FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4245355385> ?p ?o ?g. }

• W4245355385 abstract "Background Approximately 15% of women have caesarean sections (CS) and while the rate varies, the number is increasing in many countries. This is of concern because higher CS rates do not confer additional health gain but may adversely affect maternal health and have implications for future pregnancies. Active management of labour has been proposed as a means of reducing CS rates. This refers to a package of care including strict diagnosis of labour, routine amniotomy, oxytocin for slow progress and one‐to‐one support in labour. Objectives To determine whether active management of labour reduces CS rates in low‐risk women and improves satisfaction. Search methods We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (16 April 2013). Selection criteria Randomised controlled trials comparing low‐risk women receiving a predefined package of care (active management) with women receiving routine (variable) care. Trials where slow progress had been diagnosed before entry into the trial were excluded. Data collection and analysis At least two review authors extracted data. We assessed included studies for risk of bias. Main results We included seven trials, with a total of 5390 women. The quality of studies was mixed. The CS rate was slightly lower in the active management group compared with the group that received routine care, but this difference did not reach statistical significance (RR 0.88, 95% CI 0.77 to 1.01). However, in one study there was a large number of post‐randomisation exclusions. On excluding this study, CS rates in the active management group were statistically significantly lower than in the routine care group (RR 0.77 95% CI 0.63 to 0.94). More women in the active management group had labours lasting less than 12 hours, but there was wide variation in length of labour within and between trials. There were no differences between groups in use of analgesia, rates of assisted vaginal deliveries or maternal or neonatal complications. Only one trial examined maternal satisfaction; the majority of women (over 75%) in both groups were very satisfied with care. Authors' conclusions Active management is associated with small reductions in the CS rate, but it is highly prescriptive and interventional. It is possible that some components of the active management package are more effective than others. Further work is required to determine the acceptability of active management to women in labour." @default.
• W4245355385 created "2022-05-12" @default.
• W4245355385 creator A5021590742 @default.
• W4245355385 creator A5056992264 @default.
• W4245355385 creator A5082999744 @default.
• W4245355385 creator A5090784943 @default.
• W4245355385 date "2013-09-16" @default.
• W4245355385 modified "2023-09-27" @default.
• W4245355385 title "Package of care for active management in labour for reducing caesarean section rates in low-risk women" @default.
• W4245355385 cites W1598602811 @default.
• W4245355385 cites W1793072752 @default.
• W4245355385 cites W1969636977 @default.
• W4245355385 cites W1971176567 @default.
• W4245355385 cites W1973235047 @default.
• W4245355385 cites W1999136880 @default.
• W4245355385 cites W2010337404 @default.
• W4245355385 cites W2014285220 @default.
• W4245355385 cites W2015988022 @default.
• W4245355385 cites W2025819386 @default.
• W4245355385 cites W2028443763 @default.
• W4245355385 cites W2038602680 @default.
• W4245355385 cites W2047214617 @default.
• W4245355385 cites W2053700156 @default.
• W4245355385 cites W2058408648 @default.
• W4245355385 cites W2067331913 @default.
• W4245355385 cites W2075162863 @default.
• W4245355385 cites W2081207262 @default.
• W4245355385 cites W2097179879 @default.
• W4245355385 cites W2102507021 @default.
• W4245355385 cites W2103567365 @default.
• W4245355385 cites W2107654577 @default.
• W4245355385 cites W2120394603 @default.
• W4245355385 cites W2136296475 @default.
• W4245355385 cites W2145548320 @default.
• W4245355385 cites W2163884993 @default.
• W4245355385 cites W2328590088 @default.
• W4245355385 cites W2339740337 @default.
• W4245355385 cites W4212882337 @default.
• W4245355385 cites W4230693715 @default.
• W4245355385 cites W4230912641 @default.
• W4245355385 cites W4246319533 @default.
• W4245355385 cites W4321000875 @default.
• W4245355385 doi "https://doi.org/10.1002/14651858.cd004907.pub3" @default.
• W4245355385 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24043476" @default.
• W4245355385 hasPublicationYear "2013" @default.
• W4245355385 type Work @default.
• W4245355385 citedByCount "14" @default.
• W4245355385 countsByYear W42453553852015 @default.
• W4245355385 countsByYear W42453553852017 @default.
• W4245355385 countsByYear W42453553852018 @default.
• W4245355385 countsByYear W42453553852019 @default.
• W4245355385 countsByYear W42453553852020 @default.
• W4245355385 countsByYear W42453553852021 @default.
• W4245355385 countsByYear W42453553852023 @default.
• W4245355385 crossrefType "journal-article" @default.
• W4245355385 hasAuthorship W4245355385A5021590742 @default.
• W4245355385 hasAuthorship W4245355385A5056992264 @default.
• W4245355385 hasAuthorship W4245355385A5082999744 @default.
• W4245355385 hasAuthorship W4245355385A5090784943 @default.
• W4245355385 hasConcept C126322002 @default.
• W4245355385 hasConcept C131872663 @default.
• W4245355385 hasConcept C141071460 @default.
• W4245355385 hasConcept C168563851 @default.
• W4245355385 hasConcept C2776279924 @default.
• W4245355385 hasConcept C2779234561 @default.
• W4245355385 hasConcept C2779703513 @default.
• W4245355385 hasConcept C44249647 @default.
• W4245355385 hasConcept C54355233 @default.
• W4245355385 hasConcept C71924100 @default.
• W4245355385 hasConcept C82789193 @default.
• W4245355385 hasConcept C86803240 @default.
• W4245355385 hasConceptScore W4245355385C126322002 @default.
• W4245355385 hasConceptScore W4245355385C131872663 @default.
• W4245355385 hasConceptScore W4245355385C141071460 @default.
• W4245355385 hasConceptScore W4245355385C168563851 @default.
• W4245355385 hasConceptScore W4245355385C2776279924 @default.
• W4245355385 hasConceptScore W4245355385C2779234561 @default.
• W4245355385 hasConceptScore W4245355385C2779703513 @default.
• W4245355385 hasConceptScore W4245355385C44249647 @default.
• W4245355385 hasConceptScore W4245355385C54355233 @default.
• W4245355385 hasConceptScore W4245355385C71924100 @default.
• W4245355385 hasConceptScore W4245355385C82789193 @default.
• W4245355385 hasConceptScore W4245355385C86803240 @default.
• W4245355385 hasLocation W42453553851 @default.
• W4245355385 hasLocation W42453553852 @default.
• W4245355385 hasOpenAccess W4245355385 @default.
• W4245355385 hasPrimaryLocation W42453553851 @default.
• W4245355385 hasRelatedWork W1841781499 @default.
• W4245355385 hasRelatedWork W2036250405 @default.
• W4245355385 hasRelatedWork W2089788222 @default.
• W4245355385 hasRelatedWork W2094748748 @default.
• W4245355385 hasRelatedWork W2391963072 @default.
• W4245355385 hasRelatedWork W2915155918 @default.
• W4245355385 hasRelatedWork W3031521315 @default.
• W4245355385 hasRelatedWork W4256514411 @default.
• W4245355385 hasRelatedWork W4283743750 @default.
• W4245355385 hasRelatedWork W4327800217 @default.
• W4245355385 isParatext "false" @default.
• W4245355385 isRetracted "false" @default.
• W4245355385 workType "article" @default.