Cervical dilatation over time is a poor predictor of severe adverse birth outcomes: a diagnostic accuracy study

BJOG : an International Journal of Obstetrics and Gynaecology
J P SouzaA M Gülmezoglu

Abstract

To assess the accuracy of the World Health Organization (WHO) partograph alert line and other candidate predictors in the identification of women at risk of developing severe adverse birth outcomes. A facility-based, multicentre, prospective cohort study. Thirteen maternity hospitals located in Nigeria and Uganda. A total of 9995 women with spontaneous onset of labour presenting at cervical dilatation of ≤6 cm or undergoing induction of labour. Research assistants collected data on sociodemographic, anthropometric, obstetric, and medical characteristics of study participants at hospital admission, multiple assessments during labour, and interventions during labour and childbirth. The alert line and action line, intrapartum monitoring parameters, and customised labour curves were assessed using sensitivity, specificity, positive and negative likelihood ratios, diagnostic odds ratio, and the J statistic. Severe adverse birth outcomes. The rate of severe adverse birth outcomes was 2.2% (223 women with severe adverse birth outcomes), the rate of augmentation of labour was 35.1% (3506 women), and the caesarean section rate was 13.2% (1323 women). Forty-nine percent of women in labour crossed the alert line (4163/8489). All reference...Continue Reading

References

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Citations

Jul 20, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·Nanna MaaløeJos van Roosmalen
Jul 25, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·M BonetA M Gülmezoglu
Jul 30, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Margo S HarrisonA Metin Gülmezoglu
Aug 30, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·João Paulo SouzaAhmet Metin Gülmezoglu
May 10, 2020·BMC Pregnancy and Childbirth·Alessandro SvelatoPiero Manfredi
Mar 10, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·G J HofmeyrO T Oladapo
May 24, 2021·BMC Pregnancy and Childbirth·Wouter BakkerThomas van den Akker
Aug 1, 2021·Seminars in Fetal & Neonatal Medicine·Vaisakh KrishnanUNKNOWN Newborn Brain Society Guidelines and Publications Committee
Mar 30, 2020·Salud colectiva·Federico Ignacio ViolaMarisa Espinoza
Sep 3, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Sherif A ShazlyAmr S Abdelbadie
Dec 30, 2021·Paediatric and Perinatal Epidemiology·Louise LundborgMia Ahlberg

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