Joint modelling of competing risks and current status data: an application to a spontaneous labour study.

ABSTRACT: The second stage of labour begins when the cervix is fully dilated and pushing begins until the fetus is delivered. A Caesarean delivery (CD) or operative vaginal delivery (OVD) is typically encouraged after the recommended time set by 'expert consensus'. This recommended time has been set out of concern for an increased chance of maternal and neonatal morbidities due to a prolonged second stage of labour, but without thorough consideration of heterogeneous risks for spontaneous vaginal delivery (SVD) and morbidities among women. To provide quantitative evidence for the recommendation, the first step is to compare the risks for SVD, CD or OVD, and the risks of maternal or neonatal morbidities simultaneously across the duration of the second stage of labour. To address such risk comparisons

SUBMITTER: Lee Y 

PROVIDER: S-EPMC12636923 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature