{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T04:40:58Z","timestamp":1775018458909,"version":"3.50.1"},"reference-count":28,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fetal Diagn Ther"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; The aim of this study was to predict cesarean section on a single visit at term using a combination of maternal history and ultrasound markers, including some new markers such as the progression angle used to assess intrapartum progress. &lt;b&gt;&lt;i&gt;Study Design:&lt;\/i&gt;&lt;\/b&gt; This was an observational prospective cohort study of singleton term pregnancies that included 575 women. The maternal history and ultrasound markers were obtained on a single visit at 37\u201338 weeks\u2019 gestation. Multivariable logistic regression was used for prediction of cesarean section. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Five hundred and seventy-five women were examined at a median gestational age of 38.3 weeks (range: 35.6\u201341.6) and a cesarean section was performed on 104 women (18%) \u2013 24 for a fetal indication and 80 for a maternal indication. The risk of cesarean section increased with a previous cesarean section, assisted reproduction techniques, a higher estimated fetal weight, and a greater cervical length, and decreased with a greater maternal height, multiparity, and a wider progression angle. The detection rate for a 20% false positive rate was 69.9% for all cesarean sections, 54.2% for those with a fetal indication, and 77.2% for those with a maternal indication. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Assessment at 37\u201338 weeks\u2019 gestation of ultrasound markers such as the cervical length, progression angle, and estimated fetal weight, in combination with the maternal history, can predict a cesarean section in labor. Cesarean section for a maternal indication is better predicted than cesarean section for a fetal indication.<\/jats:p>","DOI":"10.1159\/000503387","type":"journal-article","created":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T21:00:32Z","timestamp":1571950832000},"page":"284-291","source":"Crossref","is-referenced-by-count":6,"title":["Can the Progression Angle before Labor Help to Predict Cesarean Section?"],"prefix":"10.1159","volume":"47","author":[{"given":"Irune","family":"Alzola","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emerson","family":"Murua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Burgos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8261-6383","authenticated-orcid":false,"given":"Nerea","family":"Maiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2019,10,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13509"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000365164"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12494"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7734"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13310"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1065"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6329"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1765"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/uog.3848"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15979"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4504"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.152.2.6739822"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6294"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00409.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-009-1216-8"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2015.1135124"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03334.x"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12659"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02889.x"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/des347"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000578688.57401.84"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2016.1149566"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13724"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.1.7063747"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14785"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1002\/uog.17371"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14842"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11195"}],"container-title":["Fetal Diagnosis and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/503387","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/503387","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:00:20Z","timestamp":1745424020000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000503387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,23]]},"references-count":28,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,4,7]]},"published-print":{"date-parts":[[2020,4,22]]}},"URL":"https:\/\/doi.org\/10.1159\/000503387","archive":["Portico"],"relation":{},"ISSN":["1015-3837","1421-9964"],"issn-type":[{"value":"1015-3837","type":"print"},{"value":"1421-9964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,23]]}}}