Influence of labor induction on obstetric outcomes in patients with prolonged pregnancy

Bodner‐Adler, Barbara; Pateisky, N.; Kimberger, Oliver; Chalubinski, Kinga; Mayerhofer, Klaus; Husslein, Peter

doi:10.1007/s00508-005-0330-2

Cited by 27 publications

(13 citation statements)

References 18 publications

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“…These results suggest that IOL has no impact on the rate of lacerations if this factor is adjusted for the effect of parity. Considering this point, our finding of a higher rate of lacerations in the IOL group does not contrast with other studies [9,11,41] which did not find any differences in that respect. Our finding of a similar risk of episiotomy after IOL is in accordance with that of other studies [41].…”

contrasting

confidence: 74%

“…Considering this point, our finding of a higher rate of lacerations in the IOL group does not contrast with other studies [9,11,41] which did not find any differences in that respect. Our finding of a similar risk of episiotomy after IOL is in accordance with that of other studies [41]. Concerning atonic hemorrhage we found no significant differences between both groups, but we found a trend that showed a higher rate of atonic hemorrhage in the IOL group.…”

contrasting

confidence: 74%

“…Besides, it should be noted that different studies showed a correlation between maternal characteristics and the cesarean delivery rate. A higher maternal age [25,40,41] and primiparity is associated with a higher rate of cesarean delivery. These conclusions are in line with our results.…”

mentioning

confidence: 99%

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Induction of Labour in Late and Postterm Pregnancies and its Impact on Maternal and Neonatal Outcome

Thangarajah

Scheufen

Kirn

et al. 2016

Geburtshilfe Frauenheilkd

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!Introduction: This study aimed to determine the effects of induction of labour in late-term pregnancies on the mode of delivery, maternal and neonatal outcome. Methods: We retrospectively analyzed deliveries between 2000 and 2014 at the University Hospital of Cologne. Women with a pregnancy aged between 41 + 0 to 42 + 6 weeks were included. Those who underwent induction of labour were compared with women who were expectantly managed. Maternal and neonatal outcomes were evaluated. Results: 856 patients were included into the study. The rate of cesarean deliveries was significantly higher for the induction of labour group (33.8 vs. 21.1 %, p < 0.001). Aside from the more frequent occurrence of perineal lacerations (induction of labour group vs. expectantly managed group = 38.1 % compared with 26.4 %, p = 0.002) and all types of lacerations (induction of labour group vs. expectantly managed group = 61.5% vs. 52.2 %, p = 0.021) in women with vaginal delivery, there were no significant differences in maternal outcome. Besides, no differences regarding neonatal outcome were observed. Conclusions: Our study suggests that induction of labour in late and postterm pregnancies is associated with a significantly higher cesarean section rate. Other maternal and fetal parameters were not influenced by induction of labour.

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contrasting

confidence: 74%

contrasting

confidence: 74%

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Induction of Labour in Late and Postterm Pregnancies and its Impact on Maternal and Neonatal Outcome

Thangarajah

Scheufen

Kirn

et al. 2016

Geburtshilfe Frauenheilkd

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“…Similar nding was reported elsewhere [38]. Evidence showed that, after 42 weeks of gestation, the placenta which supplies the baby with nutrients and oxygen from the mother starts aging and eventually fails, this necessitate the IOL to facilitate delivery of the baby [39]. In addition, post-term pregnancies is related to uterine overstimulation and fetal distress.…”

Section: Discussionsupporting

confidence: 78%

Prevalence, associated factors, and outcomes for labor induction at a tertiary hospital in Northern Tanzania: A retrospective cohort study 2000 - 2015

Tarimo

Wu²,

Obure

et al. 2020

Preprint

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Background Labor induction (IOL) refers to an obstetric intervention which include artificial stimulation of uterine contraction aiming at vaginal delivery of a fetus before the onset of spontaneous labor. Despite undisputed importance of this intervention in improving pregnancy outcomes, data on its utilization and outcomes in Tanzania is limited. The aim of this study was to determine the prevalence, associated factors and outcomes for labor induction among women who were attended at a tertiary hospital in north-Tanzania. Methods We designed a retrospective cohort study and analyzed 53338 deliveries at the Kilimanjaro Christian Medical Centre (KCMC) between the year 2000 to 2015. We enrolled singleton deliveries with vertex presentation and excluded observations with missing information on induction status. Relative risk and 95% Confidence Interval for risk factors and outcomes of labor induction were estimated using log-binomial regression models. Robust variance estimation was used to account for repeated deliveries from the same subject. Results 53,338 deliveries were analyzed. Prevalence of labor induction was 21.63%. Independent risk factors for labor induction were; postdates (RR = 1.21; 95% CI: 1.15–1.28), fetal macrosomia (RR = 1.27; 95% CI: 1.18–1.36) and obesity (RR = 1.12; 95% CI: 1.06–1.18). Labor induction was associated with an increased risk of uterine rapture (RR = 1.84; 95% CI: 1.62–2.09) and low (< 7) Apgar score (RR = 1.27; 95% CI: 1.17–1.37). Labor induction offered protective effect against cesarean delivery (RR = 0.56; 95% CI: 0.53–0.58) and admission to neonatal intensive care unit (RR = 0.94; 95% CI: 0.89–0.99). Conclusion Efforts aimed at achieving the health-related sustainable development goals should focus on increasing access to effective interventions as well as improving quality of health care while being cautioned on likelihood of adverse maternal and fetal outcomes.

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“…Induction of labor is one of the most common interventions in obstetrics, being performed in approximately 15% of all pregnancies (1–3). Underlying reasons include fetal growth restriction, premature rupture of membranes, preeclampsia, intrahepatic cholestasis of pregnancy and, most commonly, post‐dates pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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

Thorsell

Lyrenäs

Andolf

et al. 2011

Acta Obstet Gynecol Scand

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Influence of labor induction on obstetric outcomes in patients with prolonged pregnancy

Cited by 27 publications

References 18 publications

Induction of Labour in Late and Postterm Pregnancies and its Impact on Maternal and Neonatal Outcome

Induction of Labour in Late and Postterm Pregnancies and its Impact on Maternal and Neonatal Outcome

Prevalence, associated factors, and outcomes for labor induction at a tertiary hospital in Northern Tanzania: A retrospective cohort study 2000 - 2015

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

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