{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T13:05:09Z","timestamp":1775480709565,"version":"3.50.1"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>\n            Objective\u2003In an effort to reduce the primary cesarean delivery (CD) rate, the American College of Obstetricians and Gynecologists (ACOG) recommended new labor guidelines in 2014 that allow longer duration of labor times. There are little data on the impact of these guidelines on CD rates and pregnancy outcomes in a predominantly Hispanic population. This study aimed to compare the primary CD rates and maternal and neonatal outcomes in patients undergoing primary CD for arrest of labor before and after implementation of the 2014 guidelines.<\/jats:p><jats:p>\n            Study Design\u2003This was a retrospective cohort study of term patients who underwent a CD for an arrest disorder between January 2011 and April 2017 at a county teaching hospital. Our primary outcome was the composite maternal and neonatal morbidities (CMM and CNM, respectively). Differences in the demographic and clinical characteristics, CMM, and CNM stratified by time period (pre- vs. postimplementation) were examined.<\/jats:p><jats:p>\n            Results\u2003There were 4,976 deliveries in the study period: 525 (11%) underwent primary CD for arrest disorder; 298 (6%) prior to 2014, and 227 (5%) after 2014 (p\u2009=\u20090.62). There was no significant difference in the rate of CD between the two periods (13.4 vs. 13.3%, p\u2009=\u20090.81). In patients undergoing CD for arrest of dilation (n\u2009=\u2009389), the CMM and CNM did not significantly change between both groups (63.3 vs. 56%, p\u2009=\u20090.15). In patients who had a CD for arrest of descent (n\u2009=\u2009136), the rate of CMM significantly increased from 50 to 75% (p\u2009=\u20090.02) with no significant change in the CNM (13.2 vs. 20%, p\u2009=\u20090.3).<\/jats:p><jats:p>\n            Conclusion\u2003Despite significant changes in labor management after the publication of the 2014 guidelines, our primary CD rate was not reduced, and we noticed an increase in CMM in patients who had CD for arrest of descent. A randomized controlled trial is needed to further evaluate the effect of these guidelines nationally.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0041-1729158","type":"journal-article","created":{"date-parts":[[2021,5,2]],"date-time":"2021-05-02T22:33:06Z","timestamp":1619994786000},"page":"051-056","source":"Crossref","is-referenced-by-count":3,"title":["Maternal and Neonatal Morbidity after Cesarean Delivery for Active Phase Arrest following Adoption of the Obstetric Care Consensus Guidelines"],"prefix":"10.1055","volume":"40","author":[{"given":"Randa J.","family":"Jalloul","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlene","family":"Bury-Fiol","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia J.","family":"Ibarra","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han-Yang","family":"Chen","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baha M.","family":"Sibai","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Ward","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,5,2]]},"reference":[{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1097\/AOG.0b013e3181fdef6e","article-title":"Contemporary patterns of spontaneous labor with normal neonatal outcomes","volume":"116","author":"J Zhang","year":"2010","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.1016\/0002-9378(54)90311-7","article-title":"The graphic analysis of labor","volume":"68","author":"E Friedman","year":"1954","journal-title":"Am J Obstet Gynecol"},{"key":"ref4","volume-title":"Labor: Clinical Evaluation and Management","author":"E A Friedman","year":"1967","edition":"2nd ed."},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1097\/01.AOG.0000444441.04111.1d","article-title":"Obstetric care consensus no. 1: safe prevention of the primary cesarean delivery","volume":"123","year":"2014","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/AOG.0000000000000278","article-title":"Neonatal and maternal outcomes with prolonged second stage of labor","volume":"124","author":"S K Laughon","year":"2014","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"689.e1","DOI":"10.1016\/j.ajog.2017.10.007","article-title":"New labor management guidelines and changes in cesarean delivery patterns","volume":"217","author":"J I Rosenbloom","year":"2017","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"341.e1","DOI":"10.1016\/j.ajog.2017.12.228","article-title":"Impact of recommended changes in labor management for prevention of the primary cesarean delivery","volume":"218","author":"C Thuillier","year":"2018","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/AOG.0000000000001488","article-title":"Reduction in the cesarean delivery rate after obstetric care consensus guideline implementation","volume":"128","author":"J G Wilson-Leedy","year":"2016","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"71.e1","DOI":"10.1016\/j.ajog.2019.07.027","article-title":"\u201cNew or not-so-new\u201d labor management practices and cesarean delivery for arrest of progress","volume":"222","author":"D B Nelson","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"09","key":"ref11","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1055\/s-0038-1675154","article-title":"Adherence to consensus guidelines for the management of labor arrest disorders in a single academic tertiary care medical center","volume":"36","author":"M A Alrais","year":"2019","journal-title":"Am J Perinatol"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1097\/AOG.0000000000002343","article-title":"Racial and ethnic differences in utilization of labor management strategies intended to reduce cesarean delivery rates","volume":"130","author":"L M Yee","year":"2017","journal-title":"Obstet Gynecol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1729158.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T02:40:08Z","timestamp":1671504008000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1729158"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,2]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,12,19]]},"published-print":{"date-parts":[[2023,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1729158","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,2]]}}}