Induction of labor and cesarean section

Bhide, A.

doi:10.1111/aogs.14068

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…24 hours group can be partly explained by the higher use of induction of labor which is often associated with increased CS with respect to spontaneous labor onset, 24 although evidences show now that induction of labor (for any indication) does not increase the CS rates if compared with "expectant management" for the same clinical condition. 25 A very recent secondary analysis of TERM PROM trial agrees with our findings and seems to support the hypothesis that shortening the time of expectation allows benefits for the baby. 26 The prospective cohort design of this study may represent a limitation because it does not allow the control of all interfering variables, as in a randomized controlled trial.…”

Section: Discussionsupporting

confidence: 90%

“…These differences are explained by the implementation of the current guidelines which requires an early induction in GBS carriers mothers 7 . Accordingly, the higher rate of CS found in the ROM ≥ 24 h group can be partly explained by the higher use of induction of labor which is often associated with increased CS with respect to spontaneous labor onset 24 , although evidences show now that induction of labor (for any indication) does not increase the CS rates if compared with 'expectant management' for the same clinical condition 25 . A very recent secondary analysis of TERM PROM trial agrees with our findings and seems to support the hypothesis that shortening the time of expectation allows benefits for the baby 26 .…”

Section: Accepted Manuscriptmentioning

confidence: 98%

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Exposure to Prolonged Rupture of Membranes at Term Increases the Risk for Ventilatory Support in Uninfected Neonates

et al. 2023

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Background: The effects of prolonged rupture of membranes (ROM) on perinatal outcomes are still unclear and the management of those women remains controversial. This study aims to evaluate how the exposure of pregnant women to a prolonged ROM affects maternal and neonatal outcomes. Methods: This retrospective cohort study included singleton pregnant women at term delivering between January 2019, and March 2020 in a tertiary hospital. All relevant sociodemographic, pregnancy, and perinatal variables (maternal age, pre-pregnancy BMI, labor, and delivery outcomes) were collected anonymously. Data were compared between the “ROM < 24 hours” and “ROM ≥24 hours” study groups. Results: A total of 2689 dyads were included in the study and divided according to their ROM-delivery time: ROM <24 hours, (2369 women, 88.1%), and ROM ≥ 24 hours (320 women, 11.9%). Maternal baseline characteristics were comparable except for the rate of nulliparous women, which was significantly higher among patients with ROM ≥ 24 hours. No significant differences were found regarding infectious neonatal outcomes. However, mechanical ventilation and CPAP were more common among neonates born after ROM ≥ 24 h. The greater likelihood of neonatal respiratory distress was also confirmed among infants born to GBS-negative women with ROM ≥ 24 hours (15 out of 267 neonates, 5.6% vs 52 out of 1529 with ROM < 24 hours, 3.4%, p=0.04). Conclusions: According to the actual expectant policy, prolonged ROM is associated with an increased risk of respiratory support, in non-infected neonates. Further investigations are required to explain such an association.

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Section: Discussionsupporting

confidence: 90%

Section: Accepted Manuscriptmentioning

confidence: 98%

Exposure to Prolonged Rupture of Membranes at Term Increases the Risk for Ventilatory Support in Uninfected Neonates

et al. 2023

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“…In consonance with different authors [6,22], our results show that there is twice the risk of labour ending in a CS when an induction is performed, compared to a spontaneous onset of labour. In addition, we observe that premature membrane rupture and failed induction were, respectively, the most frequent causes of induction and CS, as observed in other studies [12][13][14]23]. In order to reduce the overuse of caesarean sections in this group, efforts should be made to decrease both inductions and elective cesarean sections.…”

Section: Discussionsupporting

confidence: 71%

Indications of Induction and Caesarean Sections Performed Using the Robson Classification in a University Hospital in Spain from 2010 to 2021

