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.

Induction of labor in twin gestation: can we predict success?

2018 ◽  
Vol 46 (7) ◽  
pp. 771-775 ◽  
Author(s):  
Armin S. Razavi ◽  
Stephen T. Chasen ◽  
Fiona Chambers ◽  
Robin B. Kalish
Keyword(s):  
Vaginal Delivery ◽  
Maternal Morbidity ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Secondary Outcome ◽  
Estimated Blood Loss ◽  
Multiparous Women ◽  
Successful Induction ◽  
Twin Pregnancies ◽  
Uterotonic Agent

Abstract Objective: To identify factors associated with a successful induction of labor in twin pregnancies and associated maternal morbidity. Study design: This was a retrospective review of twin pregnancies ≥24 weeks’ gestation undergoing labor induction from 2011 to 2016. The primary outcome was a successful induction of labor. The secondary outcome was a composite of maternal morbidity, including ≥1 of the following: estimated blood loss (EBL) >1500 ml, blood transfusion, hysterectomy, intensive care unit (ICU) admission or maternal death. Results: Of 104 twin pregnancies undergoing labor induction, 64 (61.5%) had a vaginal delivery of both twins. Multiparity [odds ratio (OR) 12.3, 95% confidence interval (CI) 3.9–38.8, P≤0.005] and maternal age <35 years (OR 2.33, 95% CI 1.1–5.2, P=0.038) were independently associated with vaginal delivery. The overall rate of composite maternal morbidity was 7.7%. Cesarean delivery (CD) was associated with an increased rate of composite maternal morbidity compared to the successful induction group (17.5% vs. 1.6%, P≤0.005). An EBL >1500 ml, uterine atony and the use of ≥1 uterotonic agent were more frequent in the CD group. Conclusions: Multiparous women and those <35 years of age were more likely to have a vaginal delivery. Maternal morbidity is increased in women who required a CD after labor induction compared to those who achieved a vaginal delivery.

Transvaginal sonographic assessment of the cervix for prediction of successful induction of labor in nulliparous women

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohammed Abd-Elhameed Abd-Elhafeez ◽  
Alaa Eldin Elguindy ◽  
Mohamed Abu El Fetoh Mohamed Hamed ◽  
Maii Nawara
Keyword(s):  
Cohort Study ◽  
Significant Positive Correlation ◽  
Transvaginal Ultrasound ◽  
Significant Negative Correlation ◽  
Cervical Length ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Cutoff Value ◽  
Nulliparous Women ◽  
Successful Induction

Abstract Background Induction of labor is commonly performed in obstetric practice. Many methods have been suggested as good predictors of the outcome of labor induction, yet none of them is satisfactory enough. Objective To assess cervical length and uterocervical angle measured by transvaginal ultrasound as predictors of successful induction of labor. Methodology Prospective cohort study was conducted in a university-affiliated hospital over 150 nulliparous women undergoing induction of labor, in the period between May 2018 and August 2019. Transvaginal sonographic measurement of cervical length and uterocervical angle was done before induction of labor by prostaglandins. The patients were followed up till delivery and the outcome was recorded. Results The best cut-off value of cervical length for prediction of success of labor induction was 32.3 mm with 60% sensitivity and 56% specificity and the best cutoff value of uterocervical angle was 110.2 degrees with 87% sensitivity and 93% specificity. The cervical length showed a significant negative correlation while the uterocervical angle showed a significant positive correlation with the success of labor induction. Conclusion Cervical length and uterocervical angle are good predictors of successful labor induction.

