Paper Info
Title
Simulation of labor: a study of the relationship between cesarean section rates and the time spent in labor.
Abstract
Cesarean delivery is the most common major abdominal surgery in many parts of the world. As of October 2012, the cesarean section rate in the United States was reported to be 32.8% in 2011, rising from 4.5% in 1970. Cesarean sections are associated with an increased risk of neonatal respiratory morbidity, increased risk of a hysterectomy and can cause major complications in subsequent pregnancies, such as uterine rupture. To evaluate the current cesarean delivery rate due to a "failure to progress" diagnosis, our goal was to replicate the delivery process for women undergoing a trial of labor. In this simulation we evaluate the Friedman Curve and other labor progression rules to identify circumstances in which the cesarean rate can be decreased through the analysis of the total length of time a woman spends in labor as well as the duration of time a woman remains in a cervical dilation stage.
Year
DOI
Venue
2014
10.5555/2693848.2694012
WSC '14: Winter Simulation Conference Savannah Georgia December, 2014
Keywords
Field
DocType
simulation,surgery,Cesarean delivery,Cesarean section rates,Friedman curve,United States,abdominal surgery,cervical dilation stage,failure-to-progress diagnosis,hysterectomy risk,labor progression rules,labor simulation,neonatal respiratory morbidity risk,pregnancy,uterine rupture
Uterine rupture,Simulation,Computer science,Abdominal surgery,Hysterectomy,Obstetrics,Cervical dilation,Respiratory morbidity
Conference
ISSN
ISBN
Citations 
0891-7736
978-1-4673-9741-4
0
PageRank 
References 
Authors
0.34
1
5
Name
Order
Citations
PageRank
Karen Hicklin101.35
Julie S. Ivy2339.12
Evan R. Myers301.01
Vidyadhar G. Kulkarni453960.15
Meera Viswanathan500.68