scholarly journals Cervical consistency index and risk of Cesarean delivery after induction of labor at term

2019 ◽  
Vol 53 (6) ◽  
pp. 798-803 ◽  
Author(s):  
F. Migliorelli ◽  
C. Rueda ◽  
M. A. Angeles ◽  
N. Baños ◽  
D. E. Posadas ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Consistency Index

Assessing Maternal and Fetal Risks Associated with Prolonged Induction of Labor

2018 ◽  
Vol 36 (05) ◽  
pp. 455-459 ◽  
Author(s):  
Jourdan Triebwasser ◽  
Jamie VanArtsdalen ◽  
Emily Kobernik ◽  
Kristian Seiler ◽  
Elizabeth Langen
Keyword(s):  
Propensity Score ◽  
Cesarean Delivery ◽  
Postpartum Hemorrhage ◽  
Neonatal Intensive Care ◽  
Umbilical Artery ◽  
Neonatal Morbidity ◽  
Induction Of Labor ◽  
Neonatal Outcomes ◽  
Cervical Dilation ◽  
Intensive Care Admission

Objective To assess whether prolonged induction of labor was associated with increased maternal or neonatal morbidity. Study Design We performed a retrospective cohort study of women undergoing induction of labor at a single institution. We included women with singletons ≥ 36 weeks with initial cervical dilation ≤4 cm. Prolonged induction of labor was defined as lasting > 36 hours from the time of initial method to delivery. A 2-to-1 propensity score-matched analysis was performed between women with and those without prolonged induction of labor. Maternal outcomes were cesarean delivery, chorioamnionitis, endometritis, postpartum hemorrhage, severe perineal laceration, and length of postpartum admission. Neonatal outcomes included Apgar scores, umbilical artery pH, and neonatal intensive care admission. Results Among 2,021 women, 407 (20.1%) had a prolonged induction. In unadjusted analyses, prolonged induction of labor was associated with increased cesarean delivery and chorioamnionitis. After 2-to-1 propensity score matching, there were 267 women with prolonged induction and 424 controls. Women with prolonged induction of labor had higher rates of cesarean delivery (35.6 vs. 16%, p < 0.001), chorioamnionitis (14.2 vs. 4.7%, p < 0.001), endometritis (6.4 vs. 1.9%, p = 0.002), and postpartum hemorrhage (18.8 vs. 11.9%, p = 0.008). There were no significant differences in neonatal outcomes. Conclusion Overall length of induction impacts maternal outcome.

Pregnancy Outcomes after Early Amniotomy among Class III Obese Gravidas Undergoing Induction of Labor

2018 ◽  
Vol 36 (05) ◽  
pp. 449-454
Author(s):  
Daniel Pasko ◽  
Kathryn Miller ◽  
Victoria Jauk ◽  
Akila Subramaniam
Keyword(s):  
Cesarean Delivery ◽  
Pregnancy Outcomes ◽  
Neonatal Morbidity ◽  
Induction Of Labor ◽  
Obese Women ◽  
Class Iii ◽  
Membrane Rupture ◽  
Nulliparous Women ◽  
Increased Risk ◽  
Class Iii Obesity

Objective We sought to evaluate differences in pregnancy outcomes following early amniotomy in women with class III obesity (body mass index ≥40 kg/m2) undergoing induction of labor. Study Design This is a retrospective cohort study of women with class III obesity undergoing term induction of labor from January 2007 to February 2013. Early amniotomy was defined as artificial membrane rupture at less than 4 cm cervical dilation. The primary outcome was cesarean delivery. Secondary outcomes included length of labor, a maternal morbidity composite, and a neonatal morbidity composite. A subgroup analysis examined the effect of parity. Multivariable logistic regression was used to adjust for covariates. Results Of 285 women meeting inclusion criteria, 107 (37.5%) underwent early amniotomy and 178 (62.5%) underwent late amniotomy. Early amniotomy was associated with cesarean delivery after multivariable adjustments (adjusted odds ratio [aOR], 2.05; 95% confidence interval [CI], 1.21–3.47). There were no significant differences in length of labor or maternal and neonatal morbidity between groups. When stratified by parity, early amniotomy was associated with increased cesarean delivery (aOR, 3.10; 95% CI, 1.47–6.58) only in nulliparous women. Conclusion Early amniotomy among class III obese women, especially nulliparous women, undergoing labor induction may be associated with an increased risk of cesarean delivery.

