ReviewPhilosophical transactions of the Royal Society of London. Series B, Biological sciences2021
Shaping birth: variation in the birth canal and the importance of inclusive obstetric care.
Review in Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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.
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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.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Insights into Neanderthal development, childbirth, and locomotion from the Palomas and Dederiyeh pelves.Proceedings of the National Academy of Sciences of the United States of America · 2026Article
- Racial differences in the levator ani muscle and levator hiatus in individuals of reproductive age.American journal of obstetrics and gynecology · 2025Article
- Fetal rotation examined with ultrasound in a sub-Saharan population: A longitudinal cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Perinatal Outcomes and Level of Labour Difficulty in Deliveries with Right and Left Foetal Position-A Preliminary Study.Healthcare (Basel, Switzerland) · 2024Article
- Evaluation of dual-energy X-ray absorptiometry compared to magnetic resonance imaging for collecting measurements of the human bony pelvis.American journal of human biology : the official journal of the Human Biology Council · 2022Article
- Who cares for women with children? Crossing the bridge between disciplines.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021Article
- Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Regional variation in pelvic morphology and childbirth has long occurred alongside traditional labour support and an understanding of possible normal courses of childbirth for each population. The process of migration and globalization has broken down these links, while a European model of 'normal' labour has become widespread. The description of 'normal' childbirth provided within obstetrics and midwifery textbooks, in fact, is modelled on a specific pelvic morphology that is common in European women. There is mounting evidence, however, that this model is not representative of women's diversity, especially for women of non-white ethnicities. The human birth canal is very variable in shape, both within and among human populations, and differences in pelvic shapes have been associated with differences in the mechanism of labour. Normalizing a white-centred model of female anatomy and of childbirth can disadvantage women of non-European ancestry. Because they are less likely to fit within this model, pelvic shape and labour pattern in non-white women are more likely to be considered 'abnormal', potentially leading to increased rates of labour intervention. To ensure that maternal care is inclusive and as safe as possible for all women, obstetric and midwifery training need to incorporate women's diversity. This article is part of the theme issue 'Multidisciplinary perspectives on social support and maternal-child health'.
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Registered trials
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