Evidence map›Paper›PMID 33628132›Full record

ArticleMateria socio-medica2020

Is Primary Cesarean Section a Cause of Increasing Cesarean Section Rates in Greece?

Evangelia Antoniou, Eirini Orovou, Angeliki Sarella, Maria Iliadou, Ermioni Palaska, Antigoni Sarantaki, Georgios Iatrakis, Maria Dagla

Open access · greenAbstract read
In one paragraph

Article in Materia socio-medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Evangelia AntoniouDepartment of Midwifery, University of West Attica, Athens, Greece.
Eirini OrovouDepartment of Midwifery, University of West Attica, Athens, Greece.
Angeliki SarellaDepartment of Midwifery, University of West Attica, Athens, Greece.
Maria IliadouDepartment of Midwifery, University of West Attica, Athens, Greece.
Ermioni PalaskaDepartment of Midwifery, University of West Attica, Athens, Greece.
Antigoni SarantakiDepartment of Midwifery, University of West Attica, Athens, Greece.
Georgios IatrakisDepartment of Midwifery, University of West Attica, Athens, Greece.
Maria DaglaDepartment of Midwifery, University of West Attica, Athens, Greece.
University of West Attica · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCesarean Section is a surgical procedure which can be life saving and necessary in some circumstances. Nonetheless, Cesarean Delivery continues to result in increased complications for subsequent deliveries as well as increased financial costs. This phenomenon raises concerns over the growing rates of Cesarean deliveries among women at low risk for a complicated birth whose first delivery was by Cesarean Section for non-medical reasons.

aimThe aim of this study was to determine whether PCS is a main factor in the overall percentage of CS in Greece and define the causes of elective and emergency cesarean sections in primary ones.

methodsFrom 365 cesarean deliveries during the research period, a sample of 162 women who underwent a primary cesarean section at a Greek University hospital has consented to participate. Medical and demographic data as well as data from women's medical dossier were used in the day 3 postpartum.

resultsOut of 162 primiparous mothers, 38.9% underwent an emergency cesarean section and 61.1% an elective cesarean section. Furthermore, the results show that women, who had been diagnosed with stress disorders or depression, with abnormal fetal heart rate, pathological NST/Doppler and had developed complications after cesarean section, were more likely to undergo an emergency cesarean delivery.

conclusionThis survey shows the lack of evidence-based guidelines in obstetrician's practice and the lack of perinatal support centers in Greece. Primary CS can be characterized as a key factor in the overall increase of CS, given the vicious cycle of recurrence of a Cesarean delivery.

Indexed as

Cesarean Sectioncesarean section ratesprimary Cesarean Sectionrisk factors for primary cesarean section

Identifiers

PMID33628132
PMCPMC7879457
OpenAlexW3115962501

What OpenQuestion holds

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LicenceCC BY-NC
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.