{"id":"https://openalex.org/W7225583753","doi":"https://doi.org/10.47705/kjdmr.26409","title":"Early Amniotomy and Risk of Cesarean Section in Primigravida in Al-Bayda Medical Center, Libya","display_name":"Early Amniotomy and Risk of Cesarean Section in Primigravida in Al-Bayda Medical Center, Libya","publication_year":2026,"publication_date":"2026-11-08","ids":{"openalex":"https://openalex.org/W7225583753","doi":"https://doi.org/10.47705/kjdmr.26409"},"language":"en","primary_location":{"id":"doi:10.47705/kjdmr.26409","doi":"https://doi.org/10.47705/kjdmr.26409","is_oa":true,"landing_page_url":"https://doi.org/10.47705/kjdmr.26409","pdf_url":"https://journals.khalijlibya.edu.ly/index.php/ojs/article/download/264/232","source":{"id":"https://openalex.org/S4210178397","display_name":"Khalij-Libya Journal of Dental and Medical Research","issn_l":"2708-888X","issn":["2708-888X"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Khalij-Libya Journal of Dental and Medical Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journals.khalijlibya.edu.ly/index.php/ojs/article/download/264/232","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119165541","display_name":"Karima. S. Abidalla","orcid":"https://orcid.org/0000-0003-2350-1492","observed_orcids":["https://orcid.org/0000-0003-2350-1492"]},"institutions":[{"id":"https://openalex.org/I299799659","display_name":"Omar Al-Mukhtar University","ror":"https://ror.org/01wykm490","country_code":"LY","type":"education","lineage":["https://openalex.org/I299799659"]}],"countries":["LY"],"is_corresponding":true,"raw_author_name":"Karima Abidalla","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Faculty of Medicine, Omar Al-Mokhtar University, Al-Bayda, Libya"],"raw_orcid":"https://orcid.org/0000-0003-2350-1492","affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Faculty of Medicine, Omar Al-Mokhtar University, Al-Bayda, Libya","institution_ids":["https://openalex.org/I299799659"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5119165541"],"corresponding_institution_ids":["https://openalex.org/I299799659"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11290","display_name":"Preterm Birth and Chorioamnionitis","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/early-amniotomy","display_name":"early amniotomy","score":0.9079999923706055},{"id":"https://openalex.org/keywords/amniotomy","display_name":"amniotomy","score":0.9890000224113464},{"id":"https://openalex.org/keywords/primigravida","display_name":"primigravida","score":0.8930000066757202},{"id":"https://openalex.org/keywords/cesarean-section-rate","display_name":"cesarean section rate","score":0.6959999799728394},{"id":"https://openalex.org/keywords/labor-duration","display_name":"labor duration","score":0.8040000200271606},{"id":"https://openalex.org/keywords/spontaneous-labor","display_name":"spontaneous labor","score":0.7139999866485596},{"id":"https://openalex.org/keywords/oxytocin-induction","display_name":"oxytocin induction","score":0.9419999718666077},{"id":"https://openalex.org/keywords/dystocia","display_name":"dystocia","score":0.5360000133514404},{"id":"https://openalex.org/keywords/natural-delivery","display_name":"natural delivery","score":0.44200000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8734999895095825},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.6579999923706055},{"id":"https://openalex.org/C2776176026","wikidata":"https://www.wikidata.org/wiki/Q169960","display_name":"Oxytocin","level":2,"score":0.4984000027179718},{"id":"https://openalex.org/C10885799","wikidata":"https://www.wikidata.org/wiki/Q80015","display_name":"Obstetrics and gynaecology","level":3,"score":0.4936999976634979},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.44940000772476196},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4481000006198883},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4359000027179718},{"id":"https://openalex.org/C2779319320","wikidata":"https://www.wikidata.org/wiki/Q901433","display_name":"Uterine rupture","level":3,"score":0.3479999899864197},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.30090001225471497},{"id":"https://openalex.org/C2776200494","wikidata":"https://www.wikidata.org/wiki/Q7075540","display_name":"Obstetric labor complication","level":3,"score":0.29670000076293945},{"id":"https://openalex.org/C112758219","wikidata":"https://www.wikidata.org/wiki/Q16038819","display_name":"Duration (music)","level":2,"score":0.296099990606308},{"id":"https://openalex.org/C3020128735","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Cesarean