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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (4): 570-574    DOI: 10.12891/ceog4655.2019
Original Research Previous articles | Next articles
Monitoring and assessing pre-labor obstetric practicesc using control charts: cesarean delivery cases
M. Aslam1, *(), Areej Ghormulla Alghamdi2, 3, Nawal G. Alghamdi3, Khushnoor Khan1
1 Department of Statistics, Faculty of Science, King Abdulaziz University, Jeddah, Saudi Arabia
2Institute of Psychology, EotvosLorand University, Budapest, Hungary
3Institute of Psychology, King Abdulaziz University, Jeddah, Saudi Arabia
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Due to the increase of the cesarean delivery rates globally, several researchers focused their attention on the analyses and monitoring of these rates. Present research focuses on analyzing cesarean delivery rates from two contexts - elective and emergency cesarean delivery cases. Statistical control charts -Shewhart and repetitive control charts, along with clustered bar chart are used for analyzing cesarean delivery data from 19 maternity clinics in Ireland. By-product of the analyses is also to have an insight into the pre-labor obstetric practices and suggesting whether a review of the labor ward practices is warranted or not. Secondary data is used in the current research. Moreover a comparison of the Shewhart control charts, repetitive control charts, and clustered bar charts has been carried out in order to show the effectiveness and ease of use of the control charts in identifying the areas were reviews of the pre-labor obstetric practices are warranted. It is observed that proposed charts are more robust in identifying the trouble spots than the traditional methods.

Key words:  Cesarean delivery rate      Clustered bar chart      Shewhart charts      Repetitive sampling: Obstetric practices     
Published:  10 August 2019     
*Corresponding Author(s):  M. ASLAM     E-mail:

Cite this article: 

M. Aslam, Areej Ghormulla Alghamdi, Nawal G. Alghamdi, Khushnoor Khan. Monitoring and assessing pre-labor obstetric practicesc using control charts: cesarean delivery cases. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 570-574.

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[1] Y. Yamamoto, S. Aoki, M.S. Oba, K. Seki, F. Hirahara. Short umbilical cord length: reflective of adverse pregnancy outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 216-219.
[1] Eli M. Roth, Michael H. Davidson. PCSK9 Inhibitors: Mechanism of Action, Efficacy, and Safety[J]. Reviews in Cardiovascular Medicine, 2018, 19(S1): 31 -46 .
[2] Sandeep K. Krishnan, Norman E. Lepor. Acute and Chronic Cardiovascular Effects of Hyperkalemia: New Insights Into Prevention and Clinical Management[J]. Reviews in Cardiovascular Medicine, 2016, 17(S1): 9 -21 .
[3] Ibrahim Sidiqi, Patrick Alexander. Current Advances in Endovascular Therapy for Infrapopliteal Artery Disease[J]. Reviews in Cardiovascular Medicine, 2015, 16(1): 36 -50 .
[4] Peter Shalit. Management of Dyslipidemia in Patients With Human Immunodeficiency Virus[J]. Reviews in Cardiovascular Medicine, 2014, 15(S1): 38 -46 .
[5] Sophie Mavrogeni, Fabrizio Cantini, Gerald M. Pohost. Systemic Vasculitis: An Underestimated Cause of Heart Failure—Assessment by Cardiovascular Magnetic Resonance[J]. Reviews in Cardiovascular Medicine, 2013, 14(1): 49 -55 .
[6] George L. Smith. Appropriate Use Criteria: The Gold Standard, or a Mechanism for the Derogation of Clinical Judgment?[J]. Reviews in Cardiovascular Medicine, 2011, 12(2): 105 .
[7] Prabhjot Singh Nijjar, Anoop Parameswaran, Aman M. Amanullah. Evaluation of Anomalous Aortic Origins of the Coronaries by 64-Slice Cardiac Computed Tomography[J]. Reviews in Cardiovascular Medicine, 2007, 8(3): 175 -181 .
[8] . SELF-ASSESSMENT POST-TEST[J]. Reviews in Cardiovascular Medicine, 2006, 7(S2): 51 -52 .
[9] Alice K. Jacobs. Gender Differences in Coronary Revascularization: Does Age Make a Difference?[J]. Reviews in Cardiovascular Medicine, 2004, 5(1): 68 -70 .
[10] Jeffrey W. Moses, Stephane Carlier, Issam Moussa. Lesion Preparation Prior to Stenting[J]. Reviews in Cardiovascular Medicine, 2004, 5(S2): 16 -21 .