Modeling repeated labor curves in consecutive pregnancies: Individualized prediction of labor progression from previous pregnancy data.

ABSTRACT: The measurement of cervical dilation of a pregnant woman is used to monitor the progression of labor until 10 cm when pushing begins. There is anecdotal evidence that labor tracks across repeated pregnancies; moreover, no statistical methodology has been developed to address this important issue, which can help obstetricians make more informed clinical decisions about an individual woman's progression. Motivated by the NICHD Consecutive Pregnancies Study (CPS), we propose new methodology for analyzing labor curves across consecutive pregnancies. Our focus is both on studying the correlation between repeated labor curves on the same woman and on using the cervical dilation data from prior pregnancies to predict subsequent labor curves. We propose a hierarchical random effects model with a r

SUBMITTER: Buhule OD 

PROVIDER: S-EPMC7171572 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature