Evidence map›Paper›PMID 39040660›Full record

ArticleAJOG global reports2024

Inconsistent definitions of prolonged labor in international literature: a scoping review.

Wouter Bakker, Evelien M Sandberg, Sharon Keetels, Jan W Schoones, Monica Lauridsen Kujabi, Nanna Maaløe, Salome Maswime, Thomas van den Akker

Abstract readScoping Review
In one paragraph

Article in AJOG global reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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.

Wouter BakkerAthena Institute, VU University, Amsterdam, The Netherlands.
Evelien M SandbergDepartment of Obstetrics and Gynecology, Leiden University Medical Center, Leiden, The Netherlands.
Sharon KeetelsDepartment of Obstetrics and Gynecology, Leiden University Medical Center, Leiden, The Netherlands.
Jan W SchoonesDirectorate of Research Policy, Leiden University Medical Center, Leiden, The Netherlands.
Monica Lauridsen KujabiGlobal Health Section, Department of Public Health, University of Copenhagen, Denmark.
Nanna MaaløeGlobal Health Section, Department of Public Health, University of Copenhagen, Denmark.
Salome MaswimeGlobal Surgery Division, Department of Surgery, University of Cape Town, Cape Town, South Africa.
Thomas van den AkkerAthena Institute, VU University, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Prolonged labor is the commonest indication for intrapartum cesarean section, but definitions are inconsistent and some common definitions were recently found to overestimate the speed of physiological labor. The objective of this review is to establish an overview of synonyms and definitions used in the literature for prolonged labor, separated into first and second stages, and establish types of definitions used. Data sources: A systematic search was conducted in PubMed, Embase, Web of Science, Cochrane Library, Emcare, and Academic Search Premier. Study eligibility criteria: All articles in English that (1) attempted to define prolonged labor, (2) included a definition of prolonged labor, or (3) included any synonym for prolonged labor, were included. Methods: Data on study design, year of publication, country or region of origin, synonyms used, definition of prolonged first and/or second stage, and origin of provided definition (if not primarily established by the study) were collected into a database. Results: In total, 3402 abstracts and 536 full-text papers were screened, and 232 papers were included. Our search established 53 synonyms for prolonged labor. Forty-three studies defined prolonged labor and 189 studies adopted a definition of prolonged labor. Definitions for prolonged first stage of labor were categorized into: time-based ( Conclusions: Despite efforts to arrive at uniform labor curves, there is still little uniformity in definitions of prolonged labor. Consensus on which definition to use is called for, in order to safely and respectfully allow physiological labor progress, ensure timely management, and assess and compare incidence of prolonged labor between settings.

Indexed as

active support of labordefinitionlabor dystocialabor managementlabor progresspartographprolonged first stage of laborprolonged second stage of labor

Identifiers

PMID39040660
PMCPMC11261896

What OpenQuestion holds

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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.