The active management of risk in multiparous women at term: An association between a higher preventive labor induction rate and a lower cesarean delivery rate

2006 ◽  
Vol 195 (6) ◽  
pp. S99 ◽  
Author(s):  
James Nicholson ◽  
Aaron Caughey ◽  
Morghan Stenson ◽  
Lisa Kellar ◽  
Peter Cronholm ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Labor Induction ◽  
Active Management ◽  
Delivery Rate ◽  
Induction Rate ◽  
Multiparous Women ◽  
Cesarean Delivery Rate ◽  
Management Of Risk

343: Failed labor induction: Impact of body mass index on the cesarean delivery rate

2007 ◽  
Vol 197 (6) ◽  
pp. S104
Author(s):  
Michael Plevyak ◽  
Prasad Gawade ◽  
Glenn Markenson ◽  
Fadi Bsat ◽  
Andrew Healy
Keyword(s):  
Body Mass Index ◽  
Cesarean Delivery ◽  
Body Mass ◽  
Labor Induction ◽  
Delivery Rate ◽  
Cesarean Delivery Rate

Cesarean delivery among women with prolonged labor induction

2016 ◽  
Vol 44 (7) ◽  
Author(s):  
Louise L. Highley ◽  
Rebecca A. Previs ◽  
Sarah K. Dotters-Katz ◽  
Leo R. Brancazio ◽  
Chad A. Grotegut
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Mode Of Delivery ◽  
Labor Induction ◽  
University Hospital ◽  
Delivery Rate ◽  
Multivariate Logistic Regression Model ◽  
Nulliparous Women ◽  
Prolonged Labor ◽  
Cesarean Delivery Rate

AbstractObjective:The objective of this study was to determine characteristics associated with cesarean delivery among women with labor induction lasting over 24 h.Study design:Women with live singleton pregnancies without prior cesarean delivery undergoing a labor induction lasting >24 h between September 2006 and March 2009 at Duke University Hospital were identified. Collected variables were compared between subjects by mode of delivery. A multivariate logistic regression model for the outcome cesarean delivery was constructed separately for nulliparous and parous women.Results:There were 303 women who met inclusion criteria. The overall cesarean delivery rate was 57% (n=172) and remained constant with time (P=0.15, test-for-trend). Nulliparous women having a cesarean delivery were more likely to be obese [adjusted OR (aOR) 2.00; 95% CI 1.05, 3.80] and have a larger fetus [aOR 1.11 (aOR for every 100 g increase in birthweight), 95% CI 1.03, 1.20] compared to those having a vaginal delivery.Conclusion:Increasing BMI and birthweight were independent predictors of cesarean delivery among nulliparous women with prolonged labor induction. Despite this, after 24 h of labor induction, the overall mean cesarean delivery rate remained constant at 57%, and did not change with time. Among women having a vaginal delivery following a prolonged labor induction, we saw high rates of shoulder dystocia, operative vaginal delivery and severe perineal laceration.

scholarly journals The active management of risk in multiparous pregnancy at term: association between a higher preventive labor induction rate and improved birth outcomes

2009 ◽  
Vol 200 (3) ◽  
pp. 250.e1-250.e13 ◽  
Author(s):  
James M. Nicholson ◽  
Aaron B. Caughey ◽  
Morghan H. Stenson ◽  
Peter F. Cronholm ◽  
Lisa Kellar ◽  
...  
Keyword(s):  
Birth Outcomes ◽  
Labor Induction ◽  
Active Management ◽  
Induction Rate ◽  
Management Of Risk

Standard and adjusted criteria for the use of the misoprostol vaginal insert for labor induction: a comparative cohort study

2019 ◽  
Vol 47 (7) ◽  
pp. 750-756 ◽  
Author(s):  
Aleke Brandstetter ◽  
Moritz Döbert ◽  
Peter Schwaerzler ◽  
Timm Fabian Döbert ◽  
Hendrik Hasselbeck ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Delivery ◽  
Statistical Significance ◽  
Labor Induction ◽  
Delivery Rate ◽  
Consecutive Series ◽  
Academic Center ◽  
Significant Difference ◽  
Comparative Cohort Study ◽  
Cesarean Delivery Rate

