Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

When does a statistical fact become an ethical imperative?

R K Silver, J Minogue

    American Journal of Obstetrics and Gynecology
    |August 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT) through non-specialist providers and telemedicine: a study protocol for a non-inferiority randomized controlled trial.

    Trials·2021
    Same author

    Severe perineal laceration during operative vaginal delivery: the impact of occiput posterior position.

    Journal of perinatology : official journal of the California Perinatal Association·2014
    Same author

    Information preferences of high literacy pregnant women regarding informed consent models for genetic carrier screening.

    Patient education and counseling·2008
    Same author

    What do patients prefer: informed consent models for genetic carrier testing.

    Journal of genetic counseling·2007
    Same author

    Psychosocial assessment by phone for high-scoring patients taking the Edinburgh Postnatal Depression Scale: communication pathways and strategies.

    Archives of women's mental health·2005
    Same author

    [Late first-trimester invasive prenatal diagnosis--secondary publication. An international randomized trial].

    Ugeskrift for laeger·2005
    Same journal

    Trends in Infertility Treatments by Race, Ethnicity, Socioeconomic Status, and Region in U.S. Birth Certificates from Live Births: 2011-2022.

    American journal of obstetrics and gynecology·2026
    Same journal

    Likelihood ratios enhance clinical interpretation of metagenomic prediction of early-onset neonatal sepsis in preterm premature rupture of membranes (Letter-to-the-Editor).

    American journal of obstetrics and gynecology·2026
    Same journal

    Taking risk stratification in preterm premature rupture of membranes to the bedside (Reply to Letter-to-the-Editor).

    American journal of obstetrics and gynecology·2026
    Same journal

    Gestational Age at Full-Term Delivery and Long-Term Offspring Morbidity in Low-Risk Pregnancies: A Population-Based Cohort Study.

    American journal of obstetrics and gynecology·2026
    Same journal

    Trajectories of childbirth-related posttraumatic stress symptoms after a vaginal delivery: a multicenter prospective study.

    American journal of obstetrics and gynecology·2026
    Same journal

    Early life adversity and polycystic ovary syndrome among North American pregnancy planners.

    American journal of obstetrics and gynecology·2026
    See all related articles

    Trial of labor is a safe and effective option, yet it is underused. Decision analysis shows trial of labor is superior to elective repeat cesarean section for mother and neonate, suggesting an ethical responsibility to increase its use.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Healthcare Management

    Background:

    • Trial of labor (TOL) is an underutilized management alternative in clinical practice.
    • The justification for the underuse of TOL compared to elective repeat cesarean section (ERCS) requires investigation.

    Purpose of the Study:

    • To compare the outcomes of trial of labor versus elective repeat cesarean section using decision analysis.
    • To explore the ethical implications of management choices between TOL and ERCS.

    Main Methods:

    • Decision analysis model developed to compare TOL and ERCS.
    • Utilized existing probability estimates and outcome scoring from a perinatologist survey.

    Main Results:

    Keywords:
    Empirical ApproachProfessional Patient Relationship

    Related Experiment Videos

  • Trial of labor was identified as superior to elective repeat cesarean section for both maternal and neonatal outcomes.
  • Decision analysis supports TOL as the preferred management strategy based on available data.

    • Conclusions:

    • There is an ethical imperative for healthcare professionals to increase the application of trial of labor.
    • Findings suggest a professional responsibility to promote TOL over ERCS when appropriate, considering patient well-being and ethical principles.