The evolution of the labor curve and its implications for clinical practice: the relationship between cervical dilation, station, and time during labor

EF Hamilton, R Romero, AL Tarca… - American journal of …, 2023 - Elsevier
The assessment of labor progress is germane to every woman in labor. Two labor disorders—
arrest of dilation and arrest of descent—are the primary indications for surgery in close to …

[HTML][HTML] Quality assessment of the Portuguese public hospitals: A multiple criteria approach

A Rocha, AS Costa, JR Figueira, DC Ferreira… - Omega, 2021 - Elsevier
Abstract The Portuguese National Health Service (SNS) was created to provide universal,
equal, and tendentiously free care. There are different levels of care (primary, secondary …

Caesarean section in uninsured women in the USA: systematic review and meta-analysis

I Hoxha, M Braha, L Syrogiannouli, DC Goodman… - BMJ open, 2019 - bmjopen.bmj.com
Objective The aim of this study is to assess the odds of caesarean section (CS) for uninsured
women in the USA and understand the underlying mechanisms as well as consequences of …

Safety assessment of a large-scale improvement collaborative to reduce nulliparous cesarean delivery rates

EK Main, SC Chang, V Cape, C Sakowski… - Obstetrics & …, 2019 - journals.lww.com
OBJECTIVE: To evaluate maternal and neonatal safety measures in a large-scale quality
improvement program associated with reductions in nulliparous, term, singleton, vertex …

Reducing primary cesarean delivery rate through implementation of a smart intrapartum surveillance system

PJ Cheng, YH Cheng, SSW Shaw, HC Jang - npj Digital Medicine, 2023 - nature.com
The rapid changes in clinical maternity situations that occur in a labor and delivery unit can
lead to unpredictable maternal and newborn morbidities. Cesarean section (CS) rate is a …

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports

MC Alfred, D Wilson, E DeForest, S Lawton… - The Joint Commission …, 2024 - Elsevier
Background Maternal mortality in the United States is high, and women and birthing people
of color experience higher rates of mortality and severe maternal morbidity (SMM). More …

Defining a cesarean delivery rate for optimizing maternal and neonatal outcomes

AM Bruno, TD Metz, WA Grobman… - Obstetrics & …, 2022 - journals.lww.com
After the global cesarean delivery rate nearly doubled between 2000 and 2015, cesarean
deliveries now account for nearly one third of births in the United States. Although rates have …

Preventing cesarean birth in women with obesity: influence of unit‐level midwifery presence on use of cesarean among women in the Consortium on Safe Labor Data …

NS Carlson, R Breman, JL Neal… - Journal of midwifery & …, 2020 - Wiley Online Library
Introduction Maternal obesity is associated with slow labor progression and unplanned
cesarean birth. Midwives use fewer medical interventions during labor, and the women they …

Effect of a two-stage intervention package on the cesarean section rate in Guangzhou, China: A before-and-after study

X Xia, Z Zhou, S Shen, J Lu, L Zhang, P Huang… - PLoS …, 2019 - journals.plos.org
Background The cesarean section (CS) rate has risen globally during the last two decades.
Effective and feasible strategies are needed to reduce it. The aim of this study was to assess …

Maternal and neonatal morbidity after 4 and 6 hours of protracted active labor in nulliparous term pregnancies

S Govindappagari, N Greene, R Burwick… - Obstetrics & …, 2020 - journals.lww.com
OBJECTIVE: To evaluate whether women with protracted active phase labor longer than 6
hours have an increased risk of adverse maternal and neonatal outcomes after the …