Induction of labor in a contemporary obstetric cohort.
Induction of labor in a contemporary obstetric cohort.
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
CONCLUSION: Induction of labor was a common obstetric intervention. Selecting appropriate candidates and waiting longer for labor to progress into the active phase would make an impact on decreasing the national cesarean delivery rate. Published by Mosby, Inc. OBJECTIVE: We sought to describe details of labor induction, including precursors and methods, and associated vaginal delivery rates. RESULTS: Induction occurred in 42.9% of nulliparas and 31.8% of multiparas and elective or no recorded indication for induction at term occurred in 35.5% and 44.1%, respectively. Elective induction at term in multiparas was highly successful (vaginal delivery 97%) compared to nulliparas (76.2%). For all precursors, cesarean delivery was more common in nulliparas in the latent compared to active phase of labor. Regardless of method, vaginal delivery rates were higher with a ripe vs unripe cervix, particularly for multiparas (86.6-100%). STUDY DESIGN: This was a retrospective cohort study of 208,695 electronic medical records from 19 hospitals across the United States, 2002 through 2008.
English
0002-9378
*Cesarean Section/sn [Statistics & Numerical Data]
*Labor, Induced/sn [Statistics & Numerical Data]
Adolescent
Adult
Cervical Ripening
Cohort Studies
Female
Humans
Kaplan-Meier Estimate
Labor Onset
Labor, Induced/mt [Methods]
Parity
Pregnancy
Pregnancy Complications
Retrospective Studies
Surgical Procedures, Elective
United States
Young Adult
MedStar Washington Hospital Center
Obstetrics and Gynecology, Maternal-Fetal Medicine
Journal Article
Research Support, N.I.H., Intramural
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
CONCLUSION: Induction of labor was a common obstetric intervention. Selecting appropriate candidates and waiting longer for labor to progress into the active phase would make an impact on decreasing the national cesarean delivery rate. Published by Mosby, Inc. OBJECTIVE: We sought to describe details of labor induction, including precursors and methods, and associated vaginal delivery rates. RESULTS: Induction occurred in 42.9% of nulliparas and 31.8% of multiparas and elective or no recorded indication for induction at term occurred in 35.5% and 44.1%, respectively. Elective induction at term in multiparas was highly successful (vaginal delivery 97%) compared to nulliparas (76.2%). For all precursors, cesarean delivery was more common in nulliparas in the latent compared to active phase of labor. Regardless of method, vaginal delivery rates were higher with a ripe vs unripe cervix, particularly for multiparas (86.6-100%). STUDY DESIGN: This was a retrospective cohort study of 208,695 electronic medical records from 19 hospitals across the United States, 2002 through 2008.
English
0002-9378
*Cesarean Section/sn [Statistics & Numerical Data]
*Labor, Induced/sn [Statistics & Numerical Data]
Adolescent
Adult
Cervical Ripening
Cohort Studies
Female
Humans
Kaplan-Meier Estimate
Labor Onset
Labor, Induced/mt [Methods]
Parity
Pregnancy
Pregnancy Complications
Retrospective Studies
Surgical Procedures, Elective
United States
Young Adult
MedStar Washington Hospital Center
Obstetrics and Gynecology, Maternal-Fetal Medicine
Journal Article
Research Support, N.I.H., Intramural