Induction of labor and the risk for emergency cesarean section in nulliparous and multiparous women

Thorsell, Malin; Lyrenäs, Sven; Andolf, Ellika; Kaijser, Magnus

doi:10.1111/j.1600-0412.2011.01213.x

Cited by 59 publications

(57 citation statements)

References 18 publications

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“…Induction of labour involves the artificial stimulation of uterine contractions with the aim of achieving vaginal delivery, and is performed in approximately 15% of all pregnancies [1].…”

Section: Introductionmentioning

confidence: 99%

Data comparison between pharmacological induction of labour and spontaneous delivery. A single centre experience

Granese¹,

Calagna²,

Sollano

et al. 2016

Ginekol Pol

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Objectives: To assess the differences in the maternal and fetal outcomes between pharmacological induced and spontaneous labour in nulliparous women. Material and methods:Observational cohort study carried out over a period of 2 years. Inclusion criteria: nulliparous singleton pregnancies, with cephalic fetal presentation, elective labour induction with intra-vaginal prostaglandin E2 (PGE2) gel (Prepidil® 2 mg) at a gestational age of 41 weeks. Control group: patients who entered labour spontaneously at a gestational age of ≥ 40 weeks. The main demographic maternal characteristics and intra-and postpartum data were extracted from computer records and obstetrics diaries and were used for the analysis. Results:One hundred and three patients with induction of labour and 97 with spontaneous labour were enrolled. Cesarean delivery was performed in 18 cases (17.5%), all in the induction group. There were no differences in newborn weights between the 2 groups while both the 1-minute and 5-minute Apgar scores were significantly higher in the spontaneous group (p = 0.014 and p = 0.0003, respectively). Women in the induction group had a significantly longer duration of I stage labour in comparison with spontaneous group (p < 0.0001).Conclusions: Primiparous women whose labour was induced spent a longer time in labour than women who presented in spontaneous labour. Clinicians should keep in mind that a slow rate of dilation in a woman being induced may be normal. For this reason, an arrest diagnosis needs to be carefully considered.

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“…Induction of labour involves the artificial stimulation of uterine contractions with the aim of achieving vaginal delivery, and is performed in approximately 15% of all pregnancies [1].…”

Section: Introductionmentioning

confidence: 99%

Data comparison between pharmacological induction of labour and spontaneous delivery. A single centre experience

Granese¹,

Calagna²,

Sollano

et al. 2016

Ginekol Pol

View full text Add to dashboard Cite

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“…This finding is partially a result of the different nature of the study populations, i.e., spontaneous labor onset vs. IOL. It is shown that women with IOL have a greater risk for a cesarean delivery than women with a spontaneous onset of labor (OR 2.54-3.06 for CS in induced labor compared to spontaneous onset) (62,63). This finding explains the different prevalence of CSs between the cohorts (6.0% vs. 15.5%, respectively).…”

Section: Mode Of Delivery Related To Bmimentioning

confidence: 32%

“…This is explained, in part, by the positive association between maternal obesity and post-term pregnancy (46)(47)(48). The increased rates of obesity associated comorbidities such as PE, GDM and hypertension, also contributes to the greater need of IOL (59,63).…”

Section: Induction Of Labor In Obese Womenmentioning

confidence: 99%

“…In Sweden, the proportion of induced singleton deliveries at full-term pregnancy (≥37 full gestational weeks) increased from 7.4% in 1991 to 17.8% in 2016 (6). Nulliparous women with IOL are three to four times more likely to have a cesarean delivery compared to nulliparous women with a spontaneous onset of labor (62,63). Among women with induced labor the risk of a cesarean delivery increases further with maternal obesity (64)(65)(66)(67).…”

Section: Induction Of Labor In Obese Womenmentioning

confidence: 99%

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Maternal obesity, duration of labor and the role of leptin

Carlhäll¹

2018

Linköping University Medical Dissertations

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Background: The prevalence of obesity substantially increases in pregnant women. Maternal obesity is associated with adverse maternal and neonatal outcomes. The increased risk for cesarean section present in obese women has been related to potential impaired uterine contractility. The mechanism that underlies this theory is not clear. In vitro studies have shown that leptin, produced by adipose tissue and the placenta, exerts an inhibitory effect on myometrial contractility. The aim of this thesis was to evaluate the labor process in relation to maternal body mass index (BMI) and the clinical role of leptin in this process.

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“…Lisa revealed that both the nulliparas (27%) and multiparas (13%) had an increased cesarean rate compared to spontaneous labor [87]. Compared to spontaneous onset of delivery, induction of labor is associated with an increased risk for emergency cesarean section among nulliparous and multiparous women [88] Alicia ault cited that the major risk associated with a failed induction at 39 weeks is cesarean delivery [89]. Park reported earlier gestational age as a significant predictive factor for failed IOL [51].…”

Section: Tripathy and Babymentioning

confidence: 99%

Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

Tripathy

Baby

2017

Asian J Pharm Clin Res

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Objective: Labor induction by medication is now preferred by many obstetricians. The impact of induction remains ambiguous, although many studies and systematic reviews have been conducted. Few studies have reported for its better outcomes while other studies with poor outcomes. The objective of the study is to identify the common indications of induction and the risk of cesarean section after induction. Methods:Various standardized databases, such as Pub Med, Scopus, and Google Scholar, were used to collect the scientific studies, where prostaglandin was used as drug of choice for induction of labor. The key words used were induction of labor, indications of induction, induction by misoprostol, induction and risk of cesarean section, etc. The survey spans over 22 years of study articles published from the year 1995-2017.Result: A total of 112 studies have been included to analyze the indications and risk of cesarean section. The most common indication found in most of the studies was post-term pregnancy. The risk of cesarean section varied from 3% to 48.7%. The common reasons for which the cesarean section was planned were, failed induction, nonprogress of labor, fetal distress, and undiagnosed CPD. Conclusion:Most of the studies recommend induction of labor as a safer option with lower risk of c-section.

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Induction of labor and the risk for emergency cesarean section in nulliparous and multiparous women

Abstract: Compared to spontaneous onset of delivery, induction of labor is associated with an increased risk for emergency cesarean section both among nulliparous and multiparous women. When labor is induced, the high risk for emergency cesarean must be kept in mind.

Cited by 59 publications

References 18 publications

Data comparison between pharmacological induction of labour and spontaneous delivery. A single centre experience

Data comparison between pharmacological induction of labour and spontaneous delivery. A single centre experience

Maternal obesity, duration of labor and the role of leptin

Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

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