Systematic Review: Elective Induction of Labor Versus Expectant Management of Pregnancy

Caughey, Aaron B.; Sundaram, Vandana; Kaimal, Anjali J; Gienger, Allison; Cheng, Yvonne W.; McDonald, Kathryn M; Shaffer, Brian L; Owens, Douglas K; Bravata, Dena M

doi:10.7326/0003-4819-151-4-200908180-00007

Cited by 281 publications

(236 citation statements)

References 49 publications

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“…We chose to compare women who underwent IOL at a specific GA to those who were expectantly managed. These findings are consistent with several large cohort studies and a meta-analysis in women without GDM that demonstrated no increase in the CD rate in women with who underwent IOL at term 25,26 .…”

Section: Commentsupporting

confidence: 80%

Timing of Delivery and Pregnancy Outcomes in Women With Gestational Diabetes

Feghali¹,

Caritis²,

Catov³

et al. 2017

Obstetric Anesthesia Digest

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Section: Commentsupporting

confidence: 80%

Timing of Delivery and Pregnancy Outcomes in Women With Gestational Diabetes

Feghali¹,

Caritis²,

Catov³

et al. 2017

Obstetric Anesthesia Digest

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“…But in a study by Dunne and Colleagues, elective induction was associated with an increased risks of caesarean section when compared with spontaneous onset of labour 16 . A study by Barthelemy revealed 66.9% of vaginal delivery and 29.6% of caesarean section 12 . No maternal morbidities like third and fourth degree tear, PPH, vaginal haematoma were identifi ed in this study though few studies have identifi ed such maternal morbidities.…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Barthelemy Tandu-Umba post term pregnancies covered only 14.6% 12 . In a study by John D.Yeast, Angela Jones and Mark Poskins, postdated pregnancy was found to be the most common indication 13 .…”

Section: Discussionmentioning

confidence: 99%

Maternal and neonatal outcome of spontaneous versus induced labour at term

Shrestha

Bajracharya

Shrestha

2016

J. Kathmandu Med. Coll.

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Background: Induction of labour today has become the most common obstetric intervention. It is increasing worldwide but there are still controversies regarding its benefi ts. Objective: To compare the maternal and neonatal outcomes of elective induction of labour with spontaneous onset of labour in pregnant women from 40 to 42 weeks of gestation at Kathmandu Medical College and Teaching Hospital (KMCTH). Methods: This was a comparative hospital based study that was conducted at KMCTH from 15 th April 2013 to 15 th April 2014. Three hundred women with singleton pregnancies from 40 to 42 weeks of gestation without any risk factors were enrolled and among these 150 women were selected for induction of labour by purposive sampling. Among these, those with Bishops score less than six were induced with prostaglandin E 2 which was administered intracervically followed by intravenous infusion of oxytocin in an escalating dose. Those with Bishops score more than six were directly induced with intravenous oxytocin in an escalating dose. Another 150 women were allowed to go into spontaneous onset of labour. The outcome that were looked upon were mode of delivery, rate of caesarean section, maternal morbidities which included post partum haemorrhage (PPH), haematoma, third and fourth degree perineal tears, neonatal intensive care unit (NICU) admission and also neonatal morbidities and mortality. Results: Among 150 pregnant women undergoing induction of labour, 82 (54.6%) had normal delivery, 10 (6.6%) had instrumental delivery and 58 (38.8%) had caesarean section whereas among another 150 pregnant women with spontaneous onset of labour 57 (38%) had normal delivery, 9 (6%) had instrumental delivery and 84 (56%) had caesarean section. Regarding the neonatal morbidities, NICU admissions were more in those with spontaneous onset of labour than induced labour; 20 (13.3%) and 14 (9.3%) respectively. The commonest indication for neonatal intensive care unit admission was meconium stained liquor. Conclusion: Elective induction of labour is associated with lesser rates of caesarean section and does reduce the NICU admissions when compared with spontaneous onset of labour.

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“…This has essentially been spurred by large cohort studies suggesting better neonatal outcomes. 5 We have observed a phenomenon of apparent oxytocin desensitization in patients receiving infusions of oxytocin prior to delivery. At the clinical level, this results in the need for accelerated doses of oxytocin to achieve adequate uterine tone.…”

mentioning

confidence: 99%

Pharmacologic intervention for managing uterine atony and related maternal hemorrhage: what is the most effective drug dose?

Muir

2013

Can J Anesth/J Can Anesth

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Systematic Review: Elective Induction of Labor Versus Expectant Management of Pregnancy

Cited by 281 publications

References 49 publications

Timing of Delivery and Pregnancy Outcomes in Women With Gestational Diabetes

Timing of Delivery and Pregnancy Outcomes in Women With Gestational Diabetes

Maternal and neonatal outcome of spontaneous versus induced labour at term

Pharmacologic intervention for managing uterine atony and related maternal hemorrhage: what is the most effective drug dose?

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