000 03645nam a22006257a 4500
008 170411s20162016 xxu||||| |||| 00| 0 eng d
022 _a0029-7844
040 _aOvid MEDLINE(R)
099 _a27400012
245 _aDuration of Oxytocin and Rupture of the Membranes Before Diagnosing a Failed Induction of Labor.
251 _aObstetrics & Gynecology. 128(2):373-80, 2016 Aug
252 _aObstet Gynecol. 128(2):373-80, 2016 Aug
253 _aObstetrics and gynecology
260 _c2016
260 _fFY2017
266 _d2017-05-24
501 _aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520 _aCONCLUSION: Based on when neonatal morbidity increased, in an otherwise uncomplicated induction of labor with rupture of membranes, a latent phase after initiation of oxytocin of at least 12 hours for nulliparous women and 15 hours in multiparous women is a reasonable criterion for diagnosing a failed induction.
520 _aMETHODS: This is a retrospective cohort study using data from the Consortium of Safe Labor study, including 9,763 nulliparous and 8,379 multiparous women with singleton, term pregnancies undergoing induction at 2 cm dilation or less with rupture of membranes before 6 cm dilation after which the latent phase ended. Outcomes were evaluated according to duration of oxytocin and rupture of membranes.
520 _aOBJECTIVE: To compare maternal and neonatal outcomes based on length of the latent phase during induction with rupture of membranes before 6 cm dilation.
520 _aRESULTS: At time points from 6 to 18 hours of oxytocin and rupture of membranes, the rates of nulliparous women remaining in the latent phase declined (35.9-1.4%) and the rates of vaginal delivery for those remaining in the latent phase at these time periods decreased (54.1-29.9%) Nulliparous women remaining in the latent phase for 12 hours compared with women who had exited the latent phase had significantly increased rates of chorioamnionitis (12.1% compared with 4.1%) and endometritis (3.6% compared with 1.3%) and increased rates of neonatal intensive care unit admission (8.7% compared with 6.3%). Similar patterns were present for multiparous women at 15 hours.
546 _aEnglish
650 _a*Extraembryonic Membranes
650 _a*Labor, Induced
650 _a*Labor, Obstetric
650 _a*Oxytocics/ad [Administration & Dosage]
650 _a*Oxytocin/ad [Administration & Dosage]
650 _aAdult
650 _aChorioamnionitis/ep [Epidemiology]
650 _aEndometritis/ep [Epidemiology]
650 _aFemale
650 _aHumans
650 _aInfant, Newborn
650 _aIntensive Care, Neonatal/sn [Statistics & Numerical Data]
650 _aLabor, Obstetric/de [Drug Effects]
650 _aParity
650 _aPregnancy
650 _aRetrospective Studies
650 _aTime Factors
650 _aTreatment Failure
650 _aYoung Adult
651 _aMedStar Health Research Institute
651 _aMedStar Washington Hospital Center
656 _aObstetrics and Gynecology/Maternal-Fetal Medicine
657 _aJournal Article
700 _aGrantz, Katherine L
700 _aHuang, Chun Chih
700 _aIqbal, Sara N
700 _aKawakita, Tetsuya
700 _aLandy, Helain J
700 _aReddy, Uma M
790 _aGrantz KL, Hoffman M, Huang CC, Iqbal SN, Kawakita T, Landy HJ, Reddy UM, Sciscione AC
856 _uhttps://dx.doi.org/10.1097/AOG.0000000000001527
_zhttps://dx.doi.org/10.1097/AOG.0000000000001527
942 _cART
_dArticle
999 _c2424
_d2424