ArticleBMC pregnancy and childbirth2021
Value-based care in obstetrics: comparison between vaginal birth and caesarean section.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis 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
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Double-vs single-balloon catheter for induction of labor: Systematic review and individual participant data meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2023Pooled it
- Review
- Evaluation of the relationship between birth beliefs and readiness for childbirth in pregnant women: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Dynamic and heterogeneous impacts of granting and revoking elective c-section rights in São Paulo.Health policy and planning · 2026Article
- Article
- Cesarean Section Rates and Mobile Health's Role in Equitable Access to Prenatal Care.International journal of environmental research and public health · 2026Article
- Low-risk Cesareans Across the US: A Decomposition of Individual- and County-level Factors by Race/Ethnicity.Journal of racial and ethnic health disparities · 2026Article
- Mothers' experiences of implementing a normal labor and delivery management program based on evidence-based clinical practice in Iran.Journal of education and health promotion · 2026Article
- Evaluating childbirth options for women with obesity: a multi-criteria decision analysis.Frontiers in global women's health · 2026Article
- Clinical Characteristics and Early Evolution of Neonates with Perinatal Gram-Negative Bacterial Infections.Children (Basel, Switzerland) · 2025Article
- Distributions of Adverse Childbearing Experiences Across Racial and Ethnic Groups: A Research Note.Demography · 2025Article
- Unpacking childbirth expenditures: what are the factors driving extreme costs in Serbia?BMC pregnancy and childbirth · 2025Article
- Midwifery models of care in the context of increasing caesarean delivery rates.Bulletin of the World Health Organization · 2025Article
- Trends in induction of labour and associated co-morbidities and demographics in Queensland, Australia from 2001 to 2020: a population-based study.BMC pregnancy and childbirth · 2025Article
- Does community pressure matter in cesarean deliveries in Bangladesh? An analysis of nationally representative surveys.PloS one · 2025Article
- Adverse maternal outcomes among women who gave birth at public hospitals in eastern Ethiopia: a cross-sectional study.Frontiers in global women's health · 2025Article
- Dignified care and associated factors among mothers who gave birth at public hospitals, in Sidama Regional State, southern Ethiopia, 2023.BMC women's health · 2024Article
- How two-child policy affects cesarean section in women with advanced maternal age (AMA): using the Robson classification system.BMC pregnancy and childbirth · 2024Article
- Implementation of a Labor Dystocia Checklist to Reduce NTSV C-Section Rates.Family medicine · 2024Article
- Caesarean section and respiratory system disorders in newborns.European journal of obstetrics & gynecology and reproductive biology: X · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare costs have substantially increased in recent years, threatening the population health. Obstetric care is a significant contributor to this scenario since it represents 20% of healthcare. The rate of cesarean sections (C-sections) has escalated worldwide. Evidence shows that cesarean delivery is not only more expensive, but it is also linked to poorer maternal and neonatal outcomes. This study assesses which type of delivery is associated with a higher healthcare value in low-risk pregnancies.
resultsA total of 9345 deliveries were analyzed. The C-section group had significantly worse rates of breastfeeding in the first hour after delivery (92.57% vs 88.43%, p < 0.001), a higher rate of intensive unit care (ICU) admission both for the mother and the newborn (0.8% vs 0.3%, p = 0.001; 6.7% vs 4.5%, p = 0.0078 respectively), and a higher average cost of hospitalization (BRL14,342.04 vs BRL12,230.03 considering mothers and babies).
conclusionCesarean deliveries in low-risk pregnancies were associated with a lower value delivery because in addition to being more expensive, they had worse perinatal outcomes.
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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.