Induction of labor by vaginal misoprostol in patients with previous cesarean delivery

1999 ◽  
Vol 78 (7) ◽  
pp. 653-654 ◽  
Author(s):  
Manuela Cunha ◽  
Antonio Bugalho ◽  
Cassimo Bique ◽  
Staffan Bergström
Keyword(s):  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Vaginal Misoprostol ◽  
Previous Cesarean

scholarly journals Oral Misoprostol vs Intravenous Oxytocin Infusion for Induction of Labor in Prelabor Rupture of Membranes

2016 ◽  
Vol 8 (1) ◽  
pp. 4-7
Author(s):  
Rajyashri Sharma
Keyword(s):  
Side Effects ◽  
Cesarean Delivery ◽  
Fetal Distress ◽  
Induction Of Labor ◽  
Oral Misoprostol ◽  
Oxytocin Infusion ◽  
Misoprostol Group ◽  
The Difference ◽  
Prelabor Rupture Of Membranes ◽  
To Receive

ABSTRACT Objectives To compare the efficacy, side effects and safety of oral misoprostol to intravenous oxytocin infusion for induction of labor in prelabor rupture of membranes (PROM). Materials and methods Two hundred and sixty-six women of prelabor rupture of membranes were assigned to receive either oral misoprostol 100 μg 6 hourly to a maximum 3 doses (misoprostol group, n = 142), or escalating doses of oxytocin infusion up to 20 mIU/min in primigravida and up to 10 mIU/min in multigravida (oxytocin group, n = 114). Results Demographic characteristics were similar in both the groups. The difference in mean induction to delivery interval (8.2 ± 6 hours in misoprostol group vs 12.2 ± 6 hours in oxytocin group) was statistically significant when two groups were compared. The incidence of vaginal delivery (86.1% in misoprostol group vs 84.2% in oxytocin group), and cesarean delivery (13.9% in misoprostol group vs 15.8% in oxytocin group), was almost similar in both the groups. The indication of cesarean delivery was dystocia (40% in misoprostol group vs 67% in oxytocin group), and fetal distress (60% in misoprostol group vs 33% in oxytocin group) and the difference was statistically significant (p < 0.01). Maternal and neonatal safety outcomes were similar for the two treatments. Conclusion Oral misoprostol in prelabor rupture of membrane have almost similar results as intravenous oxytocin in safety, efficacy and side effects except induction delivery interval, which is less in misoprostol group. How to cite this article Anjum S, Sharma R. Oral Misoprostol vs Intravenous Oxytocin Infusion for Induction of Labor in Prelabor Rupture of Membranes. J South Asian Feder Obst Gynae 2016;8(1):4-7.

Maternal Morbidity Associated With Cesarean Delivery Without Labor Compared With Induction of Labor at Term

2006 ◽  
Vol 108 (2) ◽  
pp. 286-294 ◽  
Author(s):  
Victoria M. Allen ◽  
Colleen M. O’Connell ◽  
Thomas F. Baskett
Keyword(s):  
Cesarean Delivery ◽  
Maternal Morbidity ◽  
Induction Of Labor

Nonmedically Indicated Induction of Labor Compared with Expectant Management in Nulliparous Women Aged 35 Years or Older

2018 ◽  
Vol 36 (01) ◽  
pp. 045-052 ◽  
Author(s):  
Katherine Bowers ◽  
Jane Khoury ◽  
Tetsuya Kawakita
Keyword(s):  
Intensive Care Unit ◽  
Cesarean Delivery ◽  
Retrospective Cohort ◽  
Neonatal Intensive Care ◽  
Expectant Management ◽  
Induction Of Labor ◽  
Neonatal Outcomes ◽  
Nulliparous Women ◽  
Maternal And Neonatal Outcomes ◽  
Nicu Admission

Objective This article compares maternal and neonatal outcomes in women aged ≥ 35 years who experienced nonmedically indicated induction of labor (NMII) versus expectant management. Study Design This was a retrospective cohort study of nulliparas aged ≥ 35 years with a singleton and cephalic presentation who delivered at term. Outcomes were compared between women who underwent NMII at 37, 38, 39, and 40 weeks' gestation and those with expectant management that week. Adjusted odds ratios (aORs) with 95% confidence intervals (95% CIs) were calculated, controlling for predefined covariates. Results Of 3,819 nulliparas aged ≥ 35 years, 1,409 (36.9%) women underwent NMII. Overall at 39 weeks' gestation or later, maternal and neonatal outcomes were similar or improved with NMII. At 37, 38, and 39 weeks' gestation, NMII compared with expectant management was associated with decreased odds of cesarean delivery at 37, 38, and 39 weeks' gestation. At 40 weeks' gestation, NMII compared with expectant management was associated with an increased odds of operative vaginal delivery and a decreased odds of neonatal intensive care unit (NICU) admission. Conclusion In nulliparous women aged ≥ 35 years, NMII was associated with decreased odds of cesarean delivery at 37 to 39 weeks' gestation and decreased odds of NICU admission at 40 weeks' gestation compared with expectant management.

Term Elective Induction of Labor and Risk of Cesarean Delivery in Obese Women [326]

2015 ◽  
Vol 125 ◽  
pp. 103S-104S
Author(s):  
Vanessa Rose Lee ◽  
Jonathan Snowden ◽  
Blair G. Darney ◽  
Elliott Kingwill Main ◽  
William M. Gilbert ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Obese Women ◽  
Elective Induction

Modified Bishop's score and induction of labor in patients with a previous cesarean delivery

2004 ◽  
Vol 191 (5) ◽  
pp. 1644-1648 ◽  
Author(s):  
Emmanuel Bujold ◽  
Sean C. Blackwell ◽  
Israel Hendler ◽  
Susan Berman ◽  
Yoram Sorokin ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Previous Cesarean
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