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Using percentile matching to simulate labor progression and the effect of labor duration on birth complications

Publication ,  Conference
Hicklin, K; Ivy, JS; Wilson, JR; Myers, E
Published in: Proceedings - Winter Simulation Conference
February 16, 2016

Of the nearly 4 million births that occur each year in the U.S., almost 1 in 3 is a cesarean delivery. Due to the various increased risks associated with cesarean sections (C-sections) and the potential major complications in subsequent pregnancies, a re-evaluation of the C-section rate has been a topic of major concern for patients and health care providers. To evaluate the current C-section rate due to a "failure-to-progress" diagnosis, we implement a percentile matching procedure to derive labor progression times needed to replicate the delivery process in a discrete event simulation for women undergoing a trial of labor. The goals are to: (1) model the natural progression of labor in absence of C-sections, (2) determine the underlying rules responsible for the current rate of cesarean deliveries due to a "failure-to-progress" diagnosis, and (3) develop stopping rules that reduce the number of cesarean deliveries and the rate of complications.

Duke Scholars

Published In

Proceedings - Winter Simulation Conference

DOI

ISSN

0891-7736

ISBN

9781467397438

Publication Date

February 16, 2016

Volume

2016-February

Start / End Page

3104 / 3105
 

Citation

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Hicklin, K., Ivy, J. S., Wilson, J. R., & Myers, E. (2016). Using percentile matching to simulate labor progression and the effect of labor duration on birth complications. In Proceedings - Winter Simulation Conference (Vol. 2016-February, pp. 3104–3105). https://doi.org/10.1109/WSC.2015.7408421
Hicklin, K., J. S. Ivy, J. R. Wilson, and E. Myers. “Using percentile matching to simulate labor progression and the effect of labor duration on birth complications.” In Proceedings - Winter Simulation Conference, 2016-February:3104–5, 2016. https://doi.org/10.1109/WSC.2015.7408421.
Hicklin K, Ivy JS, Wilson JR, Myers E. Using percentile matching to simulate labor progression and the effect of labor duration on birth complications. In: Proceedings - Winter Simulation Conference. 2016. p. 3104–5.
Hicklin, K., et al. “Using percentile matching to simulate labor progression and the effect of labor duration on birth complications.” Proceedings - Winter Simulation Conference, vol. 2016-February, 2016, pp. 3104–05. Scopus, doi:10.1109/WSC.2015.7408421.
Hicklin K, Ivy JS, Wilson JR, Myers E. Using percentile matching to simulate labor progression and the effect of labor duration on birth complications. Proceedings - Winter Simulation Conference. 2016. p. 3104–3105.

Published In

Proceedings - Winter Simulation Conference

DOI

ISSN

0891-7736

ISBN

9781467397438

Publication Date

February 16, 2016

Volume

2016-February

Start / End Page

3104 / 3105