Vila-Candel,

Piquer-Martín,

Perdomo-Ugarte

et al. 2023

Healthcare

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Background: The Robson Ten Group Classification System (RTGCS) enables the assessment, monitoring, and comparison of caesarean section rates both within healthcare facilities and between them, and the indications of caesarean sections (CS) performed in a maternity ward. The aims of the present study were to conduct an analysis to assess the levels and distribution of birth from a descriptive approach by CS in La Ribera University Hospital (Spain) between 2010–2021 using the Robson classification; to describe the indications for the induction of labour and the causes of caesarean sections performed; and to examine the association between the induction of labour and CS birth. Methods: A retrospective study between 1 January 2010 and 31 December 2021. All eligible women were classified according to the RTGCS to determine the absolute and relative contribution by each group to the overall CS rate. The odds ratio (OR) of the variables of interest was estimated by logistic regression. In an analysis of the subgroups, the level of significance was adjusted using the Bonferroni method. Results: 20,578 women gave birth during the study period, 19% of them by CS. In 33% of births, induction was performed, and the most common cause was the premature rupture of membranes. Group 2 (nulliparous with induced labour/elective CS before labour) accounted for the largest contribution to the overall rate of CS (31.5%) and showed an upward trend from 23.2% to 39.7% in the time series, increasing the CS rate by 6.7%. The leading cause of CS was suspected fetal distress, followed by induction failure. Conclusions: In our study, Robson Group 2 was identified as the main contributor to the hospital’s overall CS rate. Determining the causes of induction and CS in a population sample classified using the RTGCS enables the identification of the groups with the greatest deviation from the optimal rate of CS and the establishment of improvement plans to reduce the overall rate of caesarean sections in the maternity unit.

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“…13 While the rate of vaginal births is higher in centres where labor is allowed to progress spontaneously irrespective of neonatal birth weight, the rate of cesarean sections tends to increase significantly in higher birth weight babies when labour is induced. 29,30 All the caesarean sections in our study were undertaken for emergency indications in parturient women. Normal birth weight and low birth weight neonates are more likely to be delivered vaginally irrespective of whether labor is induced or spontaneous.…”

Section: Discussionmentioning

confidence: 99%

Neonatal birth weight as a predictor of mode of delivery in singleton term pregnancies at a tertiary level maternity hospital in Urban Mumbai

Upadhyay,

Palve,

Fatemi

et al. 2024

Int J Reprod Contracept Obstet Gynecol

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Background: Mode of delivery is determined by a variety of feto-maternal factors like fetal presentation, maternal age, parity as well as environmental factors such as place of residence, quality of ANC care etc. Aim was to assess if neonatal birth wight (NBW) affected the mode of delivery at a tertiary level maternity hospital in urban Mumbai. Methods: Ours was an observational study having cross sectional design, utilizing data retrieved from hospital records, conducted at Cama and Albless Hospital in Mumbai over 3 months- July 2023 -September 2023. Data regarding maternal parity, age, mode of delivery and neonatal birth weight was compiled in Microsoft Excel 2017 from hospital records after taking Ethics Committee permission for the same. Results: In n=104 live viable term singleton pregnancies observed over 3 months LSCS rate of 25.96% was observed, higher Neonatal birth weight (NBW) was associated with caesarean delivery. 89% of the underweight neonates (<2.5kg) delivered vaginally while 100% of the macrocosmic neonates (>4kg) were delivered by LSCS. Maternal age correlated positively with neonatal weight and parity. Neonatal sex was not associated with mode of delivery or NBW. Conclusions: Mode of delivery is affected by NBW, but not by maternal age or neonatal sex. Mode of delivery in first pregnancy significantly determines mode of delivery in subsequent pregnancies.

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Induction of labor and cesarean section

Cited by 5 publications

References 11 publications

Exposure to Prolonged Rupture of Membranes at Term Increases the Risk for Ventilatory Support in Uninfected Neonates

Exposure to Prolonged Rupture of Membranes at Term Increases the Risk for Ventilatory Support in Uninfected Neonates

Indications of Induction and Caesarean Sections Performed Using the Robson Classification in a University Hospital in Spain from 2010 to 2021

Neonatal birth weight as a predictor of mode of delivery in singleton term pregnancies at a tertiary level maternity hospital in Urban Mumbai

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