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Induction of labor in a contemporary obstetric cohort.

MedStar author(s):

Citation: American Journal of Obstetrics & Gynecology. 206(6):486.e1-9, 2012 Jun.PMID: 22520652Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology, Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, N.I.H., IntramuralSubject headings: *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 AdultLocal holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:

0002-9378

Name of journal: American journal of obstetrics and gynecologyAbstract: 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.All authors: Beaver J, Grewal J, Laughon SK, Reddy UM, Sundaram R, Zhang JDigital Object Identifier:

http://dx.doi.org/10.1016/j.ajog.2012.03.014

Date added to catalog: 2013-09-17

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article		Available		22520652

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.

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