Elective induction: An analysis of economic and health consequences

Kaufman, Karen E.; Bailit, Jennifer L.; Grobman, William A.

doi:10.1067/mob.2002.127147

Cited by 69 publications

(35 citation statements)

References 18 publications

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“…Among 81 cases of natural delivery, only one case had a delivery in more than 48 hours, which shows better response of pregnant women in our region comparing with that of women included in the study of Gomez et al [11]. In the group with natural delivery during the first 24 hours, the natural delivery had a significant relationship with the Bishop score, cervical length, and parity.…”

Section: Discussionmentioning

confidence: 69%

“…Uyar et al [13] found that in spite of the direct relationship between the cervical length and induction to delivery interval, no relationship between induction to delivery interval and Bishop score could be found [14]. Gomez et al [11] found that the cervical length was more successful than the Bishop score in predicting induction result and Eggebo et al demonstrated that the distance between the fetal head and perineum could predict induction results in the same manner as the cervical length and Bishop score. However, other authors suggest that none of the above methods are successful to predict induction results singly [10,25,26].…”

Section: Introductionmentioning

confidence: 99%

“…It seems ideal to determine the caesarean risks before starting induction. The standard method for predicting the response to induction is based on the Bishop score for determining cervical ripening [10,11]. The Bishop score is defined based on scoring cervical position, cervical consistency, fatal station, cervical effacement, and cervical dilation which are all subjective criteria [12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Predicting factors on cervical ripening and response to induction in women pregnant over 37 weeks

et al. 2013

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Induction of labor is conducted in special fetal or maternal conditions. Labor is induced in about 20% of women. The aim of this study was realizing the relationship between some factors including cervical ripening and also response to induction so we could predict the induction outcome better. Material and methods: The present prospective study was based on 101 pregnancy cases admitted to the labor ward in Urmia from March 2010 until December 2010. Maternal age ranged from 17 to 41 years and the gestational age between 37 to 42 weeks according to an ultrasound or reliable last menstrual period, as criteria of study inclusion. After admission, patients had a vaginal speculum for Preterm Premature Rupture of Membranes (PPROM), Abdominal ultrasonography for biometry and Amniotic Fluid Index (AFI), transperineal ultrasonography for measuring fetal head distance to maternal perineum, and vaginal ultrasonography for measuring cervical length and posterior angle of fetal head with cervix were undergone. Bishop score was assigned to another person. Labor was induced by administering either intravaginal misoprostol (25 microgram every six hours for a Bishop score lower than 7) or intravenous oxytocin (low dose regimen for a Bishop score equal to or more than 7). Results: Misoprostol was used for 75 patients and 26 patients had induction of labor with low dose oxytocin. Eighty one patients had Normal Vaginal Delivery (NVD) while 20 were delivered via Cesarean Section. For cervical ripening, Bishop Score (p<0.001), cervical length (p=0.04) and parity (p=0.06) were predicting factors. The cervical posterior angle p=0.02 had a predicting role in natural delivery. Conclusion: The cervical posterior angle was a predicting factor for natural delivery. Although cervical length, Body Mass Index (BMI), and parity were not predicting factors for natural delivery; these factors were good predictors for cervical ripening.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predicting factors on cervical ripening and response to induction in women pregnant over 37 weeks

et al. 2013

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“…14,17,18 There was no difference between the two groups with respect to the 5th minute Apgar score, even after adjustment for all predictor variables. This finding corroborates reports from various other authors.…”

Section: Gláucia Virgínia Guerra Et Al Elective Induction Of Labour mentioning

confidence: 92%

“…These include an increase in instrumental vaginal deliveries; greater need for epidural analgesia; postpartum haemorrhage; increased need for blood transfusion; longer hospital stays and higher hospital costs. 12,14,[16][17][18][19] In addition, the neonate requires immediate care and must sometimes be admitted to a neonatal intensive care unit (ICU), particularly when the cervix is unripe at delivery. 15,17,19 Elective induction of labour is becoming increasingly common but is seldom directly reported in studies perhaps because of lack of consensus with respect to its definition.…”

Section: Introductionmentioning

confidence: 99%