Abstract Objective To compare the efficacy of misoprostol vaginal insert (MVI) for labor induction using standard and adjusted criteria. Methods A single-center, comparative cohort study using a consecutive series of pregnant women ≥37/0 weeks undergoing labor induction with either standard criteria for MVI (administration for up to 24 h; MVI-24) or with adjusted criteria (MVI administration for a maximum of 10 h; MVI-10) conducted at a tertiary academic center in Germany. The primary outcomes were the time from start of induction to any delivery and cesarean delivery rate. Results A total of 138 women were included in the study, 69 in each group. The mean time from MVI administration to any delivery showed no significant difference between the MVI-24 and MVI-10 groups (954 vs. 969 min, respectively; P = 0.679). The cesarean delivery rate was proportionally lower for the MVI-10 group [39.1% (27/69) vs. 24.6% (17/69); P = 0.10]. Conclusion The time from induction to delivery with MVI was similar when using standard criteria of up to 24 h of exposure vs. adjusted criteria of up to 10 h of exposure. Although the threshold for statistical significance for cesarean section was not attained, there is nonetheless a considerable difference between the MVI-24 and MVI-10 groups.

scholarly journals Active management of risk in nulliparous pregnancy at term: association between a higher preventive labor induction rate and improved birth outcomes

2009 ◽  
Vol 200 (3) ◽  
pp. 254.e1-254.e13 ◽  
Author(s):  
James M. Nicholson ◽  
Morghan H. Stenson ◽  
Lisa C. Kellar ◽  
Aaron B. Caughey ◽  
George A. Macones
Keyword(s):  
Birth Outcomes ◽  
Labor Induction ◽  
Active Management ◽  
Induction Rate ◽  
Management Of Risk

High dose vs. low dose oxytocin for labor augmentation: a systematic review and meta-analysis of randomized controlled trials

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Rehab Abdelhamid Aboshama ◽  
Ahmed Mohamed Abdelhakim ◽  
Mohammad Abrar Shareef ◽  
Abdulhadi A. AlAmodi ◽  
Mohammad Sunoqrot ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Low Dose ◽  
Delivery Rate ◽  
Cochrane Library ◽  
High Dose ◽  
Safety And Efficacy ◽  
Labor Duration ◽  
Uterine Hyperstimulation ◽  
Cesarean Delivery Rate ◽  
Labor Augmentation

AbstractObjectivesTo compare the safety and efficacy between high dose and low dose oxytocin administration for labor augmentation.MethodsWe searched for the available studies during March 2020 in PubMed, Cochrane Library, Scopus, and ISI Web of science. All randomized clinical trials (RCTs) that assessed safety and efficacy of high dose vs. low dose oxytocin for labor augmentation were considered. The extracted data were entered into RevMan software. Dichotomous and continuous data were pooled as odds ratio (OR) and mean difference (MD) respectively, with the corresponding 95% confidence intervals (CI). Our main outcomes were cesarean delivery rate, spontaneous vaginal delivery rate, uterine hyperstimulation and tachysystole, and labor duration from oxytocin infusion.ResultsEight RCTs with 3,154 patients were included. High dose oxytocin did not reduce cesarean delivery rate compared to low dose oxytocin (OR=0.76, 95% CI [0.52, 1.10], p=0.15). After solving the reported heterogeneity, high dose oxytocin did not increase the rate of spontaneous vaginal deliveries vs. low dose oxytocin (OR=1.06, 95% CI [0.84, 1.32], p=0.64). Low dose oxytocin was linked to a significant decline in uterine hyperstimulation and tachysystole (p>0.001). A reduction in labor duration was found in high dose oxytocin group over low oxytocin regimen (MD=−1.02 h, 95% CI [−1.77, −0.27], p=0.008).ConclusionsWe found no advantages for high dose oxytocin over low dose oxytocin in labor augmentation except in reducing labor duration. Low dose oxytocin is safer as it decreases the incidence of uterine hyperstimulation and tachysystole. More trials are needed to confirm our findings.

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