Risk Factors for Cesarean Delivery after Induction of Labor in Nulliparous Women with an Unfavorable Cervix at or beyond 41 Weeks of Gestation

2013 ◽  
Vol 76 (4) ◽  
pp. 254-259 ◽  
Author(s):  
Ga Hyun Son ◽  
Jeong Hyeon Kim ◽  
Ja Young Kwon ◽  
Young Han Kim ◽  
Yong Won Park
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Nulliparous Women ◽  
Unfavorable Cervix

Risk Factors for Cesarean Delivery in Preterm, Term and Post-Term Patients Undergoing Induction of Labor with an Unfavorable Cervix

2009 ◽  
Vol 67 (2) ◽  
pp. 113-117 ◽  
Author(s):  
Christopher S. Ennen ◽  
James A. Bofill ◽  
Everett F. Magann ◽  
John D. Bass ◽  
Suneet P. Chauhan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Unfavorable Cervix

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.

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.

scholarly journals Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Corine J. Verhoeven ◽  
Cedric T. van Uytrecht ◽  
Martina M. Porath ◽  
Ben Willem J. Mol
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Preterm Delivery ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Maternal Height ◽  
Retrospective Case ◽  
Multiparous Women ◽  
Successful Induction ◽  
Potential Risk Factors

Objective. To identify potential risk factors for cesarean delivery following labor induction in multiparous women at term.Methods. We conducted a retrospective case-control study. Cases were parous women in whom the induction of labor had resulted in a cesarean delivery. For each case, we used the data of two successful inductions as controls. Successful induction was defined as a vaginal delivery after the induction of labor. The study was limited to term singleton pregnancies with a child in cephalic position.Results. Between 1995 and 2010, labor was induced in 2548 parous women, of whom 80 had a cesarean delivery (3%). These 80 cases were compared to the data of 160 parous women with a successful induction of labor. In the multivariate analysis history of preterm delivery (odds ratio (OR) 5.3 (95% CI 1.1 to 25)), maternal height (OR 0.87 (95% CI 0.80 to 0.95)) and dilatation at the start of induction (OR 0.43 (95% CI 0.19 to 0.98)) were associated with failed induction.Conclusion. In multiparous women, the risk of cesarean delivery following labor induction increases with previous preterm delivery, short maternal height, and limited dilatation at the start of induction.

Bishop Score and Risk of Cesarean Delivery After Induction of Labor in Nulliparous Women

2005 ◽  
Vol 105 (4) ◽  
pp. 690-697 ◽  
Author(s):  
Francis P. J. M. Vrouenraets ◽  
Frans J. M. E. Roumen ◽  
Cary J. G. Dehing ◽  
Eline S. A. van den Akker ◽  
Maureen J. B. Aarts ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Bishop Score ◽  
Nulliparous Women

scholarly journals 468: Predicting cesarean delivery for women undergoing an induction of labor with an unfavorable cervix

2017 ◽  
Vol 216 (1) ◽  
pp. S277
Author(s):  
Lisa Danielle Levine ◽  
Katheryne L. Downes ◽  
Samuel Parry ◽  
Michal A. Elovitz ◽  
Sindhu K. Srinivas
Keyword(s):  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Unfavorable Cervix

Disparate Rates of Cesarean Delivery in Term Nulliparous Women with Hypertensive Disorders of Pregnancy

2019 ◽  
Vol 36 (10) ◽  
pp. 997-1001 ◽  
Author(s):  
Christina A. Penfield ◽  
Michael P. Nageotte ◽  
Deborah A. Wing
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Target Population ◽  
Vital Statistics ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Important Target ◽  
Nulliparous Women

Objective To evaluate the prevalence of cesarean delivery in women with hypertensive disorders of pregnancy (HDP), and explore whether maternal, sociodemographic, or obstetric comorbidities contribute to cesarean delivery rates. Study Design This is a retrospective cohort study of nulliparous, term, singleton, vertex women using the 2013 U.S. National Vital Statistics Report. We compared prevalence of risk factors for cesarean delivery between women with and without HDP, and then calculated probabilities of cesarean delivery after controlling for these risk factors. Results In this cohort of 1,439,977 women, the unadjusted probability of cesarean delivery in women with HDP was 39.5 versus 26.8% in those without the diagnosis (p < 0.01). Hypertensive women had more risk factors for cesarean delivery, most notably morbid obesity (9.0 vs. 3.1%, p < 0.01), diabetes (9.9 vs. 4.4%, p < 0.01), and induction of labor (59.2 vs. 26.9%, p < 0.01). Despite this, after controlling for these risk factors, hypertensive women remained significantly more likely to undergo cesarean delivery (35.1 vs. 26.4%, p < 0.01). Conclusion Even after controlling for multiple comorbidities, hypertension remained a significant risk factor for cesarean delivery in nulliparous women at term. Hypertensive women may therefore represent an important target population in efforts aimed at reduction of cesarean rates.

Sign in / Sign up

Export Citation Format

Share Document