delivery","level":3,"score":0.28949999809265137},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.2840999960899353},{"id":"https://openalex.org/C2776279924","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Caesarean section","level":3,"score":0.26249998807907104},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.25099998712539673},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.25040000677108765}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.47705/kjdmr.26409","doi":"https://doi.org/10.47705/kjdmr.26409","is_oa":true,"landing_page_url":"https://doi.org/10.47705/kjdmr.26409","pdf_url":"https://journals.khalijlibya.edu.ly/index.php/ojs/article/download/264/232","source":{"id":"https://openalex.org/S4210178397","display_name":"Khalij-Libya Journal of Dental and Medical Research","issn_l":"2708-888X","issn":["2708-888X"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Khalij-Libya Journal of Dental and Medical Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.47705/kjdmr.26409","doi":"https://doi.org/10.47705/kjdmr.26409","is_oa":true,"landing_page_url":"https://doi.org/10.47705/kjdmr.26409","pdf_url":"https://journals.khalijlibya.edu.ly/index.php/ojs/article/download/264/232","source":{"id":"https://openalex.org/S4210178397","display_name":"Khalij-Libya Journal of Dental and Medical Research","issn_l":"2708-888X","issn":["2708-888X"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Khalij-Libya Journal of Dental and Medical Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9907000064849854,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225583753.pdf","grobid_xml":"https://content.openalex.org/works/W7225583753.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4230763107","https://openalex.org/W2071771722","https://openalex.org/W2762845577","https://openalex.org/W2990307638","https://openalex.org/W4297819036","https://openalex.org/W4378211153","https://openalex.org/W2286553075","https://openalex.org/W2997217987","https://openalex.org/W1489503986","https://openalex.org/W2975929485"],"abstract_inverted_index":{"One":[0,91],"of":[1,12,20,51,59,71,83,118,191],"the":[2,18,47,57,69,81,124,134,189],"most":[3],"practical":[4],"procedures":[5],"in":[6,27,55,62,80,123,160,208],"obstetric":[7],"practice":[8],"is":[9,178],"artificial":[10],"rupture":[11],"membranes,":[13],"or":[14],"amniotomy,":[15],"to":[16,24,45,133,169,204],"hasten":[17],"progression":[19],"labor.":[21],"In":[22],"order":[23],"prevent":[25],"dystocia":[26],"women":[28,93,103,112],"who":[29],"go":[30],"into":[31,96],"labor":[32,61,119,162,171],"on":[33],"their":[34],"own,":[35],"early":[36,53,125,165],"amniotomy":[37,54,126,153,166],"has":[38],"been":[39],"recommended":[40],"recently.":[41],"This":[42],"study":[43,77],"aims":[44],"determine":[46],"effectiveness":[48],"and":[49,65,85,106,173,177],"safety":[50],"performing":[52],"shortening":[56],"duration":[58,117],"spontaneous":[60],"primigravida":[63],"women,":[64],"its":[66,175],"association":[67],"with":[68,141,156,180],"risk":[70],"cesarean":[72,209],"delivery.":[73,193],"A":[74],"prospective":[75],"controlled":[76],"was":[78,120,154],"conducted":[79],"Department":[82],"Obstetrics":[84],"Gynecology":[86],"at":[87],"Al-Bayda":[88],"Medical":[89],"Center.":[90],"hundred":[92],"were":[94],"divided":[95],"two":[97],"groups:":[98],"group":[99,108,127,136],"I":[100],"involved":[101,110],"50":[102,111],"(early":[104],"amniotomy),":[105],"control":[107,135],"II":[109],"(no":[113],"amniotomy).":[114],"The":[115,194],"mean":[116],"significantly":[121],"shorter":[122],"(6.59":[128],"\u00b1":[129,138],"1.22":[130],"hours)":[131],"compared":[132],"(8.85":[137],"1.15":[139],"hours),":[140],"a":[142,157,181,205],"highly":[143],"significant":[144,206],"difference":[145],"(t":[146],"=":[147],"\u22128.60,":[148],"p":[149],"<":[150],"0.001).":[151],"Early":[152],"associated":[155,179],"marked":[158],"reduction":[159],"total":[161],"duration.":[163],"An":[164],"effectively":[167],"contributes":[168],"accelerating":[170],"progress":[172],"reducing":[174],"duration,":[176],"decreased":[182],"need":[183],"for":[184],"oxytocin":[185],"induction,":[186],"thereby":[187],"enhancing":[188],"chances":[190],"natural":[192],"findings":[195],"also":[196],"indicated":[197],"that":[198],"this":[199],"procedure":[200],"does":[201],"not":[202],"lead":[203],"increase":[207],"delivery":[210],"rates.":[211]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-09T00:00:00"}