Induction of labour in women with one previous caesarean section

Abstract

We conducted a postal survey of NHS obstetric consultants working in England regarding their own practice and views on induction of labour in women with one previous caesarean section. Out of 480 consultant obstetricians across England, 322 replied, giving a response rate of 67%. Our survey has revealed a wide variation in practice of consultants across England, regarding induction of labour at term or post-term in women with one previous caesarean section. Hence, we feel that there is a need for a national audit of induction of labour in women with one previous caesarean section, with uterine rupture following induction of labour in such women as an auditable standard.

Pregnancy outcomes of induced labor in women with previous cesarean section: a systematic review and meta-analysis

“…Since a previous cesarean section is often an exclusion criterion in randomized controlled trials (RCTs) on IOL, a recent Cochrane review was only able to include two RCTs involving a total of 80 women, which compared different methods of IOL, but not induced vs. spontaneous labor [6]. Therefore, it is not surprising that both Udayasankar et al [7] and Gupta et al [8], by performing a national survey, reported a wide variation in practice of IOL at term or postterm in women with a previous cesarean section.…”

Cervical Ripening in The Netherlands: A Survey

“…Comparison of the results of our study with surveys from the UK, Australia New Zealand, and Canada shows that the use of prostaglandins for cervical ripening in women with a prior cesarean delivery is by far the lowest in the Netherlands (20%) [16–18]. Also, cervical ripening using mechanical methods in this group is much more popular in the Netherlands (73%) compared to England (3%) (Table 6).…”