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Diagnostic accuracy of the partograph alert and action lines to predict adverse birth outcomes: a systematic review.

Authors :
Bonet, M
Oladapo, OT
Souza, JP
Gülmezoglu, AM
Oladapo, O T
Souza, J P
Gülmezoglu, A M
Source :
BJOG: An International Journal of Obstetrics & Gynaecology; Dec2019, Vol. 126 Issue 13, p1524-1533, 10p, 1 Diagram, 2 Charts, 1 Graph
Publication Year :
2019

Abstract

<bold>Background: </bold>There are questions about the use of the 'one-centimetre per hour rule' as a valid benchmark for assessing the adequacy of labour progress.<bold>Objectives: </bold>To determine the accuracy of the alert (1-cm/hour) and action lines of the cervicograph in the partograph to predict adverse birth outcomes among women in first stage of labour.<bold>Search Strategy: </bold>PubMed, EMBASE, CINAHL, POPLINE, Global Health Library, and reference lists of eligible studies.<bold>Selection Criteria: </bold>Observational studies and other study designs reporting data on the correlation between the alert line status of women in labour and the occurrence of adverse birth outcomes.<bold>Data Collection and Analysis: </bold>Two reviewers at a time independently identified eligible studies and independently abstracted data including population characteristics and maternal and perinatal outcomes.<bold>Main Results: </bold>Thirteen studies in which 20 471 women participated were included in the review. The percentage of women crossing the alert line varied from 8 to 76% for all maternal or perinatal outcomes. No study showed a robust diagnostic test accuracy profile for any of the selected outcomes.<bold>Conclusions: </bold>This systematic review does not support the use of the cervical dilatation over time (at a threshold of 1 cm/h during active first stage) to identify women at risk of adverse birth outcomes.<bold>Tweetable Abstract: </bold>Alert line of partograph does not identify women at risk of adverse birth outcomes. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14700328
Volume :
126
Issue :
13
Database :
Complementary Index
Journal :
BJOG: An International Journal of Obstetrics & Gynaecology
Publication Type :
Academic Journal
Accession number :
139502357
Full Text :
https://doi.org/10.1111/1471-0528.15884