An Integrated Review of Uterine Activity Monitoring for Evaluating Labor Dystocia Article Swipe
Katherine Kissler
,
Nancy K. Lowe
,
Teri L. Hernandez
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/jmwh.13119
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/jmwh.13119
Introduction Labor dystocia is the most common cause of cesarean birth in the United States, yet how dystocia develops during labor remains elusive. Uterine activity monitoring has significant potential for advancing our understanding of labor dystocia. While evaluating contraction frequency and amplitude is a common component of labor dystocia management, the literature describing the relationship between measures of uterine activity and labor dystocia is heterogeneous and has not been synthesized to identify the best methods for use in clinical investigation. Methods We conducted a literature search for original research exploring the relationship between uterine activity and labor dystocia published between 2000 and 2019. Included articles were critically reviewed and synthesized. Results Across 11 identified studies, investigators employed 3 different techniques for monitoring uterine activity and 9 different measures were employed. Uterine activity measures, including Montevideo units, uterine electromyography power density spectrum and sample entropy, and the fall‐to‐rise ratio of contraction shape, detected patterns associated with labor dystocia or cesarean birth. Discussion The use of multiple regression with clinical covariates and a uterine activity measure increased the accuracy of predicting cesarean delivery. Uterine electromyography may be especially useful to evaluate labor dystocia phenotypes to differentiate uterine muscle fatigue from understimulation and lead to algorithms for increased precision in the diagnosis of labor dystocia and innovative approaches to treatment.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/jmwh.13119
- OA Status
- hybrid
- Cited By
- 8
- References
- 33
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3030316294
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3030316294Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/jmwh.13119Digital Object Identifier
- Title
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An Integrated Review of Uterine Activity Monitoring for Evaluating Labor DystociaWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-05-01Full publication date if available
- Authors
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Katherine Kissler, Nancy K. Lowe, Teri L. HernandezList of authors in order
- Landing page
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https://doi.org/10.1111/jmwh.13119Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1111/jmwh.13119Direct OA link when available
- Concepts
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Uterine contraction, Medicine, Shoulder dystocia, Obstetrics, Uterine rupture, Myometrium, Pregnancy, Gynecology, Uterus, Biology, Internal medicine, GeneticsTop concepts (fields/topics) attached by OpenAlex
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8Total citation count in OpenAlex
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2025: 1, 2024: 1, 2023: 3, 2022: 1, 2021: 2Per-year citation counts (last 5 years)
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33Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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