{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:11:38Z","timestamp":1780467098351,"version":"3.54.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>\n            Objective\u2003Given that recent consensus guidelines established to decrease cesarean delivery (CD) rates use 6 cm to define the onset of the active phase of labor, our objective was to evaluate maternal and neonatal outcomes after CD for the indication of arrest of dilation at 4 to 5 cm compared with\u2009\u2265\u20096 cm.<\/jats:p><jats:p>\n            Study Design\u2003We performed a secondary analysis using data from the Maternal Fetal-Medicine Units Network Cesarean Registry. We included nulliparous women with term, singleton, vertex gestations who underwent primary CD for arrest of dilation. We compared those who reached a maximum cervical dilation of 4 to 5 cm with those of \u22656 cm. Our primary outcome was composite maternal morbidity that included chorioamnionitis, endometritis, transfusion, wound complication, operative injury, intensive care unit admission, or death.<\/jats:p><jats:p>\n            Results\u2003Of the 73,257 women in the dataset, 5,681 met the inclusion criteria. After adjusting for confounders, there was no difference in composite maternal (adjusted odds ratio [aOR]: 1.19; 95% confidence interval [CI]: 0.94\u20131.52) or neonatal morbidity (aOR: 0.94; 95% CI: 0.79\u20131.10) between the groups.<\/jats:p><jats:p>\n            Conclusion\u2003In this historical cohort, maternal and neonatal outcomes after CD for arrest of dilation\u2009\u2265\u20096 cm were comparable to those performed at 4 to 5 cm and support recent labor management guidelines.<\/jats:p>","DOI":"10.1055\/s-0038-1642063","type":"journal-article","created":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T22:51:33Z","timestamp":1524610293000},"page":"1173-1177","source":"Crossref","is-referenced-by-count":4,"title":["Peripartum Morbidity after Cesarean Delivery for Arrest of Dilation at 4 to 5 cm Compared with 6 to 10 cm"],"prefix":"10.1055","volume":"35","author":[{"given":"Jeffrey","family":"Sperling","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phinnara","family":"Has","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Lovgren","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Methodisth Women's Hospital and Perinatal Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Connealy","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Methodisth Women's Hospital and Perinatal Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dwight","family":"Rouse","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Dahlke","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Methodisth Women's Hospital and Perinatal Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,4,24]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1642063.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T22:33:51Z","timestamp":1537914831000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1642063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,24]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2018,9,25]]},"published-print":{"date-parts":[[2018,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1642063","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,24]]}}}