Maternal risk factors for postterm pregnancy and cesarean delivery following labor induction

2010 ◽  
Vol 89 (8) ◽  
pp. 1003-1010 ◽  
Author(s):  
Nathalie Roos ◽  
Lena Sahlin ◽  
Gunvor Ekman-Ordeberg ◽  
Helle Kieler ◽  
Olof Stephansson
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Labor Induction ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Postterm Pregnancy

scholarly journals High Dose and Low Dose Oxytocin Regimens as Determinants of Successful Labor Induction: A multicenter comparative study

2019 ◽  
Author(s):  
MELESE GEZAHEGN TESEMMA ◽  
Demisew Amenu Sori ◽  
Desta Hiko Gemeda
Keyword(s):  
Low Dose ◽  
Statistical Significance ◽  
Labor Induction ◽  
Induction Of Labor ◽  
P Value ◽  
High Dose ◽  
Bishop Score ◽  
Delivery Time ◽  
Number Of Patients ◽  
Successful Induction

Abstract Background: Induction of labor by Oxytocin is a routine obstetric procedure. However, little is known regarding the optimal dose of oxytocin so as to bring successful induction. This study was aimed at comparing the effects of high dose versus low dose oxytocin regimens on success of induction. Methods: Hospital-based comparative cross-sectional study was conducted in four selected hospitals in Ethiopia from October 1, 2017 to May 30, 2018. A total of 216 pregnant women who undergo induction of labor at gestational age of 37 weeks and above were included. Data were entered into Epi-data version 3.1 and then exported to SPSS version 20 for cleaning and analysis. Chi-square test and logistic regression were done to look for determinants of successful induction. The result was presented using 95% confidence interval of crude and adjusted odds ratios. P-value < 0.05 was used to declare statistical significance. Result: The mean “Induction to delivery time” was 5.9 hours and 6.3 hours for participants who received high dose Oxytocin and low dose Oxytocin respectively. Higher successful induction (72.2% versus 61.1%) and lower Cesarean Section rate (27.8% vs. 38.9) were observed among participants who received low dose Oxytocin compared to high dose. Favourable bishop score [AOR 4.0 95% CI 1.9, 8.5], elective induction [AOR 0.2 95% CI 0.1, 0.4], performing artificial rupture of membrane [AOR 10.1 95% CI 3.2, 32.2], neonatal birth weight of < 4Kg [AOR 4.3, 95% CI 1.6, 11.6] and being parous [AOR 2.1 95% CI 1.1, 4.0] were significantly associated with success of induction. Conclusions: In this study, Different oxytocin regimens didn’t show significant association with success of induction. But, high dose oxytocin regimen was significantly associated with slightly shorter induction to delivery time. Favourable bishop score, emergency induction, performing artificial rupture of membrane and delivery to non-macrosomic fetuses were positive determinants of successful induction.We recommend researchers to conduct multicenter research on a large number of patients that controls confounders to see the real effects of different oxytocin regimens on success of labor induction.

scholarly journals Induction of labor compared to expectant management in term nulliparas with a latent phase of labor of more than 8 hours: a randomized trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrick Naveen Sargunam ◽  
Lindy Li Mei Bak ◽  
Peng Chiong Tan ◽  
Narayanan Vallikkannu ◽  
Mat Adenan Noor Azmi ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Cesarean Delivery ◽  
Hospital Discharge ◽  
Expectant Management ◽  
Primary Outcome Measure ◽  
Labor Induction ◽  
Induction Of Labor ◽  
National Medical ◽  
Active Labor ◽  
Latent Phase

