Document Detail


Complications of labor induction among multiparous women in a community-based hospital system.
MedLine Citation:
PMID:  17826404     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to examine complications of labor induction compared to spontaneous labor in multiparas. STUDY DESIGN: This was a retrospective cohort study of multiparous women with live, singleton pregnancies at term, who had no contraindications to labor or labor induction. Cesarean delivery was the primary outcome. RESULTS: Of the study subjects, 7208 experienced spontaneous labor, 2190 underwent labor induction with oxytocin, and 239 underwent labor induction requiring cervical ripening agents. Oxytocin-induced multiparas were 37% more likely to require cesarean compared to those with spontaneous labor (OR, 1.37; 95% CI, 1.10-1.71) and nearly 3 times more likely to undergo cesarean when cervical ripening agents were used (OR, 2.82; 95% CI, 1.84-4.53). Women requiring cervical ripening were also 10 times more likely to spend more than 12 hours in labor than those with spontaneous labor. CONCLUSION: Multiparas undergoing labor induction are at increased risk for obstetric complications compared to spontaneous labor.
Authors:
Leah Battista; Judith H Chung; David C Lagrew; Deborah A Wing
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  197     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-10     Completed Date:  2007-09-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  241.e1-7; discussion 322-3, e1-4     Citation Subset:  AIM; IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of California, Irvine, School of Medicine, Orange, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cervical Ripening / drug effects
Cesarean Section
Female
Hospitals, Community
Humans
Infant, Newborn
Labor, Induced / adverse effects*,  methods
Labor, Obstetric*
Male
Oxytocics / pharmacology,  therapeutic use*
Oxytocin / pharmacology,  therapeutic use*
Parity
Pregnancy
Pregnancy Outcome
Reproductive Control Agents / therapeutic use
Retrospective Studies
Chemical
Reg. No./Substance:
0/Oxytocics; 0/Reproductive Control Agents; 50-56-6/Oxytocin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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