{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T16:01:53Z","timestamp":1740153713469,"version":"3.37.3"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T00:00:00Z","timestamp":1599177600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000862","name":"Doris Duke Charitable Foundation","doi-asserted-by":"publisher","award":["5K12HD001271"],"award-info":[{"award-number":["5K12HD001271"]}],"id":[{"id":"10.13039\/100000862","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Eunice Kennedy Shriver National Institutes of Child Health and Human Development Women\u2019s Reproductive Health Research","award":["5K12HD001271"],"award-info":[{"award-number":["5K12HD001271"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2020,9,4]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Primary cesarean birth rates were high among women who were either nulliparous (Group 2) or multiparous (Group 4) with a single, cephalic, term fetus who were induced, augmented, or underwent cesarean birth before labor in our study cohort. <jats:italic>Objectives<\/jats:italic>. The objective of this analysis was to determine what risk factors were associated with cesarean birth among Robson Groups 2 and 4. <jats:italic>Methods<\/jats:italic>. This study was a prospective hospital-based cross-sectional analysis of a convenience sample of 1,000 women who delivered at Mizan-Tepi University Teaching Hospital in the summer and fall of 2019. <jats:italic>Results<\/jats:italic>. Women in Robson Groups 2 and 4 comprised 11.4% (<jats:italic>n<\/jats:italic>\u2009=\u2009113) of the total population (<jats:italic>n<\/jats:italic>\u2009=\u2009993). The cesarean birth rate in Robson Group 2 (<jats:italic>n<\/jats:italic>\u2009=\u200956) was 37.5% and in Robson Group 4 (<jats:italic>n<\/jats:italic>\u2009=\u200957) was 24.6%. In Robson Group 2, of all prelabor cesareans (<jats:italic>n<\/jats:italic>\u2009=\u20095), one birth was elective cesarean by maternal request; the intrapartum cesarean births (<jats:italic>n<\/jats:italic>\u2009=\u200916) mostly had a maternal or fetal indication (93.8%), with one birth (6.2%) indicated by \u201cfailed induction or augmentation,\u201d which was a combined indication. In Robson Group 4, all 4 women delivered by prelabor cesarean had a maternal indication (one was missing data), and 3 of the intrapartum cesareans were indicated by \u201cfailed induction or augmentation.\u201d In multivariable modeling of Robson Group 2, having a labor duration of \u201cnot applicable\u201d increased the risk of cesarean delivery (RR 2.9, CI (1.5, 5.4)). The odds of requiring maternal antibiotics was the only notable outcome with increased risk (RR 11.1, CI (1.9, 64.9)). In multivariable modeling of Robson Group 4, having a labor longer than 24 hours trended towards a significant association with cesarean (RR 3.6, CI (0.9, 14.3)), and women had a more dilated cervix on admission trended toward having a lower odds of cesarean (RR 0.8, CI (0.6, 1.0)). <jats:italic>Conclusion<\/jats:italic>. Though rates of primary cesarean birth among women who have a term, single, cephalic fetus and are induced, augmented, or undergone prelabor cesarean birth are high, those that occur intrapartum seem to be associated with appropriate risk factors and indications, though we cannot say this definitely as we did not perform an audit. More research is needed on the prelabor subgroup as a separate entity.<\/jats:p>","DOI":"10.1155\/2020\/5620987","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T23:31:29Z","timestamp":1599262289000},"page":"1-9","source":"Crossref","is-referenced-by-count":1,"title":["Use of Cesarean Birth among Robson Groups 2 and 4 at Mizan-Tepi University Hospital, Ethiopia"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2940-2241","authenticated-orcid":true,"given":"Margo S.","family":"Harrison","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tewodros","family":"Liyew","sequence":"additional","affiliation":[{"name":"Mizan-Tepi University Teaching Hospital, Aman, Bench Maji Zone, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ephrem","family":"Kirub","sequence":"additional","affiliation":[{"name":"Mizan-Tepi University Teaching Hospital, Aman, Bench Maji Zone, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biruk","family":"Teshome","sequence":"additional","affiliation":[{"name":"Mizan-Tepi University Teaching Hospital, Aman, Bench Maji Zone, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Jimenez-Zambrano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Muldrow","sequence":"additional","affiliation":[{"name":"Village Health Partnership, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teklemariam","family":"Yarinbab","sequence":"additional","affiliation":[{"name":"Mizan-Tepi University Teaching Hospital, Aman, Bench Maji Zone, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(15)70094-x"},{"volume-title":"Method of Birth in Nulliparous Women with Single, Cephalic, Term Pregnancies: The WHO Global Survey on Maternal and Perinatal Health 2004 \u2013 2008","year":"2019","key":"3"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536x.2006.00118.x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.10.010"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701644876"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-015-0043-6"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(54)90311-7"},{"year":"2016","key":"10"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0b013e3181fdef6e"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(18)31927-5"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0206295"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.07.011"},{"issue":"2","key":"15","first-page":"e10","volume":"11","year":"2019","journal-title":"Online Journal of Public Health Informatics"},{"issue":"2","key":"16","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1111\/1471-0528.14933","volume":"125","year":"2018","journal-title":"BJOG: An International Journal of Obstetrics & Gynaecology"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/s0029-7844(03)00531-3"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13520"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.3982"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13526"}],"container-title":["Obstetrics and Gynecology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2020\/5620987.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2020\/5620987.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2020\/5620987.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T23:31:36Z","timestamp":1599262296000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ogi\/2020\/5620987\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,4]]},"references-count":18,"alternative-id":["5620987","5620987"],"URL":"https:\/\/doi.org\/10.1155\/2020\/5620987","relation":{},"ISSN":["1687-9589","1687-9597"],"issn-type":[{"type":"print","value":"1687-9589"},{"type":"electronic","value":"1687-9597"}],"subject":[],"published":{"date-parts":[[2020,9,4]]}}}