Abstract Background Prolonged latent phase of labor is associated with adverse maternal and neonatal outcomes. Preliminary data indicate that labor induction for prolonged latent phase may reduce cesarean delivery. We performed a study powered to Cesarean delivery to evaluate labor induction compared to expectant management in full term nulliparas hospitalized for persistent contractions but non-progressive to established labor after an overnight stay. Methods From 2015 and 2017, nulliparas, ≥ 39 weeks’ gestation with prolonged latent phase of labor (persistent contractions after overnight hospitalization > 8 h), cervical dilation ≤3 cm, intact membranes and reassuring cardiotocogram were recruited. Participants were randomized to immediate induction of labor (with vaginal dinoprostone or amniotomy or oxytocin as appropriate) or expectant management (await labor for at least 24 h unless indicated intervention as directed by care provider). Primary outcome measure was Cesarean delivery. Results Three hundred eighteen women were randomized (159 to each arm). Data from 308 participants were analyzed. Cesarean delivery rate was 24.2% (36/149) vs. 23.3%, (37/159) RR 1.0 95% CI 0.7–1.6; P = 0.96 in induction of labor vs. expectant arms. Interval from intervention to delivery was 17.1 ± 9.9 vs. 40.1 ± 19.8 h; P < 0.001, intervention to active labor 9.6 ± 10.2 vs. 29.6 ± 18.5 h; P < 0.001, active labor to delivery 7.6 ± 3.6 vs. 10.5 ± 7.2 h; P < 0.001, intervention to hospital discharge 2.4 ± 1.2 vs. 2.9 ± 1.4 days; P < 0.001 and dinoprostone use was 19.5% (29/149) vs. 8.2% (13/159) RR 2.4 95% CI 1.3–4.4; P = 0.01 in IOL compared with expectant arms respectively. Intrapartum oxytocin use, epidural analgesia and uterine hyperstimulation syndrome, postpartum hemorrhage, patient satisfaction on allocated intervention, during labor and delivery and baby outcome were not significantly different across trial arms. Conclusions Induction of labor did not reduce Cesarean delivery rates but intervention to delivery and to hospital discharge durations are shorter. Patient satisfaction scores were similar. Induction of labor for prolonged latent phase of labor can be performed without apparent detriment to expedite delivery. Trial registration Registered in Malaysia National Medical Research Register (NMRR-15-16-23,886) on 6 January 2015 and the International Standard Randomised Controlled Trials Number registry, registration number ISRCTN14099170 on 5 Nov 2015.

Risk Factors Associated With Cesarean Delivery After Induction of Labor in Women With Class III Obesity

2020 ◽  
Vol 135 (3) ◽  
pp. 542-549 ◽  
Author(s):  
Christina Paidas Teefey ◽  
Liberty Reforma ◽  
Nathanael C. Koelper ◽  
Mary D. Sammel ◽  
Sindhu K. Srinivas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Induction Of Labor ◽  
Class Iii ◽  
Factors Associated ◽  
Class Iii Obesity

scholarly journals Study of pre induction transvaginal ultra-sonographic cervical length and its comparison with bishop score in predicting successful labor induction

2021 ◽  
Vol 10 (6) ◽  
pp. 2335
Author(s):  
Santosh Khajotia ◽  
Madhuri Sharma ◽  
Mool Chand Khichar ◽  
Manoj Gupta ◽  
Kavita Choudhary
Keyword(s):  
Vaginal Delivery ◽  
Prospective Observational Study ◽  
Mode Of Delivery ◽  
Cervical Length ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Bishop Score ◽  
Receiver Operating Characteristic Curves ◽  
Medical College ◽  
Successful Induction

Background: Induction of labor means initiation of uterine contraction, after period of viability by any method (medical, surgical or combined) before spontaneous onset of labor for the purpose of vaginal delivery. The condition of cervix or favorability is important for successful labor induction. Assessment of cervix has been used as a predictor of successful vaginal delivery. Induction of labor carried out in approximately 20% of all pregnancies. Aim and objectives of the current study were to compare the predictive value of trans-vaginal ultra-sonographic measurement of cervical length versus Bishop score prior to induction of labor in predicting the mode of delivery and maternal and fetal outcome.Methods: This prospective observational study was conducted in the department of obstetrics and gynecology, Sardar Patel medical college and associated group of hospitals, Bikaner between February to November 2020. Study group included 100 pregnant women in which induction of labor was performed at 37-42 weeks of gestation.Results: Bishop Score appears to be a better predictor than the cervical length with sensitivity of 1.00 and a specificity of 0.12 compared to 0.52 and 1.00 respectively. In the receiver operating characteristic curves, the cut-off point for the prediction of successful induction taken was 2.6 cm cervical length and >4 for the bishop score.Conclusions: TVS cervical length could be used as alternative to Bishop score for prediction of successful labor induction in the sitting where the appropriate equipment and expertise are available. Bishop score and TVS cervical length both are good predictors of successful induction of labor. 

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