and targets for improvement.
Review in Seminars in fetal & neonatal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- The Cost and Cost-Effectiveness of Childbirth Settings: A Systematic Review.Applied health economics and health policy · 2025Pooled it
- Mortality rate and risk factors for relaparotomy after caesarean section: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Multi-professional simulation training on prolonged labor in Tanzania: A quasi-experimental, pre-post interventional study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Burden and Awareness of Pelvic Floor Disorders Among Pregnant Women in Addis Ababa, Ethiopia: A Hospital-Based Study.International urogynecology journal · 2026Article
- Prevalence, factors associated, and adverse maternal outcomes of spinal induced hypotension among mothers undergoing caesarean section at a tertiary hospital South-Western Uganda.BMC anesthesiology · 2026Article
- Beyond the scar: a qualitative study on the physical, psychosocial and economic impacts of caesarean section in Keonjhar District of Odisha.BMC pregnancy and childbirth · 2026Article
- Sociodemographic profiles and maternal comorbidities associated with caesarean delivery: a comparison between nulliparous and multiparous mothers in Malaysia.BMC pregnancy and childbirth · 2026Article
- Maternal morbidity following a trial of labor after cesarean birth: A scoping review of operative vaginal birth compared with cesarean birth in the second stage of labor.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Caesarean section Robson classification, complications, and lessons learned in a rural hospital in Walikale, North Kivu, Democratic Republic of Congo: a cross-sectional study.AJOG global reports · 2026Article
- Mapping the gendered dynamics of cesarean section: A scoping review.PLOS global public health · 2026Article
- Sociodemographic trends associated with caesarean delivery in rural subdistricts of Bangladesh: a cohort study, 2005-2019.BMJ global health · 2025Article
- Prevalence, urban-rural disparity and determinants of caesarean section delivery among women delivering at health facilities in 48 low- and middle-income countries: a multilevel and decomposition analysis.BMJ global health · 2025Article
- The Rising Global Cesarean Section Rates and Their Impact on Maternal and Child Health: A Scoping Review.Journal of clinical medicine · 2025Review
- Surgical indicators for obstetrics and family planning in routine health information systems: a landscape analysis.Health policy and planning · 2025Article
- Model Development to Predict Cesarean Section: A Retrospective Study in Indian Women.Journal of pharmacy & bioallied sciences · 2025Article
- Surgical Training Profiling in Low- and Middle-Income Countries: Peru, Ecuador, and Brazil.Cureus · 2025Article
- Two Decades of Change in Childbirth Care in Cambodia (2000-2021): Disparities in Ceasarean Section Utilization Between Public and Private Facilities.Global health research and policy · 2025Article
- Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India.BMJ quality & safety · 2025Article
- Assessing the quality of childbirth care in Mexico: findings from the maternal eCohort.BMC pregnancy and childbirth · 2025Observational
- Article
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 4 institutions in 4 countries.
Funding
Abstract
Improving quality of care in low-and middle-income countries (LMICs) is a global priority, specifically around maternal and newborn care, where mortality and morbidity remain unacceptably high. Cesarean delivery is the most common procedure in women, thus evaluating quality around the provision of this intervention provides insight into overall quality of care around childbirth. In this review we provide an overview on the quality of care around cesarean delivery using the six domains of quality proposed by the Institute of Medicine: equity, effectiveness, efficiency, safety, timeliness and patient-centered care. We review evidence of potential quality gaps in each of these domains around cesarean delivery in LMICs, discuss opportunities for improvement and provide suggestions on metrics for tracking quality in each of these domains. As cesarean delivery rates increase globally, efforts to ensure quality will be essential to drive continued and sustained improvements in global maternal and newborn outcomes.
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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.